I just found out the makers of the app CALM (a popular and free meditation app) have an app called CALM HARM for people dealing with self-harm. It has features to help the user get through the obsessive thoughts and urges. There are sections for journaling, distractions, advice, and getting help. I sort stumbled on it by accident, about a week too late if we're being honest. But it's out there and it's free. I can't post this on facebook or twitter because I, you know, know people out there in the wild. I can't believe more people don't know this exists. So if you or someone you know needs this- even if you have to talk about it in a hushed whisper- it exists.
So for seventeen years I've had pain depression. It especially feels like it's squeezing my heart. It hasn't historically been *about* anything. I've just chalked it up to biochemistry, heredity. And I've thought about suicide, most days, for at least fifteen years - because pain sucks. Ups-and-downs. Roller-coasters. Probably every person on here has done time at the worst torture theme park in the world.
Two years ago, my cocktail started working. There was some CBT and DBT in the mix too. I decreased my daily Ativan from 3mg to 2mg. Plus 20mg Latuda, 300mg Sertraline, 100mg Topamax. I actually felt happy, for about two years, until this October. Then it stopped working. And I stopped working. I work in a level I trauma center, where I identify cancer, anemia, and the effects of the coronavirus on the human body. I feel like I have a front row seat to human suffering, without being empowered to ameliorate it, and it's another kind of torture.
I am very tired of fighting. If there was a euthanasia travel agency, where I could just walk in, plan my funeral and end-of-life arrangements, plan my ideal death, and just call this thing at 38, that would be a somewhat attractive option (not telling, The Tallest Man on Earth, flaming-Viking-burial-at-sea.) I'm tired of fighting this disease, personally. And I'm tired of coming up against the tsunami of "world suck" (H/T Vlog Brothers) which seems to be hate-fucking itself ad astra.
So the strain theory, which I haven't read much on yet, is that we consider the termination of our lives when under one or more types of strain. I personally find this theory hopeful, as targeting the sources of strain, i.e. "world stuck," could reduce the inducements to terminate one's life. The General Strain Theory, according to one Wik I. Pedia cites loss of positive stimuli, addition of negative stimuli, or the inability to reach a desired goal, as three possible sources of strain. I will follow up on this with my tdoc on Wednesday. I think work is introducing negative stimuli, and I have a shit ton of unreached goals, but am starting to care about goals less and less. Basically, it pisses me off that I've had to dramatically reduce my goals due to my diseases, and it's kind of tempting to just leave the party. Please feel free to weigh in if you have personal and or academic experience with this.
I'm also meeting virtually with my pdoc tomorrow... to tweak the cocktail. Would love recommendations. My current rx mix, dxs and rx, failures are in my signature. Lamictal induces hives and vomiting. Depakote causes dyskinesia. Lithium ruined the thyroid and causes acute renal failure. Medicine. Ha ha. Organ roulette.
So the observation about different species of depression is that while for a decade-and-a-half I experienced what seemed like purely biochemical, chains-around-my-heart, tar-and-shark-filled, basements-beneath-basements depression. This feels more like a rational(?) depression, which has me concerned about whether it will be responsive to biochemical therapy.
It's been a long while since my last visit here, and even longer since last writing anything.
I don't know where to write this, or even what to write, but there really is no one else to talk to.
So... long story short, I attempted suicide about 6 months ago (not my first try), and obviously, failed at that, again. I have been in a relationship more or less 5 years now, and I guess I can summarize that into "it's complicated". Things have been going from bad to worse since the suicide attempt. To a point that few weeks ago, my (I don't know what to call him, "partner"?) was violent towards me (not really the first time this kind of thing has happened, but certainly the worst).
He so angry all the time (at me, I guess.. and certainly some of it is completely justified), it feels like he is expecting me to be "grateful" for him saving my life, and when I can't, it makes things even worse.
It doesn't really make things any easier, that we both have some pretty serious issues. Me with depression, and trauma-related dissociative "disorder" (?), or at least a tendency to dissociate in difficult situations. And he with alcohol abuse, and some traumas of his own.
Anyway, right now we are still living in the same house (he is occupying most of the space, and I am kind of living in my workroom) but we don't really have a "together-life". I don't have a lot of friends in general, and the few I have are living relatively far from where I live. My mother lives not-too-far-away, but we aren't very close, and I can't imagine talking to her about this.
So, I found out recently that my diagnosis had changed from Bipolar 1 to Schizoaffective Disorder: Bipolar Type. This diagnoses switch was done 2 YEARS ago and nobody told me. Sure, my Pdoc at the time said it might be a possibility, but I was really upset that no one bothered to clue me in. Anyway. The thing is, I've been shuffled around through so many Pdocs and psychiatric nurse practitioners and I have never told them my whole story.
My first ever Pdoc asked if I ever had any psychotic symptoms. I said that I would hear my name being called, and before I could say anything else, they laughed me off saying that everyone experiences that. So, being the shy person I am, I thought that I was being silly and never mentioned it again. My last Pdoc, I tried to be more open with and told them about some hallucinations/paranoid thoughts I had...hence change in diagnosis.
Now I am with a new provider whom I don't trust at all. They don't seem to know how to manage me at all, and every session seems to be more and more a waste of time. I am currently switching to another provider, but it will take a bit before I can go. I'm a little nervous because I've tried so many anti psychotics, and am currently not taking one. Sorry, the point is I am planning to give my therapist all the details about things that have been going on for years. Stuff I never had the guts to say, because I know they will listen to me. I am just afraid that since I never said anything to my new provider (or even in the past) my future provider might think that I am making it up since I found out about my new diagnosis. Maybe I'm overthinking things. I don't know. But the only people on my support team that I trust are my family and my therapist.
Sorry if this is a bit of a ramble. I've been in a bad state the last few days and this has been edited and re-edited for your perusal. If there is anyone out there with the same disorder, or just someone with advice, please help me! There is so little info on Schizoaffective disorder, that I would really like to hear from others, maybe hear some coping skills? Everyone is different, but I am open to anything at this moment. Falling asleep last night was hell. My mind was racing all over the place, with layers of thought over layers of thought. I have to sleep with a light now, because shadows will creep the hell out of me. I have poor memory and forget words/mis-say them. My concentration is shot. I lash out in anger and always have this simmering irritability underneath. I'm starting to get the feeling that something is watching me again.