last day of group therapy for a bipolar person

This is the artwork that my mother did for folks at the hospital.  The hospital said that she was fine to go home and continue recovery by herself.  I don't think they really looked closely at the crayon and marker pictures she haphazardly painted.  My husband said it looked like a child did this.

Dorothy

Please see my Goals & Symptoms sent by email following my notice to leave Group after ending Group on 6-30 Monday. This email addresses my Relapse & Recovery plan and Goals & Symptoms focus is on Group as requested by You and Jennifer that I simply state a brief overview to Group in less 3-4 minutes and only when you ask and cue me to unmute my audio. See Goals email for my brief overview simply stated and with consideration for Group Rules. Unless cued I plan no other contributions.

First I have NOT experienced any Manic psychosis events since May 20. While in GBH Inpatient Group they stopped,. I credit meds, staff provided structured schedule and environment plus Jess’ 3 toolkits on Dealing with Psychosis, Dealing with Mood Instability and at home toolkit Processing Grief.

We must all transition from In Patient to Out Patient and now for me my New Real Life managing, preventing, recovering and stabilizing both manic psychosis (prevention) while stabilizing my manic mood swings. My Assisted Living Apartment and Community fortunately mirrors GBH iIn Patient in that I am required to participate in Group activities like exercise art field trips social visiting room movie day etc or a wellness check will be done to ask why I am not in attendance. Also they provide shuttle service to my psychiatrist Dr. Onadeko who together we agreed to continue the Risperdone  until my mood swings stabilize with the Carbamazepine. Sorry my cell alarm went off take my 10mg Melatonin also prescribed by Dr Onadeko who gave me eating plan that facilitates sleep re serartonin as she believes meds only one part (third session will address effectiveness of our plan then go Tele health at her request 9after 4th appointment).

My daughter Zoe my therapist Dr Chauhan and I will set prevention relapse and recovery goals relative to both manic psychosis and mood stability at our appointment on June 30.

Onto Goals & Symptoms for you and my 10:30 Bedtime.

Thank You All for your time and hard work on my behalf. Respectfully Judi

Name: Judi Keath Date: 6-28-20

Check ALL apply in last 48 HOURS

What are your therapeutic goals for today (6-29) or this week?

1 Present to Group in 3 to 4 minutes when cued by Host:

Today is my last day in Group due to my move to a Mesquite Independent Liviving Apartment and Community on 6-30 t0 7-2.

I apologize for any manic interruptions like talking out of turn in Group. Please understand and forgive me because with 30 years experience managing manic mood swings I know better. I will share that due to poor sleep and time lapse in medications my self awareness lapses along with my short term memory. However, I do require myself to follow Group rules for talking & sharing.

I learned a lot from all of You- your positivity, kindness, Just Do It determination, I will use in my Own recovery!

Thank you so much for your support, positives and cheering me on ZOOM snafus & all! I have managed recovery for 15-25 years now. You can too and maybe renenber “Workaround Judi” said you CAN!

2 Go to my therapist appointment June 30th.

3 Follow my psychiatrist’s plan for relapse prevention and recovery by taking all meds daily and timely, exercising and eating healthy foods like unsalted almond snacks and sticking with bedtime routine!

Depressed 1

Angry 1

Stressed 6 Move & saying Goodbye to Group

Anxious 6 See above

0 Panic attacks

Sleep improved

Appetite improved

Not seeing or hearing things

No new problems with relationships

Can control anger

No new side effects meds

No racing thoughts

No isolating Invited neighbor yo home cooked meal

No flashbacks now

No memories body traumas

No concerns people will harm me

Not helpless or hopeless

No negative Self talk

NA

No crying

Not applicable

can stay focused now

Feel safe on my own

Can mostly control impulses rate 6 re manic mood swings

MY ISSUES WITH RATING FORM IS THAT IT DOES ASK NOT ASK FOR EXAMPLES OR TRY USE CBT TO GIVE EXAMPLES OF MY PROGRESS TOO FOCUSED ON NEGATIVE NOT MUCH OPPORTUNITY TO STATE WHAT AND SEEING IMPROVEMENTS EVEN IF SMALL PROGRESS THESE RATINGS ESSENTIALLY FOCUSED ON NEGATIVE I FEEL EXHAUSTED DOING IT CAUSE LIKE GIVE FEW EXAMPLES WHAT DOING SUCCESSFULLY LIKE DID I DO GOALS WHEN AND HOW ETC

Can control impulses better 6 on scale 1-10 today Due mild to moderate mood swings

Manic energy slowing with meds & better sleep

Meds help me How? NO Manic psychosis Mood swings moderate not hyper

Zero nightmares How? Using CBT techniques

Making progress!

