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anxiety Co-occurring job keto Medication mental health mental illness peer support psychosis schizophrenia support Weight gain Weight loss

The Keto Roller Coaster

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I have been on a ketogenic diet for about 5 months to help treat type 2 diabetes. I was taking 2 medications. Metformin and Januvia. I am monitored through a program called Virta. I have a coach and a physician through Virta, it is all done virtually. There is also an online community for people on the program. It is covered by my insurance.

At the beginning of this month I had labs that my endocrinologist had ordered. The results were really good. A1C of 4.8 and fasting glucose 98. Everything else was normal, too. For some reason my endocrinologist office cancelled my appointment so I had to reschedule for August. The Virta dr said that I could try going off Januvia since my labs are so good.

So, I go off Januvia and everything goes screwy. I get ravenous at night and have to eat after dinner. I had been slowly losing, now I am gaining weight. My fasting glucose is higher than before I started keto. I test my ketones and they are low. I chatted with people in the community and they tell me to stick it out, that my body will adapt. I am not so sure. I put in a message to the Virta dr to ask for his opinion but I won’t hear until at least Monday. I did not even know if the Januvia was doing anything but I now notice a difference without it.

I rarely talk about work, but here I go. My opinions do not represent my employer.

I work in peer support in a 20 bed mental health crisis stabilization unit (CSU). I have worked in peer support at an activity center for people with mental health issues and in a residential program. The people we see are much more symptomatic than I had worked with in the past. I am available to talk and offer groups but I don’t get much interaction because people want to sleep, are too symptomatic, want to be left alone etc.

It is a new facility and peer support is a new position for my employer. I have been there about 5 months and still have not found my footing. My boss is aware of the issues of people not wanting to interact and told me to keep being available and offering groups. She is going to give me some additional duties once they are approved.

It also can be anxiety provoking when patients are loud or aggressive. I am not involved with dealing with those situations but I feel tense. I help out where I can. I like the place and what we do.

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bipolar Dual diagnosis Forgiveness hams harm reduction Inner demons mental health mental illness moderation NAMI pandemic psychosis Recovery relapse schizoaffective schizophrenia sobriety suicide

What I Have Been Up To Lately

I had therapy last week. I started seeing this therapist after the pandemic, so all my sessions have been virtual. I forget what she asked but I mentioned I remember mistakes from the past, 20, 30 years ago or more and they torment me. She wanted me to share but I am not comfortable with that. I feel such shame and they were mistakes that I feel are unforgivable. If I did not feel shame there would be something wrong. But, I don’t want to delve into them.

My father did not believe in mental health treatment even though schizophrenia, schizoaffective disorder and bipolar run in our family. When I started therapy he discouraged it saying talking about the past just makes everyone sad. I did not understand what he meant until now.

My therapist wants me to work on forgiving myself.  I have to explain to her that some of these things are best kept hidden.

 

 

I have been able to stay alcohol free after my planned intoxication in April.  My plan is sobriety until our wedding anniversary in October.  It was pretty easy to get back to it.

 

 

I posted a link to an In Our Own Voice presentation I did for NAMI, National Alliance on Mental Illness, in a different post. I have not been speaking much lately. I saw a different program by NAMI called VOICES. It is geared towards first responders. I signed up to be a speaker, but am having trouble figuring out where to start. My initial interaction with mental healthcare and police was not until I was 39, but since mental illness runs in my family that was not foreign.

My brother had a psychotic break in college at 20 (I was 15). He refused treatment and would get picked up by the police for 72 hour observational holds in the late 70s. His is a sad story. He was severely symptomatic for 6 years when he finally was placed on a different medication that he responded well to. But, he started becoming symptomatic again, paranoid, edgy, and probably needed his medication adjusted. He went to Yosemite while symptomatic and fell at a waterfall. I don’t know if it was accidental or not, but he died from the fall.

