Tag Archives: mental health

Where have I been?

Image: cartoon of several people sitting in chairs. Group therapy.

I have several chronic conditions: mental health, type 2 diabetes, sleep apnea, hypothyroidism, hypertension. I am on 9 medications. I was wondering if there is any type of holistic treatment that could help, and searched different terms in my insurance directory. I came upon a mental health facility that is holistic and integrative. They have a nutritionist on staff. It wasn’t exactly what I was thinking but it looked helpful.

I saw the psychiatrist and he is a bit different but I like him. He changed my diagnosis from schizoaffective to major depressive disorder and anxiety. He seems sure I was misdiagnosed. He decreased my antipsychotic, I am on a baby dose that is more of an adjunct for depression, so far, so good. I

Image: Stethoscope with words Transcranial Magnetic Stimulation

They do a type of Transcranial Magnetic Stimulation called MeRT. It took a couple of months but my insurance finally approved it. I had an EEG yesterday. They use the EEG to determine how to apply magnetic therapy. I may start as soon as tomorrow morning.

The therapy helps bring your brain waves to calm, alert alpha waves. You can get there through coping tools like mindfulness and meditation but this works much faster. I have had anxiety Al, of my life and it impacts me daily. I am really hoping this will help. I use a lot of stress reduction techniques and have been trying to expose myself to things I fear.

I spent 5 weeks in Partial hospitalization all day M-F. Now I am in intensive outpatient 8:15-11:45 M-F. The next step down is 3 days/week, then I am done but will come in for MeRT. I think the routine and structure help. I am learning a lot. You can’t drink alcohol while during MeRT. It is M-F daily and 36 sessions total.

You come up with a daily schedule but I have trouble sticking with it once I get home. I was supposed to come up with a meal plan but I don’t know how. I eat, mostly low carb, but I don’t really plan my meals. I keep snacks on hand and my husband usually makes dinner.

My fasting glucose does not match my A1C. My A1C is normal. I am trying a continuous glucose monitor. I like it but it show high readings, too. My dr thinks donating blood gives me a false low A1C so I am having another blood test in a few months and not donating. I am thinking of volunteering for the Red Cross at the donor center, but I am having trouble hearing. I am getting the wax cleaned out of my ears soon and try to get on a schedule so my hearing aids can work.

Projects

Image: gratitude journal.
https://linktr.ee/matthiasjbarker?fbclid=PAAabOSCj2THoNkFK8nkKoP0OquO5P7L8HeLBBjQkatc1YYQb1W-ott8E8IfQ

I have a number of projects that I have trouble completing.

I am interested in internal family systems therapy. I have a book and workbook to use on your own but I have trouble getting started. I have an appointment with a new therapist in Jan and hope she can help.

I am in the process of reading Brain Energy about how mental illnesses are metabolic disorders. I skimmed through looking for explicit directions for how to deal with anxiety and schizoaffective disorder. He talks a lot about keto but I like to have targets for macros and he does not get specific or I missed it.

I got an activity journal that looks fun but I have only glanced at it.

My cousin, @AnnSloan, wrote a book called Suffer, that I have on kindle waiting to be read

I have a gratitude journal by @matthiasjbarker (pictured) that I just started today. It has prompts for everyday for 6 weeks. He also has a motivational zoom I signed up for. Maybe I can get some sense of priority with these projects and a timeline.

I started keto last month. I slipped a little eating some more carbs than I should. I have type 2 diabetes and keto really helps me with glucose control. My sugars went higher than normal and I am having trouble getting to a level I would like. I have not lost weight but I lose slowly usually.

I had a scare where my blood pressure was high at a Dr , not PCP. I tested at home and it was high on several days. I contacted PCP and she said to decrease salt and exercise more. Still high. I went for office visit and she read bp manually. It was normal. She thinks for some reason the automatic readers don’t pick it up right on me. I can go for manual checks if I need. I am a little confused about sodium. Usually you increase it with keto but my Dr wants me to stay to below around 2 g. I had been drinking bullion but I stopped. Grateful my BP is normal.

My sleep had not been well. It is improving. I can get 6-7 hours straight, the problem is it is shifted. I don’t fall asleep until about 3 am and am tired during the day. I cut back on caffeine and my psychiatrist reduced my medication. It is easier to stay asleep with the cooler weather.

Update

Whoops..I’m Awesome workbook by Melissa Villasenor

I saw my current therapist telehealth last week. He moved me back to as needed. He seems to think I am fine but I don’t feel that way. I am on a waiting list for a new therapist who does internal family systems therapy. I don’t know how long that will take.

I stopped keto last year when the Virta program stopped because my insurance changed. I have since gained some weight and don’t feel as well. I am going to try doing keto on my own, after Thanksgiving. I am going to try an app called Healthi that helps count calories, carbs or what they call bites that are like WW points. I did not do well on WW but I did not stick with logging food.

