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

Specializes in Neonatal Intensive Care.

Hi Krissy,

I deal with BPD and depression. I started in telephone triage last fall and find it wonderful. I still have patient contact (over the phone of course) without all the stress of the floors. If you are still looking for information of what type of nursing to go into and you're interested in Telehealth, feel free to email me!

Tracey :mad:

Hi Krissy,

I deal with BPD and depression. I started in telephone triage last fall and find it wonderful. I still have patient contact (over the phone of course) without all the stress of the floors. If you are still looking for information of what type of nursing to go into and you're interested in Telehealth, feel free to email me!

Tracey :mad:

I would like more information on telephone triage nursing. I have yet

to enroll in nursing school. Our family is planning a move to another

state within the next year and their nursing program requirements

are different, so I plan to wait till after I move. Meanwhile, I am

exploring different avenues in nursing. If you can provide some

information on this board, I would appreciate it, and I'm sure that

others would too.

Telephone triage sounds like a super career...and I'd bet most large metro areas HMO's utilize this for their clients! I will keep an ear open for my area...wouldn't it be great if we could do this AND work out of our homes too!! ??

I have started a new job...finally got bored at home after 8 months 'decompressing' and working on my attitudetowards myself and my career following this depression episode which included anxiety and panic attacks (for the first time)

I'm doing private duty home care and so far so good. I didn't have to jump through all the facility hoops and answer personal questions RT employee health, meds, injuries in the past, etc. :)

So...I likely will not even TRY hospital work again if this works out! :)

Wish me luck...and I wish the same for all here!!!

Deb

it seems somewhat comforting to see that other nurses are dealing w/ bipolar and other mental illnessess. although i would never say its a good thing to have a mental illness, it makes me feel better to know that i am not the only one. i am still in school and the idea of having a "breakdown" in school or on the job is terrifying. :o i take my meds and i am going to therapy but even now i am having problems b/c my meds don't seem to be working for me anymore and i am going through the struggle of getting it right. :crying2:

kristy

it seems somewhat comforting to see that other nurses are dealing w/ bipolar and other mental illnessess. although i would never say its a good thing to have a mental illness, it makes me feel better to know that i am not the only one. i am still in school and the idea of having a "breakdown" in school or on the job is terrifying. :o i take my meds and i am going to therapy but even now i am having problems b/c my meds don't seem to be working for me anymore and i am going through the struggle of getting it right. :crying2:

kristy

Kristy a coworker of mine shared she is bipolar. she is very open about it at work, which at first concerned me (for her sake) but this is how she chooses to deal with it. She works closely with her docs and has been stable on her meds for some time. She notices and acts quickly if she does feel a change coming on (hypomania) while at work, and has PRN meds if necessary. She had to, of course, get written doctor's statements to cover her...but she IS a protected group, covered by law and cannot be discriminated against legally. She has consulted with an attorney with the local mental health services and knows her rights; which is paramount for nurses with mental/nervous disorders IMHO. Its too easy for hospitals to just write us off...they want 'perfect nurse specimens'. :(

Keep pestering your docs til you find the meds that work for you. Sometimes it takes awhile and we are all different...Hugs to you and keep yer chin up!!

I did have a panic attack at work in a stressful situation and I know what you mean...its our worst nightmare, and I have had to work on forgiving myself and move on. (as well as change my life...I was overdoing and the work was getting to me...I was 'crispy')

Specializes in Neonatal Intensive Care.

