Tough point in my life

Nurses General Nursing

Published

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.

In my humble opinion and I've been an acute psychiatric RN for many years, you are currently unable to work safely at your present job. Still you should go to your employer . tell them you are experiencing a health crises and ask from a Leave of absence, even if it's unpaid. Then go to HR and get information about EAP Employee Assistance Program. This will avail you of low or possibly even free mental health consultation and referrals for a psychiatrist to do medication management and a psychologist to do talk therapy. The two work hand in hand. There are many nurses who struggle with mental health issues including myself. (I tried to kill myself in 2004). This is not a journey you need to take alone. If you were in my area I could give you some great referrals. You need a good differential diagnosis to find out what exactly is going on then the proper counseling and medication to get healthy and functional. If you can't afford treatment just walk into any ER (preferably not the one you work) and tell them you are thinking about harming yourself. That will get you in-patient real fast. You get a good assessment over 72 hours and possibly a bit longer stay and you will leave with a handful of referrals and in most cases a 30 day supply of meds. Also take your medication exactly as prescribed - don't stop because your either feel you are better or if you feel it's not working. We are here for you but we are just a bunch of faceless stranger with no dog in this fight.

Practice good self care first - you can't help anyone if you are sick.

Peace and Namaste

Hppy

Good advice. However, the facility that provides the 72 hours needs to be affiliated with a hospital... and not privately owned. There are many fly by night facilities that merely house a patient, without providing adequate care.

I have been there, done that, worked there.

Specializes in None yet..

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.

2) Take a medical leave of absence; don't quit, because you can get better. Treat this as an acute injury that denial will not heal. If your leg is broken, you don't just walk a little less; if you have an infected hand wound, you don't just avoid touching dirty things.

3) Another job will not make this better. See #1. When you're in this much pain, it's not just the ER job. Something else is going on.

4) Sticking it out will not work. See #1.

Stay in touch.

Medical leave is an excellent idea. You might want to talk to a lawyer about your rights under the Family Medical Leave and Americans With Disabilities Acts as well as possible other state laws.

But FIRST, get help for your condition. Being alone and isolated is deadly dangerous when you've got serious pain such as yours. There is a crazy person in your head right now; don't go there alone. I am saying this as someone who had clinical depression in the past. There was no way I could have pulled myself out of my downward spiral without help.

As my doc said, "Once you start, your only regret will be that you didn't start sooner." He was right.

You've gotten a lot of great advice. I don't have anything to add other than do what is right for you. Everything else can wait until you are stabilized. There's a reason risk for suicide is always the priority diagnosis.

((((hugs))))

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.

I cannot give you advice on how to protect your license, or your job since I am not a nurse merely a student. I just wanted you to know you are not alone. I experienced very similar Problems to you. I finally got it under control with the proper medications. It took me three psychs, and a few years to get my symptoms under control, but it can be done. I am better than I was before since getting my symptoms under control. Turns out I was suffering from severe depression, and as soon as I went on the right medications I was better than my old self.

The fact that you recognize your symptoms already puts you ahead of where I was as a patient. My best advice is don't lie to your psych like I did, and if a certain medication isn't working for you be honest about it until you find the right combination. Best of luck to you. You are already lightyears ahead of me, and what you have already accomplished could not have been easy.

Only you and your psych can decide what is right for you, but don't give up your symptoms can be managed. I managed them, and I was a HUGE MESS FOR YEARS. It wasn't until I was proactive with my own treatment, and my own mental health I got it under control. I cannot give you advice on your job, but I have struggled with similar symptoms to you. I manage them through medications, and exercises designed to promote mental health like gratitude. I also take supplements like omega 3 fish oil that help balance my mood. ALSO I CANNOT STRESS THIS ENOUGH WHEN IN DOUBT EXERCISE!

It can be easy to get upset, and have a woe is me mentality when going through mental health issues because no one can truly understand, and you can be afraid it will ruin your life. Management can be done however.

Its been years since I had any "flights of fancy", and almost as long since I had any serious thoughts of suicide. Times are tight for me, but I believe I will make it through it. You can do this medication, and proper psychiatric treatment saved my life, and my future it can do the same for you if you find the right psych, and are honest. Trust me it can be done I am living testimony to it. Its been years since I have had a setback, and my psych sees no reason I should have one as long as I continue doing what I am doing.

Specializes in Critical Care.

Get the help you need ASAP. But before you quit your job and your health insurance is thru them, it usually will run out at the end of the month that you quit, unless you pay the full price thru COBRA can be $500+ month and who has that when they are unemployed? Hopefully you can take a leave of absence without disclosing your mental health to your employer, just that you have a medical illness.

First off let me start by saying that it is very brave of you to go out and seek help, too many people are afraid of judgment and end up getting worse. Also, love the drake reference.

I totally know what your going through as I've had a similar experience. Anxiety and depression can be crippling, but it can be something that you can manage. My advice to you would be to take some time off and figure out what is bothering you, and really take care of yourself. Get the help you NEED from a psychiatrist or a health care professional. Your mind needs to be at ease before you can focus on your career.

I don't want to say that there is necessarily something WRONG with you, it may be that some aspects of your life lack balance. Maybe you work too much therefore you don't have time to exercise or spend time with family and friends. That's just an example but its up to you to figure it out. I will say that things WILL get better :) little by little.

As for leaving the field? Again, really think about what you want in life, what you want your future to look like, and do you think that a nursing career would provide that for you? If you think you would be happy with a mundane job then why not. Personally, I would not settle, but again its all about what you want in your life. Your probably still very young so taking a year or two off will not have a negative repercussion on your career.

Good luck to you my botha :)

I've been there. Not because of nursing but for other reasons. I was admitted into the hospital in November of last year and it was one of the best experiences ive ever had. It gave me the opportunity to clear my head and really look at myself. (Not that I don't do that enough as it is lol.)

It's embarrassing telling people that I was in the hospital for five days, especially being in the medical field as a CNA. I hear a lot of crazy stories about nurses or aides working in psych and the experriences theyve had theyve had there. I just laugh because i know what its like being the patient there. ;)

It was an experience I'm grateful for. I learned more and better coping skills and the importance of community and also that medication really does help. :) I always have Lorazepam on hand. I am now off the anti-psychotic they put me on and only take the mood enhancer and anti-anxiety (don't know if that's the tech term for it. ;)

Good for you for asking for help. :) take time off if you need it. Be good to yourself. :)

Get some help. Think about medication. Talk to your doc. Be honest about your feelings. Depression is a real thing. I've been there. Albeit, not because of nursing school but for other reasons. I can now function in my everyday life with the medication I'm on and new coping skills I've learned over the past six months. The big breakdown happened in November of last year but a lifetime of depression and anxiety takes a toll on a person. Ask for help. Go to your doc. See a therapist. :)

Awesome thing about depression- there doesn't have to be a "reason".

So glad you are doing better.

Paragraphs are your friend.

I say this not to be the grammar police, but to help you obtain more views/responses. Some folks will walk on by a post that is one unbroken mass of words.

Seriously? He wrote 6 paragraphs.

@ SleeepyRN & roser13- I so very much agree- this reply was un-necessarily snarky!! & not helpful at all!

Wow. It's weird being responded to. Thanks for your post. Just got on here a couple days ago. :)

Seriously? He wrote 6 paragraphs.

The original post had no paragraphs and many run-on sentences. Someone went in and edited it.

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