mental health system

  • 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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  • The Journey Never Ends

    The Journey Never Ends

    For now, my “journey” through both civilian and veteran mental health systems is at the maintenance phase. I have graduated IOP as of the end of the year. I could have done more time and the VA likely would have paid for it, but I felt ready, and I also liked how it closed out…

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  • In the Darkness of Hope

    In the Darkness of Hope

    A bittersweet day. I finished my episode of care with Dr Black and after that, went to my last day of IOP, where I graduated silently. I have all kinds of mixed emotions. At least I am feeling again, at least somewhat. I feel a nervous sense of trepidation, like a kid learning to ride…

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  • Feeling and Unfeeling

    Feeling and Unfeeling

    Maybe dissociation can come in handy. Maybe my lack of feeling will have to be a tool. This job is exposing me to the good, bad, and ugly of our society and my city specifically. Med/surg is fast-paced and dynamic. And I question all my life choices that brought me here. I always wanted to…

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  • Turmoil of Mind

    Turmoil of Mind

    Well that didn’t take long. At first I was a rock star. I came on the floor and it was a madhouse. There were several call lights at once and an incoming admit. I answered the lights and attempted to seek out the person I was relieving to get a report. The admit came, alcoholic…

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  • A Lack of Feeling

    A Lack of Feeling

    My feelings wheel is a guide to help me figure out what I’m feeling. Sometimes I just can’t tell. The feelings wheel is not giving me much guidance today. I cannot tell what I feel. Nothing, there is nothing. The mood stabilizer is likely making me flat and blank. I am having flashbacks and stare…

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  • Intensive Outpatient – Week 14, Validation

    On Friday morning last week, I finally had to demonstrate my competency so they could check me off and fill the hospital and legal requirement to be competent in quick release knots for restraints. I had a couple days to mentally prepare. I came to the office of the unit manager, and there she was,…

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  • A Bad Day

    A Bad Day

    I had a couple days off, but my weekend was rough. I started getting a headache Friday afternoon which morphed into a migraine later. I took Advil and Ativan, knowing it was probably from lack of sleep – I had worked the night before and had not been to bed yet. I always puke when…

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  • Voices in the Dark

    Voices in the Dark

    During IOP process hour yesterday morning, I was more forthcoming about my difficulty with depersonalization and dissociation. I go back in time to painful memories, past traumas, the things that give me PTSD and sometimes keep me up at night. I’ve tried to use the coping skills I’ve learned to get through it – grounding,…

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  • Intensive Outpatient – Week 13, Interpersonal Effectiveness, INNER CRITIC

    The core of it, the core of so much suffering, aggravation, anxiety, and despair, is the inner critic – that voice inside that tells you how stupid and ugly and unlikable you are, how you never get anything right, how you’ll always be a failure. It’s a shadow that follows you around, no one can…

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