Therapy and Group really helps-Group shows me all fighting for recovery!

NA

Med supplement Melatonin was added 10mg

Zero Suicidal thoughts

No plans harm self or others

RATINGS CUTOFF AND CANNOT PRE FILL FORM OR SEND ELECTRONICALLY THIS IS A SECURITY SNAFU AGAIB BETWEEN MY iPAD AND YOUR FORM POSSIBLY GMAIL GOOGLE ALSO I AM RETIRED NOW 14 YEARS FROM SOFTWARE AND HARDWARE GLITCHES GET A YOUNG MILLENNIAL OR DIGITAL GENERATION TECH ENGINEER IN TO “FIX IT”

Dorothy & Jennifer,

My contribution re: positive handout Gmail just delivered Ha Ha-my workaround-

My Home is WHERE I AM even though I moved 12 times from age 6 to 16 and now 10 times as an adult just year and 8 months after I moved to my spacious lovely townhome with a diversity of neighbors in age, ethnicity and gender.

My positive outlook on the independent living apartment is that even though it’s only 400 sq feet vs 1100 sq ft I live in now, it’s world full of adventure from the restaurant style dining room when it opens (do get 3 meals a day delivered to my apartment like room service at a boutique hotel-even my grandson envy’s me and we both love to cook)-to shuttle service, art activities open now plus exercise class-Yippee!


just for clarification: she currently lives in a one bedroom apartment (around 600 square feet, not 1100 square feet) and her new place is 450 square feet.)

Did I doubt my decision to move in middle of relapse and get hard on myself and also my daughter and son-in-law-YES along lines not good for my recovery and cost of moving again so soon! However, my Mother the Negative Role Model of my life soon reminded me “GET POSITIVE!” So I did and feel much better. I reminded myself I had buy new car during my second relapse cause old car was unreliable and that included applying for a car loan!

I am naturally a positive kind generous sometimes funny person so manic energy helped me see humor of my psychosis this time and psychosis sucks! Also my manic energy helped me pack and shrink my large apartment to small 400 sq ft one because while my Art means a lot stuff can go-my new Toyota to my daughter no car payment for her, my fancy pants platform queen bed to my busy great High School teacher niece plus sofa & chair for teen hang out space for her 3 kids my treasured grand nieces and nephew. And last but not overlooked I gave my old iPad Air to my son-in-law (The battery would have gone kaput  even plugged in power where my new iPad did well w ZOOM 3 hours group except for audio glitches and ratings goals etc-but we did find “workarounds”

So even through chaos of manic mood swings and detested manic psychosis I have kept my spiritual core in one piece and my mental one too!

You both along with the stellar staff at GBH in and out patient groups somehow kept me grounded through worst like a unique 911 rescue for 13 days inpatient and almost 5 weeks out patient.

Thank you is not enough to express my gratitude because as the manic disrupter you kept me balanced-That is my blessed Miracle!

I have art I did especially for You and out patient Group-I did 6 or 7 for In-patent Staff but yours is framed and manically symbolic-like Christmas gift you gave back Reality and it is beautiful music to my ears-so I framed 8X10 art I colored especially for you with an old music player playing Christmas ornaments like music notes plus THANK YOU note. How can I have my daughter safely drop off my gift to you plus 3 pairs wash wear linen pants size 18-20 and five wash tops from Dress Barn size 18-20 for those women who come and go out with NO CLOTHES of their own. I left some of my clothes as donations when released in-patient with promise of more because I found out GBH can use them. Please let me or Zoe know how drop off gift to You and clothes for women who need them.

With greater Gratitude to GBH staff & You-Judi K

Dorothy,

As I do honor boundaries and privacy despite bi-polar mania, I just deleted my email and text contacts with my physical therapist as she and I finished my PT last Wednesday. I still have my home health nurse through Mid July and added my psychiatrist and therapist plus my new independent living home.

(just a footnote.  Actually my mother does not respect anyone's boundaries.  She will text 10-25 text messages every day from 4:00 in the morning until 1:30 at night.)

I have believe it or not 9 folders of care and support health doctors or advocates. My keepers are my Primary Care doctor and my Specialist Dr who manages my kidney health and mild arthritis besides the bi-polar care from Dr Onadeko and my. therapist Dr Chauhan.  You will be fourth health care provider and advocate to finish and delete from contacts. I assure you I will delete GBH IOP contacts once ZOOM link is deleted. I do keep GBH as my mental health 911 provider out of caution but only main number and address.

Thank you for one more request and detail. You’re the Greatest! Judi K