Flash Fiction: Can I Go?

Posted on by Astrid

“I just want to go to a friend for two nights,” Patricia yelled, asserting her words with some colorful language, as she grabbed the nearest chair she could reach. “You are NOT going to treat me this way,” nurse Nancy replied with more anger in her voice than she probably intended. More calmly, she added: “If you want to go on leave for longer than originally agreed upon, you need to discuss it with Marjorie, and she’s not available right now.” At that point, a blonde nurse in her mid-thirties entered the ward. As Patricia saw her, her anger rose and, heaving the chair off the floor, she threw it at Marjorie, barely missing her. Turning to the nurse’s station, Nancy told Patricia, not even looking at her: “Here are your meds and the address for the homeless shelter; for your severe aggressive behavior, you’ve been suspended until Monday.”

This piece of flash fiction is based on a true story from a fellow patient at the locked psychiatric unit back in 2008. I always felt rather conflicted about patients, especially those without a home, being suspended for severe challenging behavior. In this case though, the patient got exactly what she wanted.

I am joining the Six Sentence Story Link-Up, for which the prompt this week is “Shelter”. I am also linking up with Friday Writings, even though it’s Saturday. The optional prompt is conversations you’ve overheard. Though I didn’t exactly overhear this conversation, as it was told to me by the fellow patient later on, I thought it’d be fitting enough.

#WeekendCoffeeShare (January 21, 2022)

Posted on by Astrid

Hi everyone on this late Friday evening. I’m joining #WeekendCoffeeShare, even though it’s a bit late for coffee here. I am going to grab a glass of water and some fruit in a bit, so if you’d like a soft drink or a glass of water too, you can have one. Let’s catch up.

If we were having coffee, first I’d moan about the cold weather some more. Boy, do I hate winter! Several staff have been trying to coax me into going on walks because it was supposed to be sunny and nice outside. Then I’d invariably reply: “It’s 3°C outside too, brrr.” Usually, the air would become cloudier soon enough and we’d get rain.

If we were having coffee, I’d share that, probably due to my lack of exercise, I didn’t lose weight over the past week even though I stuck to my healthy food plan pretty well. That is, I didn’t feel as though I was just eating carrots and lettuce all week, so maybe I accidentally sneaked in some extras I shouldn’t have had. For example, I am allowed 225ml of yogurt or 200ml of quark with some muesli for breakfast. On Wednesday, my staff poured half the 500ml can of quark into my bowl. Now quark contains only about 50 calories per 100ml, so that didn’t really make a huge difference on its own. However, given that I or my staff may’ve made other such slightly less healthy food choices over the week and I also hardly got my butt off the chair, this combined caused me to maintain. At least I didn’t gain any weight either.

If we were having coffee, I’d tell you that I went to the dentist on Wednesday. Thankfully, other than slightly inflamed gums, everything was fine. I was pretty sure I’d be diagnosed with gum disease and have to be seen by the oral hygienist. Apparently not so. I was sent on my way with instructions for better teeth-brushing and flossing and an appt with the prevention assistant in February.

If we were having coffee, I would share that I texted with my sister this evening. I can’t remember whether I shared before that she’s pregnant again. She’s expecting another girl in May. So far, all seems to be going as it should be. My (other) niece (other than the bump, I mean) is doing okay too. I mentioned in August that she was diagnosed with hip dysplasia. After surgery in September and a cast for several months, she’s now doing pretty well again.

If we were having coffee, lastly I’d share that my husband is off work with the flu. He tested negative for COVID, but thankfully he wasn’t so crazy as to go back into work as soon as he got the negative test result. Back in early 2020, before COVID was known outside of China, he did go to work as a truck driver while sick with the flu. I am glad he doesn’t have COVID, of course, but regardless I’m hoping he’ll feel better soon.

How have you been?

Poem: Locked Up Inside

Posted on by Astrid

In my bubble
I sit
Staring out
At the world
Outside

From around me
I hear
People talking
To me
But I can’t respond

Through the invisible wall
I try
To reach out
To someone
But I can’t

A tight grip
Of panic
envelops me
Because I know
I’m locked up inside

I have had the concept of being “locked up inside” in my head for a few days now. I first came across the phrase in an E-mail support group for parents of children with selective mutism, a disorder in which a child is unable to speak in certain situations due to intense social anxiety. I have never had this diagnosis, but as a teen and young adult, did experience periods of mutism due to anxiety and dissociative freeze responses. I use the term “locked up inside” for a feeling of intense anxiety which causes a freeze response that leads to an inability to speak and sometimes move. The feeling of being “locked up inside” is particularly frequent and intense lately.

