Stuck

Wow. I can't believe that it has taken me so long to get back in the mood for writing a blog-entry. I have the most lame excuse: I just can't get started with things these days, I can't focus and I basically lost all motivation. It could be a sign of depression or maybe it's just the fact that it's still winter and the lack of sunlight has drained me of energy. I think it's depression as I'm taking vitamin D - supplements and they should be helping me with lack of energy. It doesn't matter what the cause of my total indifference and concentration-issues is. Eh? Anyway, tonight I just thought I'd force myself to write a bit and hopefully it will put me in the mood for more things that I love doing. Or that I have planned. Or that I should be doing. So what has happened in my life during the last few weeks?

Mental health. I have had periods that were quite alright. But most of the time I have just felt dead inside. A huge feeling of indifference. Other days that indifference is replaced by mind-killing anxiety. Suicide thoughts come and go. Self-harm thoughts come and go. The worst is my lack of motivation. It has a lot to do with that I have given up. I don't believe I can get help for my mental health problems. I'm not in the state where I think that it can never get any better. I might have some okay-ish days. But I don't think I'll ever have any real capacity to make it out there in the world. I'll end up being dependent upon my husband, or the social services, maybe the health insurance. I feel like I'm incurable. It's not like I feel that I have it worse than others. It's just that I have tried everything, nothing worked. And I can't get bothered to try yet another med or therapy. So I have lot all interest in the future because I know I have a bleak future ahead of me. I have nothing to look forward to, no goals that I know I can reach. I'll spend the rest of my days in this apartment, in the evenings my husband will be here, I have my two cats but I'll basically be cut off from society, success, social life. And that's why I'm not motivated to do anything. Why bother? I have given up. A huge contributer to this state of mind is the fact that I have dropped out of therapy. Before anyone starts blaming me for my own situation, let me explain. I didn't really make the decision because I wanted to. My therapist, well, ex-therapist told me that we are not getting anywhere, that it is always about suicide-prevention and crisis-solving with me. He made feel guilty for being unstable. And that's what he literally said to me: You are not stable enough for therapy. I wanted to continue with therapy but he made me feel like I was taking up someone else's spot, someone who deserved it better than me. And not mention that it seemed to me like he didn't believe that I could be helped. Honestly, how can anyone be not stable enough for therapy!?! Isn't therapy there for making you stable and help you deal with your problems? So I dropped out of therapy because my therapist talked me into it. When I look at it now, I'm quite sure that he manipulated me into dropping out. Instead I was sent to see a counselor, just so I have some kind of psych-contact. I met that person once. She didn't know what to do with me. She told me that we can meet sometimes, just to talk. This really didn't seem like the greatest help in the world. So I feel stuck. If they ever think I'm stable enough to start therapy again, I'll be put on a waiting-list, a 5 months wait, at least. And honestly, I'm bipolar and I don't take any meds, how am I going to be stable for 5 months? I cancelled my last appointment with her. It just feels useless. I'm sure there are other people going through some life-crisis right now who need the time with her. So: no future, no proper help. Why fight if what I have right now is everything I'll ever get? Oh, and I have a new psychiatrist. A confused old lady. She must be around 70. She  had forgotten about our first appointment. She hadn't read my file and proposed all kinds of meds to me, and all of those I had already tried before (Seroquel, Lamictal, Prozac ....). She had also promised me to contact a neurologist about my legs. She forgot about that. I had to call her to ask her about it, over a month later, and she was like: oh, I must have forgotten. Yeah, right, maybe time to retire. So I doubt that she will be able to help me medical wise. I'll get prescriptions for Oxazepam and Zoplicone whenever I need it. I guess that's something.

