Tough point in my life

Nurses General Nursing

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Hi guys, thanks for reading. I'm a semi new grad nurse who was lucky enough to land his dream job in a level 3 trauma ED pretty much right out of school. I've been there for 4 mos and am astounded by how much I've grown as a person and as a nurse. It was always my intention to work in the ER ever since I started nursing school, and once clinicals came around I knew I definitely did not want to do tele/med surg, LTC, etc. No offense meant at all, just not for me. Anyway, I pretty much had no issue with school. I hated it but who doesn't hate school?

During clinicals I always requested to be sent to the ER if possible and I even did my preceptorship in an ER. The problem comes right around the 1 year mark in the program when things started to change. I changed. I had always been up for a challenge, and never really afraid to step out of my comfort zone until then. It started out slowly, maybe not feeling like speaking up in class, and evolved months later into full blown panic attacks, depression, auditory hallucinations, and even suicidal ideation.

Even though I felt so miserable, I tried to hide my feelings and seek help without any one of my family or friends knowing. I didn't want ppl to think I was crazy. I was started on medications as prescribed by my dr and I thought "this is great! I'll be my old self again", but it never happened. Since then I've tried 3 different anti depressants/psychotics along with benzos all in vain, with the exception of the auditory hallucinations which finally cleared up. My grades dropped significantly but I managed to pass the program and my nclex. I was done with school but now I noticed I never wanted to leave the house anymore. It was like the whole world was out to get me.

I didn't want to be a nurse or even work for that matter. To hell with that, I wanted to feel safe in my bed, even if it meant being broke and secluding myself from the world. My family at this point knew something was definitely wrong. after all, my behavior went from 100-0 real quick, in the span of a little over a year. They tried their best to get me to start looking for a job. I finally agreed to attend a job fair just for the sake of having them get off my back. I didn't think I would walk away from there with a job. And of all places, in the ER! I was petrified. But opportunities don't come around like this often, this is what the past me would've killed for, so I reluctantly accepted the position.

Boy was that a mistake. I am now on a website asking for advice on what I should do with my life as a last resort. I love my job, and absolutely despise it at the same time. Job stress has made my problem so much worse. I don't even enjoy my days off cuz all i can think about is having to go back in. I'll stay up for hours crying, and then get frustrated and punch a wall, or even practice IVs on myself just to get my mind off the anxiety. I've called in 3 times just because I know there was no way I was going to be able to function. When I have a panic attack at work, it is insanely difficult to function or even calm myself down from it. And in a unit where ppl can go south fast, that presents a huge problem. I want to quit everyday but I also fear the repercussions of what that might do to me down the line.

So nurses of the world, help a lost brother out. Should I quit, get myself back together, and return to the field? Should I leave the field and find some other unrelated mundane job until I am better? Should I stick it out even though I'm a mess? Please guys, This has been an immense issue for me, and any advice is appreciated. Thank you and sorry for the novel.

Specializes in psych, addictions, hospice, education.

Please see someone for help. Things can get better but they won't if you don't get some help from an expert.

Specializes in Behavioral Health.

You haven't posted since this morning, so I'll hope you're still reading. Some of the above are good advice. Find a psychiatrist or psych NP who's on your insurance and make an appointment. Appointments can be far out, so do it as soon as you can. Ask if they have walk-in hours for evaluations, and if they do ask how to make sure you get seen (usually this means showing up really early). If you feel unsafe call 911, go to an emergency room, or call someone you trust and ask them to call 911 or come and take you to the ER.

Do what you need to do in order to be healthy and safe, whether that's a medical leave or quitting. There will be other jobs, but you only get the one life. If you have difficulty calling and making appointments, ask someone you trust for help. Good luck.

Specializes in Registered Nurse.
As someone with anxiety & depression, I know how terrible it can be. If you are this depressed & anxious I personally believe you should quit your job & get some serious mental health help. Whether that comes from an inpatient stay somewhere or whatever you need but how can you give your patients 100% if you can't give yourself 100%? I hope you get through this, I know it may see like there is no light at the end of the tunnel but there is! Good luck!

Second the above post! Feel better!

I have no advice but I wish you all the best. Please take everyones advice to heart and get some help. Please.

Specializes in General Surgery.

Depression sucks so bad. I've battled with it my entire life. :hugs: OP message me anytime you need to vent.

I also agree that you need to find safe, sound, professional help. This is an illness like any other, with the exception that the suffering is hidden. The symptoms aren't as obvious.

Take care. Stay in touch!

Specializes in Family Nurse Practitioner.

1) You need to get some expert psych help stat. Not tomorrow, call today. If it's your PCP prescribing those meds, s/he is out of his/her depth, and you need to see a pro. Not psychologist with a physician relationship for prescribing, a real MD Psychiatrist. Now. Now. Ask the one that gets calls for the ER and' or the psych social worker and/or the psych nurse clinical specialist for names.