I am linking this poem to dVerse’s Open Link Night.

Most Relaxed When I Am Slightly Distressed?

Posted on by Astrid

I had a meeting with my nurse practitioner today to discuss my topiramate. Like I mentioned last Sunday, the increased dosage isn’t doing what it should. I was experiencing slight tingling in my hands and feet and, more annoyingly, increased drowsiness. Moreover, the medication wasn’t working for my hypervigilance; if anything, it was making it worse. The slight tingling in my hands and feet has decreased to the point of almost disappearing over the past few days. The drowsiness has not. Neither has the hypervigilance.

A theory I came up with recently, in a conversation with the care facility’s behavior specialist, is that my ideal level of alertness is really slight distress. In terms of the care facility’s signaling plan, phase 1 rather than 0 is really when I’m most relaxed. The reason, in fact, is that relaxation scares the crap out of me because it includes a sense of loss of control.

I am reminded in this respect of my last surgery as a child, when I was eight-years-old. I clearly remember going under the anesthesia – I had refused a tranquilizer to calm me beforehand – and I also vividly remember keeping on talking, even when my speech became slurred, up till the moment the anesthetic knocked me out. I was deathly afraid of letting go of my control.

I am also reminded of my fear of going to sleep, which goes back to early childhood. It may in part be related to my trauma-related symptoms, because of course my traumas started as early as infancy. However, I wonder whether this is also somehow related to the fear of losing control.

I once heard that benzodiazepine tranquilizers are no good for people with borderline personality disorder, precisely because the anti-anxiety effect causes aggression in them. I am not sure whether my current diagnosis includes BPD or not, but something similar might be going on with me. I don’t generally become aggressive when I’m under the influence of tranquilizers. However, as my nurse practitioner said, this thing does show that alertness and distress are not some linear thing on a scale from -2 to 3 (on my care facility’s signaling plan) in real life.

The bottom line is that we don’t yet know what to do about my topiramate. We’ve so far decided to wait another week or two to see if, since the drowsiness should decrease with time, this will cause the positive effects to start becoming noticeable. If not, we may go back to my old dosage, but I’m not yet sure what to do about my PRN quetiapine then. After all, we upped my topiramate in hopes that I could do without quetiapine then. Right now, I’ve felt like I would’ve needed a PRN medication quite regularly, but I’m trying to suck it up for now. That’s pretty hard. I’ve had a few almost-sleepless nights over the past week and am pretty anxious most evenings. But yeah, I’m muddling through. Thankfully, my nurse practitioner did give me an extra appointment next week to check in on the meds.

Abstinence

Posted on by Astrid

I bought yet another collection of journaling prompts, this one faith-based. It is called Journal-a-Day the Titus 2 Way and is about growing in Godly womanhood. Not all prompts apply to me. For instance, the ones that center on life as a wife or mother, for the most part, don’t. I mean, of course I am married, but I don’t live with my husband. However, Paul also instructs Titus to teach the women to stay away from addictive substances or practices. As such, one of the prompts in the book is a one-word prompt: sober.

I don’t drink alcohol. In this sense, the prompt does not apply to me either. However, sobriety can refer to other addictions too. In Overeaters Anonymous, it is called abstinence.

I have never liked abstinence-based eating disorder recovery programs like OA. I like to blame the fact that I struggle not just with overeating, but with purging and occasional restricting too. The real reason is though that I don’t want to give up foods I’m addicted to altogether. And, taking Paul’s letter to Titus literally, I don’t have to. After all, the Bible verse states: “Likewise, teach the older women to be reverent in the way they live, not to be slanderers or addicted to much wine, but to teach what is good.” (Titus 2:3 NIV)

For this reason, I wonder, is it really God’s plan, as OA seems to think, that we abstain from addictive foods altogether? Doesn’t Paul write “much wine” for a reason?

I have a problem with the idea that, if you just admit that you’re powerless over your substance, you will – no, should – become sober through submitting to God. Not with the submitting to God part, but with the requirement of complete sobriety, which is human-made. Jesus as far as I’m concerned didn’t abstain completely from alcohol and if refined sugar had existed in His time, He’d probably consumed it too. Shouldn’t the goal be self-control instead?

