Living Without Dying

My last post was in the main concerned with writing about what happened. This time I would like to talk about feelings. Or at least I would like to try to do that. I’m not sure that I will be able to, but I do want to try. So, here goes..

I know that I wrote in my previous post that my immediate reaction upon waking in the hospital was that I was glad that I had indeed woken up, that I was glad that I was still alive. And that is absolutely true. I was. In fact, I am. But, as always, things are never quite that simple and straightforward. Naturally there is a plethora of emotions surrounding the fact that I am still here today. And that is what I would like to write about today.

There were reasons for why I was suicidal in the first place, and surviving a serious intake of poison does not take any of those reasons away. All of the things I was dealing with before are still just as present now. In the words of the esteemed Dr. House: ‘Almost dying changes nothing. Actually dying changes everything.’

Although, I wouldn’t go so far as to say that I am back at the exact same place I was before, nothing has got particularly easier. Yes, the happiness about being alive does help, gives me some kind of energy to keep trying, to keep at it a little longer, but, that isn’t in itself a magic cure. In some ways, the very fact that I am happy that I survived actually complicates things. You see, for me, ending my life has always been a viable Out, a thought that has been been my constant companion throughout life; I genuinely can’t remember a time when I didn’t feel that if things got too bad I could always choose to get off the train.

But what happens when you wake up, having very nearly fallen off the proverbial train and you realise that you’re actually pleased that you didn’t? Well, it means that you are suddenly in a brand new and very special kind of Scary Place. You are in just as much unbearable pain as you were before, but suddenly you haven’t got that Out anymore. So, somehow you have to find a way to live, without the option of dying.

I am not saying that I have left the option of death as an Out forever behind – as I wrote earlier – nearly dying changes nothing – including that, I suspect. But, for now, this option has been moved from being constantly right there on the table, sitting right next to my tea cup, to being stuck somewhere at the back of a bottom drawer.

I am not naïve enough to think that I will never again find myself sitting there at the jumping off place with both legs dangling over the edge, but I am also in tune enough with myself to know that this feeling, the feeling of actually wanting to be alive, is very very different to anything I have ever experienced before following a suicide attempt. And, I am – or at least I’d like to think I am – wise enough to recognise that this is a significant shift in me. And that I need to use that shift in some way.

But, how do you live without dying?

Well, the honest truth is that I don’t know; I haven’t got an answer to that. I’ve never been in this situation before, and I don’t really know how to deal with this.

So, for now, I am following a very simple rule: take each day as it comes and make no major decisions until I have some distance, until I can look at what has happened with some perspective. And I think the best way to get to such a place is through maintaining an open and honest dialogue with those around me.

That – and lots and lots of therapy.

Do be kind to your Selfs,

xx

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Three Key Rules For Surviving The Present

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“..when all I really want, I said to myself, is to survive the present..”

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Sitting here, alone. Trying to somehow keep it together. And failing miserably. I feel like I’m a prisoner in my own life, and while there may well be a key to the lock, it seems impossible to find. Or maybe I’m just looking in all the wrong places?

I haven’t been able to attend service for weeks, owing to flashbacks. Haven’t even had enough head space to follow them online. Still, as my therapy is on now on hold, I know that it will be important to find other, non-destructive, ways to cope, so this morning I decided to brave it and just push myself that little bit extra to get there. Which I did.

I now regret that bitterly. As lovely as the service was, I was struggling throughout it, trying to stave off the flashbacks that insisted on popping up, and it took all I had to somehow stay in my seat and not just rush out. I tried to focus on the music, on the words, the prayers, and to a degree I suppose you could say that I succeeded, but what is normally something that feels naturally easy and enjoyable, today took a lot of hard work. By the time service was over and it was time to exchange the customary Shabbat shaloms [“have a peaceful day of rest”] I was exhausted, and I only barely scraped by during kiddush. Feel very bad about it, because I know I probably came across as a bit off to others, but it was the best I could do. Having greeted the people I know, I made my excuses and left as quickly as possible. The second I got on the bus home I just broke down in tears.

Of course, tears are not the enemy, if anything they are an entirely appropriate response to the difficulties I’m facing, and they’ve been waiting to fall since I left my final session with A. But it’s not nice when it happens in public. It just isn’t.

