CPN Appointment

***Possible Self-Harm Triggers, Blah Blah Blah***

Saw Christine on Thursday afternoon for the first time late December. Explained all that had happened in the first few months of 2012 and how things are very, very shit. She seemed to be of the view that this is a depressive episode more generally, because of the self-harm in which I engaged before Maisie’s death (she views it as serious because I was trying to dig out the veins in my hands, and seeing if I could sever the tendons in my wrists. When I shrugged it off, she said, “you do realise that this isn’t…normal, don’t you?” I said that I didn’t know). All that has happened, of course, has not exactly helped me claw my way back up the slippery slope I’m currently navigating.

She was horrified to hear that, as I spoke, Paedo was sitting in my mother’s living room. I explained that the reason for his presence was my mother and the McFauls’ over-compensatory just because the matriarch is dead doesn’t mean we’re not still family! routine. Christine opined that this must have been very difficult for me. I said that I didn’t care, but I don’t think she believed me.

Complained about either losing her or losing NewVCB; went on a rant (well, insofar as I was able to speak) about how much the health service has failed me in the past, and just as it had started to get things right, it was cunting them up again. I must have looked particularly distressed at some juncture because she appeared to think I was about to burst into tears – “that’s really hit you hard, Pan,” she said, adding that the entire CMHT is furious about the changes – at which point I said that I do not do tears and that even when I’m sitting alone in the house and feel the ‘need’ to cry, I do not permit myself to engage in said activity because someone will be watching me through the clandestine cameras that follow me about.

Naturally, this remark piqued her interest, and she asked if I really believed it, or if it’s just a feeling. I said that I knew it was ridiculous – “maybe they were right when they diagnosed me with a personality disorder, it’s just that they got the specifics wrong; it’s not borderline, it’s narcissistic” – but that I believed it nevertheless. Cue the usual questions about voices and visions, of which I was able to truthfully say there are none.

Either way, she was extremely concerned about my levels of depression. I laughed (if one can call such a hollow, cynical sound ‘laughter’) and said that this was nothing. I know how bad it gets, and this isn’t it – even though it’s heading distinctly in that direction, and has been for weeks. Christine said that in a sense this was good – might I be able to ‘get it in time’, she wondered, if I wasn’t yet at rock bottom?  I shook my head. “By the time it’s got to this stage, it’s still gone too far to prevent it from getting to its worst. It creeps up on you so slowly and insidiously that when you get to ‘now’ – the realisation you’re spirally into the abyss – it’s virtually written in stone that the very worst of depressions will be upon you anon. Like a fixed variable in space-time.”

She kept asking me over and over again if I could “guarantee [my] safety”. I kept trying to make non-committal responses, but she wouldn’t let it drop. Eventually I said something along the lines of expecting to be alive at the time of our next appointment. She accepted that, but added that she wasn’t just concerned about my trying to top myself; she was also worried that I’d engage in more self-harm, and this time actually succeed in doing myself some proper damage. I stated that I couldn’t guarantee I wouldn’t do anything of that nature, but that I thought it was highly unlikely. As I told her, you need at least some mental vigour to engage in self-injury, and with each passing day I have less and less of such commodities available. Depression sucks out your very soul.

Christine nodded, but kept prattling on that my safety was the most important thing. Meh. Fuck my safety. Don’t fuck my safety. I don’t care either way. I was just glad that she let me leave without a shiteist crisis team assessment.

She wants me back in two weeks rather than the usual month. In the meantime, I am to contact her urgently if things get notably worse or if I’m running helium cannisters through price-comparison websites again. I said, “I know you always say I can contact you, but can I actually do so? Do you mean it?”

She seemed surprised by the question, and emphatically told me without breaking eye contact (which was odd, because I’d spent the entire appointment trying to avoiding looking at her – mental health professionals love it when you don’t engage in eye contact; it’s always splattered over your notes) that of course she meant it, that she wouldn’t have offered it had she not, and indeed that she wanted me to contact her if things get worse. ‘Get worse’ is a stupid phrase in context – of course things will ‘get worse’. But I think she means ‘really bad’.

I might take her up on it, assuming I can get out of bed.

End of terrible post, and of pathetic pity-party. Can’t be bothered to proof-read, for which you have my apologies. Love to all. xxx

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