Intense emotional pain

[one_step_closer]

The duty doctor has finally spoken to me. She wanted me to compromise and stay until tomorrow when they can get in touch with my psych. I feel like i have already compromised by staying yesterday. I’ll likely end up staying until Tuesday when i see the psych face to face. I had an awful sleep last night, i’m the same at home but it’s more noticeable and frustating here. I asked for some advice and they said stay in bed for 20 minutes then get up for 10 and repeat. That didn’t work and i was winding myself up further by panicking about how terrible i’d feel in the morning so they gave me 1mg of Lorazepam. 1mg never helps me, only 2mg but that’s what the doctor prescriped me. After that i gave up getting out of bed and just lay there and saw up to about 3.30am then woke for good about 5.30am and then had to get up at 8am. This routine doesn’t suit my sleeping pattern at all.

[Pi.R^2]

Not to be too down on your pro skillz but last time didn't you come out and think you should have stayed longer? I could be remembering wrong, so apologies if so!

[Pi.R^2]

oops, out-ninja'd sorry!

[one_step_closer]

Thanks Jenna, my ninja skills are improving. So, yes i will be staying to see the psych.

[long road]

Hope the next couple of days go ok and that you get benefits from a better organised discharge when it happens. And hopefully that happens on Tuesday!

Is there anything you think would be beneficial to add to your care in the community that you could ask for when you see psych?

If you trust ward psych opinion more than yours could you ask if she has any recommendations for how to adjust meds if things get too hard again at home? Are you being discharged with PRN if you are still using it while inpatient? How can/ will you manage OD risk if having PRN/ how will you avoid stockpiling? Do you think seeing crisis / duty on discharge would be beneficial?

[one_step_closer]

Thanks. I don’t think anything else can be added to the support i have right now. I don’t think i need to be referred back to psychology or OT. I kind of want to ask the ward psych if there’s any way i can see her in the community. She covers a different area than mine but i’ve had psychs in the past agree to take me on. I might just say i wish she was my psych in the community instead of asking. She can respond whatever way. I probably won’t say anything though.

I don’t think i’ll be allowed any PRN meds at home which is understandable. It’s right that i can’t be trusted not to overdose. I don’t know if there would be a way where i could have a small number at home and have it on repeat prescription so i can get more when i need them. I do think that i wouldn’t just keep ordering them and saving them up.

[long road]

I know it is hard to advocate for yourself and it's a tricky subject to broach but it seems worth trying to see if psych will take you on, a good psych can make a big difference. And I think the ward psych could be a better fit for you as she seems to understand you better / her read seems more like my read of you. It also seems like you find her easier to talk to.

Maybe a really small number like 2-3 days of PRN. Worth asking even though there is a high likelihood they will say no as if you don't ask you definitely won't get.

Might help your case if you consider how they could supervise the PRN to stop you stockpiling / check whether you have used them before ordering more. Maybe no repeats / request has to be approved each time. They do this for my prescription painkillers so they can keep an eye on how often I am ordering them.

Hope these suggestions are ok and I am not overstepping, seeing as you have had to stay a few extra days I want you to get the best out of those days by getting a proper discharge plan and raising anything with ward psych that she can get in motion while you have access to her.

[one_step_closer]

Thanks. I really don’t know if i’ll be able to ask the psych if i can see her in the community. If i had my PRN on repeat the GP would have to ok it anyway.