Words down on paper…

Grief truly sucks.             

Grief truly sucks when dealing with cancer deaths.

Grief truly sucks when dealing with mental illness.

If mental illness is truly an illness why not start treating it as such. Provide the free health care and follow up as needed. Hire practitioners who are dealing with it themselves, who are empathic, and truly want to help those in their care. Not practitioners who are striving to meet their academic hours or just collecting a paycheck because they can. 

My friend from high school committed suicide in October, in New Orleans, Louisiana. He died in a place far from his birthplace in Queens NY.

I met Steve in high school. An alternative high school in Long Island City, Queens which no longer exists. He strode into our theater class, nervous and with his sidekick Manny. They were Roosevelt Island boys and we didn’t know what to make of them. Were they rich, stuck up? One was white, the other Hispanic. They projected a world where money existed and yes, they were picked on at first but when their unique artistic oddities were discovered we knew, they were one of us.

My relationship with Steve often reminded me of an old married couple who stuck together because where else were they going to go. We argued playfully and I loved his hugs. He was incredibly affectionate and felt emotions deeply. Yes. He projected his male bravado well and although Sylvester Stallone was his idol, he was not afraid to feel. He along with Aimee, another friend, and myself formed a posse of love, hope, anger and whatever teenage angst was in the works. We hung out late until daylight beckoned, smoked drugs, heavily smoked cigarettes and drank alcohol like a dog thirsty from a romp in the summer heat. We were teenagers from a single mother, a sickly mother and mother and father who existed in another realm homes.

He was my friend. 

I’ve watched him cry, scream and curse at the gods. He watched me do the same except cursing at the gods.

Depression, Anxiety and Alcohol

Depression is dark and moody and there are levels to its impact on a delicate, empathic soul. Depression can be light, easily brushed away with a change in environment. It can be constricting and paralyzing, rendering one helpless and lying on the couch wrapped in a crocheted blanket. When it leaves one helpless, alcohol helps to aid in normality. Actually, it numbs. 

But why not take medication if you feel so down?

Oh yeah.

Anti-Depressant medication is the full-frontal cocktail. You start off playing the cocktail game. Switching back and forth between meds, gaining weight, losing weight, having fits of unhinged crying and at times sitting and staring at the boob tube. Once you reach the med that works it should be nirvana-but it is not. 

I once had a dual diagnosis: Alcohol and Depression.

Throw in guilt and it gets better.

I went to an out-patient rehab which thankfully my COBRA insurance covered. It was grueling and only dealt with the alcohol abuse but it worked for a time. I also met another rehabber who dealt with severe drug addiction-no problem with alcohol. We maintain contact on FB.

The medical bill was over $10,000, which did not include individual counseling, monthly psychiatrist. COBRA saved me, my dear friend had no insurance. 

After two years, alcohol can be problematic and my primary care physician treats my depression. Thankfully with the start of training the latter will go into deep remission. 

Steven’s two brothers committed suicide. He rarely talked about it. His sister was broken when he took his life as it likely opened up old scars. 

My high school friend hung himself. We argued on FB a year ago over his living in a depressed neighbourhood in Detroit. At the time I did not know he was homeless, possibly spent time in jail and was an addict. We stopped communicating. His move to New Orleans was a fresh start, to get back the old Steven, full of drive and dreams. Unfortunately, New Orleans was his last stop in his battle with demons. 

I learned of his passing two weeks before my Thanksgiving Retreat at Trinity. My happy place deep in nature and spirituality helped me to process his death. This was my second visit to Cornwall along with mom’s ashes.

I am also obsessed with the animals at the farm. Being around them brings peace and acceptance for myself. A self, society has a hard time dealing with as I don’t fit into the black, old woman box. Society does not have time to look at the nuances and I’m full of them.

Steven is finally at peace. 

5 hours in the ER…or Trauma Unearthed (Part 1)

A visit to the local emergency room on a Wednesday night was not expected or wanted.

An earlier evening dental appointment where vitals were taken exposed a blood pressure and pulse reading that concerned the dentist and his assistant. Needless to say, it didn’t concern me as I started new anti-depression meds and was not exactly adherent to the ‘do not drink alcohol” label on the bottle.

But…

I did not drink prior to the dental.  After the appointment, I went home, swallowed the pizza I bought on the way and fed the furs. That lil’ voice in the head, often ignored, nudged me to check my blood pressure.

