I'm Tired and Don't Want To Go On

Posted by dfb @dfb, Jan 9 12:37pm

Fifteen years ago I was put on very high levels of antidepressants for what now seems was transient depression brought on by terrible life style choices. Within a short period of time I became very manic. My manic behavior would destroy everything my wife and I had built. I destroyed our marriage, lost a billion dollar business and worst of all left my children without a father when I went to prison for an assault I committed during a psychotic episode.

Fifteen years latter the doctors have acknowledged that I most likely did not have Major Depressive Disorder and that the medications made me manic. Instead they say that I actually have Bipolar Disorder without mania, I just have profound depression. After doing hundreds of hours of my own research what became clear is that neither diagnosis fits.

In July I undertook the titration off of seven psych meds and seven side effect meds. My interventions are dietary changes and vigorous exercise. These two changes allowed me to, with my providers help, pretty much get off all of the meds I was on. In November I felt the best I have felt in twenty years. My physical and mental health providers were all pleased.

After Thanksgiving my sleep began to decline from seven hours a night to two hour chunks sporadically. After a couple of weeks of this I began to have panic attacks. I asked my providers to help with both and they declined. Then I got Covid and ended up in the hospital afraid I was going to try to take my own life.

To get me out of the hospital I was put on Lithium, Bupropion and Latuda. They have now added Buspar for the anxiety.

I am completely despondent. I do not believe my providers really know what's wrong with me, if anything. I have been put into a box that allows them to get reimbursed by the insurance company. Don't get me wrong I believe they care deeply about my well-being. It's just that that whole system is broken and everything is hit or miss.

After more research I have concluded that the insomnia was as a result of the testosterone replacement therapy I was on. I needed the TRT because of fifteen years of venlafaxine, which is know to decrease testosterone. That no one knew this simply adds to my despair.

I, like many of you, have fought my way through physical and sexual abuse, depression, substance abuse, numerous hospitalizations and prison. I have been prescribed more medications than I can even remember. I have had ECT, TMS and Ketamine therapy. Some how amidst all of ineffectual treatments I managed to have life. I was married for twenty years, have four beautiful children (who I have had no contact with for ten years). I built and sold a number of successful business and have worked hard to be a good citizen.

I am now faced with fighting through whatever is going on with me. I do not believe anyone knows for sure what is happening and what to do about it. It is quite possible that years of unnecessary medication has so altered my system that I will never be well. I've lost everyone and everything in my life that mattered to me. I exist moment to moment because I do not have a gun and as a felon getting one is not so easy.

I am simply done. I do not want to live anymore. I am sixty years old and all I have to look forward to is more fighting in every area of my life. I will die, just like everyone else. I see no reason to delay it any further.

What keeps me alive is a rule I have, not to do anything that will make my situation worse. I believe the only thing worse than suicide is a failed suicide. That said I would welcome death.

I'm just done!

Forgive me for ranting but I feel so completely alone.

I hope everyone finds the peace they deserve.

Interested in more discussions like this? Go to the Mental Health Support Group.

@sphb

@dfb Glad you are still trying and fighting. You encourage many of us. Life can be so very tough, to say the least. Being thankful, even if for small things like people sharing their endurance stories or a beautiful sunny day, can help us hour by hour. Sometimes hearing that from others makes me roll my eyes because of the severe suffering. And then I do see the benefits when I try. Please hang in there. This life isn’t what was intended for us, something better is on the horizon…

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Thank you for your words of support, they help!

