Flight Risk (20 hours in the Psych ER)

 

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Monday, 5:15pm: “Hey, it’s me. I’m in the Emergency Room. I’m feeling suicidal. They sent me to Psych. I left work. I don’t want to be here. I want to go home,” I choked on the words between sobs while on the phone with my dad. This was not how I wanted to spend my Monday afternoon, or any afternoon really. How did I end up here?

Monday, 2:45pm: I look up from my notes I took during a training on Friday to read what I have typed. Only, instead of reading about how to use Skype for Business, the only words I see are the only words that have been going through my head for the last week: I want to die. I need to die. I want to die. I need to die.

“Well, shoot.” I think to myself, “That’s not good.

You see, this is how it starts, how it always starts: a nagging feeling that won’t go away; a thought on repeat in my head. And then I cycle downward: a roller coaster there’s no getting off of; a hole I can’t climb out of; a mountain I can’t climb.

This is how it starts, how it always starts: with me trying to talk myself off the metaphorical cliff before I metaphorically jump; trying to talk myself down before I do something drastic.

And I can’t tell you how many times I’ve talked myself down, how many times I’ve come so close, how many times I’ve thought I just want this to all be over.

But I can tell you this: it’s exhausting. It’s exhausting to struggle with suicidal thoughts 98% of the time. It’s exhausting to feel like you don’t deserve to be here, don’t deserve help, don’t deserve the love and support that you get from the friends and family who surround you.

Sometimes it only takes one person who listens, who is somehow able to convince you that you do deserve to be here, you do deserve to get help, despite what all the voices in your head are telling you.

When you’ve been struggling with depression and suicidal thoughts for as long as I have, you start to see the signs, read the writing on the wall if you will. And every time you enter that spiral, it gets harder and harder to get out, to talk yourself out of it.

And I have to tell you this, friends, I have to, even though it hurts: on Thursday, I was so so so close to ending it all, but somehow, by some sort of miracle, I was able to call the Suicide Hotline.

So, on Monday, when I felt myself entering the spiral, I knew that if I didn’t go to the ER, I would not make it out this time. It’s a terrifying thought process, guys, knowing that your life lies in your hands, or rather, legs, finding the strength to get yourself the help you deserve.

Because you do, guys. You do deserve the help.

But I’m also telling you that it’s not going to be easy, especially if you drive yourself.

It took me 25 minutes to get out of the car once I got to the hospital, and I was panicking each and every second of those 25 minutes: I cannot do this. I literally cannot do this. I’m not strong enough to do this. I could just jump right now; I’m literally almost on the top floor of the parking garage. It would be so so much easier.

Eventually, however, I made it out of my car and into the hospital. Eventually, I made it through the halls of the hospital I have been in so many times before: the hospital I was born in; the hospital I’ve visited family members in; the hospital I had my appendix out in. But this time, the hallways felt so much longer than they ever have before, and I felt like the walls were caving in around me. And when I made it to the ER doors, it took me another 15 minutes to walk through them: to remind myself that I deserve to be here, to get help, to get better. That I don’t deserve the bad things that happen in my life.

And here’s where it starts to get hard, not because I don’t remember what happened because I do. I remember everything. It gets hard because I don’t know how to tell you what I’m about to tell you. But I’m going to try because you all deserve to know. And maybe even my lack of words will be enough to help someone else.

I don’t know how to tell you that as I was sitting in the general ER next to the elevator that goes up to the Psych ED (or CPEP from here on out), I already felt dead. If you ask the tech who brought me up to the CPEP, she’d tell you that I had dead eyes–there was nothing behind them: no light, no life, no hope. When one of the ER nurses came to retake my heart rate, because having a panic attack while sitting in your car really messes it up, she said, “Poor thing. You look like a ghost.” I didn’t have the energy to tell her that I felt like a zombie: mostly dead, not really living, trying hard to fake my way through life.

I don’t know how to tell you that I wasn’t considered a flight risk because I drove myself, but I really wanted to be anywhere but there: gone, dead, home, whatever, anywhere but here. That my urge to run was greater than my urge to live. 

