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#if they are causing direct harm that someone can't choose to directly end to someone else
suncaptor · 4 years
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everyone should be allowed to do anything they want as long as they aren't causing unwanted harm/infringing the freedom of another person, but also people are good and everyone SHOULD help and provide for one another in whatever means they have necessary since the average human wants to help and contribute to society in some way and without the restraints of systems benefitting the worst traits in humanity, they would have the opportunity to do so.
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I'm really sorry to bother you but I'm scared and I don't know where else to go. I'm a danger to myself, I keep overdosing on various pills and I can't stop thinking about hurting myself. I was hospitalised at the end of last year and spent 6 weeks in the psychiatric ward but things are getting bad again but I don't want to be put away again and my ED is making a return I can't stop making myself throw up and I'm just really lost and scared I don't know why I'm like this
I can see you are looking for direction, or at least validation that what you think is the next step, is the right course of action. You cannot ignore what is going on, and you know that too or you would not be seeking assistance from someone else.
You need to go straight to your doctor, and tell them what is happening.Or a counselor, if you have one assigned to you/any ongoing mental health support, now would be the time to make an urgent appointment. Do it. 
Take a support person you trust, and if you feel that it will be too hard to say what is happening, write down everything and give the doctor the letter/list/paper.
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The reality is you may require hospitalisation again, and that’s okay. You need to tell yourself that that is a thing that may happen, and it is a necessary step towards getting back to who you were before this.
Look at the plain fact you have told me:>you are overdosing>your ed is flaring up and exacerbating the issue>you are damaging yourself through continuous induced vomiting, hich you say is compulsive>you stated you are experiencing severe suicidal ideation/self harm>you are scared of all of this and want to change the situation for the better.
Why is this happening?>Only through exploration of your psychosocial circumstances over a period of several sessions can a trained professional help you work that out. It could be anything, from extreme distress, to hormonal imbalance/mental health concerns, through to repressed trauma. Everyone is different, every individual has a reason; biological, environmental, social, mental, physical, psychosocial, physiological, or any combination.
>You need professional support to explore this, and ascertain both what has triggered this, and how to resolve it. Which may take some time, but all recovery does. 
>You need personal support, emotional support, and someone who is on your side but non-judgmental. For some people they have a family member or friend who can fill this role of support person, but fr others they prefer a slightly more impartial person such as their counselor or psychiatrist. 
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The most important thing is seeking assistance from a primary healthcare professional, such as your doctor. 
But if you require further support to make that step, or more resources, here are a handful of organisations who can give you a more personalised, anonymous, degree of support. Some can even help you make an action plan and schedule in to speak with you again, to check how you are going.
>Lifeline  - Ph: 13 11 14They have a Crisis Online Chat, a 24hr phoneline, and specific resources for men, women, young people, indigenous persons, poc, parents and the elderly. They also have additional resources for your specific needs under their Resources tab.
>United Synergies the main website has links to various other help organisations that specialise in mental health, youth, homelessness, suicide prevention, homelessness, and other topics.>>United Synergies: Standby Suicide Callback Service - Ph: 1300 659 467Suicide Prevention & Support Service.  Online Text & Video Chat counselling services available. For people who have experienced suicidal ideation, attempts, suicide in their social circle; for information, advice, assistance and counselling, and resource provision. They can plan to make contact regularly, if you need it. 
>Kids Helpline (Youth & Young Adult 13-25yrs) - Ph: 1800 55 180024hr phoneline, online crisis chat & email counselling is available. Trained counselors can listen and provide you with resources, and/or support.
>BeyondBlue - Ph: 1300 22 4636Online Chat & Email Counselling available, as well as 24hr confidential phoneline. Specialise in providing counseling for depression, anxiety and suicide related issues, concerns, and sufferers. 
>Alcohol & Drug Information Service (ADIS) - Ph: 1800 177 833This line can can provide information, advice, counselling, and referrals to a service in your area that will meet your needs.[Alcohol, Tobacco, and Other Drugs Services (ATODS) can be accessed through this line.]
>Eating Disorder Helpline: Butterfly National Helpline (Ph: 1800 33 4673)Also has email and online chat counselling available. 
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If you are in immediate danger, if you take pills or feel like this is the moment you need to no longer exist, call 000 (or your country’s equivalent) for immediate emergency assistance.- - - 
In short the plan is simple, and you need to do this in order to protect yourself.
Step 1 (Optional): Find a friend or family member, someone you trust and know will be supportive and/or non-judgmental. Tell them that you need their help, their support, and if you can tell them what is happening. You can also do this in letter form if you wish.