165/110 pulse 119!!!

Ok…

Got in a neighbourhood cab and $9 later sat in the emergency room at Methodist waiting for a doctor.

After two hours of sitting on a plastic grey chair that once may have been blue; playing Candy Crush while observing the homeless woman across from me sleeping, snoring, hunger rumble from her belly, I was called in. 

EKG/Blood Pressure monitoring and pulses oximeter.

My vitals were taken by a Haitian nurse who bragged about her scholarly accomplishments and frowned at my taking anti-depression meds. I was brought into the er amidst the beeping of vital machines, moaning, cursing, frazzled nurses, complacent doctors, and human congestion of the rush hour automobile kind.

Waiting and observing brought back the memory of numerous hours spent with mom, my mom in this same space. She was in hospice care at home but would frequent the er when her draining tube dislodged.

Anxiety, severe depression with the strongest need to scream.

My mom gave up her mental fight during the last visit to this er. Defeated over additional testing, she started to cry. There was no end to the treatments which brought no healing. A return to normalcy was not in her future. I sit with myself in bright fluorescent lights trying to block the memories. I felt so helpless then as I do now alone in sterile coldness, which only exacerbates the fragility of mí alma (my soul).

Nothing compares…

With high blood pressure and an elevated heart rate I was an outsider in the emergency room. 

I was an outsider inside a large room where homelessness mixed in and cememented with mental health issues. Mind you, I do have the mental health stuff but I’m also “medically managed” * for it.

Others are not. 

In the er, some were going through psychosis, strapped to their beds with heartless security guards sitting nearby. The er that night was a mental health facility over run by those seeking shelter from a cold/foodless night on the outside. 

This city, NYC, treats homelessness as the black elephant in the room whom city officials would love to sweep in the sewer. 

I applaud all the healthcare workers there that night who did their rounds and interacted to the best of their abilities with the fragile mental humans in front of them. 

*my primary care physician’s words

Women on the verge…

For the past eight months, I have been fortunate to work at a part-time job with limited benefits. I say fortunate because of the lack of job availability or options. Thanks to a church member’s recommendation, I was able to secure the job.

Unemployment was an albatross for a long time. My earnings went from a high-five figured salary to zero, to another five-figure salary but this time way down the numeric line. Bookkeeper, Administrator, Special Ed teacher, are titles of the past garnered from a Master’s from a prestigious university and a Master of Science from a not so prestigious college. My current title is, “File Clerk”.

I now work as a file clerk in a homeless women’s’ shelter.

I now work as a file clerk in a mental health homeless women’s’ shelter.

I now work as a file clerk in a mental health homeless women’s’ shelter surrounded by housing projects in a not so desirable part of town.

The search for full-time work with a different title continues, as the part-time work brings in a steady source of income. Some money is definitely better than no money.

The shelter.

The women at the shelter are a mix of ages, races and multitudes of mental health diagnosis-from depression to psychotic. Clients (the women) have endured domestic violence, sexual abuse, incarceration, abandonment, etc., compounded by untreated mental illness. This combination has left many unable to function within society.

The shelter culture, as my director states, is reminiscent of high school cliques. Jocks, nerds, beauty queens, popular, class clowns, stoners are present in the cafeteria only on an adult female level. There are those with seniority (years at the shelter) who are matrons, sought of the welcome committee who console those newly admitted to the shelter.

Yes, a client is admitted, usually from a referring agency, no walk-ins. Once admitted, a bed and room are assigned. The shelter provides three full meals, shower facilities, laundry as well as toiletries. Free medical checkups, psychiatric services and counseling are also provided and a requirement towards securing housing. Check out from the rooms is 10:00am and check in/sign in begins at 5pm. Some clients spend the entire day sitting in the cafeteria, which, also functions as a recreation room. The clients engage in card games, music, conversations, socializing, fights, verbal and some physical, takes place on a daily basis.

The goal of the shelter is to place the clients in permanent shared or single dwelling housing within special housing facilities. The shelter is a stepping-stone for the clients. A place to pause, get back on track, take personal responsibility and gain understanding of their mental illness which leads to self-care.

I spend twenty-one hours a week in this shelter working amongst the clients who visit the clinic for medical, psychiatric and counseling appointments.  I listen to their plights, offer encouragement and direct them through proper channels to obtain services. Remaining distant and aloof is not an option. It is impossible not to care no matter how difficult a client is or can be.