Hi Tinkerbell2 and Deb,

It's not surprising you don't know much about telephone triage since before

I was hired, I had no idea either. I live in a smaller city compared with most

of you - around 800,000 people, however we serve the majority of the

province (I'm in Canada). On a day shift, there should be around 23-26 RN's

on at any time, same with evening shift. Night shift declines dramatically and after around 0330, there are around 3-5 RN's on. We work in a call center type area, outside of the hospital. We wear street clothes, but no jeans except on special days. We have a queue and whomever is next to take a call will get that call. We take calls from local and rural, new moms up to 2 months of babe's age (when they go to the regular phone in number), mental health, seniors help line, drug and alcohol addictions line, needlestick exposure for the region's health care workers, and do a number of phone backs regarding osteoporosis studies, pediatric call backs to parents who left emerg without their child being seen, and referrals to the regional diabetes program, prenatal class registration, immunization records requests. Lots of stuff! Amazingly, there isn't much down time. The one thing I really missed initially was conversing with my colleagues. As we work on computers, our time is strictly monitored. New staff have asked how we adjust to the different structure. The only thing I can tell them is it takes time and it finally wasn't such a huge issue for me.

People call about all sorts of things, as those of you in emerg are aware of with those who present about all sorts of things. I have learned so much since beginning this job. People - even some nurses - don't think it is real nursing. Quite the opposite. New hires have to have minimum 5-10 years experience in nursing. It's amazing how creative your assessment skills become when you can't see your patient. There are also other issues such as language issues. For true language barriers we have a translation service available by phone 24 hours a day at a pretty good cost (not to the caller). We also have TTY.

Telephone triage here was designed to take the load of the city's emerg's. It has done that and is rapidly expanding, taking on new roles all the time. By taking some of the load off emerg's, it decreases the cost to the health care system, which is completely different than the US as many of you are aware.

I hope that answers some of your questions! As a nurse living with mental illness, I find this particular job much less stressful and at times, forgiving. The most panic that will happen is a suicidal caller, a homicidal caller, a caller having chest pain, or a baby on the way. Most times, if the caller is in severe distress, we tell them to hang up and dial 911 (except the first two mentioned). No two calls are the same! I had two animal bite calls in one day. I had two electrocution calls in one day. I had two frostbite calls in one day. All different types of calls that on average, we don't hear about very often at all!

Cheers!

Tuulip

I would like more information on telephone triage nursing. I have yet

to enroll in nursing school. Our family is planning a move to another

state within the next year and their nursing program requirements

are different, so I plan to wait till after I move. Meanwhile, I am

exploring different avenues in nursing. If you can provide some

information on this board, I would appreciate it, and I'm sure that

others would too.

it seems somewhat comforting to see that other nurses are dealing w/ bipolar and other mental illnessess. although i would never say its a good thing to have a mental illness, it makes me feel better to know that i am not the only one. i am still in school and the idea of having a "breakdown" in school or on the job is terrifying. :o i take my meds and i am going to therapy but even now i am having problems b/c my meds don't seem to be working for me anymore and i am going through the struggle of getting it right. :crying2:

kristy

Navywife757- I was diagnosed at 40 y/o (pretty late in life but it all makes sense now). After I absorbed the shock and started meds and regular psych tx, decided to be open w/ co-workers about it. I figured if health professionals couldn't be understanding, no one could. It was rough at first but they have accepted it. Hang in there. Sometimes you have to tweak the meds to find the drugs/dosages (or the psych doc) that work for you. Please go to therapy for a while and stress the importance of recognizing and dealing with your behaviors (cognitive behavioral therapy). It is very important to be aware of when you are slipping into negative behaviors and empowering to be able to see it and have the tools to deal with it. For me, I am very aware but my well-meaning boyfriend points it out to me (nicely) but it does make me feel bad because it makes me a wee bit anxious. Best to you. I am sending you my e-mail address if you want to talk. P.S. Stay away from caffeine! M
it seems somewhat comforting to see that other nurses are dealing w/ bipolar and other mental illnessess. although i would never say its a good thing to have a mental illness, it makes me feel better to know that i am not the only one. i am still in school and the idea of having a "breakdown" in school or on the job is terrifying. :o i take my meds and i am going to therapy but even now i am having problems b/c my meds don't seem to be working for me anymore and i am going through the struggle of getting it right. :crying2:

kristy

I'm sorry your having problems with your meds. It really sucks to invest your heart and soul into something and then have all these med issues come up. Please hang in there, talk to your doctor about this and your therapist. I'd be interested in knowing what you're taking and where you're at. If you want to, pm me. Also, if you want to, there is a message board for bipolars on nami.org (National Alliance for the Mentally Ill.) It's worth checking out, I know a couple of the posters were nurses. Anne