Physical health. I have been very quite unlucky when it comes to my phsyical health as well. First off, I can be a bit of a hypochondriac. I think it has to do with my anxiety, my GAD. I notice every small problem I have, I give it too much attention and I get scared. And of course I always get scared that I might some serious illness that will lead to a slow and painful death. Like, they have tested my blood-sugar some weeks ago and it was a bit high. They thought it wasn't high enough to be diabetes and it could just be that I had eaten something beforehand. The same with my white blood-cells, they said that I had a few too many but it could just be a minor infection somewhere in my body. But in my head I have diabetes and incurable cancer. I am just a worrier I guess. So, almost four months after having being diagnosed with hypothyroidism I kind of thought that they should do another check-up, especially because I had been put on meds and I had no clue if they were working or not. The meds give me side-effects by the way: my skin got really bad, I have itches and I feel nausea. But I have had worse side-effects. So I called my GP's office and got told that she is taking a break from work (sounded more like she got suspended) and told me they'd tell another GP to get in touch with me. That other GP called me, I had to leave blood-samples and it turns out my hormone-levels are still bad. The "funny" thing is that I have never met that GP. Only spoken to him on the phone once. Did he give me an appointment so we can discuss the results? Did he at least call me? Nope. That idiot sent me a letter telling me that my levels are still bad and how to increase my meds. That person is supposed to be my GP! What the heck? I'm still fighting with restless legs and spasms. It has been six months now since this shit started. I have stopped taking the Propavan in the end of November for heaven's sake. But nope, I still suffer from it. In the beginning of January I couldn't take it anymore. So I went to the ER. I had to wait for 8 (!!!) hours and then got to meet a neurologist. She examined me and decided to prescribe Sifrol to me. That's a Parkinson-medication but it is known to help with restless legs too. Well, but my fear of meds and side-effects got the best of me. This medication has side-effects such as depression, impulsivity, anxiety, psychosis. Honestly, not the best medication for someone with mental illness. I have still been fighting with the restless legs and spams daily. Some days it is so bad that I'm just in bed crying. I just can't try the med, I don't trust meds anymore. I'm really sure that it won't help and that I will just get bad side-effects. The neurologist from the ER called me this week to ask me how it is going. And I just told her the truth, that I have a history of bad reactions to medications and that I'm too scared to take the med. So she wants to book in a scheduled stay at the hospital for me so I can be observed while starting with the med, in case I get any bad reactions. I don't know. I'm really thankful that she called and that she understands and that she wants to help. It kind of feels like I would take someone else's spot, some stroke-patient who needs to be put on meds, someone with MS that needs to get their meds changed. Sure, I suffer badly but it is not life-threatening. I don't know. She said it will take some weeks until I will hear from them so who knows, maybe the restless legs and spasms have disappeared until then. Okay, I know, that is unlikely. We'll see.

So there you go. This is what I have been fighting with lately. This isn't all to be honest. But it is late now, I want to go to bed. I'll write some more tomorrow.

The last morning ...

Monday. The last morning I spent at the pych unit. Because it was the day before Christmas we were allowed to sleep in. I was awake early though. All I wanted was to meet the psychiatrist so I could finally leave the unit. I packed my bags, took a shower, got my meds, had a cup of tea and smoked plenty of cigarettes. I wasn't home yet and I was afraid that something might go wrong.

I was fetched right before lunch. J told me that the intern psychiatrist, T, was going to hold the meeting. T is a really young and innocent looking doctor. He can't be older than maybe 25. And he had been following around J all week I was at the unit. He asked the usual questions: if I was suicidal, what my plans were, if I had any impulses. I told him that I wanted to be at home for Christmas and that I basically didn't want to be at the hospital anymore. It was kind of cute to see how he kept looking at J, for affirmation. They promised me once again that they had contacted a neurologist and that I'll most probably hear from that person after the holidays. Then they told me that I was always welcome back if I was getting any worse. Well, one thing is for sure, I will not get back to THAT unit. I felt so unwelcome there. The staff there was cold and didn't seem to care at all. There was no warmth at all and everyone was just minding their own business. More than once, when I asked for help, I was told to go and bother someone else. If I ever get to the point where I feel the need to be safe at a hospital, I will refuse to be admitted to that unit.. But let's hope that I'll never have to spent some time at a psych unit again.

