Nurses struggling with mental illness

Nurses Disabilities

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I was just wondering if there are any other nurses who struggle with mental illness. It seems to be one disability that is met with little tolerance and support in the medical field. I do have major co-morbid mental illness, Major depression/PTSD/DID, and have had many problems in my career. I have been in therapy and on meds for a long time and have worked very hard to be functional, and I have suprised myself by what I have been able to achieve. Currently, I am a hospice nurse in a residential setting and it seems that I have found my niche. It doesn't aggravate my illness too much. I am very busy at times and most of my job revolves in much cognitive thinking and decision making about the best ways to respond to a patient's emerging or existing symptoms, and in assessing patients to see where they are in the dying process, plus lots of educating to patients and families. My extensive personal trauma background has made me able to have a different perspective on death and don't see it as the scary thing that is SO SAD, that a lot of people do. Plus, because of the things that I have been through, I am more able to be compassionate and understanding of patients and their fears. I especially do well with patients with existing mental illness or lots of anxiety. I notice that a lot of nurses have little tolerance for a patients anxiety and are not willing to take the extra time to walk them through things and provide the extra reassurance that they need.

Yes, there are some nursing jobs that I don't think I would be able to do because of the fast on the spot life and death action necessary. ER and Trauma/Burn are pretty much out for me. But thats OK. A lot of nurses couldn't handle doing what I do either for their own reasons. We are all suited to certain things.

Having mental illness doesn't automatically make you unsuited for the nursing profession. Even though I have heard many times, "what are you doing here?" "Shouldn't you be doing something else, less stressful?"

I am here and am doing the thing I am suited for. Yes sometimes I have to take time off due to my illness, but its no different than somone who has flare ups of a chronic physical illness like lupus, chronic fatigue, or fibromyalgia.

I would like to know how other nurses have coped with their own illness and their nursing careers.

Severina

{{{{{{{{{{{{{Sphinx}}}}}}}}}}}}}}}} hard to believe, yes, that Colin has been relegated to the back shelf, LOL!

Been in the psy hospital x2 this month, wicked mania, started Tegetrol, seem to be mellowing a bit ... sknxxx - am feeling the best I have in 2 years being OFF THE FRIGGIN ATIVAN! sigh...

Glad you're better off the ativan.......I only take it rarely, before I get on an airplane to be exact, works good without problems. Glad the Tegretol is helping mellow ya out....never taken that one. My doc added Cymbalta to my mix after the RA diagnosis, decreasing Wellbutrin at the same time.

haha...about Colin, I don't keep up with him much, but today my husband is taping Elektra for me (he's in it). I was like, "wheeee, Colin!"

Anyway.....the past couple weeks I've been in a terrible funk related to the RA, which has gotten even worse recently. I will be starting on Enbrel as soon as it is delivered from the insurance company's pharmacy. Meanwhile I can barely manage to get through a very simple day where I shower and do like one other thing, maybe 2. I've called in sick to work a couple times, so have decided to talk to my doc about short term disability. It makes me so desperately sad, but right now I just can't manage.:o

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
What problem did you have with Ativan? I take one 2mg. to fall asleep after PTSD.

Krisssy

Krisssy - I am a recovering alcoholic and often we can't handle benzodiazepines (sp) - they will work the opposite. I will tell you that the Ativan was to help me sleep and instead it made me AGITATED and tense all over! Started with just 0.25mg at bedtime as needed and the last 8 weeks went from that to 2.25 mg a day - and with each increase was WORSE AND WORSE!

For some, it is great - for others, like for me for 2 YEARS - TORTURE! yikes!

{{{{{{{{{{{{Krisssy}}}}}}}}}}

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
Glad you're better off the ativan.......I only take it rarely, before I get on an airplane to be exact, works good without problems. Glad the Tegretol is helping mellow ya out....never taken that one. My doc added Cymbalta to my mix after the RA diagnosis, decreasing Wellbutrin at the same time.

haha...about Colin, I don't keep up with him much, but today my husband is taping Elektra for me (he's in it). I was like, "wheeee, Colin!"

Anyway.....the past couple weeks I've been in a terrible funk related to the RA, which has gotten even worse recently. I will be starting on Enbrel as soon as it is delivered from the insurance company's pharmacy. Meanwhile I can barely manage to get through a very simple day where I shower and do like one other thing, maybe 2. I've called in sick to work a couple times, so have decided to talk to my doc about short term disability. It makes me so desperately sad, but right now I just can't manage.:o

Tell me if I am wrong though, are you better than you were when I talked to you what, a year ago? Emotionally I mean ...