This is supposed to be a story of hope, but it is part of my story.  If I had not seen him so ill for so long I may not have accepted treatment, but I did not want to be stuck in psychosis like he was.  I think it is okay for first responders, but not sure if it will scare the general public who may be worrying about their own children.

My story is much different.  I did go in and out of psychosis for 3 years, but I have been stable since 2006.  I have not been hospitalized for 16 years.  I am married, have healthy grown children, work part time.  I still have some doubts about what was real from the past, but I can function.

 

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anxiety bipolar Coping skills distorted thinking Medication mental health mental illness NAMI psychosis Recovery schizoaffective schizophrenia stigma Therapy

In Our Own Voice Presentation

Yesterday I did a presentation for NAMI Orange County on my recovery.

https://us02web.zoom.us/rec/share/8I-z9RKNONCJ958C7klIYBjCf3ZzCXs_BD743CKZD0QUzGcCtPbtjjVcYygq5hk.nKTSbzmA_Jj3DrvG


Passcode +6$T%coQ

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12 step AA depression mental health mental illness psychosis relationships schizophrenia Therapy

Discombobulated Thoughts

I had therapy, virtual, on Wednesday.  I went over what was going on in the present.  Then my therapist started asking questions about when I was school age.  Jr high and high school were not the best years of my life.  I had a friend drop me in 8th grade to hang out with more popular friends.  I had a boyfriend in high school who was very critical and was sometimes mean.

Creative Commons girlshealth.gov

My home life was horrific. My father had an undiagnosed, but quite obvious in hindsight, mental illness and my brother had a severe psychotic disorder. He was nice, just a bit scary to me. Everything was unpredictable. My dad would be fine one day and raging the next. I could not deal with being there so I spent most of my time out, with friends, drinking alcohol or smoking weed. I was very sad, and quiet.

After answering her questions she asked for my thoughts and I said they are discombobulated.  I don’t know what to think.  So, she told me to write down my discombobulated thoughts when they come to me.  She used my own words but I don’t  what she wants.  I am going to email mon.

She gave me other homework. To write what you can gain from AA, without spirituality. That is easier for me. I belong to a secular AA Facebook group. I tried one meeting but I felt out of place and have not looked at others. I did think the accountability and recognition for time sober helped me. I have not gone to meetings lately but I am staying sober,

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12 step AA alcoholism mental health mental illness psychosis schizoaffective schizophrenia

A thought on my higher power

The Universe is my higher power. I am tasked with describing how the Universe can help me. I had a point where I was seeing messages everywhere. I thought my therapist was suggesting things and guiding me by controlling the media and my environment. I imagine the Universe could guide me, but how do I trust it is not a delusion

ETA: I spoke with my sponsor about my concerns. She told me to stop for now.

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mental illness psychosis schizoaffective schizophrenia Uncategorized

What you see is just the surface

I saw this picture by u/schizocelia on Reddit and it really touched me.

My observable symptoms: responding to internal stimuli, inappropriate laughter, mood swings are the tip of the iceberg. You can’t see the hallucinations, delusions, loneliness and the pain.

When I had my first psychotic break, no one around me noticed. I am married and was working. People asked me if I was sad. I was isolating, and they can’t know what is going on inside your mind. (Although, at times i have believed people could know my thoughts).

Now, it is hard to tell if I am isolating or just following stay home orders.

I have been stable for years.  Sometimes, I worry i will have another break, but hopefully we (my husband and I) will be able to recognize it and act quickly.

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corona virus pandemic psychosis schizoaffective schizophrenia

When Psychotic disorders and Pandemics Collide

I have been stable without any major psychotic symptoms for 15 years. I have not been hospitalized since 2005. This week my head is spinning.

I don’t know whether the pandemic is a delusion, everyone tells me it is real, if people are playing tricks on me. I only have what I get on social media, I am staying home except for essentials. Part of me thinks this whole thing was planned but got bungled

I talk to my family and people online. They tell me it was a mutation of a virus. Natural. That I should keep staying home and washing hands. I am scared. Had a cold that turned into a sinus infection that is mostly cleared up. My dr okayed for me to go back to work mon. Now, that i am physically ready I am not sure about mentally.