I pray that God provides me with direction as I navigate my journey towards recovery from disordered eating. I pray that He will help me submit to His will, whatever this may be. Yes, even if this is complete abstinence from sugar, snacks inbetween meals and all other things OA says we need to abstain from. Amen!

I’m linking up with Let’s Have Coffee.

Reading Wrap-Up (January 17, 2022) #IMWAYR

Posted on by Astrid

Hi everyone. I’ve done a fair amount of reading once again over the past week. For this reason, I thought I’d do another recap of what I’ve read. As usual, I’m linking up with It’s Monday! What Are You Reading?

What I’m Currently Reading

Still reading A Spark of Light by Jodi Picoult. Being that the story is told in reverse chronological order, I found out pretty quickly that it was not going to end well (sorry if that’s a spoiler). However, also knowing that the story probably isn’t told in reverse order for no reason, I wanted to know what happened in the 86% after (or should I say “before”?) what I now think of as one of the main characters getting killed. Besides, I knew from the blurb that this book was about a hostage situation. In that kind of a situation, usually, people die. So I try to let my curiosity win the battle from my thought that every one of Picoult’s books has to end with the main character dying, because that’s what happened in My Sister’s Keeper and Handle With Care.

Other than that, I decided to pick up My Heart and Other Black Holes by Jasmine Warga pretty randomly again. I’d started reading that book early last year and pretty much left it unfinished, but I really want to know what happens at the end even though I think the writing style and character development are both meh.

What I Recently Finished Reading

First, of course, I finished Behind Closed Doors by Maggie Hartley. I reviewed it on Wednesday. I also finished Twilight, Say Cheese!, the first book in the Unicorn University chapter book series by Daisy Sunshine. I really liked that one, but haven’t been in the mood for children’s books since then.

What I Think I’ll Read Next

It probably depends on whether I’ll remain in the mood for adult lit or young adult novels or will want to read children’s books again. I mean, I still want to finish The Choices We Make by Karma Brown, another book I started back in early 2021. I also added a few free romance novels to my Apple Books via BookBub. Then again, I’ve never read pure romance and am pretty scared of the smutty, steamy stuff. It quite frankly creeps me out even thinking about it. Then again, I’m 35-years-old, so maybe it’s about time I start to grow up.

What have you recently been reading?

Moaning About My Meds

Posted on by Astrid

It’s 8:30PM and I’m probably going to bed before 10PM tonight. Since upping my topiramate (Topamax) a week ago, I’ve been more sleepy earlier at night and consequently going to bed sometimes by as early as 9PM or even earlier. Unfortunately, the quality of my sleep doesn’t seem to be better.

Last night, I had a horrible dream in which my staff were chattering among themselves and all the while I was trying to get their attention because I was anxious, but to no avail. That’s how I’ve been feeling ever since upping my medication: I am still anxious, but too drowsy to react to it. In fact, I’m not even 100% sure my experience last night was completely in my dreams, because, when I awoke, I couldn’t get to the level of alertness necessary to press the call button.

I don’t really mind the drowsiness as much. Or the tingling in my fingers and toes, which I’ve started to experience since increasing my topiramate dosage too. But the medication does have to work for my hypervigilance. And hypervigilance is not just an outer reactivity, or is it?

My assigned home staff did say yesterday that she judges from the staff’s reporting that I’m calmer, because I come calling out for help less at the times I’m not having my one-on-one. That comment triggered me intensely, because it made me think I’m supposed to take my topiramate so that I don’t ask for help outside of my assigned support hours. I’m reminded of my psychiatrist’s comment about meds as a “chemical nurse” again, something I now don’t see as quite as validating a statement.

This evening, I did E-mail my nurse practitioner my concerns. Of course, the topiramate’s positive effects might still need time to kick in, but if they don’t, I’d rather go back to my old dose. Which, of course, means we will need to find me a different PRN medication or something for when I go into crisis. It also means we’ll need to postpone my aripiprazole (Abilify) taper. Honestly though, I don’t really care about those.

Gratitude List (January 15, 2022) #TToT

Posted on by Astrid

Hi everyone. I’m feeling a bit tired today, so to give myself a boost, I thought I’d do a gratitude post. As usual, I’m joining in with Ten Things of Thankful. Here goes.

