Tag Archives: insurance

Emdr (TRIGGER) 

Did some emdr kinda spontaneously on Monday. I was really struggling with some intrusive memories/body memories, and Dr C had extra time. 

We aimed for my resistance to emdr, and to deal with the fears around it. That quickly progressed to the body memories. It was fragments of things flooding in and washing each other away just to come back in a few minutes. It was intense. I think I was dissociated through some of it because we worked on re-centering and returned to the fear around exploring these memories. 

One of them was really weird. I think it might have been a memory of both the dissociative experience and the abuse melding together. It was similar to a strange dream, where impossible things are happening, and I’m at once experiencing them and watching them. I was at once floating in the ocean feeling the sun on my body, and being molested in a bed… 

It was incredibly intense afterwards and I kinda freaked out. It was the longest I’ve sat in Dr C’s parking lot after a session (almost 50 minutes) trying to center again. I’ve text her a lot since then. I feel like I might be pissing her off. 

Part of the emdr also covered the self-harm. It feels like the shame and guilt around it are gone, but at the same time, there’s a fear of the consequences. I guess that’s good. I want to destroy the parts of my body that remember the abuse, but I also want to avoid the hospital. 

I made another appointment for later this morning to process this with her. I felt like I was bothering her too much through text. I’m also hoping that seeing her in person and talking about this will help set my mind at ease about the process. I’m starting to remember some of this discomfort and turmoil after the first round, and I’m starting to remember that it passed in a few days. It’s been a bit better this morning. 

I had a really weird dream/memory/thing last night (another thing she said would be normal and expected). In it, I was a kid curled on my bed trying to sleep (similar position to how I was laying in bed last night, so I’m guessing the position was a lead-in to the memory)… it was another impossible situation though. There was a snake moving around the backs of my thighs and found its way between my legs. It felt very strange, not what my pet snakes feel like when I hold them, so I’m guessing it was something my understanding substituted for what was actually happening at the time… it reminded me of an article I read a few years ago that described the arrest of a man for animal abuse and assault when the kid said the man molested her with his pet snake. I think the man told the kid his penis was “his python” and so the kid kept calling it that… it’s quite difficult to make a snake do something it doesn’t want to, and a snake has no interest in worming it’s way into tight body orifices… 

Anyway, so… yeah. I’m waiting for time to pass before I have to leave for my appointment. My body is still shakey from my lack of sleep, and probably also from everything the emdr has stirred up… I wish I had the availability to do that intensive emdr now, but I have to be at work for the next few weeks… I might dissapoint my boss and end up needing coverage soon if I stir up too much. I’m trying to be available out of a sense of obligation to help out (staff vacations need coverage, and one of the main customer service reps is leaving for a full-time job after my boss gets back from her own vacation), but maybe I need to be a little less available. I have the option at this point not to work at all and just concentrate on my therapy. In theory, I should take the time I need to help me alleviate my symptoms… but at the same time, work is a good distraction. I didn’t exactly plan to be less available when we are already under-staffed, so I shouldn’t feel guilty about needing to say no, but I do… L and I need the extra money to help fix the car situation… and I have a huge thing about helping out, even to my own detriment, when someone needs it (especially someone I like/respect/care about). When I first started working there again, I was a bit better about maintaining my boundaries and not taking on too much. I’m falling back into that need to please everyone. I can see it heading to a huge disappointment when I finally find the courage to say I can’t cover too much… ugh. 

If I could find a way to just do therapy super intensley until I got to a point where I could get a handle on the symptoms and triggers and side-effects, then I could be a real, functioning human again. Insurance has limited that though. They don’t want to pay my therapist for more than one session a week. They don’t want to pay for an iop or php because I’m not in crisis (and if I was, they would want me inpatient first)… it’s frustrating how little they help when the whole reason I have them is because I struggle with mental health issues enough to make regular functioning near-impossible… there’s hope though. I just switched to the basic Medicare, which I’m lead to believe covers stuff easier than the crappy advantage plan I was on… starting September 1 st, coverage for therapy should theoretically be easier. 

