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Not Surviving Holiday Well

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I'm not doing well right now. I had to sit across the table from my abuser (father) and stand there when he hugged and kissed me. My only ally, my sister, was pissed at me and wasn't speaking to me. That was yesterday. I got home and cut. It has always worked well to calm me. I kept cutting and it still didn't help. Then today I cut more on the same spot. Still didn't work. But it's pretty deep after all that. I know I should get stitches but don't know what to tell them at the ER. I'm NOT telling them it was self-inflicted. The thing is, I still feel anxious, triggered, and not particularly safe. I know everyone will say, go to the hospital. But none of my family knows what's going on. I have two teenagers who would be so embarrassed if their mom was hospitalized for mental illness. And Christmas is coming. I feel trapped. I'm going to self-destruct. I know I'm not communicating this well, and I'm sorry if I'm not making sense. I just don't know what to do. I've lost all my coping mechanisms, none of which were healthy anyway.
 
Unless you're actively, and rather loudly, suicidal... It's very difficult to get hospitalized in most places... Even if you want to be.

What the ER can do, and does very well, is clean and stitch you up. Mental health? Not so much. There's usually an on-call psych someone (doc, nurse, intern) around somewhere to do evals (and most evaluations end up with being sent home), but getting them down for a consult can take hours unless you're very lucky. So you'll probably have a 3rd year med student stitch you up, and IF you mention your anxiety is through the roof & is there anything they can do????Maaaaaybe a shot or a pill of something anti-anxiety related (they will almost never prescribe it, but will just dose you with it, and send you to your GP, as antianxiety meds are all super-addictive, they have drug seekers in also every night), if you're very-very-very up front about it. Either by outright asking, or by having a meltdown to the level of making it difficult for them to ignore you while they're trying to work on you & other patients. Really. Trauma Docs (ER) tend to have virtually no psych background, and their nights are filled with people running and screaming through the halls (hopefully, fully dressed, but not always). Their tolerance levels for "what's wrong with you" are very, very, high. Most psych problems don't even begin to blip their radar. You're not actively dying? You can walk & talk (and therefore are not really in that much pain)? You're fine. Let's stitch you up and send you home.

In point of fact? Ask the NURSE for antianxiety meds. ERs will start seeing so many people crashing under holiday stress that this is actually the easiest time of year to get a shot in the ass, or a pill to calm down on, but it's the nurses who generally make the recommendation to the doctor, as they're the ones dealing most with distraught patients (and can tell better who is faking, and who is seriously on the edge).

So jumping ahead to your kids being embarassed if you get admitted? Is the cart waaaaay out in front of the horse. Go get stitched up. Get you cut cleaned so it doesn't get infected and you end up losing an arm to gangrene or admitted for weeks with a blood infection. One thing at a time.
 
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That was a panic attack talking. I'm a social worker and am all too aware of the shortcomings of the ER when it comes to mental health care. I did go get stitched up but did not mention the panic attack or that the injury was self-inflicted. I did get a few vicodin so that will help for part of a day. I'm running out of coping mechanisms that actually work. I am feeling increasingly desperate to make it all stop. I just don't want to be here anymore. I'm so done.
 
I'm not doing well right now. I had to sit across the table from my abuser (father) and stand the...
I am so very sorry to hear about your pain. Recently went home to see my dying mom one more time and having to face my abuser, my dad, to be touched by him and for him to act as if nothing ever happened was almost more than I could bear.
 
I am so very sorry to hear about your pain. Recently went home to see my dying mom one more time...
I so understand how you feel. Don't you just want to scream in his face, "Everything is not normal! Stop trying to act like you didn't do sick, perverted things to me!"? The pretense makes me feel crazy! I'm sorry you've been there, but it's nice someone understands!
 
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