#overdose
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If I’m having a panic attack or if I’m telling you how sad I am or how I actually feel. Try a hug. It’s mental illness. Mental illness. Mental illness. It’s not like “my daughter feels horrible about herself, let me hug her.” It’s “Take your medicine!” It’s “Do you need to go to a hospital?” It’s mental illness before it’s me.
Hello, valiant readers! Aunt Scripty here. This post was submitted by a lovely anon who wanted to share their story with all of you. Nonny, thanks so much for being willing to share this with all of us.
Hello, Aunty Scripty. (Hello anon!!)
I noticed that you had multiple submissions from people describing their experiences after having attempted suicide. I didn’t see anything that was exactly like my experience; I don’t know if this will be helpful to anyone, but I figured it couldn’t hurt.
I have attempted suicide twice, both times using SSRIs. The first time, I had a gap in my memory beginning about an hour after taking the pills until the next morning, with the exception of a few flashes of things that may or may not have happened (pulling out an IV, having a catheter removed). According to what I heard later, I was oriented to person but not to place or time, I was having trouble retaining information, and I was repeatedly not cooperative with nurses. I was held in the ER all night while I was treated (I believe it was just supportive care – I had nausea/vomiting/diarrhea for hours but no other symptoms other than the change in mental status). I was then transferred to an inpatient unit early in the morning. I remember that I was on one-to-one observation for the entirety of my stay there. My clothes had been taken and I was wearing a hospital gown; I had bandages all over my arms because I’d removed at least 2 IVs. I was held in that unit for about a day, while being given IV fluids for hydration, until a specialist (I believe it was a psychologist) was able to evaluate me. I was basically told that either I could consent to a stay in the hospital’s psych ward, or I would be remanded against my will.
I consented because I was scared of being forced to undergo an extended stay against my will. I was held in a psych ward for about four days. We had scheduled meals and group/individual therapy, but were otherwise allowed to do as we pleased – which was not much. There was one TV in the main room there and a few magazines and books. I was able to get permission for a small pencil after two days, and was allowed my one clothes after one.
The food was terrible. The patients housed in the ward ranged from people struggling with addictions to patients undergoing psychotic breaks to patients with severe depression and anxiety. There were a range of ages. To be honest, I think it hurt the effectiveness of the ward to have us all doing group therapy together like that, because it was scary for newcomers or patients with less severe problems to be housed with patients who were aggressive and violent. Visiting hours were for an hour in the evening, but special arrangements were made for my parents because it was Ramadan. My parents were also allowed to bring me food, which was nice.
I was very leery about taking any psychiatric medication after my overdose and because nothing had worked so far, but the mental health provider on the ward pressured me to accept the meds and implied I wouldn’t be released unless I took them. To be honest, I didn’t really feel safe going home, but I also felt that staying in that environment was not doing me any favors, so I did whatever they suggested until I was released. I definitely feel that my concerns and needs were not taken seriously there and that the pressure was on me to accept responsibility and promise not to hurt myself again so that they could discharge me and focus on other patients.
After my second attempt, I drove myself to the ER. I had no symptoms at all except for some nausea, and I was held overnight until a social worker could evaluate me. She was extremely kind and understood my concerns about being admitted again, so she agreed that I could go home that evening provided I followed up immediately with my regular therapist and agreed to see a psychiatrist (at that time, my medications were being managed by an NP in my therapist’s practice).
So there you have it! Thanks again for your submission, Nonny!
And my dearest writer-friends, if you have a story of a brush with critical illness, an admission, an injury that writers commonly get wrong, I’m always taking submissions with personal stories!
xoxo, Aunt Scripty
Pssst…. yo, hey. You interested in… eBook? The first one is FREE, man!!
friendly reminder that opioids aren’t some profoundly dangerous thing. you’re literally ok to get them for surgery, procedures, etc. You won’t die if you take an extra one. Don’t deprive yourself of pain relief because of paranoid hysteria.