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Sou nova aqui, não falo inglês muito bem, mas não posso me conter ao ler seu relato tão genuíno e visceral do quanto há de desesperança dentro da gente em algumas etapas crucias de nossa jornada. Desespero a gente aguenta melhor, mas desesperança... é mesmo desafiador demais. Eu percebo que se sente só, como se algo tivesse dado errado lá atrás e tornado você "damaged goods": não penso desse modo, embora admita conhecer esse sentimento de desolação, em que parece que tudo é irreversível e determinante do que ha por vir. Estando no escuro, a coisa mais difícil é encontrar onde estão os fósforos para, acendendo uma vela, bastar aquela chama para que tudo fique nítido, ainda que escuro. Dê a chance de algo pequeno, como a chama dessa vela, representar um movimento positivo, inédito. Não tenho ideia do que lhe chama a alma, mas voluntariado, pintura, fotografar a natureza... não sei. É pessoal. Mas desse pequeno movimento, como ao se matricular em algum curso, terá mais clareza do entorno e perceberá que, como disse Jung (fã de Nietzsche): Não sou aquilo que me aconteceu: sou o que decido me tornar a partir daquilo que me aconteceu. Você pode relatar uma história que termina assim, desoladora. Ou dar mais um passo e ser heróico, pois está difícil aparentemente. Basta a chama de uma pequena vela para tudo ficar mais claro. De um pequeno passo, ainda que sem muita certeza. Ele pode ser o primeiro de um homem que reside aí e tem ainda muito a aprender e ensinar.

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@dfb

I appreciate your support.

Yes, I have a therapist, a psych provider, and an engaged primary care professional. It took some doing but everyone is now helping me as best they can.

I have been suicidal to one degree or another since having a psychotic break at age six. Most of the time it has been a low-grade wish that my life would end. Other times it has been an urgent need to end my life. Lately, it has been terrible. Though it is improving slowly.

I grade my depression on a scale of zero to ten. Zero, no depression (has only happened a few times) to I'm dead (obviously hasn't happened yet). A week or so ago, I was a nine and a half. Today, I started as an eight (mornings are rough) and am about a six now. I find it helpful to quantify my mood. It helps give me some perspective and gives good feedback to my providers.

I agree that sleep is critical. When I don't sleep, my mood collapses quickly. I try to go to bed at the same time every night and get up at the same time every day. Getting up is harder than going to bed. I also try to exercise every day. The worse my depression, the harder it is to keep this schedule and the more important that I do.

I am a sixty-year-old man. I have struggled with mental illness, trauma, and substance abuse my whole life. I realized, just recently, that I have never really accepted that I am sick. Despite numerous hospitalizations, years of counseling, a destroyed marriage, family, and business, and a stint in prison I've always figured I could overcome it.

I have achieved and lost so much and on some level have always blamed myself, even when doctors have told me otherwise. I think I may have finally accepted that I am sick and will need treatment for the rest of my life.

The question I wrestle with now is; can I have a life I want to live?

I figure it would be a good idea to wait until I am not so depressed before I make that decision.

Thank you for your encouragement.

May you live in peace and good health.

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Me again. I relate to much of what you say. I started rating my days at the recommendation of a counselor in a suicide watch home. Ten for me would be the best day of my life. From 4 down it's increasing levels of suicidality. I was 4 or below for 7 or 8 years. It took that long for me to be able to say that suicidal thoughts were only in the back of my mind, not always in my face. It took another two years to make it to 6, and that's my new 10.

Right now I'm dealing with the pain of spontaneous bilateral Achilles tendon ruptures. Boots on both legs. It's moved me down a notch, which is not surprising. It's so frustrating not to be able to do anything. I'm missing all of the late fall and winter yardwork. And I could be down for spring and into summer because I think I'm going to have to have surgery on both tendons. The orthopedist has been having me do the non surgical option for two months now and I can still feel the gap between the ends of the torn tendons.

Life is most unpredictable!

I'm glad that you have learned that there are observable causes of the way you've felt for so many years. Knowledge like that is really helpful for me. I wasn't thrilled when a therapist answered my question, "How long will I be dealing with PTSD and need a service dog?" with 6 words: "For the rest of your life". But in time, realizing that helped me come to terms with my mental health challenges. It's like, okay, this is my life; this is the way my life will be; I'll plan to take antidepressants for the rest of my life. I think having that knowledge put things in perspective and gave me a level of understanding what life would look like going forward. I've maintained a 6 now for around 5 years, with dips along the way, and I am okay with that.

You aren't a bad person because you have suicidal thoughts. You're a good man with diagnosable things that contribute to those thoughts. Maybe as that way of thinking grows, it will help you give yourself some grace.

I believe in you.

Jim

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@jimhd

Me again. I relate to much of what you say. I started rating my days at the recommendation of a counselor in a suicide watch home. Ten for me would be the best day of my life. From 4 down it's increasing levels of suicidality. I was 4 or below for 7 or 8 years. It took that long for me to be able to say that suicidal thoughts were only in the back of my mind, not always in my face. It took another two years to make it to 6, and that's my new 10.

