Not so sure about psych anymore

This is a very tough situation to be in. Have you been able to have a stress debriefing and counseling to address what seems like PTSD. It is not good to live in fear and as this was a work related incident your counseling should be covered by Workman's comp.

A critical incident stress debriefing is an important part of the healing process. Weather you stay with your current employer or not you owe it to yourself to seek out care and treatment.

In 2017 my sister was attending the Highway 91 concert in Las Vegas and saw someone shot and killed less than ten feet from where she was standing. She started to have a great deal of difficulty following that incident and asked me what I thought. I gave her the name of a psychologist who did these kind of debriefings and she was able to discuss and process all her feelings about the incident.

If your work won't provide the debriefing, please seek out someone who can provide it.

Hppy

Has anyone on here ever done this? I am worried I have pigeonholed myself.

My heart truly goes out to you, TerpGal. Having read many of your posts over the years, I get the sense that you're a competent, caring professional.

I was stabbed in the back with a pair of scissors back in 1998 by a patient in the community that I was seeing through an ACT program and experienced PTSD symptoms. I sought services through an art therapist for six months and it changed my life.

Learning how to forgive, art, and exercise allowed me to transcend the psyche pain and and, I believe, changed my consciousness.

I could go on for volumes, but just let me say that I am your virtual supporter in any way you choose- through this forum, PM, etc.

The very very best to you, TerpGal. You are in my thoughts.

I thought I was doing ok as far as coping, until he got out. I am not expected to complete visits with him at all but he is in the office frequently, I have to see him, at times I have had to speak with him (briefly) on the phone. I am having a really hard time with all of this. I am terrified half the time to go in to the office for hear he will be there. If I see him or even really hear his voice, I am immediately in panic mode. My co workers do their best to run interference but it is still hard. Based on this and my many other experiences working in our very broken mental health system, I don't really feel good about what I'm doing anymore and am thinking about changing specialties. Has anyone on here ever done this? I am worried I have pigeonholed myself.

I wanted to reply more to your thread as time allowed, Terpgal, and give you more information that is my wish will be helpful to you.

After the stabbing incident, some time off and subsequent therapy, I found that I, as you mentioned, didn't feel good about what I was doing: working as the community nurse in the ACT program.

I put in for a transfer to the mental health clinic's inpatient program. To make a long story short, let me just say that the clinic's administration dragged their feet, I confronted two ACT administrators on their behavior, was suspended with pay, met with the administrator of the clinic, and was given a position as an inpatient nurse.

I worked at that clinic for an additional three years, was unjustly terminated, and segued into an administrative position at another clinic. There, I had to work with the patient who had stabbed me after he was released from a two year stint at a maximum security forensic facility.

Unlike your situation, I loved this patient who had stabbed me. In his delusional state, he believed that we were both actors in a movie and the director told him he had to stab me. The patient told a psychiatrist something like, "I didn't want to do it, but the director said I had to".

When I met with the patient at the other mental health clinic, I believe he tried his best to apologize, saying something like, "Doc (he always called me 'doc' ever after I had informed him several times that I was a nurse), I'm sorry about that thing. You know."

What I wish to convey to you, Terpgal, is that even though I no longer wanted to work in the ACT program, other doors in psych, (albeit some hit me in the behind on my way out) opened for me.

I discharged my last medical client in home health in 1996, have continued to work in psych for over 20 years, and have not regretted it.

I hope the same positive experience for you,TerpGal. I believe you have been an asset to this field of nursing.

Whatever you decide, Godspeed on your journey!