I grabbed my bags, hugged my room-mate and went down and waited for my husband to fetch me. Such a relief! I came back home, sat on the bed and cried tears of relief. Being at a psych-unit is not a holiday. It often worsens your problems. And just because there is "professional" staff doesn't mean that you will always get help when you need it. Honestly, I am not even sure if it is a safe place. I found pins on the bathroom floor that I was able to self-harm with. I managed to almost strangle myself with a cable in the middle of the day, on my bed. But: you might be lucky to get to a place with one good soul, one person that loves their job, one person that you feel you can trust. That can make all the difference. And in whatever situation you are: don't ever trust professionals blindly or you might end up with ECT or bad side-effects from meds. I wish there were more good souls working at mental hospitals and psych wards. Sometimes it just feels like the perfect meeting-place for sadistic idiots.. But as I said: as long as there is one good person, you might get the warmth you need!

The weekend - almost at home

Saturday. On weekends the patients of the psych-unit are allowed to sleep as long as they want, or can. For me that meant 8 a.m.. Five hours of sleep was definitely more than I had gotten the nights before. I took a shower and made myself ready because I was allowed to stay at home on Saturday and Sunday. You know, before they let you leave the psych unit altogether, they let you test a night at home and see if you can handle being in the outside world amongst healthy people again. So even though I wasn't sent home on Friday as planned, I was supposed to spend two days and one night at home. 

I had a long chat with one of the nurses before I left. I had met that guy at another unit before and he is quite funny and loud. He gave me my meds for the day and we had a little argument because he didn't give me all the sedatives that are on my list. But it really didn't matter because I have all those meds at home as well anyway.

My husband came to fetch me and we went home. It always feels a bit weird to come home when you have been at the hospital. I was afraid that all my old feelings and impulses would catch up with me but they fortunately didn't. We wrote a grocery list for Christmas and my husband was really happy when I told him that I would follow with him to the supermarket. I can't stand shopping, my social anxiety always acts up in supermarkets. But it went well, we did A LOT of shopping and when we got home I was totally exhausted. I cuddled with my cats for some time and then took a nap.

The rest of the day was spent in front of the TV, watching movies and trying to feel safe at home. I actually got a good night's sleep in my own bed. When I woke up in the morning I knew that I wanted to be at home and not at the psych unit. That was kind of the moment when it turned for me, when I realized what I wanted something again, when I realized that I'm better and don't need to be at the hospital anymore. And then my legs started acting up and I was a total mess. I cried so much, I didn't know what to do. So I came back to the psych unit crying and told them that I needed to see a neurologist now! But nope, the nurse (no clue who she was, never had seen her before and she wasn't even wearing a name-tag) told me she could contact the on call psychiatrist but that's all. I took a sedative and waited. It only took an hour this time and a young doctor arrived. He, of course, couldn't help me. I had known that before but the nurse has insisted on calling him. All he could do was to write down a note in my file that I once again had been cryng out for help because of my restless legs. 

I just took another sedative and got a bit fuzzy in my head. My legs were still terrible but at least I wasn't as anxious. I even talked a bit with the other patients. You know, they had put up a plastic Christmas-tree at the unit and the tree was in silver. And about everyone was complaining about the colour of the tree. Yeah, Christmas at a psych-unit, can you imagine that? Poor souls!

The rest of the evening I spent studying Russian and chatting with my room-mate. I tend to get quite chatty from benzodiazipines. I think they make me let my guard down. So I might have just babbeled on and on and my room-mate was irritated. But in my head we were both chatting. Haha. I took my Zoplicone, watched some Dexter and fell asleep around 2 a.m..

Day Three - no goodbyes yet

Friday. I didn't get much sleep during that night either. I had nightmares and I woke up in the middle of the night and threw up because I had a panic attack. I was still a wreck and spent all morning in bed, crying. I was so sad and scared. I was scared because I was going to be sent home. I just didn't feel like I would be safe at home. I was still suicidal and at the same time I realized that I had to start fighting. 

