Psych Central

Go Back   Forums at Psych Central > >



advertisement
Reply
 
Thread Tools Display Modes
Old 01-23-2019, 05:52 PM   #11
Betty_Banana
Member
 
Betty_Banana's Avatar
Betty_Banana has no updates.
 
Member Since: Oct 2011
Location: USA
Posts: 416
My Mood: I don't feel safe

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
5 yr Member
158 hugs
given
Default Re: I don't feel safe

If you feel unsafe can't you just go to your local emergency room and be evaluated and maybe admitted for awhile?

What you're going through sounds pretty serious and needs immediate attention I think.
Betty_Banana is offline   Reply With Quote
"Thanks for this!" says:
Hugs from:

advertisement
Old 01-23-2019, 05:55 PM   #12
downandlonely
Poohbah
Chat Moderator
downandlonely has no updates.
 
Member Since: Mar 2018
Location: United States
Posts: 1,873 (SuperPoster!)
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default Re: I don't feel safe

If you have nearly died a couple of times, it is serious. Can you go inpatient for a while just to make sure you're safe?
downandlonely is offline   Reply With Quote
"Thanks for this!" says:
Hugs from:
Old 01-24-2019, 04:15 AM   #13
Angie84
Member
Angie84 has no updates.
 
Member Since: Jan 2019
Location: Scotland
Posts: 27
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
1 hugs
given
Default Re: I don't feel safe

My psychiatrist won't admit me because I self harmed the last 2 times I've been in the hospital. They have a no self harm policy so if you harm yourself then you get discharged. It's clear to see how this health board ranks the lowest in Scotland for mental health.
Angie84 is offline   Reply With Quote
"Thanks for this!" says:
Hugs from:
Old 01-24-2019, 04:16 AM   #14
Angie84
Member
Angie84 has no updates.
 
Member Since: Jan 2019
Location: Scotland
Posts: 27
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
1 hugs
given
Default Re: I don't feel safe

When I was in the emergency room last week following the arterial laceration, even the doctor said there was no point getting psych involved as they won't do anything because it's not the first time I had done it.
Angie84 is offline   Reply With Quote
"Thanks for this!" says:
Hugs from:
Old 01-24-2019, 08:21 AM   #15
MickeyCheeky
Wise Elder
 
MickeyCheeky's Avatar
MickeyCheeky My echo is the only voice coming back
 
Member Since: Jun 2016
Location: Italy
Posts: 8,608 (SuperPoster!)
My Mood: I don't feel safe

Mentioned: 6 Post(s)
Tagged: 0 Thread(s)
2 yr Member
23.7k hugs
given
PC PoohBah!
Default Re: I don't feel safe

I'm so sorry, Angie84 I hope your psychologist will be able to help you. Wish you good luck! Let us know how it goes. Sending many hugs to you
MickeyCheeky is offline   Reply With Quote
Old 01-24-2019, 09:01 AM   #16
susannahsays
Poohbah
 
susannahsays's Avatar
susannahsays has no updates.
 
Member Since: Jun 2018
Location: Somewhere
Posts: 1,077 (SuperPoster!)
My Mood: I don't feel safe

Mentioned: 4 Post(s)
Tagged: 0 Thread(s)
Default Re: I don't feel safe

Quote:
Originally Posted by Angie84 View Post
Thanks for replying, it makes me feel better that someone else understands. I am seeing my psychologist tomorrow so I'm going to sit and write some stuff out tonight for her, as I often dissociate during our sessions. My psychologist seems to understand dissociation much better, but the psychiatrist is the one 'in charge' of my care. My psychiatrist's answer is just to increase my anti psychotic medication and give me diazepam for anxiety. I don't want meds, they don't work for dissociation. My psychiatrist also doesn't want me to see my own GP, despite me telling her how much she (my GP) helps. I just don't know what to do, it's horrible being scared of yourself.
Anti psychotics are very sedating, which often makes dissociation worse! I agree with whoever suggested you should find a different psychiatrist!
susannahsays is offline   Reply With Quote
"Thanks for this!" says:
Hugs from:
Old 01-24-2019, 09:45 AM   #17
Só leigheas
Grand Magnate
 
Só leigheas's Avatar
Só leigheas is down in the forest.
 
Member Since: Feb 2016
Location: Doing donuts in the parking lot
Posts: 4,077 (SuperPoster!)
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
2 yr Member
9,438 hugs
given
PC PoohBah!
Default Re: I don't feel safe

That policy is so ****ed. Do they not care?

I agree, you need a new psychiatrist.
__________________
"We had to steal him from his fate so he could see another day."
-Twenty One Pilots, 'Taxi Cab'.

