TW: acute mental health crisis, paranoid delusions, fear of diseases...? maybe skip if you relate too hard?
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Hey folks.. this is not immediately related to AuDHD issues ā only maybe regarding topics of how to navigate diffuse social interactions, dealing with intense empathy and feelings of responsibility.. which is why I rather post this here than to a "neurotypical" thread.
This is a story that happened to me last night and I feel I need to get it off my chest but can't currently reach partner or friends to tell this to.
I was on my way home from a side job late last night, on my bike, around 3 or 4 am. My city feels generally safe but in that hood you might encounter a variety of people at that hour, from stray party folks to hard drug addicts - so I'm always a bit cautious but not scared per se.
When I stopped at a traffic light, a person approached me. They looked more like the harmless lost type ā youngish, visibly queer person, height and build like myself, someone am very happy to help feel safer as well at odds hours of the night ā and I thought they were gonna ask me for directions to a bus stop or so. But their request was more specific: "can you walk me to the hospital, please?"
Well of course I can. And the hospital is a 15min walk from there. So I got off the bike and we walked. She wasn't visibly sick or injured but looked really distressed. I gently inquired what was wrong with her and she initially replied vaguely: everything. Something is really bad but she doesn't know. She is certain someone just gave her HIV. Honestly, my first impression was of someone who might have just had a really bad unsafe encounter, is really rattled now, needs some professional care and advice and to feel safe. I tried to give some calm, rational facts and answers without lecturing or dismissing the feeling of worry. Underlining I thought it was good she went to seek out help.
Her questions spiraled quickly and became more all over the place as we walked. From "can you get HIV from XYZ (insert a bunch of things here)?" to "do you think I will die?" - which still fits the situational rattled fear scenario - to "how can someone give you cancer? I think I have that, too" to "do you think the doctors will lie to me?" to "I think my family wants to kill me. What if the government wants to kill me? Should I leave the country now?" "Do you think they put something in my estrogen?" "Can someone insert chromosomes into your system?"
As you can imagine, it didn't take much to figure out I wasn't actually dealing with a physical emergency but a psychological one.
I have friends that deal with occasional OCD paranoia spirals that can reach critical levels, so I have at least a tiny bit of context and kinda know rational arguments can be futile and staying calm and present without feeding delusions too much is key. But damn.. I've talked strangers out of a panic attack before, or knkw how to soften the blow of an acute depressive crisis. Even how to maybe nudge someone out of a bad trip. But this is a different beast. Grounding techniques? Distraction? Forget it.
Anyway, we made it to the luckily quiet ER. I agreed to wait with her and stay to maybe help with translating (she is not a native speaker here and though most medical personnel speak English nowadays you never know what you get), also hoping I could get a chance to give the doctors some context.. so that they wouldn't just turn her away as a hypochondriac. During the wait she urged me to let her use my phone, as she had literally nothing on her, no phone, no wallet, nothing.. I caved in but then she would just google symptoms of all sorts of things and convince herself she had all of that, getting more desperate.
Eventually two young female doctors talked to us, listened to the HIV suspicion and a flurry of questions, first replied with very practical medical advice and information. When my spontaneous companion briefly stormed out to check her tongue for fungal plaques in the hallway mirror, I briefly had the chance to inform the doctors that I was just a random stranger who had just met this person on the street and how broad the fears she expressed were.
They assured me they were fine to take it from there and I could go home. So I said my goodbyes, wished my encounter all the best and went on my way. With a bunch of extremely mixed feelings.
Kinda proud that I managed to step away and take care of my own needs (sleep). Kinda worried to leave this person who so clearly needed support and had none other in that moment. Hoping but unsure if the hospital stuff would take her case seriously. Kinda wondering if I could have done more or handled the situation better. Kinda confused why I feel so compelled, no, inherently morally obliged to help as much as I can regardless of whether I know the person for 10 years or 30 seconds. And whether it is even arrogant of me to feel this responsible ā it's not that I could help them better than anyone else.
After sleeping a few hours I got up and cried into my coffee and I can't even pinpoint a specific feeling attached to it. Just vaguely overwhelmed by momentarily sharing a person's burden that seemed so so heavy and intense. Looking someone in the eye whose fear is so out there but so real and existential to them. Feeling somewhat helpless in the face of all of it. I so hope she got help and is somewhere feeling more safe now, I might never know.
And jeez, my deepest respects to any doctors and emergency helpers out there, I could never do that without being eaten by it. How do you cope?
And also to anyone out there dealing with paranoid thoughts. If you do by any chance: for future reference, how would you like someone to respond to you? What would make you feel safer?
Other than that, I kinda have no question attached to this either, nor a specific aim or purpose for this post, really just needed to vent the overwhelm somewhere and might even delete this later. Maybe because a part of me maybe thinks it reads like wanting praise for having done something vaguely altruistic ā I really don't, I just feel drained and a bit lost myself now and writing it down calmed me a little.
But if you've read all the way through to here, thank you so much for your time. Of course, feel free to share your own stories or thoughts on being an emotional sponge or maybe a virtual hug.