My room-mate had her meeting with J and she told me that he seemed to be in a good mood. You know, I was totally convinced that he would send me home. He had said he would. I had the meeting quite late, it felt like he was avoiding me. I had already packed my bags and basically only waited for him to discharge me. But he didn't send me home! He had talked with the staff and from what he had heard, he didn't think I was ready to go back home yet. I was quite relieved. I mean, I hated being there but I knew I wasn't ready. He told me that he wouldn't let me switch units, that I'm not allowed to have a choice when it comes to these things. He also said that he had heard that I don't feel like we get along. But according to him, a patient and a doctor don't need to like each other. It is his job to help me and we should have a professional relationship, no matter if we like each other or not. I really respected that and was quite shocked that he actually brought that up. He also tried to explain what he meant with that I don't have a personality. He basically meant that I don't know who I am and where I am in my life, where I am heading. He thinks I'm lost and kind of lost touch with myself. He might be right about that. Since my mental illness had gotten worse, I questioned everything about myself. My life-long goals now seem unreachable. I have lost touch with myself in the sense that I don't know who I am right now. I knew before who I was and knew who I wanted to be. But now I don't even think who I can be, I am stuck in the now, without any real sense of identity. I have been eaten up by my mental illness, it's not like that I am my mental illness, it is more like that I am nothing anymore since I have become ill. So how do I actually find back to myself? Will I ever be able to find myself again or will I be lost in nothingness forever? Oh, and we talked about my restless legs and spasms and how much that is contributing to my current state of mind. He decided to contact a neurologist for me so I could get a proper examination and the right meds. He knows me and how sensitive I am to medication so he didn't want to just give me something. I was really grateful for that because damn it, this nerve-spasm/restlessness is really destroying my life!

My husband was really disappointed that I wasn't coming home. He had basically just waited for me to call him and tell him to fetch me. I am really not all that open to him when it comes to how I am feeling and what has been going on at the hospital. Just a few days ago he had threatened me to leave me because he couldn't take my suffering and inability to fight anymore. So I didn't want to make things worse by telling him the total truth. He came to visit me in the evening again. We even went out for a walk. But my legs gave in, they were shaking and I had to sit on a bench for 15 minutes before we could go back in again. So terrible! 

I spent the night studying. I had fallen behind so bad! So I had to write a short paper on Nietzsche's perception of history and I actually managed to do that. At a freaking psych unit. Someone should give me some credit for that! I had taken all my sedatives that day so I was pretty calm  when I went to bed. Well, apart from my legs, they were driving me crazy! I watched some Dexter-episodes, took my Zoplicone and actually fell asleep before three a.m.!

Day two - still not better

Thursday. I woke up way too early but my restless legs and my anxiety didn't want to let me sleep anymore. I tried to read, listen to music, distract myself. I didn't want to be at the hospital. I felt like a total wreck and all I wanted was calm and peace in my body and my mind. My husband called me to let me know that his phone had died (he was at his sister's so he called from her phone) because my mum had been calling him all morning long to discuss how she should do with the Stockholm-trip. I didn't get it, I told her I didn't want her or my sister to come because I was in a really bad state. I was at the hospital, how did she think I could handle them visiting me? I really felt like it was a lack of respect. So I went on Skype and videochatted with my mum. I told her that she couldn't come, that my husband couldn't deal with it all either right now. It just wasn't the right time because our life was in chaos. She tried to explain to me that my sister and her really needed to get away from Germany. They were both really down because of the divorce and all the tension and intrigues in the family. I got that but I suggested that they could travel somewhere else. Anyway, she saw that I was doing like shit and basically just said that she will discuss it with my sister. I don't get why I had to be the one solving problems, I was in a bad state and I barely had any energy left to keep myself alive to begin with.

One staff-member convinced me to try and eat some lunch. So I went into the dining room, filled a glass with water and waited for my microwave-meal (yup, we are getting microwaved food at the hospital, at least they had a vegetarian option) to get ready. But then I got a really bad panic attack. I just ran out of the room. I couldn't be there and I most definitely couldn't eat with all the other patients. So no food for me. I had another breakdown after that. I tried to find someone to talk to but the staff was having lunch and I didn't want to disturb them. I saw one nurse that I knew from the unit, L, and asked him if he had a minute. I felt bad because I was sure that he was on his way to lunch but I needed someone to talk to. I just cried and cried, I was shaking and I was desperate. I just couldn't see how they were supposed to help me at that shitty unit, I wanted to be transferred to the other unit. I just couldn't see how anyone could help me with my problems at all. At the same time I was really afraid that I was going to be sent home the next day because J had decided that. I just wasn't stable enough to be at home. L went to talk to one of my contacts, the nurse who is friends with my friends. I waited for 15 minutes but no one came back so I went to my bed and just stared at the wall.

