DBT Skills for Romantic Relationships

For a very long time I thought I wouldn't ever be able to be part of a healthy romantic relationship. It's often seen a huge trigger for those of us with an emotional vulnerability, and it very often can be. But I soon learnt that having a mental illness does not have to be a reason to avoid being in a relationship. A mental illness may cause more stress and require more work, but having a successful relationship is not impossible. There are few things I had to really work on so my current relationship (of over a year!) could work.

Before I could be in a relationship and worry about another person, I had to prioritize my own health. My current boyfriend actually asked me out a year before we officially started dating, but I was still in DBT and quite unwell. So I decided to wait until I was finished formal therapy and had learnt the DBT skills to help me manage my emotions before I agreed to be in a relationship with him. Luckily he was still around when I finally was in the right place. I'm only going to mention a few DBT skills here to demonstrate how I manage my emotions in relation to how we make things work in our relationship, but there are lots and lots more!

Number 1. PLEASE

Staying on top of any medication I've been prescribed and taking care of my physical health -- exercising, eating well and avoiding alcohol or drugs, is the best thing I can do to regulate my emotions; and therefore the best thing I can do for our relationship. Avoiding alcohol has been a great way of staying present in stressful situations like nights out or large gatherings, where I have had emotional outbursts in the past due to feeling out of control, leading to arguments and behaviours I am not proud of.

Sleep is a difficult one as it can be difficult to get quality sleep for me at the best of times and when he stays over it's even more challenging. I only have a small bed so we inevitably end up elbowing each other in face! If we were to move in with each other, a big bed would be a must!

Number 2. NON JUDGEMENTALLY

Staying non judgemental is *sooooo* important to keeping our relationship healthy. Being non judgemental helps to get my point across in an effective manner without adding a judgement that my partner might disagree with. When I practice this skill, I can look at the weaknesses of others with compassion, not accusation which allows me to respond to them effectively and not lash out in an emotional way.

Believe me, there are plenty of times I am still judgemental. It's a constant effort. We all live with preconceived notions of what's right and wrong, and the minute someone or something doesn't fit our bill of perfection we become judgemental and that affects the way we say things and the things we do.

I practice non-judgementally by OBSERVING my thought patterns. Like all of DBT, this skill requires a few others to make it really work. This might seem hard to do at first, but once you get used to catching your thoughts in ‘judgemental mode’ you can then start to stop them.

I try to develop an understanding of my partner by thinking about why he acts, talks, dresses or just is a certain way. I put myself in his shoes and wonder why his behaviour has emerged. If I want further understanding, I strike a polite (I emphasize polite) conversation using the skills GIVE or DEARMAN.

Once an understanding has been created in my mind of my partners action, acceptance of him just as he is becomes easier. I can accept that this is the way he will react, cause its the way he is made up. There will most certainly always be things we don't agree with, but that doesn't mean I cant accept his presence in the world. When you accept, frustration that leads to judgement takes an automatic back-seat.

On a final note, relationships are hard! They are difficult whether you have an emotional vulnerability or not and require lots of hard work to make them last, and there are so many more things that we need to work on in our relationship, but I have to say that, it's so worth it and really contributes to my life worth living!

Increasing Positive Experiences

Things are most certainly looking up. Whether it's due to some shift in the universe where by it's finally my turn for which nice things are to happen to me, or whether it's down to the increased motivation this recent elevation in mood has brought and therefore a self stimulation of sort of pleasant experiences. Either way, its quite lovely having the positive emotions to balance out not so lovely ones on the 'feelings' scales. I guess the more aware you are of the nice things in your life then the more positivity you attract. Also, on the other hand, I have too experienced the flip side of this with avoidance and negativity. As much as a depression can be a downward spiral into despair and hopelessness, I feel being aware of more positive feelings and emotions breeds more happiness in my life and thoughts.

I got a really big phone bill last month, and needed to try find a way to pay it off. So I signed up to a child-minding/nanny agency in the hopes of finding a small job. Although I still haven't found a job which will pay off the bill...... I WAS offered a six week Au Pair position in the south of Spain for this coming summer!

I am so excited and happy with the job. The family seem to be really nice and, as far as one can tell from a wee, short skype call, I think I can safely say I will settle into the family unit well. I lived in Spain as a child, and can speak Spanish quite well, although it is a bit rusty! I am familiar with the culture and the way of life too from living there. So I really feel I will get on well .

Next thing is a bit abstract, I'm pretty sure it may just be a 'borderline' thing. For the last three and a bit years, ever since I was first admitted to inpatient actually and experienced that intense fuzzy feeling of 'being cared for', and having my family be worried about me, telling me they love me, dropping everything in a heartbeat to be by my side... the feeling of people caring if I lived or died, has consumed me. I kept trying to chase that feeling again, but, like a class 'A' drug, it has been harder and harder to find the same initial hit . Like a classic addict, I would do anything to get the attention I wanted, saying I was sicker than I was, that I was doing worse than I may have been. I didn't comply to treatment plans, I lied to my team..... Then I actually DID get sicker, but by then I had exhausted my family's ability to care for me. 

I guess what I am getting at is that although the urge to want to be cared for is still there, I feel like I don't need to chase the feeling with so much fervour at the moment. It's incredibly liberating to be freed from the shackles of relying on others for the validation that... I matter... that I am worth something. I sort of feel that I am just fine on my own right now and it's really nice. Every so often I catch myself thinking up ways to end my life, but rather than spending hours planning it to the minute detail, like I have done many times before, I can come up with a list of reasons not to go through with it. I push the thoughts aside and simply get on with life. I see the destructive thoughts like a side effect of my emotional sensitivity, a residue that might always be there, but doesn't have to be the main focus.