Especially over that Colin guy LOL (heh heh - just kiddin ...)

Sorry about the RA -= glad the insurance co. is getting the Embrel for you! {{{{{{{{{{{Sphinxxxxx}}}}}}}}}}}}}] xoxoxo

Tell me if I am wrong though, are you better than you were when I talked to you what, a year ago? Emotionally I mean ...

Especially over that Colin guy LOL (heh heh - just kiddin ...)

Sorry about the RA -= glad the insurance co. is getting the Embrel for you! {{{{{{{{{{{Sphinxxxxx}}}}}}}}}}}}}] xoxoxo

ummmm, well yeah, I am emotionally better, not having mood swings, etc (except when I was on prednisone a couple months ago). But have started to be very, very depressed with the RA getting some much worse. It's hard not to be depressed when you are in constant pain, ya know? It doesn't matter whether I'm bipolar, I'd be depressed anyway, I'm sure of it!:sniff: But I try to always have my humor, my family is wonderfully supportive, and I am doing everything I can to help myself....so.........those things help emotionally. I've not given up, although sometimes I feel like it!

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
ummmm, well yeah, I am emotionally better, not having mood swings, etc (except when I was on prednisone a couple months ago). But have started to be very, very depressed with the RA getting some much worse. It's hard not to be depressed when you are in constant pain, ya know? It doesn't matter whether I'm bipolar, I'd be depressed anyway, I'm sure of it!:sniff: But I try to always have my humor, my family is wonderfully supportive, and I am doing everything I can to help myself....so.........those things help emotionally. I've not given up, although sometimes I feel like it!

Prednisone ALONE will make you have mood swings - chronic pain will - of course our bipolar will - so I guess for us it's normal - but you sound GOOD to me -- GROUNDED - ya know?

I do remember your family was great in supporting you - bravo - and probably it is partly cuz you have taught them HOW to help you. I am learning how to do that too and MY family is now a major support. Way cool, eh?

{{{{{{{{{{{{{{Sphinx}}}}}}}}}}}}} K I am going to bed now LOL -

xoxo

Specializes in ER, Surgery, Community, Geriatrics.

Hello everyone - well I will share with you my illness - I have clinical depression and I think there may be hypomania involved - I take Effexor XR OD and jsut this week I had to increase the dose from 75mg/day to 112mg/day with hopes that the severe depression will not attack again when I hit the pre-menstrual time next month - over the last several months it has become progessively worse. To make matters more interesting I started the mental health rotation of my BScN and that has been a nightmare for the most part because of the professor - she is a shrew :chair: and we all try to avoid her at all costs. Therefore the stress is extreme. I will be attending a mood disorder clinic to get myself straightened out. As for the research - do you believe there is NO research about nurses with mental illness - at least that I can find - I am going to search more but I am appalled that there is hardly anything - there are a few articles about PTSD - but nothing about depression - I am going to do a search about bipolar disorder. Looking forward to talking to all of you more :)

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
Hello everyone - well I will share with you my illness - I have clinical depression and I think there may be hypomania involved - I take Effexor XR OD and jsut this week I had to increase the dose from 75mg/day to 112mg/day with hopes that the severe depression will not attack again when I hit the pre-menstrual time next month - over the last several months it has become progessively worse. To make matters more interesting I started the mental health rotation of my BScN and that has been a nightmare for the most part because of the professor - she is a shrew :chair: and we all try to avoid her at all costs. Therefore the stress is extreme. I will be attending a mood disorder clinic to get myself straightened out. As for the research - do you believe there is NO research about nurses with mental illness - at least that I can find - I am going to search more but I am appalled that there is hardly anything - there are a few articles about PTSD - but nothing about depression - I am going to do a search about bipolar disorder. Looking forward to talking to all of you more :)

Hi, I responded earlier, but anyway -- here is a thread I started in which there was a poll re: how many members have been treated for depression, etc. Also some commentary, see this thread:

https://allnurses.com/forums/f98/treated-depression-anxiety-may-choose-more-than-one-answer-48013.html?highlight=depression

Also, if you do a search on THREADS re: depression - you will find many topics with much feedback about nurses' struggles with mental health and the like.

Good luck and would love to see your further comments here! Thanks!

Krisssy - I am a recovering alcoholic and often we can't handle benzodiazepines (sp) - they will work the opposite. I will tell you that the Ativan was to help me sleep and instead it made me AGITATED and tense all over! Started with just 0.25mg at bedtime as needed and the last 8 weeks went from that to 2.25 mg a day - and with each increase was WORSE AND WORSE!