I eventually asked for a sedative because I started to lose it again. Th nurse told me that she couldn't do anything about switching units at the moment. In the early afternoon I had to switch rooms though because there were some new incoming patients. I came into a two beds room which was nice. There wasn't anyone in the other bed yet so I had a few hours for myself. I closed the door, hid under the blanket and waited for the sedative to do its thing. I tried to eat dinner. They had allowed me to eat a few minutes after everyone else so I wouldn't have to face another panic attack. I didn't eat much but at least something. 

My husband came and visited me in the afternoon/evening. Visiting hours are between 5 and 8 p.m.. As I didn't have a roommate yet we stayed in my room and talked about unimportant things. I didn't want to deal with our issues, I didn't want to know if he was going to leave me or not. I tried to be cheerful and I was really happy to see him. I tried one of those bloodpressure meds for my restlessness and spasms. It felt safer to have my husband around when I tried it. I'm just so scared of side-effects. It didn't help me and after an hour it almost felt like it has made it worse. I also got a bad asthma attack from it. So nope, that med wasn't working. It made really sad because I needed help with the restlessness and the spasms so bad!

My husband left at 7 and I decided to try and study a bit. I felt a bit calmer because of the sedative so I thought it would be good to try and do something productive. But I couldn't focus at all because of my legs and arms and then my new roommate arrived and my social anxiety set in. You know, I felt like I didn't want to disturb her so I tried to breathe as flat as possible, tried not to move around too much and to be as invisible as possible.

R, my favourite nurse from the other unit, came over later that evening. That was so damn nice of him! We hugged and I just told him what was going on and why I was at the hospital, how J had treated me again, my restless legs, my stupid therapist, the fight with my husband, the suicide thoughts. It all just came out of me like a waterfall. He listened and tried to calm me down. It was so good to see him, to be able to talk to him. He really makes me feel safe and calm and always reminds me of that I'm worth something. I don't know why, but he has high thoughts of me, he thinks I'm capable of a lot of things. And whenever he tells me that I somehow believe him. Every nurse should be like R!

A new patient had arrived, an autistic woman with her carer. She was really upset because, well, autistic people can't really deal with a change of enviroment. So she freaked out and threw fruit and chairs around. It was quite scary and some of the other patients got panic attacks and even one staff member started to panic and just left the unit saying "a person like that shouldn't be at a unit like ours". I somewhat agreed with her but honestly, where else should you put an autistic person with depression? So the whole unit was wide awake and many people were scared. I just felt sorry for the autistic woman!

I took a sedative later that evening because I just knew that I needed a proper night's sleep. My new roommate was really nice but I could see that she was doing like shit so I kept quiet. I just didn't want to bother her. I watched a few episodes of Dexter and had some hot chocolate. I talked to one nurse that I knew from the other unit, a lovely Polish lady who really loves her job. I took my sleepingpill. I couldn't fall asleep, I went to have a smoke a few times, I cursed my legs and watched another episode of Dexter. At around 2 a.m. I could finally close my eyes.

Day 1 - in hell

Wednesday. The first morning at the psych unit. They wake you up at 7.30 a.m., no matter if you have slept during the night or not. They want you to sleep and gather your strength but at the same time they want you to get routines. Well, getting up that early has never been and will never be my routine. I was a wreck. I talked to my husband on the phone who told me that he wouln't come and visit me that day. He needed some distance. That was quite a shock for me because he has never missed a day to visit me when I was at the hospital before. I was shattered. You know, him having his freak out and screaming and shouting, threatening to leave me kind of drove me over the edge. I get that my illness has a negative effect on him and that it's dragging him down. I get that he was afraid. But that doesn't give him the right to push me down mentally, to make it worse. And I had by then realized that he is the only thing in the world I'm still fighting for. The last few years I haven't been fighting for myself, I have been fighting for not making him upset. I love him and I don't want him to suffer. When he told me that he couldn't take it anymore, I just snapped. I felt like it would be the best solution to disappear. I felt like that I was a burden and that it would be best for everyone involved if I just died. It was just the final drop to my misery. So that he didn't want to come and visit me was really difficult for me. I understood that he needed some time for himself but I needed support as well. He has had a fucked-up life and still hasn't dealt with a lot of things so I understand that he has difficulties dealing with the present because of that. I just had hoped that he would understand that I needed support. Or maybe it was egoistic of me to think that I was suffering the most in the whole situtation.