"My hands did these things, but I was never easy in my mind."
-Mudbound
Só leigheas is offline   Reply With Quote
"Thanks for this!" says:
Hugs from:
Old 01-24-2019, 10:09 AM   #18
amandalouise
Wise Elder
 
amandalouise's Avatar
amandalouise has no updates.
 
Member Since: Mar 2009
Location: NY
Posts: 8,040 (SuperPoster!)
My Mood: I don't feel safe

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
8 yr Member
727 hugs
given
PC PoohBah!
Default Re: I don't feel safe

I could not get this thread out of my head so I did some checking on this in general.... Scotland made some changes to their mental health system in 2011 around the issue of self injury. After a period of gathering statistics and talking with those that were inpatient and outpatient that self injured they came up with a plan that is reducing the amount of time people stay inpatient and how they address self injury, which is reducing how much patients are doing it.

their first step is to treat the present wound.
then they assess whether the self injury is deliberate/ intentional (repeating the negative behavior)
they supply the client with therapy options so that they can learn other coping tools then acting out in self injury (meds, talk therapy, grounding, breathing, stress reduction,...)

if they find that the negative behavior is repeating and escalating with treatment rather than decreasing with treatment they deescalate by removing the focus from the self injury behavior. instead require the person doing the self injury to take steps their self to control their deliberately self injury by taking their meds, and using their stress reduction tools.

the mental health system in scotland no longer takes responsibility for curing someone of their self injury behavior, just like with any other mental problems they expect the patient to own their negative behaviors and do whats needed to control that behavior.

America does the same thing just in a different way. american treatment providers can not be with us 24/7 forcing those of us that self injure or have alters that self injure to stop. they offer meds and talk therapy to talk out our problems but ultimately each of us has to decide for ourselves whether we want to continue to self injure or stop and when not in the therapy sessions use what we learned in therapy.

one thing about DID is that it begins in childhood, before the age of 5, which means self injury alters have been there all a persons life, but yet the person with alters who self injure still grow up to being adults, they survive. which means that a persons system of alters is set up for survival, even in self injury behaviors of alters.

Which is why scotland does not do anything major in response to repeat self injury behaviors even with those with DID. with DID patients they already know from that persons life history whether the behavior is new and for attention (repeating and escalating with treatment) or old and the internal system of alters already have ways to handle this.

my suggestion is since treatment providers have decided to leave this situation in your control with you and your system of alters maybe you can look back on your life and see how your system of alters handled this before.

meds.... contrary to what you find in books and on the internet medications do help dissociation. it all depends upon what the triggers are that is causing a person to dissociate. This is why here in america meds are being prescribed to people with DID and other dissociation problems.

another suggestion is if you have been prescribed medication take the meds for about 6 weeks then report back to your doctors how the meds are working or not. they will be able to help you get the correct meds and dosages for helping you to control what ever is triggering the self injuring alter to do this.

attend your appointments with your treatment providers and talk about your problems, they can help you to develop a treatment plan of what you need to do on your own to control the self injury by you understanding how and when it happens and what you need to do about it. then follow through with what your doctors tell you to do about it.

the treatment providers cant control you, your alters or the self injury. if you dont want it to continue you will need to follow what they are telling you to do, including taking the meds when they prescribe them.

if its any consolation here in america they do the same thing when someone's self injury is escalating not getting better. they stop treatment from focusing on the self injury and leave it up to the self injurer to control it their self.
amandalouise is offline   Reply With Quote
Old 01-24-2019, 12:04 PM   #19
Angie84
Member
Angie84 has no updates.
 
Member Since: Jan 2019
Location: Scotland
Posts: 27
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
1 hugs
given
Default Re: I don't feel safe

Thanks for all of your replies and messages of support. I've now seen my psychologist, I told her everything I've posted on here. She advised that both herself and the psychiatrist are very concerned for my safety (which isn't very reassuring), and advised me to continue with the grounding techniques and mindfulness that I have on my crisis plan. I said that I have no bother doing that, even when I feel I'm losing track of reality, but my concern is the times when the dissociation is instant, when I am unable to ground myself. She did not have an answer for this, so I'm still at a loss really. I told her I feel that even though I'm fighting, I need to leave myself a little room to try to accept that I am going to die. I even asked her if I should speak to friends and family so that they are prepared.

I always attend my appointments with my psychiatrist and psychologist, and I feel I'm very open to trying their techniques and heeding their advice. My psychologist agrees that Viktor was developed in childhood as a protector, even though he started planning an 'exit' when I was around 9 years old. Subjugation by persons throughout my life, and never focusing on me has kept him somewhat 'dormant', until I became massively triggered and tried to seek help from professionals.