There’s a tightness in my chest from all of this… Maybe I will ask Dr C about trying an iop as adjunct to the emdr we are doing. Maybe medicare will pay for it in hopes of getting me to a place where I can get off disability and get back to a real life. I just wish there was a close trauma iop or php… Maybe I could get into that place in Boston this time around (I was too acute 5 years ago when we first tried it. I landed in DC because their program was able to do crisis stabalization).
Sorry this was so disjointed and scattered…


it’s hard to admit…

why is an abuse history so hard to admit? the shame should not belong to me. it was not something I did to someone else. it was done to me, so why is it still hard to say “this happened to me”?

a few co-workers and I were commiserating on insurance quality when I was asked where I get mine. I was able to admit being on disability for ptsd, but when asked what it was from, I couldn’t utter the words… I said “other stuff” (I was asked if I had served, since this is still the first thing people think of when ptsd is mentioned)… they didn’t ask for more details. I wouldn’t have been able to give any even if they had.

at the dentist the other night, I couldn’t check the box that would have disclosed my ptsd diagnosis to them… granted, the office tends to be pretty inappropriate in their banter around patients, so I have reason to hold back, but still. I doubt I would have disclosed even if I didn’t know they talked about their patients freely in front of other patients. it feels like a character flaw. it feels like something that deserves the shame it carries…

stigma, ignorance, judgement… our society oozes it. compassion and understanding are severely lacking on all fronts (see the articles about Charlie Sheen being forced to disclose his HIV+ status because a tabloid believed the public had a right to know his private medical information, or any of the stories on the plight of Syrian refugees). it feels like more and more people I used to peg as understanding are spewing their judgement at every turn… ignorance and hatred are running rampant. it makes me sad, and it fuels the fear that keeps me from admitting my own struggles to the people in my life.


doh!

I forgot my new insurance has high copays. Trying to check with the hospital whether or not they can bill me for that. If they can’t, it’s no longer an option. I can’t afford $120-$250 a week for a program (depending on the number of days and level of programming, I’d either be paying $40/day for 3-4 days of IOP or $50/day for 5 days of PHP)… I can barely scrounge even $20 at the end of the month after bills and obligations, forget what it would cost for treatment.

I had hoped the hospital program would call me back today so I could cancel early if it’s going to cost that much, but the lady didn’t return my call. She’s supposed to call tomorrow to confirm my attendance on Monday, so I will ask her then.

On a positive note, L signed the lease for the apartment earlier today. It’s more and more official. I need to start getting moving on packing and paring down our stuff…

 


they are trying to make your head explode…

**WARNING: Whiney Rant**

So, I went looking into my Medicare options, as I become eligible in May… I swear, they are trying to make your head explode with it all so they don’t ever actually have to cover you.

To keep my prefered providers (ones I feel safe and comfortable with, and ones I am not willing to change), I have to pay an additional $200 on top of what they already take out… and then I have to pay $50-75 in copays per visit. If I could afford the $500/month for private-pay therapy, I would be doing it and not wasting the additional money on extra insurance… oh, and they don’t pay much for any meds or emergencies or preventative care… and if I want vision and dental, I have to pay MORE… But it’s a “Premium” plan (meaning I get to pay them a ton of money for the privilege of paying them more money when I go see my Dr. It doesn’t give me better coverage, they just want me to believe I’m getting a better deal while giving them half of my monthly income. The deductible is 10k?! seriously?? That leaves me what, 2k for the year? Thanks).

The providers I want to keep are covered by the insurance plans from “regular” insurance with these companies, but they are not covered by the Medicare versions from the same companies… Oh, and I need referrals for all mental health treatment to make sure it’s “medically necessary” though I am on disability for mental health reasons…

If I don’t sign up for one of these plans, I get a penalty (no additional drug coverage) and still have to get Part B. If I sign up for a plan, I have to pay through the nose for services I need and theoretically should be able to access because it’s for treatment related to my disability. And despite having found someone competent that I could actually possibly see for more than 4 months, I can’t access them as a provider because Medicare doesn’t like to give you freedom of choice. When provider comfort is imperative for effective treatment, not allowing choice without huge financial burden is just irresponsible.

Can I cry now?


roller coasters

I swear I have done nothing but ride them since Friday… there’s no hope, then there’s hope, then there’s no hope, then there’s hope… I hope the hope lasts.  Not quite sure how to make it all work, but hoping.  As long as I’m still hoping (even if just in waves), then it’s not so bad.  The hopelessness comes, but so does the hope, so I’ll take the cycles.  I don’t want to find out that there’s really no hope.  I don’t want to fall head-long into depression over all this.