They didn't have my Vitamin D-pills which I thought was a tad unprofessional. It's no big deal if you skip them one day but come on, I'm at a hospital, you should have medications. I ate half a sandwich which I threw up because I was so anxious. I spent the morning in bed, watching Dexter. I took a short nap. Then I had a meeting with the chief psychiatrist, a nurse and an intern psychiatrist. I had had met him before, J, the chief. We just never got along because he didn't get me. He is not Swedish so in the beginning I thought it was the language. He has a bad accent but his grammar is correct so I don't think it's the language. He is known to be tough and mean. I know of people who actually officially complained about him. I know of people who refuse to be in the same unit as him. But I had no choice, he is the chief of the unit and he was the one treating me. There is one thing that I like about him, he is straight forward. And he asks things, he discusses things, he is a bit like a therapist in that. His answers are never empathetic though. He understood that I was in a bad state but he decided that I should be send home on Friday. I told him that I'm not sure if I'll be alright until then but he had already decided that that was the treatment-plan: let me stay for two more nights and then send me home. I asked him about the restless legs and spasms but he said he didn't want to give me anything for that and he even doubted it was the Propavan that had caused it. He told me to try out that blood pressure med I had gotten prescribed instead. Then he asked why I had gained so much weight since we last saw each other. I told him that I have been diagnosed with hypothyrodism and he answered that it can't be only that. Well, thank you asshole. And then he told me that he wants to tell me something, kind of off the record. He told me that he had met me a few times now and that he doesn't get anything from me, he doesn't feel anything from me. He said that I don't have a personality!!! Who says something like that to a person that is suicidal and already hates herself?!? I didn't even know what to reply. I was stunned. So we shook hands and I went back to my bed.

I couldn't get his words out of my head. They haunted me. If I don't have a personality, I can't be human, I must be like an empty shell. R, my absolute favourite nurse, had heard that I was at the other unit and came over for a minute to give me a hug. It felt really good to see a friendly face. The one nurse that was responsible for me is actually someone I know, she is a friend of some friends of mine. We had never talked but we had been to the same clubs and parties. But as I thought the law prevents her from telling anyone about me, I didn't really care if she was my nurse or not. 

Then I had another major breakdown. I tried to strangle myself with the cable for my netbook and lost consciousness for a second. Another patient found me on my bed but I told her not to tell anyone. I was afraid I was going to be restrained. So I just sat on the bed, crying, shaking, having lots of anxiety. I went to the bathroom and I found a needle on the floor there. One of the women that I shared the room with was a muslim and I think the needle came from her head-cloth, I saw her attach it to another cloth underneath with needles. So I self-harmed in the bathroom. I went back to bed and on the way there my legs gave in. My legs were just so weak from the spasms and the restlessness. I crawled back to bed. And cried. I could have gone out and asked for help. The thing is that I didn't want to bother anyone. I didn't know anyone who was working. I felt like I had no right anyway, I felt like I wasn't human and just didn't have the same rights as others. Eventually I asked one of the women who I shared the room with to fetch someone. A nurse came, we went outside to some sofa to talk. She was really terrible at her job. I was crying, sobbing, telling her about how I wanted to die and how I just couldn't take it anymore. And what did she say? "Yeah, I can't solve your problems". What kind of an answer is that? So I asked for a sedative because I just wanted it all to go away, I wanted my head to shut the heck up. And guess what, they had forgotten to sign off my pills again so they couldn't give me anything! WHAT THE FUCK? How unprofessional can they be? They had to contact an on call psychiatrist again. In the meantime I was freaking out. I talked to one of the other patients for a minute or so and decided to just leave. I put my shoes and my jacket on, my cellphone and my cigarettes in my pockets and wanted to just leave. I had a 5 now, I knew that J had changed that. So I had the right to leave. But they didn't let me. This one male nurse refused to let me out. He said that he can't trust me because of the state I am in. I honestly didn't know what my plan was anyway. Just to get out of there? And then what? Kill myself? Go home? I really hadn't thought that through.

