Tuesday 9/26/23 Birthday

 Yesterday was my birthday. I turned 45. I'm not one of those people who are upset about aging, but man - I'm getting close to 50! Holy cow! I spent the day at work. And, not surprisingly, it was a shit show. Again. I'm so sick of it always being this way. Even did compressions on a baby for 3.5 minutes. Happy birthday to me. But what was nice was I came home from work to find that Jer had decorated a little bit for my birthday, gotten me a card and a cake and my favorite candy bar and gotten my a cute little succulent. That was nice. I was glad for that - it helped.

This morning I talked with a gal from Post University about their PMHNP program (psychiatric mental health nurse practitioner). And I just ordered my transcripts from UCCS (where I got my BSN from). This is terrifying y'all. I'm doing it. I'm going to go back to school. I'm going to become a nurse practitioner. In mental health. Oh MAN this is scary. But I can do it. I know I can. I just need to convince myself of that. And that's hard. So hard. I have low self esteem. I never think I'm good enough. I have imposter syndrome. So convincing myself that I can go back to school, to get my NP, is tough. But I'm determined. I've talked with some people at work about it and they all think I should do it and that I would be good at being a mental health practitioner. This gives me hope. Other people believe I can do it, maybe I can believe that myself. I have a lot of work to do - both before I enroll and after (obviously after - I'll be in school!). I could start as early as October 16th. Wow. Maybe that's too soon. Maybe November would be better. I don't know. I just know that I'm scared and excited. Schooling will require 16-20 hours a week. Which is a lot. Especially on top of working full time. All of my free time is going to be spent studying. Wow. Courses are 8 weeks, one course at a time. Which feels more doable. Sort of. A regular semester is 16 weeks, so it's still like I'm taking 2 classes a semester, they're just not concurrent. Two years and 10 months to complete. Wow. I mean, the time is going to pass no matter what, I might as well be doing something with it, right? This is crazy.

I'm going to stop now. I have a headache and things to do. And I'm a ball of anxiety. Mild anxiety, but anxiety none the less.  

Wednesday 9/20/23 Stuff n Stuff

 Welp, here we are again, hanging out on my blog. I'm in a 3 day stretch of being off from work and it's glorious. I worked Sunday and Monday, and I work Friday. And I don't want to go in on Friday. It's still a literal dumpster fire at work. An understaffed shit show. And I'm so tired and burnt out. Monday made me not want to do my job anymore. We had 8 deliveries before 1pm and it was getting unsafe. My coworker and I voiced our concerns, only to be shot down by management, saying we were not in the position to make that decision. Basically saying that our concerns didn't matter and they weren't going to even look into them. Wow, okay. Thanks for that. Thanks for making us feel valued. 

I'm thinking more and more that I want to go back to school for my PMHNP (psychiatric mental health nurse practitioner). I've been researching schools and talking with coworkers who are getting their NP right now. Most of them are getting their family practice NP, so my trajectory will be a bit different, but at least I'm getting an idea. The prospect of going back to school is truly terrifying. I'm scared. It's going to be hard and different and costly. It's going to take time. It's going to take a lot of effort. And it's really, really scary. I haven't been in school for over 17 years. I haven't yet worked in psych but it's what I want my NP in. So that's scary too. I have no experience in psych. How much harder will that make my schooling? I have personal experience . . . but no working experience. Oy. I'm almost paralyzed with fear. I read a quote today that said, "if nothing changed over the next 10 years, would you be happy?" And it got me thinking, would I be happy? No, I don't think I would be. In my private life, yes, because my private life is good. But my work life? No. I've been doing the same thing for 15 years. The past 4 or so years have been trying. Have been difficult. And the burnout is real, y'all. I'm finding myself not enjoying my job. I'm more cynical and angry. I have less empathy and tolerance and patience. I don't like who I am when I'm at work. I don't feel valued or appreciated. Even by coworkers. I feel like I'm done. Like I need to move on, find something else. And that something else just happens to involve more education. But I'm scared. 

I just finished an online psychiatric first aid course. Just a little something I figured I'd try, test the waters I guess you could say. And I did fine. It would be cool to take a psychology class or two to get a feel of what being back in school is like, but I'm not really finding anything online that I don't have to be enrolled in college to take. I think it would be helpful. I need to relearn APA format for writing papers. I haven't written a paper in FOREVER. Can I even write a paper?? My coworker says she has a paper to write about every other week. They're not long papers - 2-5 pages - but still. That's a lot of papers for someone who hasn't written anything in almost 20 years. So scary. But I can do hard things, right? Sure I can. Sure I can. Nothing changes if nothing changes. I'm leaning more and more on taking the leap. Going back to school. It'll just be hard. I'll still have to work full time, which sucks. But there's no way around that. I'll have to make it work. At least I don't have small children to take care of. Ayden takes care of himself (now if he would just start driving . . .). 