(the addiction rate is also very, very low)
I agree with the above post, but please exercise some caution with them. Even though the addiction rate is low, there still is a rate, so just stick with what youre prescribed and stick to recommended dose
Of course, always exercise caution when taking more than prescribed (I firmly reject the notion that that is in and of itself a key indicator of addiction, I’m a sentient human being who knows there is a tangible effect with my pain medicine and have transient pain that can’t just follow verbatim instructions) but in general people do not have to endure suffering because they’re aggressively paranoid about addiction.
The strongest risk factors for addiction are preexisting mental health conditions but especially prior substance misuse (well, abuse, but that term is less preferred because it’s stigmatizing but I think it explains the idea better — misuse to the point of acute harm) and socioeconomic determinants of health that reinforce drug use as a coping mechanism. Dose, duration, specific opioid are all much less predictive of addictive risk.
An overwhelming majority of “accidental addicts” actually weren’t all that accidental.
And as far as the most extreme outcome, fatal overdose, that’s just simply not likely unless you’re being ultra silly. The LD50 of morphine is estimated to be about 150-250mg. That is equal to about 30-50 standard (5mg) Vicodin (1.0x conversion factor for hydrocodone) or 10-17 highest strength (10mg) Percocet (1.5x conversion for oxycodone).
[HARM REDUCTION] And please god if you are going to enjoy a recreational dose of them (no judgement here) please avoid concomitant use of alcohol and/or benzodiazepines. Potentiation gets people killed if you underestimate it. Neither is likely to kill you by themselves without a very irresponsibly large dose, but together the risk profile grows dramtically. If using multiple CNS depressants, cut all doses. Obvious harm reduction recommendations of start low, go slow also apply.
We recently had the pleasure of speaking with The DOPE Project (Drug Overdose Prevention and Education) team about what to do and say after you’ve used naloxone to reverse an overdose from opioids.
Experiencing a medical emergency like an overdose is traumatic and we can support people returning to consciousness with kindness and without judgment.
ID: Tiles with rainbow gradient and large type: WELCOME BACK
What to say after you respond to an overdose with naloxone.
Waking up from an overdose can be traumatizing. As someone starts to wake up, give them a little bit of space and gently welcome the person back into consciousness.
“Hi, friend. I’m [name] and I just had to give you Narcan. I’m sorry you don’t feel good. Sit up when you’re ready. You’re safe. I’m glad you’re alive. I’ve got you.”
Repeat until the person is fully awake. If they are disoriented, give them more space. If they want to leave, don’t try to make them stay. Try to stay with the person for 90 minutes and remember to take care of yourself as well.
After a medical emergency like an overdose, it is not the time for: Arguing, Shaming, or Shouting.
When we are gentle with others, we also learn to be more gentle with ourselves.
I hope I don’t wake up tomorrow
✨
Thought I’d never be back huh?
Fuck my life can’t save that girl ,don’t tell me you could save that shit
She it’s nymphomaniac and adictived.
“I told her smoking was bad and she whispered in my ear that I was too, calling me a drug and I told her not to overdose, but she said I hope I do.”— AP (via 6ampoet)
The U.S. government’s current strategy of trying to restrict the supply of opioids for nonmedical uses is not working. While government efforts to reduce the supply of opioids for nonmedical use have reduced the volume of both legally manufactured prescription opioids and opioid prescriptions, deaths from opioid overdoses are nevertheless accelerating. Research shows the increase is due in part to substitution of illegal heroin for now harder-to-get prescription opioids. Attempting to reduce overdose deaths by doubling down on this approach will not produce better results.
Policymakers can reduce overdose deaths and other harms stemming from nonmedical use of opioids and other dangerous drugs by switching to a policy of “harm reduction” strategies. Harm reduction has a success record that prohibition cannot match. It involves a range of public health options. These strategies would include medication-assisted treatment, needle-exchange programs, safe injection sites, heroin-assisted treatment, deregulation of naloxone, and the decriminalization of marijuana.
Though critics have dismissed these strategies as surrendering to addiction, jurisdictions that have attempted them have found that harm reduction strategies significantly reduce overdose deaths, the spread of infectious diseases, and even the nonmedical use of dangerous drugs.