#I’m scared of sinus infections bc I know how bad they can hurt )):

[piamii]

Taking a mental health day from work today but was really conflicted about how to word it.

Last year I took a few mental health days but there were 6 of us so maybe it was less conspicuous

It’s only me this year and I for some reason keep feeling this push pull with my supervisor to be close and honest with her

Last night I was feeling ok about work. But after once again not sleeping properly I feel like somethings up with me

I’m feeling all the ways I used to feel about my mental health

Being small is not okay, it’s not okay to let go, I’m responsible for all of my clients progress and safety

Which is true in a way but

I also have beeen thinking about the difference between me and my supervisor

She’s the only person I see on a regular basis. Like I see her 4 times a week

So I don’t know how to be myself, a postdoc

I keep comparing myself to her

I wondered to myself would anyone else take a mental health day in my position?

Who cares, others aren’t me

It’s like I forgot I’m extremely sensitive and have been sobbing every day and not sleeping well at all during the weekdays

My nutrition and hydration and shit has been ok, so I’m not getting sick which is the weird part

Im so incredibly emotionally constipated

There are so many incredibly destructive thoughts in my head right now that haven’t been addressed

Things have just gotten increasingly harder for a long time now and I can’t tell where adjustment starts and my dysfunctional mental state ends

Is it really ok for me to say work is too much?

Does it make me pathetic?

Didn’t I feel this way in all previous years too?

2nd year, it wasn’t like this but at least I was more honest with myself about how anxious and nervous I was about work. I definitely took it easy and complained more often. I slept poorly frequently on clinical days and would feel really angry about it. I don’t think I got sick more than once that year

3rd year i wasn’t sleeping quite as poorly but still had sleep problems, hated my commute. That was the year I kind of had to start blocking people out of my life, like not completely but was so down and exhausted that I couldn’t function socially outside of work and school. I didn’t get sick much tho. Definitely noticed SAD symptoms starting this year but to be honest felt somewhat depressed on and off through early winter until spring which is I guess the colder darker months in OR. I think I had some SI but it was towards the end of winter

4th year was when I had more somatic issues. My sleep was honestly not bad that year comparatively speaking but when m and I broke up during internship application season I had a bunch of health issues that resolved shortly after my interviews ended. Tbh internship interviews were a nice reprieve from the dark slump that probably would have hit me if I had just done school in the winter. I had my first sinus infection in spring and went to see Slushii anyways Hahahha.

Internship year... I had a sinus infection too and got a cold maybe 2 other times. Last year was the most I’ve ever gotten sick. I took a mental health day maybe like 3 times and actually used sick days too. I want to say this was the hardest year for me mental health wise until this year in terms of symptoms but the best in terms of self care. By like April/May I was feeling really good about life. Maybe it’s the weather here too idk

This year feels so much harder than the other years combined. I’ve used one sick day and two mental health days and I’m having a hard time understanding where I’m at mental health wise in conjunction with who I need to be to do well at work. It feels like I’m growing at an unmanageable pace. I’ve had the most frequent SI I’ve ever had in my life which is somewhat alarming to me. I’m safe don’t worry but I’m just saying the thoughts coming into my head. My sleep is getting reallynfucked up over these last 2 weeks. I sleep like a baby on the weekends which makes me feel like it’s stress related. On one hand I’m acclimating to this insane amount of stress and on the other hand it feels like every day I’m being stretched open and carved out.

I’m not even ruminating that much before bed anymore. Like I’m not actively distressed like I used to be when things hit me hard last year. I’m just constantly unhappy and anxious this year which I feel like is my lot in life right now. My self care has gotten much better last year and this year, but this year it’s been harder to find ways to relax. Things went downhill really fast, when the seasons finally changed here and I started seeing 4 of my clients in the field. I am most definitely consistently working over 40 hrs a week now. I tried really hard last year to work less whenever I could and honestly the agency was pretty good about giving us a reasonable workload. But now it feels like I’m meeting the real world, where work just comes at you and never says sorry. You had to do extra and stay longer this week? Sucks for you. You have to completely uproot your already untenable schedule because one of your clients has really a really complex risk presentation? Welp that’s the price of doing this work.

Like when I was told the weeks here typically don’t go past 40 hrs I feel like I was lied to. I feel alone and singled out bc I’m the only postdoc this year. I want to know how C felt 2 years ago. If there were 2 of us I feel like I’d be having an okay time. Can you fucking believe they had a hard time building to full caseload last year? It cannot be just me in this position. I want to give up every day.

I don’t feel protected I don’t feel like I can ever let my guard down. There is no one I talk to regularly that I can be honest with. I don’t have the energy to relay this information to the people I do talk to regularly which at this point is my supervisor and M. And like hell im going to tell my supervisor this stuff.

Is this the real world?

Something tells me it is, but I have to find a way through it somehow

I’m still debating about this one client. She’s on my mind a lot and I’m scared which is probably a parallel experience to what her family is experiencing.

The fuck you mean our ethical duty? What am I supposed to take away from that convo? I know I have my own voice and opinion but that made me feel really bad for not doing exactly as you said. I know I tend towards the anxious paranoid side of things but that really scared me because instilll can’t think straight about this client and I sure as hell cant go to you.

The relationship between e and I has changed too, I think she’s overwhelmed too

Something that keeps popping up over and over again is- how fucking awful it would be for a client to complete suicide

I know it happens and it’s time I face that this could happen

It’s a terrifying thought and I almost don’t want to tell anyone that I’m having it

It feels shameful and dangerous to think about, because if I can’t handle it who could?

Who can contain this for me and tell me it’s okay? I don’t want to fucking hear that I should do more

It’s a complex mess of emotions inside my head. I understand why I would need to do more in this situation but there’s no room for it. I want help in trying to balance but my schedule is already unbalanced and bringing me into a dark place emotionally.

What if because I took today off no one sees my hospital patients all week?

Friday is going to suck ass if that’s the case

I could ask my supervisor directly to see them

But I want to be small today

And that would take a lot from me

How does the psychology service work at the hospital during Xmas break?

Uhhhh....

Shit.

I’m scared for some stupid reason that someone will make me stay during break or I’ll have to work some crazy stupid long hours on Friday

I hate ongoing patients bc they still need to be seen but it’s kind of your choice whether or not to see them

It’s like adding an automatic to do to the list every time I’m there but the task takes 2 hrs at least

I’m always scared I have to stay late at the hospital, luckily the latest has been 6:30 but I’m terrified every time I go in that it’s going to be longer

This is new for me and it’s ok to get freaked out

To not have a clear idea how much I am going to work each day and each week really puts me off

I feel pathetic because aren’t there a lot of jobs that are unpredictable like that? Especially once you become salaried ?

My stomach is starting to hurt

It’s weird because I haven’t gotten any somatic symptoms this year but I’ve also been sobbing my eyes out every day so maybe that’s why my body is feeling okay. I haven’t really cried the last few days because I’m just very tired of crying at this point, so maybe that’s why my stomach has been hurting a bit more

Every time m says something nice to me, hell anytime anyone says something nice to me I start to cry and I’m just so fucking done with crying and feeling out of control just to have nothing change and things even get harder at work

Fuck!!!!!

I haven’t properly dealt with this terrified feeling

I have to tell myself this feeling is informative but separate from reality

I’m so fucking scared.