depression

  • Intensive Outpatient – Week 10, IMPROVE Model, Holiday Stress

    Sometimes I get so discouraged. In IOP, in work, in life, in everything. Today I felt discouraged in IOP. I have before, worried it was too much to take in at once, that I would not be able to get better at the different coping skills, that others would get better while I stagnated. I

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  • Past and Future Problems

    Past and Future Problems

    My mother is having a little bit of a meltdown and left town. She’s in Portland right now. I mean, on the one hand, good for her. She needed a change of scenery, and god knows I can’t get her to do any of the things she used to do and I can’t make her

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  • Intensive Outpatient – Week 10, Distress Tolerance, Self-Soothe, SAD

    I’ve made it to week 10 and an important part of IOP, maybe the most important for me – distress tolerance. This is the key to hopefully preventing relapse, or at least violent detainment. This morning the first skill the therapist wanted to go over was self-soothing, or small acts in the moment that ground

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  • Intensive Outpatient – Week 9, Distress Tolerance, 2-Month Assessment

    After IOP Thursday, the therapist wanted to meet with me for my two month assessment. It has gone by fast. “How do you feel therapy has gone? Is there anything you need help with specifically?” “At first I was overwhelmed with the material and I felt like I wouldn’t be able to incorporate it or

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  • Reasonable Accommodation?

    Reasonable Accommodation?

    Day three of orientation for my new job – also the last day. I had clinical content, part of a whole slew of legal regulatory requirements. I wasn’t thinking much of it – it’s all review, I’ve been doing this 15 years – till the instructor got to restraints and whipped them out in front

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  • Future Cost

    Future Cost

    I got decent sleep today, with medication I slept seven hours and only woke up twice. I had a terrible dream despite the prazosin medication I take for nightmares. This wasn’t so much a nightmare as it was a memory. I dreamed I woke up tied to a bed in the hospital, and subsequently fighting

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  • Justice and Mental Health

    Justice and Mental Health

    I’ve completed the health screening for my new part time renal care job. I have latent TB and completed a course of rifampin to ensure I never develop an infection and that always raises eyebrows when you do patient care, so I had to bring all my documentation for that and hope they don’t make

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  • Sleepless

    Sleepless

    From Sunday to Tuesday, I slept two hours. This was shocking to the group in IOP on Monday. Today I finally got some real sleep but only after a couple hours of laying there, my mind going a million miles an hour. I was so tired, sleepy even, working myself to exhaustion and intentionally staying

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  • Intensive Outpatient – Week 8, Distress Tolerance

    I’m already at my two month mark for IOP. I can’t believe it. Today started the module I’ve been simultaneously dreading and looking forward to the most – distress tolerance. As Dr Black and the therapist in IOP explain it – emotion regulation is for day to day life and utilizing coping skills. Distress tolerance

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  • Suicide Bill

    Suicide Bill

    I had a good laugh yesterday when a letter from the mental hospital came. I was curious at first, wondering what on earth they could have to write me about, as opposed to email or call. A survey? I did one of those at discharge. A follow up to see how I’m doing? No, it

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