E.R.

Hi, can anyone tell me if you go into the E.R., what they do? I ran to my Dr. office a couple days ago, and they closed my case, because it was easier for me to have my GP prescribe my meds. It takes over a month to get back in program. I have sunk into a very deep depression, I sliced my stomach up 2 days ago, I haven't done that since I was 15. I'm 44. I'm doing very impulsive things, not good, but, when the thoughts come, I act out. I just got back to work, really want to keep my job, know I need quick help! Any suggestions? Right now I'm reaching out, later, I probably won't care. This mind of mine really sucks! Suicide is always at the top of my head, but, so is that's so wrong. Thanks for listening!

Since you sliced your stomach and you act out on your thoughts, I think you should go to the ER. Since suicide is always on your mind, please go to the ER or if you don't want to do that, please call a crisis hotline.

If you call a crisis hotline, they will talk to you and listen to you so you can get all your feelings out.

Why did your GP close your case?

Oh, thanks, it wasn't my GP who closed my case, it was my Psych Dr.. I found it was cheaper to have my GP prescribe my meds. So, I haven't seen Psych Dr in around a yr.
Big mistake! My meds got changed to wellbutrin and cymbalta, I feel nothing but aggrivation, and the need to exit! Forgive me, I am not myself right now, usually, I'm the one everyone likes.
Btw, I hate cancer too! I hope your OK, I really mean that!
Do you think I could go in and get a referral and get right out? I'm trying to keep everything secret. Thank-you

Yes, definitely get a referral. If you go to the ER and explain your situation there, they will assign you a case manager and they will work with you on getting to a pdoc asap.

Also, if you call the crisis hotline, they always have referrals to pdocs.

Please get a referral asap, either from your GP, the ER or the Crisis hotline.

Yeah Cancer sux bigtime, but I am trying to do my best to move on although it is very difficult the next day after having a loved one or a pet die from it. Thx. so much for your kind words, even though you don't feel good. ((((HUGS))))

Thank-you!!! I'm kind of speechless now, thanks again!

If you tell them you are suicidal and they see that you have SI they may have the case manager court order you to a hospital. That is what happened to me. (If you can show that you are not going to harm yourself/you are safe they won't ask about hospitalization) Also you should ask to be on a mood stabilizer if you have bp. I was always under the notion that they only prescribe anti-d's with mood stabilizers if you are stable. Anti-d's can have undesirable effects on someone who has bp.

Good luck! ((Hugs!))

Confusedinmicon hit the nail on the head. Whenever someone is diagnosed with BP Disorder and put on an antidepressant, they need a mood stablizer along with it because it can really mess with you just being on an antidepressant.

Is there an emergency mental health agency near you? It might be a good alternative to the ER. Some cities have walk-in hours and you can be evaluated on the spot.

I found these:
http://www.phc-inc.com/
http://www.harboroaks.com/

If you go to the ER and are honest about your self-harm and suicidal thoughts you will probably be admitted to the psych ward but it could be voluntary. Going to the ER is a bit of a hassle. Here, they immediately put me in a consultation room but there is usually a long wait to see a doctor, breathelizer, urine test for drugs, change from your clothes to a gown, they take your belongings to be sure you don't have anything that you could hurt yourself with. Then there is usually a wait for a bed. I have been hospitalized many times and all but one time was positive.

Thanks everyone, I went back to GP today and he started me on Buspar? Anyways, I get to call back tomorrow and get an appointment with a Pdoc, I'm excited, seeing a light somewhere down the road! So now I'm on Wellbutrin, Cymbalta, and Buspar, with xanax as needed, which is a lot! He said that would change. This zooming one minute and darkness the next is awful. Thanks again!!

i'm so glad you reached out, and there were people who knew how to advise you, kj... this is one of the best things about PC.... best wishes,, Gus