Step 2: If Step 1 is not an option for you, then choose one or more of the above services and make contact in whichever way you feel most comfortable. I believe all the above have both verbal and non-verbal methods of counseling, which should allow you to express yourself in the way that is easiest for you. As some people experience heightened anxiety from talking on the phone, or talking about personal issues.It would be beneficial to you, even if you do have a support person, as the trained counselors on the other end of the phonelines/chat/emails will have experience in helping people in similar situations through difficult times, and can provide situation-specific resources for you. 
Please consider calling at least one of the provided organisations above.
Step 3: Create an appointment with your preferred healthcare professional. If you do not have a doctor, sometimes it is best to go to the hospital directly and tell them what is happening in length. The more detail they have, the more they can help you, or provide accurate care.>Hospitals also have mental health departments and social workers who can help you with a full spectrum of your circumstances.
If the idea of making the appointment is stressful, you can ask your support person to make it for you and/or attend the appointment with you. That is the role of a support person.
As said before, if you feel more comfortable writing out your situation (as you have in this ask) and providing the letter to your doctor or healthcare practitioner instead, you do it. It doesn’t have to be a final-edit novelisation, it just has to be a statement of the facts with your feelings interjected.E.g. “I need your help, but I am not sure how to say it, therefore I have written it down. I am scared for myself, because of the actions I have taken recently. I cannot stop trying to hurt myself, through taking large assortments of pills (specify if you wish), and making myself throw up. The idea of my ed returning is causing me stress. Consistent throwing up has (list any physical side effects such as weakness, mouth pain, etc.). I am afraid of being rehospitalised for this; and it has made it hard to seek help directly. At the moment I have told (name anyone directly involved like your support person) and/or contacted (any agency you have spoken with), who have helped me to come and see you today.”
Because it gives them an overview of your situation. What has happened, who is involved, your personal feelings, and where they can support you most.If you have been given any medications/been taken off any medication recently; or have been taking any additional substances (self medicating), please let them know. This can change the diagnosis slightly.
And if there has been a significant event or stressor this is related to, please let them know. 
Step 4: Understand that you may need to go to hospital, and prepare for it.What do you need to feel calm, what can you do to destress or decrease the anxiety associated with this situation?Otherwise, adhere to any plan you make with your doctor or further specialist/mental health physician. Including continued contact, medications, and/or hospital stays or assessments. 
Use your support person, let them know if things are going well or not. Have a codeword or a plan for if you feel things are too much and you need immediate assistance.
E.g. If you text them, “Rainclouds” covertly, they need to call you and check how you’re doing/call to talk you into calling one of the above organisations (or your specified mental health professional). Or if you send them, “Chasm” it means you feel the need to hurt yourself, and they should call for emergency medical help immediately. Ambulance officers can respond to patients in distress who are experiencing suicidal ideation, and determine if you are safe. It is better safe than sorry. 
Have a plan.
Also, use the organisations. Even if your support person is the closest person to you, if they are not trained in providing mental first aid or dealing with stressful situations, then it may be difficult for them too. They can also talk to any of the above organisations about their feelings on the situation; which will avoid tension and burnout in both of you.
Understand that you may not feel better for a while. And Relapses happen. But the more you persevere, the more likely it is that this can resolve and recovery will be in you grasp.
>If any medication you are given is having significant side effects (physical, mental, emotional, other) write them down, go see your physician. It does no good if they are making you feel worse, and it persists (your doctor will advise if there are temporary side effects).
Step 5: Write down how you feel.And I know that sounds incredibly “drink water and  do yoga for your depression sweetie :)” but it is actually an important psychological tool.If you write down your thoughts, how you’re feeling, any intense emotions, your physical symptoms, on an almost daily basis or whenever you need to… it gives you a record. A physical thing that you can look back on, and track your progress.
For example: “Aprarch 37th, you felt lethargic and down. It was day four of your new medications (name it if you wish), but otherwise you felt good. You saw a Chihuahua today, it was adorable. That was good.”Or, “Janutober 82nd, I got a bad grade on my test, and I am tempted to Gollum into a nearby volcano… but I called (support person) and that helped. They didn’t do much better than me, and we laughed about it. I feel a little sick, but I think it’s the cold going around campus.”Etc.Overly simplistic, but like, that’s really just it. It can be nothing more than that.But it tells you what’s happening, when, and why. 
Step 6: Know what your goal is.
You don’t want to feel this way, do you?You WANT to change, or you would not have sent this ask, and I assume the ‘help me please’ ask of the other day. 
Your goal is to fight this, and become who you were before.And you are not alone in this, there are a lot of people who can provide you aid in this. So never feel that this is something you have to do by yourself.
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You have reached out and been heard, your concerns and experiences are valid. You are very strong for seeking assistance to locate your next step, and I am very proud of you for finding the inner strength to do so.
The next thing you must do is seek assistance, personal and professional, to help you move on to a better phase in your life. 
If you find none of the above helpful, please make contact again.You are also free to simply leave a message to let me know how you are doing during this process. 
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