This! I have seen horrific mental health prescribing and would advise you to attempt to seek or if you aren't strong enough right now ask a family member to start making calls and find out who is the absolute best psychiatrist in your area so you can get an evaluation. This is not the task for someone who is lukewarm with regard to medication finesse. I hope you get some relief soon. Hugs, Jules

Specializes in Emergency & Trauma/Adult ICU.

I completely echo the sage advice given above - please get help now. The punching walls and "starting IVs on yourself" is self-harm akin to cutting.

Please let us know how you're doing, when you can. It doesn't have to be a cheery "all better now" story -- just some signal that you're on the path to getting help with this.

Take care.

Wow i didnt expect so many comments. Big thanks to all for your kind words and sound advice.

Unfortunately, a. leave of absence isnt an option. But i completely agree that my health is more important than a job. Ill pick up where i left off later. Ill be seeking out a psychiatrist as well. As far as working goes, ill be meeting with my director soon to discuss if part time or prn would be an option for me. If not, i guess im walking. Im not sure what ill do if i walk, but i guess ill figure it out. Im also not sure if i should tell her exactly why i want to decrease my workload.

Again thanks for all your responses and kind words. It means alot to me. Hugs all around

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Wow i didnt expect so many comments. Big thanks to all for your kind words and sound advice.

Unfortunately, a. leave of absence isnt an option. But i completely agree that my health is more important than a job. Ill pick up where i left off later. Ill be seeking out a psychiatrist as well. As far as working goes, ill be meeting with my director soon to discuss if part time or prn would be an option for me. If not, i guess im walking. Im not sure what ill do if i walk, but i guess ill figure it out. Im also not sure if i should tell her exactly why i want to decrease my workload.

Again thanks for all your responses and kind words. It means alot to me. Hugs all around

Honestly I think you need to stop working completely & check yourself into a mental health facility especially since you're having suicidal ideations. I did it once & I don't regret it one bit & honestly it's the best thing I ever did in my life. Work will always be there but if it is as bad as your saying you should get intensive help & ASAP. Good luck.

Specializes in psychiatric.

All of the above is great advice so I really have nothing to add but my personal experience. I was a 'star' student as well, knew I wanted to work ICU/ER and landed a coveted internship after graduation. I. HATED. IT.

I was quite capable of doing everything but I truly am not cut out mentally for an acute environment like the ICU or ER, I feel I am too sensitive to physical suffering, I literally cannot distance myself from it. I found though, that dealing with psychiatric suffering is my thing. I can totally get what is going on with psych, even in the acute setting. I tried a few different jobs and found a good fit in an inpatient psych unit.

Please get some help, but also try to realize that the ER and ICU are NOT meant for everyone, this doesn't mean you cannot excel somewhere else and enjoy what you are doing. I thought I knew what I wanted but the reality of nursing is waaaay different than school, you could not pay me enough to work in those environments. I know of a few other nurses from my class that landed 'dream' positions and all of them have moved on to different areas due to the stress and burnout, critical and acute care is no place for a new grad in my opinion.

Good luck and PLEASE keep us posted on your journey. There are many amazing nurses here that are ready and willing to listen.

The only thing that matters in this entire situation is YOU.

Not "you the nurse" or "you the coworker" or "you the worker". It is YOU

There are always other jobs (better than one we have ever imagined) other hospitals (with sicker patients who need our help) and basically a world that can be better in everyway than your current world. But if you aren't there for that exciting new world it means nothing.

You need help right now. Please get it. Call a local crises hotline and get started on your way to better health.

If you have no other way to reach out to someone please let me know and we will find a way to get help to you.

When you are better physically and mentally come back and we will help you figure out your career.

Specializes in Infection Prevention, Public Health.

You seem like an insightful and practical person. So here is a practical piece:

Take leave NOW. At present you can choose to stop working and decompress. If you are worried about your career, consider this-- if your employer reports you as being an impaired provider, then things get needlessly complicated. Resign now and give an excuse like "it doesn't seem to be a good fit for me". End of discussion. No 2 week notice. Your ability to practice in the future will be intact and, with that assurance, you can devote your energy to taking care of you.

For the insightful part of you:

You are suffering right now and you are too close to it to appreciate that. However, if a patient came to your ED with symptoms like those you are describing, you would recognize it as a medical crisis. You would help that ED patient. Give yourself that amount of caring that you would extend even to a stranger. It is ok not to be able to keep it together right now. Rally your supporters. It sounds like you have a caring family.

If you are not safe then please seek care today. You can go to an ED other than your hospital's. Maybe stopping work immediately will let off enough pressure so that you can arrange care from a psychiatrist with a great reputation and start getting great care. Wouldn't it feel great not to be having anxiety attacks and this feeling of dread?

It is going to be ok, but you need to pull a good team together. You can do it. I have been in your shoes.

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