• Fork in the Road

    Fork in the Road

    My catatonic patient is moving and responding to questions, albeit slowly. Tonight, I could barely keep him in the bed, he was jumping around so much. Everyone is talking about the email with included resignation letter from the nutcase-in-chief titled “Fork in the Road.” It’s really quite comical. He doesn’t have the power to unilaterally…

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  • Toe the Line

    Toe the Line

    Shit is getting real. As you might recall, I am a federal employee at the Department of Veterans Affairs. A CNA (nurse assistant) in the rehab and hospice unit at my local VA hospital. Today, we got an email from the Office of Personnel Management. During the first week of his administration, President Trump issued…

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  • A Way Out

    A Way Out

    I did a thing. A rather major thing. I’ve alluded to it in previous posts, but did not want to say anything here or to anyone for fear of jinxing myself. I am not a superstitious man but I’ve done something I never imagined I’d be able to do again and I didn’t want to…

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  • Precedent

    Precedent

    I did something tonight I never thought I’d be able to do again. I am kind of freaking out. Only two people know anything at all. I am on an upward spin.

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  • Nothing Today

    Nothing Today

    A little glimpse of dysfunction into my family – we still have not got together for Christmas/New Years. The several attempts led to postponements over illness in my brother Sam’s family, with his wife and my diabetic nephew getting sick. My youngest brother George breaking his foot and being really drunk. I have no idea…

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  • Discomfort and Depression

    Discomfort and Depression

    I have had to sit with a lot of discomfort for the last few days. It’s forced me to think a lot about the DBT skills I’m supposed to use in response to these painful feelings – distraction, HALT (hungry, angry, lonely, tired) build mastery, and just plain sitting with the shitty feelings. I also…

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  • Catatonia

    Catatonia

    I have a catatonic patient. He hasn’t moved much in days, other than spontaneous leg movements and occasionally opening his eyes. He has late onset schizophrenia and is a veteran like me. I experienced catatonia myself. On the roller coaster ride that is bipolar, a downward plunge with no rebound pushes me deeper and deeper…

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  • Oh God…the Cringe!

    Oh God…the Cringe!

    Sometimes the only things to hold onto are physically within our grasp – my peppermint vodka cocktail, the cat next to me, my new gravity blanket. I am indulging in the DBT skill that is appreciating the small things – glimmers – or opposites of triggers. I have so many, many triggers. For once I…

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  • Breathe

    Breathe

    Something is happening but I dare not say what, for fear of ruining it. The DIY detox seems to have gone well. As far as I can tell, my brother hasn’t had a drink since last Thursday. I metered out to him four ativan on day one, three on day two, three on day three…

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  • A Constant Trigger

    A Constant Trigger

    This is so fucked up. It is happening all over again. I’m trying to face and accept the fact it’s going to keep happening. I have another patient in restraints and this time I had to help restrain him. I did everything I could to avoid it. For five hours I tried redirection, distraction, calming…

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