- Date posted
- 2y
My Story as a Nurse
Good morning, I’ll be honest, this feels odd because I’ve never written any of this out before. I’ve never enjoyed journaling as it was difficult for me to be unbiased in my writing. To introduce myself, I am a 23 year old Registered Nurse who just graduated college this past year. I began my first nursing job this past fall with a job I couldn’t wait to start. It was on a cardiac/intensive care unit and I was ecstatic to have been given the opportunity as a new graduate nurse. As my start date approached, my anxiety built but I knew it wasn’t anything I couldn’t handle. I had become comfortable with this feeling. As long as I can remember, my mind has forever been flooded with doubt. When I was young I was shy and always played by the rules, deeply fearing upsetting or disappointing any authority figures. My anxiety would fill me to the brim every day, and only some days would I at least be able to bury it deep enough inside to function. I remember the first time I threw up at school. It was first or second grade, and I was sitting in the front of the classroom as I tended to do. I slowly felt the nausea coming on and that’s when the thoughts would start. “YOU’RE GOING TO THROW UP”, “THE NAUSEA IS GETTING WORSE”, “EVERYONE IS GOING TO WATCH YOU GET SICK”. I felt as though my brain was chasing itself around in loops until I would inevitably believe the ideas. I knew I was going to vomit but was still so scared of upsetting the teacher I raised my hand and stayed in my seat. She eventually allowed me to go and as soon as I stood up, I threw up on the floor right next to the girl sitting next to me. I’d never felt so embarrassed, ashamed, and humiliated in my life. It would turn out, that feeling would not be unique to this one moment. I have hundreds, if not thousands, of similar stories whether they ended in mental triumph, physical defeat, or were visible to anyone else or not. This went on for years with various degrees of understanding by family, friends, doctors, and myself. This lead to shame, embarrassment, and wondering what was wrong with me. Why was I different than every other kid. When I got to middle school, I went to a psychiatrist for the first time. I never remember being told an official diagnosis, just told “anxiety” and started on a low dose SSRI. I remember feeling that my psychiatrist was nice enough, but seemed to not ask much about the thoughts going on in my head as much as the exterior symptoms and implications in life. I did feel some relief from my overall anxiety levels with the SSRI but my obsessions didn’t disappear. I assumed the other problems I still had were just my own fault. While I could go more in depth into middle and high school, it would take much too long and isn’t necessary to understand the whole story. In college I met the most incredible woman in the world on my 3rd day on campus. Never in my life had I met someone who seemed to completely understand me. She understood every feeling I’ve ever felt and every thought I’d ever had because she had felt it too to some degree. Understanding my mental obsessions of repeating certain words, counting, and intensely ruminating among others. I had never really discussed these thoughts before as nobody had asked me about them and I assumed it was related to my anxiety. But, it was the first time I ever felt completely accepted, understood, and in company with someone who thought like me. After graduating college, we moved in together while she started her next tier of education and I began my job. When I started on my floor, the anxiety was intense but I still felt like if I really pushed myself, I would be able to get through it. Every day would begin with my alarm going off, heart pounding, and short of breath. That’s when the ruminating starts. Multiple streams of thoughts from each dark corner of my brain, coming together to create one chaotic tortuous mind. “WHAT IF YOU MESS UP AND KILL SOMEONE”, “EVERYONE ON THE FLOOR PROBABLY HATES YOU”, “YOU ARE SUCH A TERRIBLE NURSE”. This is also accompanied by the comically mundane thoughts such as 3 words from a Bob Dylan song repeating incessantly for nearly 2 weeks, sounding just as loud. This began to become debilitating. Every single action I performed was intensely scrutinized by myself to the point of impairing me in the things I truly need to be thinking about. For example: Administering an IV Antibiotic - Step 1: Remove sterile cap from vial Step 2: Attach vial to ordered fluid bag Step 3: Mix/spike bag/prime tubing Step 4: Clean IV access with isopropyl alcohol for 30 seconds and allow to thoroughly dry. Step 5: Attach tubing/program pump Step 6: Ruminate whether you cleaned the IV access Step 7: Worry you accidentally introduced bacteria into the access point because you didn’t clean well enough. Step 8: Go back into the room 10 minutes later to check you actually set the pump correctly. Step 9: Convince yourself that potential adverse health outcomes are your fault. Step 10: Don’t Sleep This is just one example of an action when it happens with hundreds of things I do during a shift. These thoughts became so intense that they would never cease during wake or slumber. My nightmares involved making mistakes at work, and I would fall asleep and wake up to the same rumination about decisions I have made in the past, mainly relating to work. I eventually got to my breaking point when my obsessive thoughts turned to self harm. “KILL YOURSELF” would just repeat over and over again in my head like a broken record. I had never had suicidal thoughts before and started to become scared of myself. I planned to quit my job but my manager encouraged me to take medical leave instead which is what I chose to do. After finally navigating the healthcare system myself as a patient instead of a nurse, I was recommended to a neuropsychologist. Following neuropsychological testing, my diagnosis of OCD was clear to my provider and to myself after further introspection. While my outlook on my treatment is more positive than ever, I am not sure what the next step will be for me. My medical leave extends through the end of this month if I choose not to extend it, and I am beginning ERP next week along with the updated SSRI prescription I am currently on. I know I don’t want to go back to the cardiac/intensive care floor I was on previously but I worked so hard for my nursing degree and want to make sure I put it to use. I have no experience with ERP and no idea of a timeline and still feel overwhelmed at this point. Alongside dealing with family relationship issues at the same time, sometimes it feels too difficult to conquer. That’s pretty much where I’m at now. Thank you if you read this far, I appreciate the space to vent. Recognizing who I am and who I am not, the experiences I’ve gone through and how they molded me, and accepting myself is the biggest thing I am trying to do now. Thank you for listening and I wish you all the best on your own individual journeys as well. ❤️ -Aidan