It was hard saying goodbye to A. The session in itself was reasonably OK. I managed to talk about the extreme separation anxiety I was [and still am] experiencing, and I think that was important. To be able to say how hard and frightening this long break feels, to be honest about how uncertain I feel about whether or not I have what it takes to make it through to the other side of it. To talk openly about why it’s so hard, this effective re-experiencing of every other time I have felt abandoned, neglected, second-best and left behind, with no one to care for me. To feel that there is no one I can truly trust to see me through.

Of course – and I said that, too – in my final session, I know that I’m not really all alone. I know that there are lots of people in my life who care about me and who want to see me make it through, people who are more than willing to offer me support. But, at the same time, as I’ve described many times in the past, a therapist is in many ways a pseudo-parent, and so, having a break – especially a big one like this – is bound to cut pretty deep. And when you cut deep, you bleed, and it inevitably leaves a scar. It’s impossible to just pick up where we left off, as if nothing’s happened. So there is a fear of that, too. Of what it will be like once A. is back. Will I ever feel able to trust her in the way I was? Because, unlike other breaks, at the end of this one her whole world will have changed. That moment when she goes from being a pseudo-parent to her clients, to being an actual parent will be unlike anything else. And even if we manage to reach that Winnicottian good enough place together again, the fear of another abandonment will linger, as it’s likely that in due time she will want to have another child. In fact, whether or not she does, the fear will be there, regardless.

So things are distinctly uphill right now. I keep thinking Oh, I’ll talk about this in my next session, and then I crash with the realisation that that next session is so desperately far away.

I told A. that I would do my very best to stick to my usual 3-rule therapy break survival plan:

1: No matter what; keep breathing in and out
2: Try to find ways of coping other that resorting to self-harm
3: Even if I fail on number two, stick to number one!

That made A. smile, and I will try to keep that in my mind and in my heart, because I do want to make it through.
I just don’t entirely trust it that I will.

xx

The quote at the top is from the book Are You Somebody? © Nuala O'Faolain

I Stumble, I Tumble, I Spin, I Fall – An Entry About Losing Control

Remember that little voice I was talking about in my last entry? The one that tells me that I’m just gonna have to get through this? That there’s no other option? It’s gone AWOL. Completely muted. It’s been nowhere to be heard this week. Not good. At all.

I am really struggling at the moment. Not just a little, but to the point of wondering if it’s really worth it. All that darn talk about light at the end of the tunnel. Yeah yeah. Sure. Whatever. What I want to know is when?? How long am I supposed to hang on to the ridiculously vague hope of things getting better? Seriously?

I feel like I have really given it my best shot. No two ways about it. I couldn’t do it any better than I am. I really couldn’t. I haven’t self-harmed for a very long time, I stopped researching suicide methods entirely, I got myself back to work and I even managed to be good to myself by deciding that working full-time is not the best thing for me right now.

I’ve ticked every single box on the “Rid yourself of depression” step-by-step list. I genuinely feel I have. And yet this depression keeps rearing its ugly head, reminding me of all the things that I am up against. No, I’m not after a free ride. Not at all. I know that there is no such thing as a free ride when it comes to depression and over-coming emotional trauma. But couldn’t I at least be allowed to have a good streak that lasted long enough for me to actually catch my breath before being pushed head first below the surface again?

I am so incredibly sick of this illness. And this whole thing with diagnosis. Recurrent Major Depressive Disorder. Big words, but what the bleeding heck is that supposed to mean? That I have been experiencing more than one depressive episode? Well, duh? Really? I’m glad you told me, ’cause I sure hadn’t noticed.. Or even worse, does it mean that I am doomed to have recurring depressive episodes forever? Honestly? Because if that’s the case, why even try to get out of the one I’m in. For the sheer joy of getting knocked down again?

I had an appointment with S., my care co-ordinator on Wednesday, and being the happy little helper that I am I agreed to allow a third year student nurse to sit in on our meeting. Big mistake I’m sorry to say. Not only did S. spend half the time explaining to him why she had wanted to meet with both me and Dev two weeks earlier etc etc etc (could she really not have gone over the background with him before actually meeting with me?) but also, – and I’m trying to put this in an as gentle way as I can – the poor fella just didn’t seem quite mentally capable of grasping the basic concept of depression and kept coming up with these annoyingly naïve positive comments to whatever I said. This, naturally, made me feel like I wasn’t being taken serious (when talking about having suffered some pretty horrendous flash-backs at work) and also I had to – yet again – practise my skill of holding my frustration back. In other words, the exact opposite of what I have been trying to do. Great! Enormously helpful.