So I ran back to my room and hid under my blanket. The other patient said "I told you they wouldn't let you out!" and I was just crying. After an hour I finally got a sedative. And all of the sudden I got a lot of attention. I wasn't alone for the next several hours for a second, there was always a nurse checking up on me, trying to talk to me. I got forced to eat some dinner, I had some bites and threw it up again. I was such a wreck. But eventually I calmed down. The sedative helped a bit. One of the women in our room got discharged so we were only three women that night. The muslim woman slept all the time. I talked a lot with the other woman, a Finnish woman who was constantly knitting clothes for her grandchildren. She told me that I should take care of myself in the first place and not let my husband oppress me. He can't blame his behaviour on me. We also talked about meds and other things. You know, when you are at a psych unit, all people talk about are meds, suicide, good and bad psychiatrists and so on. Weirdly enough, she had met all the doctors I had met and had the same opinions about them as I have.

I could fall asleep that night but I woke up after two hours again, took another sedative, cried some more. My legs were driving me crazy and I could barely make it to the smoker's cubicle. Another terrible night. That was my first day at the psych unit.

How and why I ended up at the hospital ...

So about two weeks ago I really hit rock bottom. I had been in a depressive period for some time. I had had difficulties with my daily routines, with eating, with my sleep, with my studies, with getting out of bed at all. I had been aware of that, really aware. But I just couldn't do anything about it. I tried to fight on with simple things, trying to do positive things. But life just happened and a lot of things stressed me out at the same time. I maybe could have handled the depression, I maybe could have handled the problems. But I couldn't handle both. I had had some meetings with my therapist, even had a meeting with him and a psychiatrist. I had called the ER twice. I didn't want to end up in the hospital. But at the same time I just really wanted to die. The suicide thoughts were in my head all the time. I was in a very desperate mood. I planned, I tried to ignore the thoughts, I wrote goodbye-notes, I burned them. It was all just a huge mess. And I self-harmed. I'm not a self-harmer, it has happened four or five times that I cut myself. All the times before I could actually blame meds, they made me worse and drove me to self-harm. But this time it was ME, I had so much self-hatred inside of me. I hated myself for not being brave enough to kill myself. I hated myself for dragging everyone around me down. I was disgusted by myself.

Tuesday. I was in a bad state because of four reasons: 1. The depression had stolen my ability to sleep. I hadn't eaten in two days. I was sad, so sad. I was anxious and restless. 2. My legs were still driving me crazy, the restlessness, the spasms. I couldn't take it anymore. I coud barely walk. I felt handicapped and so over with this feeling. 3. I had disappointed my mum because I had cancelled on her and my sister for Christmas. They were supposed to come and visit us (I live in Sweden, they live in Germany) but I felt like I was in such a bad state, I couldn't have them at my home for a week. At that point I didn't actually care about Christmas. I wasn't even sure I was going to live until Christmas. 4. The day before had been a horrible horrible day. My husband had a total freak out because of how I was doing. He basically screamed at me for hours. He threatened me with kicking me out, with sending me back to Germany, with leaving me, with getting me sectioned. And he made it very clear that he was doing badly because of how I let myself go. He just couldn't take it anymore. I hid in the bathroom for a time, locked myself in. I can't handle conflicts, I get really scared. And all that screaming and threatening scared the hell out of me. I had a really bad breakdown in the evening. I was close to killing myself. I had already kissed the cats goodbye. I wanted to go down to the lake and drown myself. I was so desperate. But I didn't do it, I instead self-harmed the worst I have ever self-harmed. Now I hope that the scars will go away, I don't want to be scarred for life! My husband called the ER and they booked in an appointment with the same ER-psychiatrist I had met before, and my therapist, the next day.

