Breakdown

  I can't anymore. I feel extreme sadness and have zero motivation and zero creativity. I can't get my assignments done, and even if I really try I feel that my sketching skills are just gone. I cry frequently on a daily basis, I have frequent suicidal thoughts. I stopped being able to stay on top of my assignments, I have so many things piled up. I spend the day lying down in bed, if I must do something I will return exhausted to bed; after school, I just feel like lying on the floor. Paranoid thoughts make being outside terrifying. I reached out for help, which is one week away, but I don't think I'll make it to those appointments. Yesterday I had a big emotional breakdown as I was debating checking myself into a psychiatric hospital. Feeling overwhelmed, I decided to contact 988 through chat.

I identified symptoms of schizophrenia about one month back, with the first instance happening two months ago. I first began hearing noises, which soon turned into voices telling me to do something I didn’t want to do, self-harm. I also began seeing myself in weird environments. Dissociation has been happening more frequently by the day I would say; even while driving my eyes just ‘lose their focus’ and I feel controlled by an external force as my mind is somewhere else.

The sadness is just too much, I break into tears very frequently as I get stuck thinking about how I will fail my assignments, I feel guilt about not being able to get up and do my things. I don’t feel in danger of harming myself, but now I’ve also lost any desire to be alive. My third semester just began a month ago, and I was already struggling to keep up with assignments. I have needed to stay up all night to finish things which just worsens my symptoms and makes driving even more dangerous.

This collection of occurrences made me realize that I need urgent help, even though I will have a meeting with someone from school this Tuesday, and I’ll be seeing the social worker on Thursday, I don’t think I’ll make it until then, and I might need to reach out for help sooner. I recorded the whole next situation on my Apple Watch. I sometimes do this to make the camera hallucination more realistic, sometimes I record on OBS as well. I was already having a conversation with my audience so I just decided to record the talk.

I was sitting on my bed, attempting to sketch some drone designs when that realization hit. It was clear I cannot cope with these symptoms anymore so I looked up the nearest psychiatric hospital. The hospital just one block away has inpatient hospitalization. I figured I should go as soon as possible, but then I got overwhelmed with rampant thoughts of what my mom would think. When I was diagnosed with autism she never wanted to recognize the diagnosis. She refused to understand the coping mechanisms I had learned; she would tell me in an irritated tone “You don’t need that,” when she would see me putting my earplugs in which clearly worked for me, how could she know what I feel. And she frequently calls me stupid and retarded when I mishear things or fail to understand her. Many thoughts flooded my mind of her telling me terrible things about my psychotic symptoms and my decision to voluntarily go to the hospital; I was hearing those things vividly and got very overwhelmed. I began crying uncontrollably, it was hard to breathe, suicidal thoughts ran through my mind. I also began feeling worried about missing classes and assignments while hospitalized, like that fucking matters right now. Not to mention thoughts about how expensive a hospitalization would be.

I began feeling scared and decided to chat with someone from the 988 hotline. While waiting for someone to connect I began feeling calmer but still split between going to the hospital or waiting until my appointments this week. When someone answered I told the whole situation I just wrote about. I didn’t feel I was getting any help; the other person looked like AI, with perfect grammar, saying back what I’d just said, it seemed sus. I revealed my symptoms of psychosis and that I was debating going to the hospital. They asked if I wanted to disclose any diagnoses; I said that based on my symptoms I was considering it might be schizophrenia. But yeah, it was weird, all I did was disclose information in what felt more like a survey for statistics.