I am terrified I will get sick and inadvertently cause an outbreak at work or home. I am not sick now. Called my psychiatrist and left a message, hopefully I can talk with him mon. I had just scaled back on therapy because things were going well. I contacted and will make phone appointment

People tell me to stay away from social media, but how would I have known about this. I want to be informed. I feel dizzy. Maybe I am hyperventilating I am anxious.

I walked the dog with my husband keeping distance from others. I ordered a #cameo from a great comedian @DarrenCarter

My plan is to go into work mon until I talk to psychiatrist to get his thoughts. So, this weekend is staying close to home, which I do anyways,

I am scared

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DBT life lessons mental illness psychosis Recovery schizophrenia stigma Uncategorized

How to Talk to a Person: my response to how to talk to people with X disorder

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You have seen the articles. How to talk to a schizophrenic or how to deal with someone with borderline personality disorder as examples.

I am not saying they do not have useful observations. After all, these are published by practitioners with much experience. Having contracts in a therapy relationship and firm boundaries is normal. Controlling your partner is not.

I just read such an article by Nancy Carbone, a couples therapist in Australia. It is a year old and I don’t mean to point a finger at her, it is just an example. I don’t happen to have a BPD diagnosis. I do not like articles on how to deal with other types of people, clumping us all together.

The first thing you should do, if you want to communicate with people is learn active listening and other communication skills. Maybe, if you pay attention to what you may consider nonsense, you will see there is more there.

If the articles on schizophrenia were about actually trying to communicate, like writing the key points down if the person is distracted by voices, I would not dislike these articles so much. That is not what these are about, though. It is “tough love” or I know what is better for you. It is about dealing with someone who is flawed and somehow that makes you superior.

I welcome comments. Sometimes I have knee jerk reactions and if I am off-base I want to know.

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Coping skills DBT mental illness psychosis Recovery relapse schizoaffective schizophrenia support groups Uncategorized

Mental Health Conference

i went to a conference today. There were 32 workshops..

the first i went to was on Borderline Personality Disorder. It was very informative and i learned a lot.  The next was on support groups, that was good. There were a number of organizations represented.

the last one i went to was “ask the doctors” on schizophrenia. It was an open forum for people to comment, and ask questions. There were suggested questions on the screen.

one of the questions was, “what has worked for you?”  I would have loved to hear the answers to that one.

one thing that worked for me, was talking to people with similar experiences, either on-line or in person. I went to dbsa support groups, nami connections and eventually started a group affiliated with the national organization, schizophrenia alliance. I don’t run the group anymore, but i am glad it is still going.

another thing, that is a little different, was when i was very troubled with auditory hallucinations, my psychiatrist found a way to communicate. He wrote words while he spoke, circling and crossing out important words.

no, one had asked what my experience was like when i had a psychotic break. They asked about symptoms, but not what were the voices saying or what the messages were. Not until i saw a therapist who seemed interested. It felt lke a relief to be able to tell my story.

i would love if anyone would share what has helped them

 

 

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Donation Marrow mental illness psychosis schizoaffective schizophrenia stigma Uncategorized

You May Not Be a Match

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I was removed from the bone marrow registry when I updated my health information. They sent me an email saying they have volunteers and it was a safety issue. I didn’t think about it until someone mentioned they were turned down to donate blood because they have schizophrenia. It is not the medications we take that are the problem. They fear we are a danger.

I was not really looking forward to donating, but with waiting lists it seems like they would not want to turn people away.

Give the gift of #stigma

I can understand that I can’t purchase life insurance. My diagnosis is associated with committing suicide. I am not unreasonable. But, assuming I am dangerous without asking any questions besides my diagnosis is infuriating