Later in the session we ended up talking about my family and I said that I really really miss them at the moment, especially my nephews – and this guy goes “So, does that make you feel like getting back in touch with your family? Maybe they are exactly the reason you need to get back with them? Does that make you feel hopeful?” Again, surely S. could have had the foresight to have given him at least a the bare essentials on my history before inviting him to join in? Or am I being unfair?

What else? (As I’m going on a monster moan I may as well do it properly. This is meant to be honesty-focused after all). Oh yeah – as great as my boss has been in helping me out with sorting out my working hours and such, it seems my working part-time is breeding contempt in my two closest colleagues. On the one hand I can understand it – they can’t see that my day off is actually my toughest day of the entire week, but on the other hand it’s really none of their damn business what the reason for my absence is. I’ve told them that both Den and the MD of our company are aware of them, and that should be enough.

Finally.. I was meant to see D. tomorrow. But I won’t be. Unfortunately a family matter has arisen and she’s had to cancel the next two weeks of counselling. To start with. Obviously I feel for her, it’s never easy when those things happen, whatever they are, and ultimately we are all only human and sometimes we have to prioritise. But as much as I accept this, it doesn’t stop her prolonged ansence from having a pretty bad effect on me. I mean, of course that’s a mere side effect – but it’s still there. So I had a bit of a breakdown today.

I had already been struggling a good deal with thoughts of self-harm and suicidal ideation in the last few days, and in order to motivate myself to resist my urges I kept repeating to myself that I’ve made it through nearly four weeks without counselling and I just need to hang on for another few days and I’d be back on the road to normality again. That, if I think about it, it’s only hours, really, until I’d have my time back again. And that although there is no miracle cure, at least that should ease the pressure a little. The space and place that is there just for me to vent whatever is brewing in my head.

And then I was told that that’s not happening.

I was sort of ok with it for a few hours, while I was still at work. But then on the way home I just started crying. All that pent up sadness and loss and confusion just bubbled out of me. Surprisingly I actually had the mental awareness to realise that this might be rather a good thing; that allowing myself to express these feelings is precisely what I need to be doing. But, of course, me being me I quickly reverted to the safer path of checking myself out of this emotional turmoil, turning it back on myself in the way I’m most comfortable with; the self-punishing thought pattern of Blithering heck, woman, get a grip! What’s there to cry about? You have no reason to cry. Only weak people cry, and you can’t afford to be weak because people will take advantage of you. So, literally within minutes, I had switched from indulging in self-pity to absolutely bursting to find a razor and start carving up my arm.

I didn’t. God knows how, – I guess my tattoo and the lack of razors in my flat helped somewhat – and I didn’t. Instead I picked the phone up. First I called the Samaritans and found myself having another good cry over the pathetic mess that is my life, how stupid I am to even think that good things would ever happen to me and how I’m never going to get away from feeling this way. Then I called Drayton Park Women’s Crisis Centre. I’m not even really sure why. It was just something I did. One of the workers picked up – the one who’s always so cheerful I can’t help but to think of her as being chemically imbalanced no matter how sweet she is – and even though I’ve never actually had a one to one session with her I just started to cough up how badly I was wrestling with the idea of harming myself. She assumed that this was a direct result of having been told that I won’t be seeing D. earlier in the day. I didn’t even get a chance to tell her that this urge has been intensifying over the last few days, but maybe that doesn’t really matter – because I’m pretty sure that although this explosion of emotion isn’t purely down to my disappointment with this setback, it was more than likely the final trigger.

Hm.. Odd.. As I’ve been writing this seizmically proportioned rant I think that little voice has returned. Fair enough, it’s still very faint, and my demons definitely still outshout it. But at least it feels like it’s there.

And I guess that’s something.

I just hope I can hold on to it.

xx

“..when all I really want, I said to myself, is to survive the present..” [Nuala O’Faolain]