I don’t know how to tell you that the CPEP is the best place to have a flashback, and trust me, you’ll have many. There are only so many times you can hear Get off me. Get off me. Get off me. from someone being restrained before your own trauma catches up to you. And everything you’ve tried so hard to forget over the last nine years comes rushing back to you. If anybody understands how traumatic rape can be, it’s the ones who deal with the aftermath, the ones who see the broken, hurting people walk through their doors every day.

I don’t know how to tell you that I felt like I was 7 years old again, and for the first hour before my dad arrived, I’ve never felt so alone.

I don’t know how to tell you that I feel guilty for being “strong” enough to get help because I feel like it diminishes the strength of the people who didn’t.

I don’t know how to tell you about the guy who had been in the CPEP for three days because there where no beds upstairs, who, after my dad left at 4:30, sat next to me as I slept because no one should be alone here, especially not pretty girls with sad eyes.

I don’t know how to tell you about me waking up at 5:30am on Tuesday sobbing because of the teenager they brought in who was restrained, and when the nurse asked me what was wrong, all I could say was he’s scared and wants to go home. Because here’s the thing about that place: everyone there feels too much. Not only do we feel our own pain, but we feel each other’s. I felt their pain when they told me their stories, and they cried with me when I told them my story at 8:00am on Tuesday after being with them for 15 hours. I poured my heart out to strangers when I have a hard time telling people I know what’s happened. I told them everything: the rape, the self-harm, the eating disorder, the suicide attempt, the suicidal thoughts, the relapsing.

I don’t know how to tell you that you lose track of time because the only clock I could find was the one behind the locked doors of the nurse’s station. Everything’s locked. You can’t get in or out without a key. You’re physically trapped, which is fitting because every single person there feels trapped in their own mind.

I don’t know how to tell you that being there 18 hours before I saw a psychiatrist instead of the normal “get in, get out in 6 hours” probably changed the way this story goes, probably saved my life, probably is why I was discharged instead of held for 24, 48, 72 hours.

I don’t know how to tell you that I had a hard time yesterday adjusting to the “real world” after being in CPEP for 20 hours. That place began to feel like home, not so much because of the place itself, but because of the people. It’s like when you visit a foreign country and experiencing culture shock when you return back home. I miss the way the people made me feel: you know the warm feeling you get when you are around people you love. Because they understood my pain in a way that most people can’t. They reminded me that I’m not alone. They touched my life in a way that I can’t even describe, and I honestly really hope they’re doing better.

We’re all muddling through life, and sometimes it’s good to be reminded that there are people out there who are hurting as much as you are, struggling right along with you.

I’m so so so glad to be alive. I finally feel like a whole person instead of a broken nothing. I feel alive. I feel happy, but life is still hard. I’m still struggling with so many things.

But I know now that help is not too far out of reach. I deserve to be here.

You deserve to be here, too.

 

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And so I kept living

Today is World Suicide Prevention Day, marking the start of Suicide Prevention Week–I feel like a hypocrite for even mentioning it. Because this last month and a half has been the worst time of my life mentally–my depression has come back with a vengeance, and coupled with the overwhelming anxiety I feel on the daily, it’s felt like a hurricane has ripped through my soul: total destruction everywhere, levees broken, the walls of my body destroyed. This last month and a half has seen countless panic attacks and flashbacks, overwhelming suicidal thoughts, me almost driving into a tree, and, unfortunately, it’s also seen me relapsing–self-harming again after not doing it in 7 years.

It’s also seen me reach out more–ask for help. Depression has this way of making me feel like I’m the worst person in the world; that I deserve everything that has happened to me. So, normally, I pull away, revert back into myself. Because here’s the thing: when the demons attack, sometimes I’m afraid that I won’t make it out of the battle. I pull away to soften the blow, to lessen the crater that my departure might leave. I’ve come to realize over this last month that when the bomb drops, people will get hurt whether I pull away or not–I’d rather confide in people and have them care about me than walk through this storm alone, even if sometimes I feel like an inconvenience. Even if I feel like letting people in, telling them what’s going on in my brain is a burden to them.

We all need people.

Even though you’re trying as hard as you can to pull away from people, they just won’t stop caring about you.

And so I kept living despite the feelings of inadequacy, the feelings of worthlessness, the thoughts in my head telling me I should not be here.

