After seeing this Mental Health Pain Scale a while ago, I realized that it doesn't really work well for people whose mental wellness changes frequently (ex: people with BPD or C-PTSD, addicts), and very extremely. So, I made some tweaks for myself, and hopefully it can help others:
Here's a version with a table :)
Emotional Distress Scale
0 - I feel great! This is the best I’ve felt in a long time!
1 - I’m feeling really good! There’s no distress to address.
2 - I’m feeling good. If I start feeling bothered, I can be easily distracted or cheered up.
3 - I’m okay, but there are some things bothering me. I can easily cope with them, though.
4 - I could be better. There are a few things distressing me right now. It’s not exactly easy to deal with, but I still have the skills to get through it.
5 - I’m not okay. It’s getting harder to do the things I want to do, but I can do them. My coping skills aren’t working as well anymore, but enough of them work to get me through the day. I need some support.
6 - I’m feeling bad, and it’s very hard to do the things I need or want to do. Most of my coping skills aren’t effective right now, and it’s taking a lot of energy to stay stable. I need help.
7 - I’m feeling awful. It’s hard to focus on anything but my emotions, and/or I’m avoiding things that distress me. I can’t do much but try to take care of myself, which is already hard in itself. I’m running low on, or have run out of, effective coping skills. I need a lot of help right now.
8 - I’m feeling awful, and I can’t escape it anymore. How I feel is affecting every part of my day, and I’m reaching the point where I can’t function. It’s hard to sleep, eat, socialize, etc. I need help before I can’t handle anything.
9 - This is approaching the worst I could feel. I can’t function anymore. My emotions have totally consumed me. I may be a danger to myself or others, or I may be neglecting myself. I need urgent help.
10 - This is the worst I’ve felt ever/since [last time]. I can’t care for myself at all. My emotions are so intense, I’m at imminent risk of dangerously acting on them. I need crisis support immediately.
11 - I have acted on my emotions and hurt myself or someone else. Everything else in my life is impossible to comprehend. I need medical care and/or crisis support immediately.
Note that this doesn't really work well if your positive states end up being unhealthy (ex: mania, idealization, etc.), so it's geared towards negative emotions. This is also meant to be about how you feel NOW. The other scale works best for viewing your overall state.
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Bedlam
A screen shot from the trailer.
The trailer: https://bedlamfilm.com/
"Why a county jail should be serving as a mental health institution is a question worth investigating--and it gets that worthy exploration in the documentary Bedlam, premiering tonight on the PBS nonfiction series Independent Lens. Psychiatrist and filmmaker Dr. Kenneth Rosenberg directed the film which examines the sad state of treatment of serious mental illness and how we got to this unfortunate state of affairs."
The movie on Amazon: https://www.amazon.com/Bedlam-Patrisse-Cullors/dp/B08FSNP2SW
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No. 6
“Do or die, you’ll never make me; Because the world will never take my heart.” | Recording | Made to Watch | “It should have been me.”
Anders/Mitchell
Rating: T
745 words
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A/N: Um... all I can say for this one is catharsis??
I have a half-assed AU that all the Norse god stuff and Mitchell being a vampire are delusions Anders has as a result of Bipolar 2. And some of his traits in the show are symptoms (hypersexuality, charm, etc.)
Warnings: main character suicide, off page suicide
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“Are you sure you’ll be okay?” Dawn asked, her hand on Mitchell’s shoulder.
Mitchell nodded his head sharply.
“Okay, then.” She gave him a tight, forced smile. “Please don’t hesitate to call either of us if you need anything. You’re always welcome to come over even if all you want to do is lay on our couch and watch crap television in the company of other people.”
“Any time of day,” Ty added. “For as long as you need.”
“Will do,” Mitchell replied tightly. “I’ll be alright on my own.”
Dawn looked like she wanted to say something more, but Mitchell had his hand on the doorknob, already turned, and he made a quick escape. He leaned against the now closed door from the inside of Anders’ apartment.
It was definitely Anders’ apartment. Despite the years that Mitchell had lived there it was always Anders’. Anders chose the furnishings, the paint colors, even where to put the furniture. And now, without Anders’ quick smile and laugh, his sarcasm and warmth, the apartment was cold, sterile. It wasn’t a home anymore.
Mitchell could hear Dawn and Ty talking quietly to each other just on the other side of the door. But he did not care if they were arguing about him, which is what it sounded like. He had been adamant about coming back here, about not going back to their house with them and sleeping in their guest room. Even though this wasn’t home anymore it was the only place that Mitchell wanted to be.
He slumped against the door until he found himself sitting on the cold stone tile. He stared blankly at the floor in front of him. He did not know how long he sat there like that. Time had no meaning. The floor of the hall was where he had curled over into the fetal position on his knees and howled after he got home that first night. It was where there had been drops of blood, smeared by the feet of the EMTs. Spots that would be gone the next day after the cleaning service arrived to wipe away all traces that anything bad had happened in that bathroom. But the damaged door and doorframe from where it had to be broken down remained. Those things were not so easily taken care of at a moment's notice. It is where Mitchell didn’t even remember his feet touching the floor as he rushed through the apartment, spurred on by a gut feeling that something was wrong, only to find out that something was terribly wrong, that nothing may ever be right again.
The howling had come when he felt like he was going to split open from the pain.
And now there was nothing.
He had been a silent, dry eyed observer during the funeral service.
He had fought Mike tooth and nail for that, his eyes black. He had cut one of his own lips with a fang. A split of red that is still scabbed over because it has not had time to heal.
He had gone with Anders’ brothers to the woods and they had carried out some older ritual that Mike said was a family tradition. There were supposed to be ashes, but there were none of those. Mitchell could not allow Anders’ body to be burned, to be so removed from this plane of existence even though he wasn’t so sure he believed in any sort of afterlife.
Now there was a catch in his chest when the thought of his final words to Anders pushed through the haze. Not “I love you.” Not anything remotely like that. The words hadn’t even been kind. They had fought. Over something so stupid that Mitchell can barely acknowledge that fight to himself, but what he said was still there. They weren’t the words that Mitchell thought would be the last ones that he would ever say to Anders.
And he can’t remember what Anders had said to him.
It’s dark now.
Hours have passed.
He is mindlessly swiping through his phone to pass the time. It had gotten too dark for him to see anything much in the apartment.
And then he was in his voicemails. There were a handful of spam messages, condolence calls. But then there were some saved messages from months and years back.
Mitchell tapped on the oldest one.
“Hey, Mitchell, it’s Anders. I was wondering if you wanted to grab that drink we…”
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A/N: If you're dealing with a partner, friend, loved one, with a serious mental illness, I'm here to listen. A lot of people listened to me including friends, family, people in our little community here on Tumblr, hotline workers in the wake of my partner's commitment and subsequent diagnosis. I know Bipolar best, but can listen for anything.
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Taglist:
@silvermoon-scrolls
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for all the talk about impulsivity i've seen, i have seen so little about calculated self-destructiveness. i definitely have problems with impulsivity, but those are often the nail in the coffin. all of the worst that i've done to myself has been completely and utterly calculated. methodical. i'm too smart for my own good.
so if you're the same way... i want you to know i see you, and the knowing nature of your pain does not at all downplay the severity of it. using what control you have to hurt yourself can be just as dangerous and deadly as losing control entirely. and even if it doesn't reach the point of endangerment, your struggles still matter. they do. and you deserve a lot better.
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