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Life on a String

Exploring Womanhood > Journals > Life on a Slippery Slope > Entries

Entry #9
~ Going Home?

That's the question I went to bed with and it is the question I woke up with. I wasn't sure because my contact person from Sunday evening talked about how I may need to stay a little longer. My contact person had talked about that possibility on Friday. I was getting antsy from being cooped up on a closed ward since Wednesday and I was anxious to show Dr. F the collages I had labored over on Friday evening. I wondered what he would think and if he would do his "Hmm"ing thing again. In addition, my Dh had been off work for almost a week and needed to be thinking about what we would do when he went back to work and I was home on my own again.

I didn't sleep well even with the prescription sleep medicine they gave me. I woke up feeling very anxious again too. When I went to ask for something before breakfast, I found out Dr. F was NOT going to be at the hospital! What did that mean for me? Was I going to have to stay another day or get to go home? A different psychiatrist was covering, Dr. H. I would see him that day, but it was going to be awhile before they could check on the anxiety meds because he was downstairs administering ECT (electro-convulsive therapy) to someone.

I had a hard time hearing all that. It wasn't anyone's fault, but I was not coping well. While there are medications that make things a little more bearable at times, I am not the most patient person in the world when I have to wait. I went back to my room mad enough to want to slam the door because I was still waiting for my medication and it was not forthcoming. I didn't, but they sent someone after me anyway. My gut was roiling. There's nothing like stress to make a person feel badly. My contact person urged me to write a list a why I was ready versus why I was not ready to go home while I waited for an okay on my meds.

Here's the list I came up with:

Why I'm ready
feel mostly okay
ready to start the work
I miss my kids.
hate being in limbo for my meds and breastfeeding
if I have some help with times of anxiety, I'll be okay.
feeling very caged
miss the sunlight

Why I'm not ready
sleep is still off some—need help getting there
still some shadow/suicide thoughts although much diminished
anxiety still a problem—that was a trigger
still pretty adept at wearing my mask
eating still a problem

I went to the first group of the day and set my goal as going home, but I really had no idea if it would be Monday or not. I was so anxious all morning and it just got worse. I was trying to call to set up my aftercare at the place where I would go for therapy after discharge. The person I needed to talk to was not in. I tried to focus on group, but I was so out of it with worry and anxiety. C, one of the counselors kept trying to get me to engage, but I couldn't do it.

My social worker came to find me later around 11 am and told me she would help get my aftercare all set up. She asked if there was any other way she could help and I said, "I've been trying for three hours to get some Ativan and it's not happening. I need something to cope with the anxiety." She went to talk to the staff and they actually came to find me and give me the pill. I don't like to be a pain, but sometimes, you have to push others hard when you are advocating for yourself.

Lunchtime came and went and I found out from some of the other patients a little more about Dr. H. Many psychiatrists only focus on the medications. Some focus on the talk therapy, but Dr. H seems to do both. They told me I would like him. Quite a few of us were on the verge of getting discharged. I think it provokes mixed feelings. Yes, you are anxious to get out. Being locked up anywhere is an intimidating kind of experience. However, it's scary to think about being back in the world with normal responsibilities and concerns in addition to the ones you carry within about yourself.

Finally, about mid-afternoon, I met Dr. H. It was awkward because here's this human being I haven't met before who has to go by the notes of a different doctor, whom I hadn't seen in three days, and make a decision about whether or not I was ready to go home. He asked me about my dreams and gave me a possible interpretation of them, something I was expecting after talking to his other patients, and asked me if I was ready. I was! While I was sitting there, he asked me about my aftercare plans which were still up in the air. He actually called the place where I was to go and found out when my intake appointment was scheduled. My social worker protested saying that he should let her do her job, but he didn't seem to mind. When I left his office, four prescriptions in hand, J, one of the patients waiting to see Dr. H, and I high-fived each other! He was getting released that night too.

A psych ward is not a place I could call home even if I wanted to. I wanted to go home and sleep in my own bed. I immediately went down the hall to call Dh and to my room to get my stuff packed up for leaving. I was so excited, smiling, cheerful, happy. It's good to have a safe place to be and I was not under the illusion that things would be easier, but at least I had some coping skills in hand. At the afternoon meeting, I could announce that I was going home that night and I did. They always ask the people who are leaving to give some advice to the people who are still on the unit. Mine was to go to group, participate, and ask for help. Dh and the kids came to pick me up right at dinnertime, so I told the staff to give my food to anyone who wanted it. Food is a big deal sometimes in a place where you do not have lots of power.

Being buzzed out of the locked ward on my own was a little scary, but I was so excited. Seeing my kids was wonderful! I didn't think they would let go of me. I had to stop at Wal-Mart to pick up my medications which was a little intimidating. I was not at that stage where I wanted to announce to ANYONE that I had just come out of the psych ward. The pharmacist, someone I know and have dealt with before, knew, but he was very discreet about it.

I was going home with medications in hand and an outlook that things should continue to get better. How does anyone really know though? Suicidal thoughts are temporary. It's the coping skills you learn that allow you to get through the difficult times when everything else is overwhelming.

The follow-up appointment with my family doctor was scheduled for eight days hence, the same day I was to go through intake with my therapist. I wasn't sure what the next week would bring or how I would get through the waiting. Somehow, I just had to!

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