mental health

  • 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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  • Workaholic

    Workaholic

    I’m developing a routine and process in my new job. The floor is intense and busy with very sick patients. I get a lot of crazy looking vital signs like high blood pressures, low blood pressures, and low oxygen saturations. I’ve got patients in a lot of pain. There are kidney transplant patients and right

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  • My Shitty Mental Health

    My Shitty Mental Health

    I am so upset and frustrated with myself. I finally got some sleep…and slept right on through IOP Thursday morning. I was just going to take a nap… It was an important day too. The final wrap up for distress tolerance and and all the skills therein. The most important module and day of IOP,

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  • Intensive Outpatient – Week 12, Stages of Grief, Grounding

    Everyone knows of it – the five stages of grief. Denial, anger, bargaining, depression, acceptance. Everyone grieves something – lost family/friends, a lost job, lost opportunities, lost hope. No one goes through the five stages in a linear fashion and in fact, we as humans are all over the place. I realized as we talked

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  • 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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  • 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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  • Tales from the Floor

    Tales from the Floor

    There is little I can do about my reasonable accommodation request over the weekend, but I do have a phone number to call, or I can try to navigate their portal from a work computer. I figure I’ll just call them and expedite it, because I’ve already worked the floor once. I’ve been doing this

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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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