And so I kept living despite the thoughts I’ve had for as long as I can remember: I can’t go to school today because it’s going to burn down; I can’t get out of bed because the floor’s going to collapse; I can’t go out for recess because the world’s going to explode.

And so I kept living despite those thoughts that, apparently, most people do not have every day for their whole lives.

And so I kept living despite the shame of my past, the weight of it all, the regret, the hurt of what others have done to me and what I have done to myself.

And so I kept living despite the “I’m sorry”s, the number of times I’ve written and ripped up the words: To whoever finds this.

And so I kept living despite how scared I am of the dark, how weak I feel.

And so I kept living because if I didn’t, I never would have gone to Guatemala and led a young girl to Christ.

And so I kept living because the Buffalo Bills have not won a Super Bowl, and I’ll be darned if I kill myself before I see that.

And so I kept living because I want to fall in love, even though I’m terrified of being hurt.

And so I kept living because I still have so many jokes left in me to tell, so many words within me just waiting to be written, so much laughter left to burst forth from my mouth.

And so I kept living because of the cotton candy that paints the sky during sunrises and sunsets.

And so I kept living because there are so many books in this world I have not yet read, so many places I have not yet seen.

And so I kept living because sometimes all this pain that I’m feeling, all the hurt, remind me that I’m alive.

And so I kept living because the most vicious thunderstorms produce the most beautiful rainbows, and I want to be beautiful.

And so I kept living because I am not alone, and I have a God that is bigger than all my shame, all my hurt, all my fear.

And so I kept living because if I can help just person know they’re not alone, then let me do that.

 

SOS

When the atomic bomb was dropped on Hiroshima and Nagasaki, those who came in direct contact with the rays from the giant supernova created were instantly obliterated, turned to ash as the impact moved from the center out. The light and heat created were so intense, when the conditions were right, people-shaped shadows were traced into the surface they were standing on–photo-negative statues memorializing the exact moment disaster struck.

Sometimes I think trauma’s like that. We remember where we were the exact moment our world exploded. Sometimes we have statues, too, in the forms of scars: either physical or emotional or both.

But here’s the thing, sometimes trauma has the ability to produce healing, to cause us to come back stronger.

Today, Hiroshima and Nagasaki are bustling cities. Today, plants are growing in Chernobyl, and animals are beginning to move back in–the circle of life is continuing.

Sometimes forests need to catch fire because that’s the only way to ensure they stay alive: because when they start to regrow, they come back bigger, stronger, more beautiful, and more full of life than they were before.

Beauty can come from ashes. We just have to give it time, allow ourselves to heal, allow ourselves to feel.


There are some stories that we don’t like to talk about, that hurt too much, that we can’t find the right words for.

I have so many stories that I’ve already told, stories that I kept hidden for years–stories that I kept locked away, hidden from sight. People can’t judge you if they don’t know. They can’t ask you “What were you wearing” if they don’t know you were raped. They can’t say, “But you don’t look depressed” if you don’t know that you have depression. They can’t say, “You’re too fat to have an eating disorder” if they don’t know that you haven’t eaten a meal in four years. They can’t say, “But your wrists don’t have any marks” if they don’t know you self-harm.

But that’s the thing about keeping everything bottled up inside: it eats you alive, rotting you from the inside out, until you don’t even know who you are anymore, until you’re too numb to think, to breathe, to live.

People like me, who think too much and feel too much, sometimes our thoughts threaten to eat us alive. Sometimes the voices in our head are too loud, drowning out what is true–that we are worthy, beautiful, deserving–with the lies told us in our past–we are worthless, ugly, undeserving.

I have this fear, I’m sure I’m not alone in this, that if I am vulnerable, people will hate me. I have this fear that if people really knew what was going on inside my head, the people that I love the most will leave me. That when the smoke clears, I’ll be the only one standing there.

And it’s a ridiculous thought because if there’s one thing I’ve learned over the journey of this blog, it’s that being vulnerable does the exact opposite. Being vulnerable allows more people to walk alongside you, more people to help you fight your way the battle, more people to light up the maze. It brightens up other people’s mazes, too. It helps others realize that they are not alone.