For some, it is great - for others, like for me for 2 YEARS - TORTURE! yikes!

{{{{{{{{{{{{Krisssy}}}}}}}}}}

I have been taking 2mg. at bedtime to sleep. It seemed to help at first, but now it doesn't appear to be working anymore. Like last night I was up ALL night. What are you taking instead? Does it work?

I suffer from PTSD, and since the trauma I have been unable to sleep. Thanks Krisssy

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
I have been taking 2mg. at bedtime to sleep. It seemed to help at first, but now it doesn't appear to be working anymore. Like last night I was up ALL night. What are you taking instead? Does it work?

I suffer from PTSD, and since the trauma I have been unable to sleep. Thanks Krisssy

Krisssy,

I am now on Tegretol for my bipolar (with the lamictal) - this makes me very sleepy. also take benadryl 50 mg at night usually, which is something that addicts who can't tolerate benzodiazepines will take for sleep. Others also take melatonin which I will try if the tegretol effect wears off.

{{{{{{{{{{{{{{{{Krisssy}}}}}}}}}}}}}}

When I first started working on PTSD issues, the model was to feel all the feelings and dig out all the memories "and you will feel better", now the model is safety first (ie get the meds, environment, suicidality and etc stable first, THEN work GENTLY on the memories, NOT digging them out...) this seems a better model because working on the memories WITHOUT a foundation makes us RETRAUMATIZED!

What is YOUR dr's philosophy on this? I can give you more info if you wish

xo

Krisssy,

I am now on Tegretol for my bipolar (with the lamictal) - this makes me very sleepy. also take benadryl 50 mg at night usually, which is something that addicts who can't tolerate benzodiazepines will take for sleep. Others also take melatonin which I will try if the tegretol effect wears off.

{{{{{{{{{{{{{{{{Krisssy}}}}}}}}}}}}}}

When I first started working on PTSD issues, the model was to feel all the feelings and dig out all the memories "and you will feel better", now the model is safety first (ie get the meds, environment, suicidality and etc stable first, THEN work GENTLY on the memories, NOT digging them out...) this seems a better model because working on the memories WITHOUT a foundation makes us RETRAUMATIZED!

What is YOUR dr's philosophy on this? I can give you more info if you wish

xo

My doctors agree with what you are saying exactlty. They say it is too dangerous to talk about it until I am more stable. I wanted to try EDMR but was told I was not ready yet. Yes I would like more information. Thanks.

Krisssy

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
My doctors agree with what you are saying exactlty. They say it is too dangerous to talk about it until I am more stable. I wanted to try EDMR but was told I was not ready yet. Yes I would like more information. Thanks.

Krisssy

Here are a couple good books on which my partial hospital treatment are based:

Seeking Safety: A Treatment Manual for PTSD and Substance Abuse (Paperback)

by Lisa M. Najavits

Trauma and Recovery

Judith Lewis Herman, M.D.

The "Seeking Safety" one talks about just what you and I are saying, Kris. the EMDR and all that jazz can come AFTER the safety is established, UNLESS you want to spend years so derailed from all this crap that you can hardly work or have a relationship - that is what I have been doing for 20 YEARS OF SOBRIETY - (big sigh) - I am real sick of it, ladies :(

Hi there, well this is my first post ever...all the way from new zealand.(came home 3 years ago now)

After working 10 years in neuro/gen surg I had a 'burn-out' the result of several things...finally got a diagnosis of dyslexia, made a drug error at work.

It took me out of full time work for 3 months and then I slowly returned to full-time employment, applied for a specialist mental health entry programme and have subsequently changed my speciality. I am now working in an acute mental health unit...finally doing what i am meant to be doing....BUT...having to be so secretive about my mental health issues. I have PTSD, was a drugging alcoholic for 16 years,,,and suffered from the severse form of post luteal phase dysphoric disorder...I.E pre menstraul syndrome...which if you ask me has been the equilivent of a mental health crises every month since my teen years...no wonder I drank and drugged....basically I have faked it to make it...possibly for longer than was safe really....finally getting the dyslexia diagnosis gave me some valadation...anyway...I am in 12 step recovery programme, have finally given in and prosac from ovulation to menses and have just introduced daily citlopram for the unrelenting depression, I have learned to meditate and dont do it nearly as much as i should, and work bloody hard on a daily basis to act better than i feel...its not easy...but certainly the day job gets me out of my head...to those thinking of entering nursing i would say go for it...it has literally saved my butt...however I believe we need quality professional supervision AND the same for the personal issues that arise oin a daily basis,, good luck

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