With regards to medication, I do take my medication. I've been on the maximum dose of an antidepressant for around 6 months. Even though it doesn't help, the psychiatrist doesn't want to change it until I'm 'more stable'. My antipsychotic is now being changed due to current side effects.
Angie84 is offline   Reply With Quote
"Thanks for this!" says:
Old 01-24-2019, 01:27 PM   #20
amandalouise
Wise Elder
 
amandalouise's Avatar
amandalouise has no updates.
 
Member Since: Mar 2009
Location: NY
Posts: 8,040 (SuperPoster!)
My Mood: I don't feel safe

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
8 yr Member
727 hugs
given
PC PoohBah!
Default Re: I don't feel safe

Quote:
Originally Posted by Angie84 View Post
Thanks for all of your replies and messages of support. I've now seen my psychologist, I told her everything I've posted on here. She advised that both herself and the psychiatrist are very concerned for my safety (which isn't very reassuring), and advised me to continue with the grounding techniques and mindfulness that I have on my crisis plan. I said that I have no bother doing that, even when I feel I'm losing track of reality, but my concern is the times when the dissociation is instant, when I am unable to ground myself. She did not have an answer for this, so I'm still at a loss really. I told her I feel that even though I'm fighting, I need to leave myself a little room to try to accept that I am going to die. I even asked her if I should speak to friends and family so that they are prepared.

I always attend my appointments with my psychiatrist and psychologist, and I feel I'm very open to trying their techniques and heeding their advice. My psychologist agrees that Viktor was developed in childhood as a protector, even though he started planning an 'exit' when I was around 9 years old. Subjugation by persons throughout my life, and never focusing on me has kept him somewhat 'dormant', until I became massively triggered and tried to seek help from professionals.

With regards to medication, I do take my medication. I've been on the maximum dose of an antidepressant for around 6 months. Even though it doesn't help, the psychiatrist doesn't want to change it until I'm 'more stable'. My antipsychotic is now being changed due to current side effects.
great job of following your treatment plans, this is good. the losing track of reality... have a suggestion that may help....

I wonder if your treatment providers definition of losing track of reality is different than yours....

in psych terms losing track of reality means a person is hallucinating (seeing, hearing things that can not possibly be real) and having delusions (having beliefs that can not possibly be real, believing they are fictional characters, famous people and so on that is not in reality)

with DID reality/ reality testing remains intact.. which means a person and their alters are not losing track of reality. their realities may be different than each others but they dont have hallucinations and delusions.

a person can have more than one diagnosis which cant cause a person with DID to also have symptoms of their other disorders losing track of reality (hallucinations/ delusions)

example...

Rainy's reality was who and what she was... my alter that took care of storms and depression.

my reality was /is wife , mother, employee, and the things I do in those roles.

regardless of whether I was dissociating or not those things never changed. I never when dissociating believed I not married, didnt have children didnt have a job to do. and when I was rainy her reality did not change she was always the alter that handled storms and depression.

That said I also have a mental disorder called Bipolar disorder which causes me to have hallucinations and slight delusional/ paranoid ideas. when my bipolar meds are not working I will hear and see things that are not real and react very paranoid about those around me.

sometimes its hard to tell the two problems a part so my treatment provider and I before I was integrated went on the diagnostic criteria that with DID reality testing remains intact. if I or my alters were having hallucinations/ delusions it was because of other mental problems not the DID,Dissociation problems.

Thats not saying I didnt lose tract of .......time..... time continues whether a person is dissociated or not so when I would switch back from being an alter it would naturally be a different hour, or day or week or month than what I remembered.

my point is losing track of time and losing track of reality are two different things. maybe you can talk with your treatment providers to discover which it is for you and if its the losing track of "time" that you are worried about maybe they can find ways to help you with that. if its losing track of reality, just keep following the treatment plans and this will get stabilized eventually.

my meds always get my losing track of reality back on track and what my treatment providers and I did about my losing track of time was keeping calendars and journals about my daily activities. that way when I had those time losses I could fill in the blanks much easier.
amandalouise is offline   Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -5. The time now is 08:29 AM.


Powered by vBulletin® — Copyright © 2000 - 2019, Jelsoft Enterprises Ltd.




advertisement

 

The material on this site is for informational purposes only, and is not a substitute for medical advice,
diagnosis or treatment provided by a qualified health care provider. .
Always consult your doctor or mental health professional before trying anything you read here.

 

HomeAbout UsContact UsPrivacy PolicyTerms of UseDisclaimer
Forums HomeCommunity GuidelinesHelp


 
Helplines and Lifelines