After the chat when I was feeling better, I kept talking for the recording for a little over an hour. Just as listening to the lived experience of autistic people helped me cope with the symptoms I was experiencing, I wanted to find some of those stories but from people with schizophrenia. I had already listened to some accounts, which were very similar to what I’m going through now. They had their first episodes of psychosis late in high school, early in college. Negative symptoms came first somewhat slowly, but the start of psychosis tended to be sudden. There would be depression, decline in hygiene. And they hid their symptoms relatively well, until they couldn’t anymore. Then, family members and friends would begin feeling concerned, they would call police to have them escorted to the hospital. And even if they were not suicidal or in active psychosis, police still patted them down and put them in handcuffs. So many times I’ve almost ended up in the same situation during arguments with mom. Although for different reasons, but back then I never recognized I needed help, I wonder what would have happened if my mom had left me at that psychiatric hospital one day instead of taking me to school. Or if police had gone up to our apartment as I was ready to open my 5th floor bedroom window.

Anyway. I went on the schizophrenia subreddit, I found some comics that really spoke to me. There’s one about a person calling their symptoms ‘Ben,’ with many different things Ben makes them think and hear and see, about the meds they had taken, two of which had terrible side effects, and how even though Ben never left, they learned ways to cope with Ben, that it is okay to ask for help. The last three vignettes say: “Long story short: Ben sucks, but he’s a part of me now. And I’ll learn to live with him. Step by step.” This made me cry again, but now because I realized there is hope even though I do not feel it. The comic made me realize I am not alone in these irrational thoughts. In one of the vignettes Ben said to the person: “The neighbors are spying on you. They all make fun of you and because of that sound they know what you’re thinking about.” That felt too real, very similar to the thoughts that make me paranoid.

I found another one of someone opening the cleaning cabinet, picking up a bottle of bleach and hearing a voice telling them to drink it. When I hear a voice it usually tells me to harm myself like that. Like throw yourself down the stairs or pick up the knife and stab yourself. Only once it’s told me to hit the person next to me on the bus, which of course, I didn’t.

Lastly, I found a meme with two cats, the doctor goes: “I’m sorry sir, but you have been diagnosed with schizophrenia.” And the other cat says: “Chat, is this real?” And the doctor says: “Oh G-d, it’s getting worse.” That got a massive laugh out of me, after crying the whole day. It is referring to the camera hallucination, that I’ve read many people have.

I am finishing writing this post Sunday night; writing here is the only thing I feel motivated to do. I couldn’t do my homework, and it’s a lot. I don’t feel comfortable driving, even though I’ve done it over the weekend, while raining. I don’t know if I should skip school tomorrow, have my counseling intake appointment Tuesday morning and see what happens. If I do end up skipping school tomorrow I need to catch up with all my homework, the best I can. And then see the social worker on Thursday, where she might likely consider a hospitalization.

My symptoms are very much real, and I feel them worsening every day, but future me will get help, I will get meds, I will do counseling and slowly I’ll get my life back. For future me to get help I need to keep alive now.

[Update Monday 1:27]

I just had another breakdown, I’m trying to write about it to calm down.

I’m not going to school tomorrow, I’m going to the hospital. I very much need it, even though I get thoughts that it is not necessary, that my symptoms are not enough, I can’t anymore. They will help me there. I will miss classes, I will miss assignments, but that doesn’t matter. My mom might say mean things to me, but I will not tell her, someone from hospital will need to tell her I’m there.

What worries me is that my mom doesn’t know about my symptoms. I promised myself I wouldn’t tell her about them because she can be very mean, and that is just going to kill me, it would hurt a lot. But I have become visibly upset, sad, and she still doesn’t notice. She is adamant that I’m lazy and that I should snap out of it when that is not the issue. Perhaps she does notice but doesn’t care, or won’t do anything about it because I’m 19 now and I’m supposed to care for myself. I don’t know, I’m just hoping she actually commends my decision to get help and recognizes the severity of what I’m feeling based on where I got myself hospitalized.

It is a very scary thought, but I really need to do it. I recognize now that even though I don’t feel like I would hurt myself, just having constant thoughts of self-harm and those voices telling me to do terrible things is well enough to warrant hospitalization. So as scary as it is and as overwhelmed as it will make me feel, I will move forward with it. I will get the help I need.

[Update Monday 3:22]

I am waiting to be admitted. This was extremely scary to do. But it was very important.