Right now I'm dealing with the pain of spontaneous bilateral Achilles tendon ruptures. Boots on both legs. It's moved me down a notch, which is not surprising. It's so frustrating not to be able to do anything. I'm missing all of the late fall and winter yardwork. And I could be down for spring and into summer because I think I'm going to have to have surgery on both tendons. The orthopedist has been having me do the non surgical option for two months now and I can still feel the gap between the ends of the torn tendons.

Life is most unpredictable!

I'm glad that you have learned that there are observable causes of the way you've felt for so many years. Knowledge like that is really helpful for me. I wasn't thrilled when a therapist answered my question, "How long will I be dealing with PTSD and need a service dog?" with 6 words: "For the rest of your life". But in time, realizing that helped me come to terms with my mental health challenges. It's like, okay, this is my life; this is the way my life will be; I'll plan to take antidepressants for the rest of my life. I think having that knowledge put things in perspective and gave me a level of understanding what life would look like going forward. I've maintained a 6 now for around 5 years, with dips along the way, and I am okay with that.

You aren't a bad person because you have suicidal thoughts. You're a good man with diagnosable things that contribute to those thoughts. Maybe as that way of thinking grows, it will help you give yourself some grace.

I believe in you.

Jim

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@jimhd Thank you for sharing that. “This my life” reminds me of a session I had with my counselor. I was sharing with her how much I miss being able to do things, the “healthier” version I used to be. She provided a good piece of advice: Mourn for that person I used to be and miss.
That was helpful in realizing my new normal in life. Being imperfect, of course I have relapses and then I remember what she told me.
Hang in there Jim & everyone. Life can be very difficult. I am reminded it is a precious gift.

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You are all so remarkable! Thank you for the support!

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I am tired and wish my life would end soon

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@terryleonardi

I am tired and wish my life would end soon

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I’m so sorry you’re going through this. Please , talk to someone, a counselor, a hotline, a close friend , about how you feel..
Please try to get help from your Dr. or a counselor, etc..
There will be better days..

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@terryleonardi

I am tired and wish my life would end soon

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Why do you feel this way?

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I feel this way with Dr fatigue and the need to take care of several medical issues that continue. There is a new POLST form out that outlines the things that can be done for life extension, things that one can have done to improve quality of life (not necessarily for extension of life) and things that are just for comfort, come what may. Adapting to your capabilities is key--if it is important to you, find a way to do so. It is a tough shift from being able to do most of anything you think of doing to having to plan tasks out in smaller chunks of activity or in getting someone else to do them. My husband has a multitude of conditions that are ganging up on us, and we have started doing free enrichment activities here and there, in addition to buying him a motorized chair, and that helps. He says he is happy as he is and does not want anything else done. BTW Medicare has now changed to accept therapists with masters degrees, etc. Much better than the PA at the psychiatrists who just adjusted medications at every visit. For me, I found a good support group on FB and having a cohort in the same boat (dementia for him) has really helped navigation.

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@marye2

I feel this way with Dr fatigue and the need to take care of several medical issues that continue. There is a new POLST form out that outlines the things that can be done for life extension, things that one can have done to improve quality of life (not necessarily for extension of life) and things that are just for comfort, come what may. Adapting to your capabilities is key--if it is important to you, find a way to do so. It is a tough shift from being able to do most of anything you think of doing to having to plan tasks out in smaller chunks of activity or in getting someone else to do them. My husband has a multitude of conditions that are ganging up on us, and we have started doing free enrichment activities here and there, in addition to buying him a motorized chair, and that helps. He says he is happy as he is and does not want anything else done. BTW Medicare has now changed to accept therapists with masters degrees, etc. Much better than the PA at the psychiatrists who just adjusted medications at every visit. For me, I found a good support group on FB and having a cohort in the same boat (dementia for him) has really helped navigation.

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I am very lucky. Physically I am very healthy. I am crippled by mental illness and the treatments I have received. Resilience is a quality of good mental health. Something I currently lack.

I wish you peace and good health.

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