Trying to Tread Water

I haven’t written a proper post for close to a year.

That’s how long depression has been kicking my butt. Not constantly. There have been light, happy, joyful moments and days sparsely sprinkled amongst the doom. The doom, however, heavily outweighs any lightness and joy.

Tweaking my antidepressant no longer helps. I suffer horrid side effects when I increase the dose. My psychiatrist is hesitant to change medications, but it’s something I’ll be pushing for soon.

Along with the unrelenting depression has come almost all the unhelpful behaviours you could think of. Aside from alcohol or illicit drug use. I rarely drink, and have never used drugs. I have enough going on physically and mentally without adding unknown substances to the mix!

Self-harm. Multiple overdoses. Binge eating. Not eating. Not drinking water.

The same behaviours over, and over in moments of ‘I can’t do this anymore’.

I had an inpatient psych admission a couple of months ago. It was helpful, and I was discharged in a much better space. However… within a month I’d overdosed and self-harmed.

I’m supposed to be journaling when I feel anxious or otherwise not okay. Journaling instead of leaping into unhelpful behaviours. I did. Once. That stirred up something inside. Flashbacks started, and small, scared chatter began inside.

I shut that shit down and dove headfirst, straight into an unhelpful behaviour.

Damn it. Not unhelpful. Self-harm, overdoses, eating disorder behaviours. They all help in some way, otherwise I wouldn’t be using them. They are helpful, but in a very short-term way, and they have unhelpful consequences. They don’t help me longterm.

I feel like I’m drowning. I’m trying to keep my head above water, but I’m struggling to do that. I keep going under, gulping water instead of air, only to rise again, cough up all the water, and start breathing…. before going under.

I don’t know how to fix this, and I don’t know what would help.

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Pancake Days

A few weeks ago Miss 5 was insistent that we have pancakes for lunch. Having the sweet tooth that she does they were served covered in copious amounts of maple syrup. After devouring them (and more sugar than we ever needed!) she watched Sesame Street on TV.

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When Sesame Street finished Miss 5 disappeared back inside, and Miss 7 came out to watch the show that was on next. Miss 7 stuck around for several different kids shows, then also disappeared back inside. Then Miss 3C came out and quietly watched another TV show.

In between all the TV watching that was going on different parts wrote in our journal. Lots of conversation was had, and a few issues raised to discuss in therapy. It turned out to be an incredibly productive afternoon.

Given how helpful it was, we tried it again a week or so later. This time Miss 7 got to help with making the pancakes, and thankfully, there was less maple syrup involved! Then, as with the week before, there were more kids TV shows, lots of journalling, and talking inside.

Now we’re waiting for groceries to be delivered so we have the ingredients to make more pancakes. This time Miss 21 is going to be making the pancakes. Before she starts cooking  I’ll get out our journal, pens, pencils, and other art supplies. Then, once we’ve eaten, anything goes.

Allowing time for everyone to come out has been really helpful. There aren’t any rules aside from keeping the body safe, and not leaving the house. Older parts, myself included, are always around to help out if need be. Younger parts can play with their toys, draw, watch TV, or write with help from others.

The other part we’ve had to be careful of is making sure we’re home alone. We have a lovely housemate, but they don’t know the extent of our mental health issues. We’ve mentioned depression and anxiety to them, but nothing about trauma, dissociation, or DID. These pancake afternoons are very carefully planned to make sure we’re alone, and won’t be interrupted.

Will Therapy Ever End?

Our current therapist made a comment recently that made my heart sink. They said they thought we’re likely to need, at least, some supportive counselling for the rest of our lives.

The body is in it’s early thirties. If we make it to even eighty, that’s another fifty or so years of therapy. Maybe not weekly like now, but perhaps monthly.

Our current therapist will also be retiring in the near future. We’re trying not to worry too much about that, and trying to focus on getting as much DID focussed work done as possible in the time we have left.

That’s one of the hardest parts about having DID. Finding a therapist who has enough knowledge and experience to actually be helpful to us. In the last eight years we’ve just been lucky to come across therapists who are excellent at working with trauma and dissociation.

We’ve recently spent several weeks in hospital. None of us regret the admission. We got a lot of work done, and nearly all of us were able to talk to our therapist. No easy feat when there’s eighteen of us!

Our therapist is confident that we’ll have the majority of our trauma and DID based work done before they retire. I’m not sure how realistic that is. As much as ongoing therapy (for the rest of my life) makes my heart sink, I also can’t imagine our life without regular therapy or hospital admissions.

Does therapy ever end when you’ve experienced chronic childhood trauma?

The Stigma Of Treatment

All the important people in my life know I struggle with my mental health. That’s old news. I’m not even overly anxious about sharing some of my struggles with the right people at the right time.

On the other hand sharing what treatment I’m receiving for my mental health is so much more anxiety provoking and worrisome.

I’m on three psychotropic drugs, and there’s plenty of judgement and stigma from people about that. I need these medications to function, if anyone has a problem with that, they can get lost.

I’m seeing a therapist weekly. At this point in time the therapist is a psychiatrist. In the past they’ve been psychologists, clinical psychologists, and counsellors. Therapy is a really good way to help me manage my mental health. Again, if people have a problem with that, they can get lost.

Then there’s the inpatient psychiatric admissions. Five in the last two years. Most of them for about three weeks. Not all in times of crisis, but of great stress, and with multiple crappy coping strategies being used.

I’m heading for my seventh admission with the same doctor at the same hospital. I trust my doctor, and I trust the nursing staff. I know the admission will be helpful, they always are, but I’m scared to tell anyone.

I worry so much more about what people might think about me being in a psychiatric hospital, than being on medication, or in therapy.

Is it really that bad that I need to be in hospital?
Yes. Doing the same amount of work in therapy outpatient is impossible. Plus I’m stuck, again. DID chaos, and multiple shit storms brewing beneath the surface. That doesn’t even cover the issues I’ve had with mood (both hypomania and depression in the last month). It is that bad.

Can’t I just get over it? Isn’t therapy enough? Can’t they give you medication?
I’m doing the therapy, and taking the meds. I’m still struggling. As for getting over it? Get lost.

I know hospital is a safe place to crash land. I can be a mess, be emotional, struggle in any kind of way and it’s okay. I don’t have to keep it together. I don’t have to keep smiling. Staff are kind and supportive. I have time and space to unleash the chaos, work through it, and put myself back together again.

I’ve still only told a few people. I’m so fearful of their reaction to, and judgement of inpatient treatment that I stay silent.

I think the stigma associated with psychiatric or psychological treatment can often be so much worse than the stigma associated with a diagnosis.

It’s okay to not be okay, and it’s even more okay to get whatever help you need to be okay again.