Thankfully, right now, my depressions seems to be improved. In October of last year I started a new antidepressant called "Pristique" and I think it is helping. However, I find the IP ward very anxiety provoking which, of course, is increased by the fact I am eating and fighting my ED thoughts. I spent a lot of time working with the head of the program and we have written up guidelines for me as an individual which I hope will help with both my anxiety and the stresses of being in the hospital. Some of the guidelines we have worked out are:
- Once I am medically stable I will be given one daily 40 minute pass to leave the ward. (This will allow me to get fresh air, get a break from the environment of the hospital, and, if the timing works out, go and get a latte from Starbucks for one of my snacks and enjoy it with a book. :))
- I can get ask for my Suisse Mocha Coffee mix from the nurses so I can make my self something warm to drink during non-meal and snack periods. I can also bring my Swiss Miss Hot Chocolate and ask for a package to make before bedtime. (Hot liquids seem to help me a lot with my anxiety. I avoid drinking a lot of liquids at meals and with food because of purging issues. However, between meals, I think this will be very helpful. I have explored whether the hot drink issue is eating disorder driven but I have concluded it really isn't.)
- After many hospitalizations, I have found a way of creating a meal-plan which works best for me. I do a LOT better with three small meals and five snacks. Because of the current guidelines of the program, EVERYONE must have one item from every food group, at a minimum. - NO EXCEPTIONS. The meal-plan I use does not have milk at meals. A a result, I have to eat in my room which wouldn't be my first choice as I will be isolated and alone with my ED thoughts. (Apparently a nurse will check on me but no one will stay with me during the meals. Not happy about it but I guess on the positive side, I will avoid triggering eating behaviour going on at the table. It upsets me that i feel I am being punished in a way. My entire meal-plan is not smaller than many other peoples but apparently it might "trigger" other people because of how it is set up. SIGH!
- I am allowed a pass on Mondays to go to see my outside therapist and to go to my DBT skills group. I will be off the ward from around 2:00pm until 7:30pm. It will be nice get additional support.
- I have a COPP (community outreach) worker who will come on Thursdays and she can also take me off the ward. I find her very supportive so I look forward to this.
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