Now I guess I'm about to become one of those people who is dependent on the system. I don't like becoming needy but I want to keep living in my own home. This takes bucks, though, and I will have to have additional medical and emotional help!
Right now, I feel like a failure. I have an appointment with a case manager next week, but how do I start with an attitude like mine?
Although it is difficult for you to see yourself as someone who may need assistance at this time, I would not look at this as "forever" or even necessarily for the long term. Right now, you need additional help that will hopefully enable you to continue to function as independently as possible. That's probably the best way to look at this: realize that your need may be short term and that a return to a life of total independence will be very possible in the near future. Nothing is set in stone when it comes to your physical and mental health and your own personal motivation for independence.
Now let's take a closer look at the thought processes that may be creating your negative feelings about receiving assistance. This may help you to realize you have choices and hopefully this may give you more of a sense of power and control over your current situation.
Attempt to let go of the thoughts that weigh you down and affect your physical and emotional health. You can choose to turn around those negative thoughts by realizing that you are not failing but rather redirecting yourself towards positive influences such as the medical and emotional services that you need. If in any way you can learn from this situation by placing a positive spin on it, you will increase your chances of being happier and healthier. Ask yourself, "what can I learn from this event?" -- then move on to better times.
It may help if you explore and challenge the negative assumptions of your general outlook in individual or group psychotherapy sessions. I would discuss this with your case manager, who may be a good resource for connecting you to a therapist. Cost and commitment to the therapist and long or short-term interventions should also be discussed. I believe therapy should be goal-directed and reasonable in cost and time. You should also have choices in what therapist or group you finally select; don't feel pressured to go with only one choice. Therapy is a joint process, so please request information on the therapist's educational and clinical background -- your emotional health should be enhanced by therapy and not damaged! So take care and work with your case manager on this process.
Always also attempt to keep your appointments with your case manager. If you are going to be late or can't make the appointment, please call as your case manager has many other clients. Your "no show" is disruptive and inconsiderate not only to your case manager but also to his/her other clients. As your case manager sets up additional appointments for you, attempt to keep those also.
If you have any hesitation about any medical or emotional health appointments, discuss your concerns directly with your case manager before the appointment. Always clarify with your case manager what your medical and emotional needs are, so you can feel confident that all your appointments are needed and useful. The bottom line is that your case manager is there to connect you with the services that you need. In order for your case manager to do his or her job, you must be direct and honest in what your medical and emotional needs are.
Research continues to point this out time and time again that if you keep your sense of humor, you will do much better both physically and emotionally. If you know you are going to be standing in a line or sitting in a waiting room come prepared! Bring humor with you in the form of a book, an audiotape or a journal full of jokes. If you meet with your case manager in a good, positive mood, chances are it will be more productive and a pleasure for the both of you. Remember your case manager may have as many as fifty more clients to see and could use a good laugh!
In conclusion one way to look at the services you maybe receiving is that these services will enable you to get back on your feet and remain in your home. Hopefully, with time, you can pay back society by your own personal productivity and contributions. If you have in the past judged others' behaviors due to their use of public assistance -- let go of that. You have your own goals now and your physical and mental health concerns should be number one! Good Luck!
|Benefits to Discuss With Your Case Manager|
|"Psychologically Speaking" columnist J. Buzz von Ornsteiner, Ph.D. is a New York State-licensed psychologist working as a psychotherapist, educator, and behavioral consultant.|
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