Thursday, August 03, 2006

No Way Out but In

So things are bad at home for him. Things are bad at work. He has no refuge - work has been his everything for so long and he has sacrificed all other interests at its altar.

Of course, his depression is worsening - whose wouldnt? His doc decides to change his meds. He begins the switch by being taken off his major med without a backup.



He disintegrates. He loses all confidence. He cant concentrate or think for any length of time. He is marching in place and continually rubbing his face. Continually moving. Every word out of his mouth is about work and how bad it is. Every word. I mean EVERY WORD. He cant do any of his assignments. His anxiety grows by leaps and bounds. He is consumed with it.

I try to help him. I listen. Then I dont. I try doing his work for him at home or walking him through it. This man is about to be fired.

Finally, I realize he needs intense mental help. I look up mental illness programs for him. In-hospital and outside hospital. I consult with some docs. (Never thought of this until now, but I should have called his main doc.) I convince him to do this tho he is afraid of the stigma - tho I am sure people all around him know he is mentally shot.

He goes on six-weeks leave of absence at work for mental illness and enters a day program at a nearby hospital. He immediately calms down - as soon as he doesnt have to work he starts to get better. He complains about the program and how useless it is. I cannot say either way since he always claims everything is useless. Still does.

The six weeks fly by and he seems much better. He is seeing a therapist who does cognitive behavioral therapy with him. He returns to work.