In or Out?

I’ve been through a metric shitton of therapy, both individual and group, to varying degrees of success. Spent two years in an intensive outpatient program (IOP), in fact. Grief recovery and suicide prevention was the main focus. Most everyone in that group – and I saw people come and go over time as I became the senior member – probably suffered some form of Post Traumatic Stress Disorder (amongst other maladies).

I recall my very first day of IOP. I’d had a nervous breakdown and couldn’t work. Showed up at the encouragement of my individual therapist.

There might have been 6 or 7 others there that first day. I had no idea what to expect. The first (of four) hours of each day was check-in time. Everyone in group spent 5 minutes “checking in,” telling the therapists what was going on. Because it was my first day, I got to check in last. Which seemed to be a mistake.

As each stranger reported in on their life, I heard stories that made me question what the fuck *I* was doing there.

Jesus, I don’t have any fucking problems compared to these people. What’s my deal?

Horror stories, some of them. If I weren’t so polite, I might have just sat there with my jaw hanging open, listening to it all.

Turns out, as I’d learn over time, there were more than a handful of distortions I was clinging to. Everyone’s problems are different, everyone’s life is different. Trying to compare your struggles to mine isn’t a fair comparison most of the time. Apples and oranges, etc. Or, as I tended to say, one person’s savior is another person’s pair of lead boots.

We had these sheets we’d fill out called Trauma Sheets, where we’d discuss traumatic events in our life and “process” these things with the group. The first time I told a story from my past, I was stunned. Mostly because my group members were stunned and more than one of them were left with their jaws hanging open.

“What?” I said. “That’s not normal?”

Come to find out lots of things from my childhood weren’t “normal.”

You can’t spend five days a week, four hours a day, with a small group of people and not make friends. Some of us hung out outside group, spending even more time together. Naturally, there were rules in IOP. We weren’t allowed to engage in any sexual activity with each other. Group members weren’t allowed to loan or borrow money. (The group represented most cross-sections of society…some of us were poor and relying on food banks, others were pretty damn well off.) These rules were meant to keep the group a safe place. There was already enough conflict and stuff to deal with – didn’t need to create more drama between us (though there was some of that, too, because not everyone followed the rules all the time).

Lots of group therapy stories, but I ramble enough already. Oddly, I left group and quickly lost track of most all those folks. Haven’t been in a group therapy situation since.

So when the Matrix Therapist suggested yesterday the notion of group therapy, I said that I didn’t have a problem with it. EXCEPT that the groups she was suggesting were at the main VA facility in Tampa. Being in Sebring, there’s only a small clinic here…most anything specialized requires a visit to the main hospital, about 2 hours away from me.

“Depending on how often these groups meet,” I said, “that could be a lot of traveling.” I mean, two hours there, one or two hours of group (I’m assuming), then two hours back home? That’s a full fucking day. And even once a week, that’d add up pretty fast to lots of gas money.

Which is what led the Matrix Therapist bring up something I’ve never experienced: INpatient treatment. Meaning: you stay in facility instead of staying at home.

Whoa.

But let’s face facts: whatever I’m doing now ain’t working. I’m stuck. Again. Stagnant, even, and I find that to be the equivalent of a 4-letter word. The meds aren’t doing their thing (so far). Being in-house would let them aggressively play with meds while I’m under their watch. Plus, there’d (presumably) be a lot of structure with the group situation.

What terrifies me about this (much as I can see the potential good in it) is that I’d be totally outside my comfort zone. The likelihood of there being unrestricted Internet access is slim to none. And most all of my friends are living inside my computer. Yikes. Sure, they’ll probably let me keep my iPhone, but I’ve been to that hospital and the signal inside (as is true for many hospitals) sucks ass.

I’d be not only hanging with strangers – and sharing lots of stories/events with them – but living with them, as well.

*ring ring*

Hello?

Hi, Karl, it’s me, Social Phobia.

I don’t know how long this inpatient thing typically lasts, but the MT said yesterday it could be as little as 3 or 4 days.

“No way,” I told her. “That’s not enough time to do shit with medication.” Hell, we’ve been playing this round of the Pharmaceutical Game for many months now. I’m no stranger to being a lab rat. Meds that mess with the brain take weeks/months to gain efficacy.

My educated guess for how long I’d stay is something along the lines of at least 2-3 weeks, if not more. Which, in Karl Time, is like 2-3 months of not sleeping in my own bed, not being able to get online any time I want to, not being able to stay up till 1 in the morning, not being able to walk around in my boxers all the time. The list goes on.

That’s a long time to be outside my comfort zone.

Nevertheless, I told the MT that I’m not averse to the options. So this morning I went back in and, after getting blood drawn for my diabetes, met with the Matrix Therapist again to fill out a qualifying questionnaire.

I should hear either today or maybe Monday from the VA about if I qualify and, subsequently, where I fall on the waiting list. Then I can ask questions like:

• How long is the average stay?
• What am I allowed to bring with me from home?
• What is the structure of the program? How many hours of the day are scheduled, and how much free time do we get?
• Is there wifi?
• What’s the bed time?
• Do I have to be roomies with anyone possessing that old-man smell? (What? This is the VA we’re talking about. I’m a young whippersnapper compared to most of these people.)
• How do we deal with things like my insulin and syringes?
• Is there live-tweeting allowed from group?

I don’t have answers to any of these yet, but hope to soon. If anything, as Sybil was keen to point out last night on the phone, I should get some decent blog posts out of it.

So there’s that.