1. I’m grateful it is not as cold as it used to be. Like I said yesterday, daytime temps rose to about 7°C for most of the week. I am also grateful it’s not been raining.

2. I am grateful I was able to clear the air again with a staff after an incident on Sunday. On Sunday evening, I got angry because there were no bananas, even though the groceries should’ve gotten in the day before. The staff got really cross with me for yelling at her, which triggered an alter who carries a lot of memories from the psych hospital. At one point, the staff even tried to physically move me to my room, which triggered her even more. Rationally, I do understand I shouldn’t have yelled at her, but emotionally, I really couldn’t handle the whole situation. I am grateful I was able to explain this, with the help of my assigned staff.

3. I am grateful my husband’s cold seems to be over. He was supposed to visit last Sunday, like I mentioned, but canceled because he had a cold. All going to plan, he should be here tomorrow.

4. I am grateful for fried potatoes. I had those for dinner on Tuesday. I am grateful that, even though the staff had originally forgotten to remove the plastic foil from the area where the potatoes are in my meal, the potatoes hadn’t become soggy. I almost had a meltdown over that too, but remembered to ask the staff to remove the plastic and put the meal in the oven a little longer.

5. I am grateful the dietitian gave me some good tips for variations on things I can have for breakfast or lunch rather than bread with jam on it. I am also grateful I had an overall good appt with her.

6. I am grateful there’s only 82 calories in a cinnamon star, my favorite Christmas cookie, of which I still have two full packages left. I am also grateful I am allowed mini stroopwafels during the week. The dietitian had originally said a small cookie such as a biscuit, but there’s only 36 calories in a mini stroopwafel. For on weekends, she allows me a large cookie. She mentioned as an example a cookie that has like 200 calories in it, which I consider rather outrageous. Maybe I misunderstood and she meant that I should eat those only sporadically, as we were also discussing the fact that no foods are forbidden altogether. Anyway, with that being the case, I’m so grateful there’s only 82 calories in my favorite cookie, so I allowed myself one on Friday even though I’d originally only said to myself Saturday and Sunday.

7. I am grateful I feel less stressed out about my diet already as well as able to experiment more with varied foods. On Thursday, there was no meal delivery service meal for me, so I decided to get a salad from the supermarket for dinner. It was absolutely delicious!

8. I am grateful my husband got some opportunities for a new job. He works as a truck driver right now. That is, he currently works in the truck wash, but that doesn’t earn him that much money. Come February 1, he’s going back to driving, but he also talked to the recruiter about other options. I’m not sure I’m allowed to disclose too much, so I’m not going to share which jobs he’s going to look into, but he’s hoping to find himself a job with regular working hours and decent pay at some point.

9. I am grateful I was able to do some crafting again over the past week. I created a red and silver present charm on a keychain for my father, who has his 73rd birthday today. I am also grateful my husband was able to order a real present for him. My father wanted a cd that’s really hard to come by in the Netherlands, but my husband ordered it off Amazon.co.uk. It won’t be here till mid-February, but that’s okay.

Polymer Clay Present Keychain

10. I am grateful the chickens are back. Remember a young man from the care home next to mine had chickens near the day center? Well, shortly before New Year’s, his grandpa took them home with him because they were broody. This week, they returned. Apparently the grandpa had found a way to deal with the broodiness.

I am even more grateful the man whose chickens these are allowed me to pick the eggs today. No eggs though, unfortunately, so either the client who feeds the chickens on weekends had already picked the eggs or they hadn’t laid eggs today.

This was quite doable. Sorry for all the food-related gratefuls though.

What are you grateful for?

#WeekendCoffeeShare (January 14, 2022)

Posted on by Astrid

Hi everyone on this Friday afternoon. I’m joining #WeekendCoffeeShare. I just had a glass of water and am going to have another one in half an hour or so. Maybe I’m going to ask for a Senseo or treat myself to a Dubbelfrisss, my favorite soft drink. I’m afraid we don’t have the diet variety though. Can I pour you a drink? Let’s have a cup of something and let’s chat.

If we were having coffee, first I’d share that it’s not as cold as it was last week, but it’s still too cold for my liking. Daytime temps rose to about 7°C most of this week. I did go on one longer walk yesterday, to the supermarket to buy a card for my father. He’ll celebrate his 73rd birthday tomorrow. We also bought some veggies. Oh, and a croissant, because I felt like treating myself. I had just one for lunch instead of bread though. I just looked up how many calories are in one croissant and that’s about as much as in two slices of bread without toppings. Of course, bread contains less fat and sugar and more fiber, but so what?