One thing that got me today was when I was speaking to someone at the affordable care act contact number… I was trying to figure out insurance for L and I, and whether or not I could still sign up/should sign up/need to sign up.  The lady was telling me the guidelines for assistance with the premiums and such when she says that there’s a minimum income level needed to be able to receive the assistance.  If we can’t meet that level, but still don’t qualify for Medicaid through the state, we have to pay FULL PRICE for an insurance plan (the cheapest I found was $220/person without the tax credit).  So how is this supposed to help??  If you are too poor to meet the income requirements for the assistance, but make too much to get Medicaid according to the state (which is anything between $700-$990/month, aka, a whole boat-load of people struggling with jobs at minimum wage), you’re just screwed now because you either pay $200/month in insurance, or you pay the fines the government levy on you for not having coverage (about the equivalent of the cheapest monthly plan)… screwed… Thanks.  Also, why is it that the plans all have 1) an annual deductible greater than my annual take-home pay, 2) insanely high co-pays, and 3) the “better” the plan, the more you pay for premiums, deductibles & copays?!… Once again I ask, how the he** is this helpful to anyone other than the insurance companies??  You could sign a waiver saying you can’t afford it all, but there are strict guidelines for eligibility to be able to sign said waiver.  (que hopelessness)

On a positive note (I will include 3, because 3 is a good number), we maybe, maybe have a glimmer of hope for remaining in the house.  It’s kinda a long shot, but it may happen.  We also called about help with some repairs that need to happen.  We are just waiting for a call-back from the agency (I hope they are not like most of the other agencies in this state that conveniently lose your message).  I will give them through the week, then call again in the early part of next week (assuming I have the energy and motivation).  Also, I was introduced to a new “top 10” musician tonight: Angel Haze.  I don’t listen to too much hip-hop or rap, but I do enjoy it, and this woman has some really, really powerful songs.  I really like all of the songs I’ve listened to tonight, especially her remake of Same Love, Angels & Airwaves, and her song Battle Cry (official video to this one can be really triggering for religious themes, self-injury, csa/child trafficking, etc so watch with caution if any of this is triggering to you).  I have her on in the background as I’m typing this.  Battle Cry is great, thought I could only watch the video once.  Without the video, it’s actually really inspiring and motivational… well, even with the video, but if I watched it too often, I could see myself getting lost in the triggers… anyway, yeah, I really like her and I’m really happy her music was pointed out to me.

random: I’ve been wanting to ask De for my picture back.  I think I want to fiddle with the background because it’s too busy with the effect I used… the characters get lost in the busy-ness.  I wonder if she will still have it in her office so maybe I can mess with it.  I used fixative, but I’m hoping I can somehow soften the bg… I may have to think about how that would work.  Anyone know how to make a “permanent” fixative workable again?


frustrations with the system…

It was suggested that I call the state to see if they could help a bit more with my insurance through them.  As it stands, I need to run up monthly medical bills of more than $1068 before my insurance kicks in.  This makes it nearly impossible to go to the doctor for anything unless I head to the emergency room.  Aside of being a huge inconvenience, it ends up costing the state more.  If they simply covered my doctor’s appointments at a PCP, they would not be paying over a grand when I need medical attention.  As it is, I will be heading to the ER after therapy today so I can get this vertigo figured out.  It’s interfering with my ability to drive or concentrate, which is a huge inconvenience. I can’t be upright for more than 15-20 minutes without starting to feel buzzed and dizzy.  It also happens when there’s too much activity around (heavy traffic, a lot of people moving around)  It brings about dissociation by virtue of being so disorienting.  Everything starts to spin and wobble.  I’m relying on others to drive me because I had 2 scary close-calls over the last 2 weeks.  One day I ran a red light and nearly plowed into a bunch of crossing traffic (no idea where my head was, but the light looked green to me).  The other time I backed into bushes without realizing it, as if I had been driving while drunk.  I can’t risk losing my license or worse: hurting someone… I wish I could just go to a doctor’s office, but they would charge too much for me to afford, but not enough to meet my “share of cost”…

I looked into the healthcare marketplace, but everything is prohibitively expensive per month, with outrageous co-pays and deductibles higher than I make in a year.  How is any of this helpful to someone?  I heard there was potentially “free” insurance, but it’s all via tax credit which translates to having to pay up-front, then being given a credit on my taxes.  That would be fine and dandy if I 1) had the money up front to pay all that, and 2) didn’t already have a tax exemption due to being on disability… It was a great theory, but only for the insurance companies who are now guaranteed customers because we get fined if we don’t buy it.   Thanks for looking out for the big guy.


Healthcare issues

I thought mental health services were crappy in my old state, but they were amazing compared to here. It’s really sad… and I am getting mixed messages from the insurance company. I have received a ton of paperwork from them, and they sent me some confirmations, but I don’t think I actually have any insurance… I was hoping I could log in on the internet and miraculously find my account number so I could find a therapist finally… no such luck. and it’s a holiday, so I have no hope of talking to anyone for another 4 days or so… I wish the big box store hadn’t screwed over my wife… maybe we would be in a better space right now (I know we would be…) so frustrated…