Quote:
Originally Posted by MuddyBoots
So I nearly drank myself to death and my case manager was there to witness it so she slapped me with another IEA where I was forced into a medical detox and did a 30 day program for co-occurring disorders.
But now I'm not getting any treatment? Something's changed since before I went in. The only one that gives a flying fck nowadays is my pdoc and even she is trying to schedule me so she can push me out the door quickly. But I haven't heard from my case manager in two weeks, haven't heard from my peer support specialist since the day I got out of residential, and in therapy my T blew up at me and was all "why do you come [to therapy]?" with a tone that said "why are you wasting my time, you hopeless POS?"
The only thing that's changed is they added a BPD dx (on top of schizoaffective, substance use disorder, and bulimia) and they put me on a shyt ton of meds that I took myself off of. I'm thinking I've become one of those stigmatized patients that they hate for ****** reasons.
What should I do? Because of my conditional discharge I have to stick with the ACT team and because of the substance use I have to stick with the co-occurring disorders team so I'm stuck with these people.
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you asked what should you do... what do you ---want ---- to do, only you know what you want, need and are willing to do.
they put you on meds and according to your post you took yourself off of the meds.
they asked you why you go to therapy / or are in treatment.
If this was me I would start there. figuring out what you want to do,and why you want to be in treatment. theres a popular saying in the addictions world of alcohol and drugs - you cant help those who dont want to be helped, and sometimes they have to "bottom out" before they accept the help. (basic AA and NA montra stuff)
according to your post have gone through the detox, and they gave you meds for your disorder symptoms. but you stopped the meds, theres only one thing left in the treatment phase - therapy.
So starting there ....
maybe making a list of sorts will help..
when Im at a crossroads with my mental issues, my list is something like this...
why do I want to be in therapy?
then I write on that.
Why do I need to be in therapy?
then I write about that.
What do I want to accomplish in therapy?
then I write about that.
What things am I willing to do to help myself?
then I write about that.
what do I want from my treatment providers?
then I write about that.
What do I want from my treatment program?
then I write about that.
Is there anything I am not willing to do, if so why.
Then I write about that.
list three goals I want to achieve while in treatment.
when all the writing is done I give it all to my therapist and we develop a treatment plan that both meets my mental health teams standards and my own.
the hard part is being willing to follow through, its much easier if you are part of the team coming up with the plans rather than just all the treatment team throwing this and that in the mix. you know you best. you know what you want, need and are willing to do, if not meds whats left, therapy or you can keep drinking yourself to death right.
Your treatment providers getting harder on you now that they witnessed you in your addiction, is basic AA standards of - not cleaning up after the mess, or walking on eggshells, sugar coating the situation, excusing or coddling the alcoholic, instead make them face their addiction and behaviors. I have a sibling in AA. you might want to look into joining an AA - Alcoholics Anonymous group that meets in person. they are free and they are nationwide.