Okay. That's all for today. I'm waiting for a call from Chamberlain University to discuss their PMHNP program. So scary.

Thursday 9/14/23 Therapy

 I had therapy this morning. In fact, I just got home from it. It was a good and productive session, but damn was I emotional. Anger and sadness. Sadness and anger. Lots of both. I don't necessarily know if I want to get into deep details here . . . I guess we'll just see what I write.

I'm still angry at work. I still don't want to go to work. And my anger is getting to the point where I'm going to break something or break down crying. Or both. And it's exhausting. I'm trying so hard to be a happy, positive, functioning adult yet I'm overwhelmed by this anger. I'm so tired of it. Something has to give. I don't know how to process or handle my anger. It's such an uncomfortable feeling and every time I think I'm getting the hang of it I go to work and it resurfaces. What kind of bullshit is that? My anger is directly stemming from work. From people I care for and love leaving, from all the changes going on, from being super busy and understaffed all the time, and from feeling trapped and stagnant in my position. I could apply for the charge nurse position, that would be something different. But then I'd just have a ton more stress and responsibility for a whopping $1 more an hour. Is that what I really want? I can look for a job somewhere else, but it will probably just be same shit, different location (and I'd be starting over). At least where I'm at I know the shit and the people I work with. But I do feel stagnant. Stuck. Bored sometimes with the work I do. Like I need something different and challenging. But what? I've toyed with the idea of going back to school for years, but it scares me. I've always thought I wanted to be a psychiatric nurse practitioner, that this was my calling. But school really scares me. What if I fail? What if I invest tons of time and money and fail? Or, worse, what if I succeed and hate it? Then what do I do?

I have all these thoughts and feelings and more coursing through me right now and I can't seem to figure anything out. I have tunnel vision. I'm confused as to what to do and clouded by my anger. I have homework to do - to talk with Jeremy about all of this and get his opinion on it. Which I will, tonight. Hopefully it will add some clarity. Because right now I'm lost. And it sucks.

In other news, a few nights ago my mom got really drunk and fell. Broke 6 ribs. She was in the hospital for 2 days. I'm supposed to call her today but I really don't feel like it. I don't want to hear the lie she comes up with as to why she fell. It sucks that she fell and is in a ton of pain. I feel awful for that. I feel bad for her. But at the same time I don't. She's never going to learn that it's her alcoholism causing this. That she fell because she was piss drunk. That she's fallen because of it before (4 or 5 times) and that she'll continue to fall and deteriorate because of it. She just doesn't see that and it's frustrating. It's like dealing with a toddler. I don't want to see her hurt but it's kind of like, what is it going to take for her to admit that she has a problem? I don't see how her husband can be okay with this. I don't know. The whole situation is fucked.

Anyway, that's all I feel like writing today. I feel emotionally drained, my dog is gassy and farting up a storm, and I'm tired.

 

Friday 9/8/23 Ketamine

 

I drew this yesterday. And this - me hating people - is why I had a ketamine infusion today. 

See, I've been very angry as of late. About everything. Like, literally everything. My sock slightly twisted? Angry. Work? Angry. I have to pee? AGAIN?? Angry. Life in general? Angry. And I've been feeling more melancholy as well. Not all the time - but more frequently. This is usually the first sign of a depressive episode coming on for me. Anger and melancholy. The anger isn't as common as the melancholy, but it's definitely a signal I need to pay attention to. So I did. And had a ketamine infusion to nip the depression in the butt (my therapist will be proud of me - she suggested I have an infusion at our last session). 

Today's infusion was relaxing and random. Lots of purples and dark blues. At one point it felt like I was laying on the forest floor, looking up at the stars. The next moment I was watching polar bears run and wondering if "walrus" was a real word (I saw walruses as well). It still feels like a strange word to me. The infusions are so hard to describe because everything is swirling and moving and flowing and changing form one minute to the next. There's no real sense of self or time. The meditation music I listen to feels alive and pulses with the colors and shapes. Everything is very abstract and fluid. Sometimes I feel as though I'm in a small and comforting place. Other times in vast expanses with no end in sight. But the whole experience is warm and calm and relaxing and invokes wonder and awe. 

Let's be honest though - I was trippin' balls, y'all. Just in a safe and legal way. I don't really understand how ketamine helps depression (I'm not sure science quite understands it), but it helps and is another tool at my disposal. So I'll use it. Hopefully I'll be a little more compassionate and empathetic and a little less angry. One can hope.