If we were having coffee, I would go on to share about my dietitian’s appt this morning. It went pretty well. She didn’t admonish me for not wanting to lose the 13kg I need to lose to be at a healthy BMI. I do want to lose the 1.5kg I need to lose to no longer be obese though. More importantly, I want to eat relatively healthily and hopefully quiet the inner conflict about food.

The dietitian gave me some recommendations for healthy meal choices for breakfast and lunch. For example, she said I can have salad for lunch with croutons and a little chicken, tuna or salmon (that last one I don’t really like) occasionally rather than bread. I do need to make sure the staff take care of portion sizes, of course, because I’m pretty sure they’d otherwise throw the entire can of tuna into my salad. For breakfast, I am still allowed yoghurt with muesli, just not the crunchy kind. And thankfully, the muesli doesn’t need to be plain, it can include nuts or raisins or the like.

I did share my disappointment with her at only having lost 0.5kg over the past week when I stepped on the scale yesterday. The dietitian said that this is a pretty great result though.

If we were having coffee, lastly I would tell you I got my benefits payment slip last Monday and am grateful to report I will still get enough money that I can still spend some on fun things like polymer clay supplies or the like. I don’t know whether I shared this in my coffee share posts before, but my long-term care copay will automatically be withheld from my benefits. The copay is income-dependent and, because I’m married, my husband’s income is counted too. Then again, because I’m married, I do get to pay the so-called “low” copay because the government does take into account the responsibility I have for contributing to his household expenses too.

The copay is calculated based on our combined income from two years back, so 2020 for this year. Because my husband earned more money in 2020 than in 2019 and had a lot of tax deductibles in 2019, I was expecting a higher copay by at least €100 a month, but fearing it might be as much as €200 a month. Then again, I was hoping my benefits would also be raised a little. Long story short, my net income was cut by €82 a month. That’s a lot. I realize some people won’t be able to handle this, particularly people on benefits. I am so intensely grateful that I am relatively well off.

How have you been?

Book Review: Behind Closed Doors by Maggie Hartley

Posted on by Astrid

Late last month, carol anne of Therapy Bits shared about some audiobooks she’d pre-ordered with the credits she’d gotten for Christmas I believe. One of the books she had ordered was Maggie Hartley’s latest foster care memoir, Behind Closed Doors. I initially misunderstood and thought the book was already out, so I tried to get it on Apple Books, but then found out it wouldn’t be out till January 6. I never pre-order books honestly, so this Thursday, it was time for me to buy it and I started reading it right away. Here’s my review.

Summary

Foster carer Maggie Hartley is finally enjoying a well-earned holiday from fostering, savoring time with her brand new baby granddaughter. One night, though, the peace and quiet is interrupted by an urgent call from Social Services. A man has been stabbed, and Social Services need to find an emergency placement for his little girl.

Maggie is used to children arriving on her doorstep at all times of the day and night, but nothing can prepare her for the sight of eleven-year-old Nancy. The little girl arrives in her pajamas, covered in blood, and mute with shock. With her mother missing and her father in intensive care, the police are desperate for answers.

Who stabbed Nancy’s father? Where is her mother? And what is Nancy hiding about her seemingly perfect family? The longer Maggie spends with her little girl, the clearer it becomes that all is not as it seems. Can Maggie discover the terrible truth of what’s been happening behind closed doors?

My Review

This story was very interesting. I loved learning about Nancy’s life and her apparently perfect family. As with most foster care memoirs I’ve read, the plot was on the predictable side, though it did have afew twists I didn’t see coming. I tend not to mind predictable stories though, but if you’re a fan of fast-paced books with lots of twists, this isn’t the right book (or genre) for you.

The characters, on the other hand, were very well-rounded. I liked how Maggie showed each person’s positive as well as negative sides. I loved how Nancy’s perspective of her family and what a normal, loving marriage is like developed over time.

I did get slightly annoyed at Maggie’s writing style occasionally, which was my reason for initially giving the book a four-star rating on Goodreads. Then I felt pressured by the community and changed it to a five-star rating. I want half stars!

Book Details

Title: Behind Closed Doors
Author: Maggie Hartley
Publisher: Seven Dials
Publication Date: January 6, 2022

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