I had been a nurse for 4 years when I fell apart. It took me 11 years but I am back now better than before. I had severe depression, panic disorder, DID, PTSD. Borderline personality disorder is what one doctor said but none of the others agreed. I was lucky in that my first therapist had worked with multiple's before. I journaled, took a skills class, made a contract with my personalities that were harmful to the system. I had many flashbacks and I was a mess. What helped me the most was EMDR. Rapid eye movement and desensitization. It is so true that people give up to easily, recovering from a mental illness is hard work and you are the one that has to do most of it. It amazed me at how much of my life I missed when someone else was there. I know I couldn't have survived without them though. My therapist said my childhood was like a concentration camp.

I am on several meds now and still see a psychiatrist but I am able to deal with anything now. I know cuz my granddaughter started my house on fire and I stayed intact. Have faith in yourself and listen to what your body and mind are telling you, if you feel any symptoms coming on get to a safe place. I always had a brief period where there was a headache at the back of my head before I "blinked" :) I work full time in a nursing home and love working again. It is such a boost. My employer knows I have depression but as for the rest I will not tell them unless I begin to have problems. I think that nurses who have struggled with mental illness can feel more empathy and not get so irritated by some of the behaviors patients can show.:nurse:

I have an anxiety disorder which was caused by post traumatic stress disorder. As a child my mother was mentally ill, and my dad was an alcoholic and a pill taker. I was abused, and did not even know it for a long time. I suffered with fears and anxiety pertaining to the fears for my whole life. Four years ago, my husband had an affair and left me. I had a nervous breakdown and was hospitalized with major depression. I also suffered from symptoms of dissassociation. At this point, I am free of depression and dissaccociation, and I am getting remarried next month. But I am still suffering from severe anxiety especially in social situations. I am not able to work at this time. But I have decided that going back to school part time for an MS degree would help me. Being focused on one thing helps to ease my anxiety a lot. During my bout with depression after my husband left, I took a refresher course and did a pharmacology workbook on my own, and it really helped me-almost felt like therapy. My question to my fellow nurses and student nurses is, do you feel there is any particular field that I should get my MS in considering my anxiety problems. Are there some specialties that are better for people with anxiety disorders? I love taking care of people, comforting them, spending extra time with them. I am also a retired school teacher, very organized and efficient(when I am not anxious), and tend to feel better when I am involved in doing something that I enjoy and am interested in. The two areas which would exacerbate my anxiety(for personal reasons related to my childhood) are oncology and hospice nursing. I am curious to know if you think there is any specialty or specialties that would be good for someone with an anxiety disorder with my history?

I think being a Nurse Educator would be good for you. One of my favorite jobs is patient education and there is very little stress to it. I don't know how you would feel about doing inservices and things for staff either but you might think about it.

Thanks Tracey for a good idea. I think I would be very good at telephone triage nursing. The only problem is that I do not have 5-10 years of experience. My nursing experience consists of two years as a school nurse teacher and a six week med surg refresher course. I am planning on going for my nurse practitioner's degree in psychiatric nursing-on line. What kind of a job would you recommend after getting that degree-considering my anxiety disorder and all. I am very organized, very good at assessment, and very empatetic to my patients needs and feelings. Krisssy

Dinkymouse, I would love to be a nurse educator. I staRTED OUT AS A SCHOOL NURSE TEACHER AND LOVED IT AT THE TIME. I was a school teacher for 25 years, and I was great at it-became teacher of the year in 1996. I am planning to go back to school online to become a psychiatric nurse practitioner. I would love to be involved in the teaching of gerontological patients and work in a long term care facility. I may even take another refresher class in med surg when i graduate from that program. I suppose i could teach nurses working in long term care facilities about the psychiatric disorders and needs of their patients. Thanks for the idea! Krisssy

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