I am really struggling. I haven't posted because I really don't know what to say. I think I am bothered by the disparity between my outside life and my inside life. To the outside world, I think I appear to be functioning. Inside my head, I can clearly tell that I am self destructing. There's a lot going on that makes this apparent to me.
I am incredibly frustrated with the therapist from IOP. He is terrible at communicating things or assuming that they're understood. Like he let me go several extra weeks at IOP (3x a week) when I should have dropped to SOP (2x a week). He said he assumed I knew and just wanted the extra accountability. Then he normally says SOP lasts about 10 weeks. Well after far less than that, he tells me I am out of sessions... and he says this like I should have known that was my last day. He ended up giving me one more individual session.. and when I came for that he seemed surprised I hadn't come Monday and Tuesday.. I'm like.. you told me once a week? So yeah.. it's very frustrating. He seemed to think it was odd that I wasn't excited about this, and I tried to hint at the fact that I am NOT doing well with regards to my mental health and other than this group, I only see my case worked every 2 weeks for 30min. I love my case worker, but it is very hard to accomplish anything in that time. So dropping down to once a week means getting very little help when my mental health is clearly getting worse. Except I don't think he sees that. He also has asked me a couple times about if I was looking for a job or if my parents expected me to find a job. I will get to that in a minute, but he didn't seem to understand why I am anxious about that and why I applied for disability. I don't want to get a job and fall apart and end up losing it anyway. In group, I just say in general that I am struggling with depression and stuff because it's a substance abuse group.. I don't feel it's appropriate to talk about the depression, the eating disorder, the self harm.. but other patients have been commenting that I look unhappy. They seem to understand it better.
I don't know if i wrote yet that my disability application was turned down. I had been told to expect that, but it was still really hard. The decision said stuff about how I am being treated for the depression and should be able to manage it with medication. Well.. I am not taking all my medications. I keep playing around with not taking all my wellbutrin. I also have a stash of a couple other medications that I am taking at random for sleep. It wasn't because of the disability decision. I started it because I had reached a point where I wasn't really depressed but I certainly wasn't happy. It feels safe for me to be depressed than to be numb. But since I started this, I have started self harming again. I also have a stockpile of meds and a bottle of vodka hidden. That's not normal behavior.
Since all this.. the suicidal thoughts are worse. No plan at the moment, but I know that the vodka is there as a backup. I haven't told anyone that the pills and vodka are a suicide backup plan.. I think they think I just plan to drink if it gets to be too much. The consequences are potentially serious enough, that I know I can't drink if I want to stay alive.
The eating disorder is still there. I am purging daily. I have been getting very upset if anything interferes with the time I set aside to pace the house or jog in place to get my steps. I spend a lot of time thinking about all of this. I am also eating compulsively.. especially at night. The self loathing is pretty deep at this point. I feel completely worthless.
So then.. because all of this isn't bad enough. I mean I am at least still doing what I am supposed to. I am not drinking. I am going to meetings. I am stumbling over how to tell or text my sponsor about how i am doing. I went to see an employment counselor and at least applied for one job since then. I still am not sure that I can do it.. like it causes instant panic to think about working. I have been reading back through my old posts and my old instagram posts and I can see how crazy I was for a long time before they fired me. I also kind of miss it. I miss the insanity of drinking and spending my days in bed. I miss not having to pretend to function. Anyway, tonight my parents hand me something that was left on the door about someone trying to serve me with papers. I am sure it is regarding some debt collector... I have all sorts of debt collectors calling me. I have been ignoring them because I have $0.. actually less than no money. Now my parents want me to call legal aid... I've kind of known I would eventually end up filing bankruptcy because I owe tens of thousands of dollars and have no income. Still.. my first thought tonight involved a bottle of pills and vodka. I can't handle this on top of everything else. I mean.. I don't even know how many bills I have out there. I might be able to list the hospitals, but there are so many bills.
I just don't see myself coming back from all this. I feel like I am delaying the inevitable by pretending I am going to live. I don't see myself able to regain independence, and I cannot spend my life living with my parents. I just want to give up. And having no insurance means I am seeing someone every 2 weeks for 30 minutes.. and that's probably all the help I can get unless it becomes a crisis. Sorry.. that sounds ungrateful. I know it could be so much worse. I just don't want to be doing any of this.
The mental health system can really suck at times. You'd think they could do you a new referral given your current state, especially because your struggles stretch beyond substance abuse.
ReplyDeleteI'm sorry that they turned you down for disability. I don't know how it works over there exactly, but here it is a real bitch to get. Just remember that you can always reapply, and they might reassess things.
I know you can't see it, but I really hope you can come back from this. You don't sound ungrateful. No matter how bad the situation, I think 99% of people say "it could be worse". For everyone, there will always be an imagined concept of 'worse', even in the most extreme cases, but it doesn't make their struggles any less significant.
xx