I have been making chia pudding with coconut milk instead of yogurt. So much easier but you don’t get the probiotics. I have been eating fruit which I will miss when I go back to keto, I can still have some berries.

I watched a webinar with Dr Christopher Palmer about keto and mental health, he uses it for treatment resistant patients. My meds work well, but it can’t hurt to add it. He has a book releasing tomorrow, called “Brain Energy” I am going to get the kindle version. Hopefully, it motivates me for when I start keto.

I used to love to read. Now, I have a bunch of things on kindle but I don’t read often. I think I need to put it on my to do list. I got a journal called “Whoops…I’m Awesome” by Melissa Villasenor. It has activities and stories. I have not done anything with it yet but it looks fun.

Internal Family Systems Therapy

Image: Workbook titled Self-Therapy Workbook by Bonnie J Weiss

I am reading a book, self-therapy by Jay Early. I also have the workbook pictured above that I will get to next.

I have some sort of dissociative disorder, not DID. I have experienced sensations and parts talking through me, but that was years ago. Some people think it is all delusional. I have a diagnosis of schizoaffective disorder.

I am reading the book on internal family systems. The author suggests everyone has sub personalities that they can access. I was skeptical. My stomach tightens while I am reading. The author encourages noticing thoughts, feelings, sensations

I know I have a loud inner critic, like a drill sergeant, telling me not to mess up.  If I make a mistake I feel like a complete failure and my mood spirals downward.  I am trying to think of him like a motivator.  I think the purpose is to make me more productive, but it is not working for me. I feel something constricting my stomach.  I am not sure why.

I don’t know if these parts are real distinct sub personalities, but if it helps I will use it as a tool. my therapist says it is a different perspective.

My therapist pushed my appointments further apart because I run out of things to say. In May he moved me to as needed, that I can call if I need an appointment. I told him about the workbook. He does internal family systems therapy with clients with dissociative disorders. I wanted to set up an appointment to work on this but he told me to see how it goes and then if I need I can make an appointment to contact him.

I feel like the therapist is blowing me off. I feel better checking in with someone at least once/month. I found a different therapist who seems nice and willing to work with me. She knows of this therapy but does not practice. I have an appointment with her on Saturday.

A Long Overdue Update

Image: blank wordle computer game board

I just realized I never gave an update on my Covid experience. After 19 days of isolating, I finally tested negative and was feeling better. I had given a month’s notice at work, but I was out for 3 weeks. I only worked 2 days/week, so I went back for my final 2 days. They quickly improvised and had people sign a card and ordered cupcakes. It was nice.

I am not sure what I want to do with my time, now. I have been going to an activity center that I used to work at, as a member now, and participate in a group. It is a course that ends in 2 weeks. I think I will continue going to one or two groups/week after it ends. I give talks for NAMI, National alliance on mental illness. I did one over zoom and they played it on the tv at the center.

I do want to do other volunteer work, but I don’t want to commute or commit too much time. I have some opportunities already. I stopped working mainly because I was having trouble hearing. I got hearing aids at the beginning of the year but it has been hard to adjust, I am having another hearing test and they will clean the hearing aids in November. I want to get to where I can hear well, before I commit to any type of peer support.

I like playing little computer games. I finally tried wordle and I think it is fun. I usually can get the word but it takes a number of guesses. I find it relaxing.

About a month after I got over Covid my husband and daughter caught it. My husband travels and I think he must have caught it at a conference. My daughter is super careful, but she still caught it. She felt pretty lousy, lost taste and smell. She isolated for 10 days. My husband did pretty well, he took Paxlovid with no rebound. He was better in 5 days.

I have given up on making the coconut milk yogurt for now. I am making chia pudding with coconut milk instead. It tastes pretty good. I add fruit and granola.it is really easy to make. I have a recipe for a small volume but I make more. If anyone is interested I will post the recipe. You can use other types of milk.

I saw a video on internal family systems therapy. It looked interesting. I don’t know if I would be able to connect with other parts of myself. I searched for a therapist and found one but she does not work at the company anymore. They recommended a few other therapists. I don’t think the woman on the phone understood what I was asking for. I have a zoom appointment with a therapist on Saturday. She is on my insurance plan. I like the therapist I had/have?, but he only wants to see me as needed and I think I would feel more comfortable seeing someone on a regular basis. I can’t find much on the new therapist through google. Just on the company’s website.

I had an issue finding a psychiatrist my insurance would cover. I saw one who I liked, but I they first denied the claim and eventually changed to covering. I saw a different psychiatrist in the same office. I had a bad experience the first appointment. The next appointment was better. But, I found the other psychiatrist is in network now, so I switched back. I go in November. He does therapy, too, so that could be an option and I always have the one, as needed. I think he will retire soon, also,

Covid update

Image Covid test kit

17 days since symptoms of Covid started. I now have post viral bronchitis. My dr prescribed an inhaler and cough suppressant. I have been out of work 3 weeks. I can’t go anywhere with this cough. I have not tested lately, I will tomorrow. I have not had to use the inhaler. I think I had rebound after paxlovid, where you get better and then when you stop taking it your symptoms come back,

I had a neurological symptom where I had manic energy.couldn’t sleep, couldn’t focus. I did not know if it was a mental health issue or part of Covid, My dr prescribed klonopin which worked.