It’s a ridiculous thought, I know, but I have lots of ridiculous thoughts (some more on the humorous side than the concerning). Depression makes me think irrationally. It’s planted a little goblin in my head that’s trying to be helpful, but, really, he’s doing the exact opposite: he takes away my happy thoughts with “what-ifs” and “what could have beens” and “what may bes.” It steals my happiness to focus on things I cannot change, and sometimes I don’t know how to make it stop.

So, I’m going to be vulnerable.

About a month ago, I wrote about the fact that I struggle with suicidal thoughts on the daily. I wrote about the fact that I almost drove into a tree on my way to the gym one night.

And I wish I could say that this story ends there, that all is fine and dandy, that I met a boy and we fell in love (hah. yeah, right), and we lived happily ever after.

Unfortunately, it does not. The story does not end there. You see, friends (and I’m calling you my friends because you are, and if we’re not, we should be), this last more than month has been the hardest period of my life. I’ve had more flashbacks and panic attacks than I care to admit. I’ve almost driven into trees. I’ve thought that everybody’s life would be better if I actually had driven into the tree. I’ve thought that people would hate me for telling them what’s going on inside my brain–I mean, who wants to hear all of the negative thoughts I have; the arguments I have with myself; the way I view myself?

And there’s no easy way to say this. Trust me, I’ve tried and I’ve tried. I’ve mulled it over and over. I’ve written and rewritten thousands of times in the last few days. So I’m just going to come out and say it:

I relapsed.

I’ve started self-harming again.

(it hurts, doesn’t it?)

I started self-harming because some days I feel too much: I feel anger and sadness and hope and joy and happiness all at the same time. I feel it with my whole being, and my body can’t take it (imagine having all your nerve endings exposed, feeling everything: the air moving around you, the gentle touch of the nurse trying to take care of you while your whole body is screaming in pain. So it shuts down).

I shut down. I became numb.

And I’m crying as I’m sitting here writing this because I am ashamed. I am ashamed because of my past and what I’ve been through. I am ashamed because of what was done to me and what I’ve done to myself. I am ashamed because, after seven years, I’m sitting here once again with two stinging red lines on my wrist.

I am ashamed because I know that this isn’t the answer: what I’m feeling can’t be fixed with band-aids.

I am ashamed because I’ve said the words “I’m ok” so many times that they don’t even sound like words anymore.

But, here’s the other side of this coin, guys. I have a God who is bigger than the shame I feel. This time, I’m asking for help. This time I won’t let myself suffer in silence for a year before I say anything. This time, I’m starting therapy, and I’m looking into medication, and all the things I should have done so many times before.

And I don’t know that this will be easy, none of this has been easy. But I like to think I’m a stronger person now than I was when this all started nine years ago.

But maybe I’m not; maybe I’ve just come to realize that I can’t do this all on my own.

Maybe I’ve come to realize that sometimes you need to let the pain hurt. I’m a writer, and I always try to have the words for everything (and when I don’t, I use metaphors), but this time I have no words to describe how much I hurt. How much pain I’m in, mentally, physically, emotionally, and sometimes even spiritually.

I’ve come to realize that sometimes God/hope has this way of sneaking up on you. One minute, He feels so far away, and the next minute, you feel this gentle tap on your shoulder. And when you turn your head to look, you realize that He’s standing right behind you, arms open, ready to embrace you.

Sometimes when He feels so far away, it’s because you’re facing the wrong way. But He’s not gone; He’s dragging you through it, and when God does what He does–what He’s done over and over and over in my life: whispering to me, “You’ll be ok”– it’s enough to cause me to breakdown because I don’t feel worthy. I feel dirty. So dirty.

And I guess I don’t know where this post is going. I had a plan for it, but it’s gone off the rails (it happens, like the time I tried to write a blog post but it ended up turning into a five-page letter). Anyway…

Right now, it hurts, guys. My soul hurts. My mind hurts. My body hurts. And I’m ok with the fact that it hurts because it means that depression hasn’t won. That I am still alive.

Because I want so badly to be alive. I deserve to be here.

We all deserve to be here.

And sometimes, we need to not be afraid to ask for help.