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What to do? - January 8th 2013, 05:41 PM

I'm having a really bad time lately. Not sleeping, really bad anxiety and panic attacks, low mood. I'm currently doing DBT, seeing a psychiatrist every few weeks, seeing a care coordinator, and seeing my GP regularly. I am honestly trying everything I can think of in order to stop this from getting worse, but over the last couple of weeks, I've gotten really bad. Self harmed deep enough to need medical attention, took the last couple of days off work. I tried to go into work today for a 5 1/4 hour shift. My manager asked me if I was alright 30 mins into the shift. I started crying and couldn't stop. He sent me home. I honestly cannot afford to take time off sick as I don't get paid for it, but I know I can't work like this. Does anyone have any advice or suggestions about how I can get myself back to work?
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Re: What to do? - January 8th 2013, 06:19 PM

Fix the sleep!

Generally, when your sleep goes to poop, it's an early warning sign, but it can also be due to environmental stuff such as too hot or too cold or too much caffeine. That being said, often when you're sleeping better, your mood lifts somewhat and coping with things like work is easier. There is not a person on this planet who feels good about work when they're not sleeping. (Mania doesn't count here.)

As for fixing the sleep, if the normal things haven't helped, bring it up with your GP. You said you're seeing your GP regularly, and if that's the case then they'll have a good idea of what's going on for you. If they are unwilling to prescribe something to help you sleep, then you'll need to talk to your psychiatrist.

In the meantime, does your country have any financial assistance available to people with mental illness? Mine does, and it means that when you can't work due to being unwell, there's still a way to get the rent paid and food in your belly. Most countries do have some scheme available, and just that little bit of extra financial help is enough to lift a large amount of stress for most people. You don't have to use it all the time, but it's beneficial as a back-up, especially if you have an understanding manager who would be cool about it when you need time off.

Anyway, my advice is fix your sleep, and everything else should follow. And make sure the people you work with (both at work and from mental health) are aware that you're not sleeping properly at the moment.
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