I am bored so I ordered a cameo from a comedian I like, Darren Carter to cheer me up.

If your health condition was a college major

I belong to an online journaling group through The Mighty. Unfortunately, it will be ending soon. I am going to try a different group they have that is coloring and chatting. I attended the journaling group Th night. They have a number of prompts and you write for 10 minutes.

Image people in red gowns and caps graduating college

The prompt I chose was based on this post on The Mighty https://themighty.com/2022/06/health-conditions-as-college-majors-class-schedule/
If your health condition was a college major, what would the class schedule be.

This is mine:

Major in schizoaffective disorder with minor in social anxiety

Courses:

Intro to making friends
Reality testing 101 (or do you hear what I hear?)
Psychopharmacology and the art of being a guinea pig
Assertiveness and not letting others beliefs undermine your stability
Self-care

What would your classes be?

My week

Image plane in flight

I tried hosting a session on sharewell, sharewellnow.com, a site for peer support. My session was supposed to be on coping with psychosis and/or mood disorders, but no one came so it was cancelled. I am going to try another session sun 6/26 on Coping with Social Anxiety. Hopefully, someone will come. https://sharewellnow.com/session/c7aba3cd-0dcb-44d5-b36a-1ed85d28eefe

I went to visit my sister in Boston for a week. It was fun. We saw some historic sites, had great meals, and just hung out. I talk with her all of the time, but it is different being in person. I actually adjusted to the time change, 3 hrs, pretty well. It was a direct flight which made it easy. I know nothing about flying, forget to take out my ipad from luggage at security point and take off shoes. I couldn’t figure out how to stream video. I slept, looked out the window and waited. I had rides to and from airport that went smoothly.

I am having more insurance issues. My therapist from last year emailed me that she did not get reimbursed. She is billing the wrong insurance company. I explained that and that I am stressed with the new insurance company. She was nice about it, said she will not bill me and will get back to me.Speaking of insurance, I have to have a root canal and don’t know how much will be covered, I am seeing an endodontist.

I posted on Reddit that I am frustrated with my hearing loss. I turn up my hearing aids but still have trouble understanding speech, an audiologist replied that I should not be turning them up and should wear them often. I am wearing them around the house today and I can hear. I will see how it goes at work next week,

Inviting the Dragon to Tea

I don’t have an appointment with my therapist since I am seeing him as needed. I emailed him the dragon slayer story. He suggested that I should invite the dragon in for tea. When he starts saying I am worthless, a failure, no good, I will argue with evidence to prove that is not true, I wrote something, listing some of my qualities. I can’t get out of the values assignment.

Dragon silhouette

I saw an ad on Linked In for a site called Share Well, sharewellnow.com It is a site for hosting video support groups. I went to one on depression tonight. It was pretty good. After you go to one, you can sign up to host. I made one for psychosis and/or mood disorders for the 15th. I am going out of town the 6/8-6/14. I set it for one hour. I am hoping people want to talk but I will prepare some things in case I need. They are free sessions. If you are an expert, you can charge people to attend.

I went to a family gathering, my husband’s side. I went off by myself quite a bit. His family is friendly, no one was bothering me, I just did not feel social. At one point I left and sat in the car just to get away.

My car airbag light turned on. We had to get it fixed at the dealership $1000. I was not sure if we should get a new car but my husband pointed out that we can’t sell a car like that. I do want a newer car, but everything is so expensive right now.

Update

Image: Yellow smiley face

My therapist was able to fit me in with a phone appointment on my lunch break Monday. He validated my feelings which helped a lot. Then, he gave me cognitive behavioral therapy homework to find evidence about being worthless, a failure, etc. There is no deadline. I don’t have a scheduled appointment. I will let him know if I need an appointment. He is going to retire soon.

Then, I talked to the assistant to my boss, I don’t know her title, and told her how I have been feeling. She said she has had no complaints from anyone about me. That helped, too. I made sure to document my encounters this week and this month already looks better.

I have a LinkedIn friend, I don’t know if we have met ever, who volunteers in my field. She mentioned she was looking for work. I told her we had an opening, part time and how to apply. She jumped on it and got the job. I think today is her first day. I hope it goes well for her.

I saw my new psychiatrist. He works in the same office as my last one, but he is covered by my insurance. I don’t know what to think of him. He barely spoke to me, just checked boxes while I talked which was off putting. He took a personal call. I am maxed out on the meds I take and he thinks my antipsychotic is too high, so he decreased it and told me how to taper down. No one has wanted to change my meds because they are working. He does not want to see me for 3 months.

I am a little worried I will destabilize in that time. When I made the appointment for August, I asked if they can switch me back to the other doctor when they get the insurance worked out. They put me on a list.