Tuesday morning I was a mess. I couldn't get out of bed because of the spasms. I was crying because I had so much anxiety. And at the same time I was really apathetic. I just didn't care anymore. The appointment was weird. I wasn't really there, you know, my mind was blurred, I was absent in my mind. I remember my therapist saying that he wants to refer me to another clinic for MBT-therapy. And all I thought was: great, he has given up on me too, he must hate me, I must be such an annoyance, I really should just disappear. The psychiatrist and my therapist asked me lots of questions but I'm not sure if I even was able to form a sentence. They realized that I had self-harmed and as I looked like shit, they probably understood that I was a mess. So the doctor gave me an ultimatum: either I promise that I won't kill myself until the end of this year or I'll voluntarily admit myself to the hospital. I tried to get out of it as I didn't like any of the options but he said that's it, no other options. So I had to choose the hospital. I couldn't promise anything. I somehow believe that I saved my life in that moment. It wasn't me who had booked the appointment, my husband had, he had driven me there, without him I would be dead. But I could have lied and promised things. But I didn't, I chose the hospital. My "weird" therapist told me that he didn't want to meet me while I was admitted although that's what everyone usually suggests, that you meet your therapist for support while being at the hospital. I really don't know why he is treating me like this?!? It almost feels like he is trying to punish me for being a difficult patient. I so need to discuss this with him, maybe I should switch therapists.

I had to wait in the waitingroom for almost an hour (under the supervision of the receptionist) while the psychiatrist got in touch with the hospital and tried to find a bed for me. When he finally came to meet me again, he told me that I was going to be at a unit I had never been at. I was in tears. I have social anxiety, I can't deal with new places and people well. The only person I knew was the chief of the unit because he used to work at the other unit I usually end up at. And we don't get along, he just never got me So I didn't want to go. But really, I had no choice. I could have lived with the usual unit, where my favourite nurse, R, works. He had always been able to pull me out of the shit. He is basically the best nurse you could meet. I love that man! But nope, I was now going to a unit I had never been at, with staff I didn't know, and no R. I was allowed to go home and pack a bag. And about two hours later I rang the bell of the unit.

The unit is locked which means that there are two double doors which are locked. And only the nurses have keys. There are five different numbers you can get: 1 - not allowed to go out and constant supervision 2 - not allowed to go out and regular supervision  3 - not allowed to go out on your own, only with staff  4 - only allowed to go out with staff or family 5 - allowed to go out but you have to tell them where you are going and when you will be back. 

There is a smoker's cubicle, a small kitchen, a dining room, a TV-room, a nurse's office, a nurse's kitchen and room, lots of chairs and sofas, four conversation-rooms, an examination-room. And the patients' rooms. There are no single rooms (well, unless you need constant supervision, then you sometimes have a room for yourself). There are two four beds rooms and the rest are two beds rooms. Each room has a bathroom. It's a mixed unit, men and women, 18+. It's a unit for depression, anxiety, personality disorders and suicidal patients. 

A nurse picked me and my husband up at the door and I was placed in a four beds room. Luckily I had one of the beds behind the blinds. All other three beds had patients in them. I talked to the nurse who told me that the psychiatrist from the clinic had forgotten to sign off my meds or write something at all in my journal. So I had to wait and meet an on call psychiatrist so I could get my meds and get assessed again. What the heck?!? I needed a sedative so bad. I talked a bit to one nurse and my husband stayed until 8 p.m.. They tried to convince me to eat something but I didn't want to. Four (!!!!) hours later I finally met that psychiatrist and I had to tell my whole story because he hadn't had time to read my journal. He gave me a physical (he couldn't find me pulse first, and I had high blood-pressure due to my anxiety) and signed me in properly. I got a 3 and all my meds got listed and allowed. I watched an episode of Dexter (I had my netbook with me and they have wifi) and at around 1 a.m I took my Zoplicone and tried to sleep. That didn't work at all. At 2 a.m I had a bad breakdown, talked to a nurse for an hour, cried, cried, cried, got desperate, wanted to leave, cried some more, had bad spasms and restless legs, smoked at least 5 cigarettes, cried some more, talked some more, tried to sleep again, had a hot chocolate, cried again, telling them to just leave me alone and let me die. In all of this I tried to not disturb the other patients. I was sitting on a chair, close to the outter doors, as far away from the patients' rooms as possible. They convinced me to take a sedative and around  5 a.m. I finally fell asleep. So those were my first few hours at the psych unit.