Self-validation is wonderful. It's allowed me to feel like I am worth it. like the ad says! I went and got my hair done today, not because I needed to, but just because I wanted to. I bought a lovely pair of shoes, and I spent a few hours at a coffee shop, relaxing and being kind to myself. I am eating better and not mindlessly binging (as much), I have had a few incidents where I have over eaten, but I made a conscience decision to and didn't have any urge to get rid of it after.

This all comes under the EMOTION REGULATION skill of BUILDING POSITIVE EMOTIONS. I should actually pull out the list of 176 pleasurable activities and have a gander at it.

Hope you are keeping well dear friends.

Stay mindful. xxx

A difficult conversation

There is a difficult conversation I have needed to have with my Step-Mother for the last three and a half years. It relates to her backwards notion of mental illness and childcare.

When my Step-mother was pregnant with my baby brother (who is now 3 and a half years old) she said that I would not be allowed to be left alone with him or look after him. I was inpatient in hospital at the time after two attempted suicides. It upset me that, because of a mental illness, she saw me unfit to take care of my little brother, especially as I love children, have worked in a crèche and have been police vetted on numerous occasions for my Occupational Therapy and Applied Psychology courses. Even though she hurt me with her comments, I tried to understand where she was coming from. She was pregnant and full of hormones, It was a very long pregnancy in the making as my father and her had been trying for over ten years to have a baby. My suicide attempt came seemingly out of nowhere. I became very unwell, very quickly and she had no experience of mental illness before. I believe it was her ignorance that made her say nasty things about my mental health issues.When we don't understand things we make rude and presumptuous comments maybe unwittingly. 

I figured that , if I showed them how much I love my little brother and that I could be responsible in other areas of my life, such as living independently, paying my bills on time and child-minding for others, then I would gain back their trust and eventually be allowed to mind my brother. But, unfortunately that has not been the case. Still to this day I have not spent a moment of time with my brother without the constant presence of another person. I feel this is damaging our relationship. There is so much I wish I could do with him that I can't, because of the restrictions she has put on me.

This issue has been a major source of pain and suffering for me over the past few years. Yet I have never felt strong enough to bring it up with my step-Mother. I realize now, that there may never be a time where I feel comfortable to have that conversation with her, it's never going to easy for me, but it is important to me, so it may be something I am just going to have to do if I want to continue contributing to a life worth living. 

I guess the reason it has upset me so much is because I KNOW how great I am with children. I would never put a child in harms way. If I felt unable to look after a child, I would be the first one to say so.  I have spent more time than most people of the general population learning what triggers a bout of emotional vulnerability for me. I have a great amount of supports and tools available to me to help me cope with stressful situations and I am mindful that I do not become overwhelmed rather than just motoring on through.

Mental illness does not make me unemployable, otherwise, a much larger population of the world would be unemployed. Mental illness does not make me stupid either. Typically, those who are symptomatic or chronic to the point where they are unable to care for children, generally understand the fact and don't tend to enter the field. Mental illness is everywhere, whether you know or see it or not. Its there. People of all responsibilities, jobs, Etc. live with, cope with and manage to live healthy productive lives. 

I wonder if many parents would/wouldn't leave their child in the care of someone with a known psychiatric disability or disorder. There are lots of different types of childcare out there, and obviously stay at home parents, but it's hard to imagine that within the numerous kinds of day care, kindergarten, nursery staff and nannies, there isn't a single one with some form of mental health history or current problem. Should every parent be informed if a crèche worker or support staff member has clinical, medical or just Time of the Month issues?

What are your thoughts on this issue?

Healthy Weight Loss After an Eating Disorder - Week Two

I was dreading today. I mean what a bloody embarrassment it would have been if I didn't lose anything in my first week, the seemingly easiest week to lose weight according to the literature. It was small but at least it was a loss! Yippee! 

I had a wobbly week regarding sticking to the programme. I had two major slip ups where I binged. The first was after a night out last Saturday, the second, I'll get to.... I had a fair few tipples on Saturday and soon lost track of how many points I had consumed, actually I stopped even caring about my weight loss plan. I have the best boyfriend ever, as he picked me up from town in the wee hours and 'saved' me from that late night chipper. but as soon as I got home, I actually remember thinking 'Feck it' I'll be good tomorrow, which is saying something... because I remember very little else.

I stumbled into the house and into the kitchen and all of a sudden I was ravenous! I tore open the fridge and turned my nose up at the glossy green apples and colourful selection of veggies I had stocked it with earlier that day. No way was that going to satisfy the roaring hungry lion in my tummy. Within minutes I had the laptop out and I had ordered a pizza from Domino's. Damn the convenience of late night delivery!!!

Despite that set back, I picked up the broken pieces of my programme and tried to glue them back together. I got back to tracking and working out my points, home cooked hearthy, filling and healthy beef meatballs (needed the iron) packed full of zero point veggies and a small portion of wholegrain pasta. Total of 12 points for great sized yummy dinner, and there was enough left over to freeze a portion too.

Great, I am feeling wonderful and it's now bank holiday Monday.... I go to a spinning class and get my weekly dose of torture.. those seats are so painful! Then me and my better half went to my family home where my Mum cooked a beautiful roast chicken and ham dinner with all the works! yum! Points were through the roof... but kept within my 31 daily points and snacked on zero point food for the rest of the day.

I re-started the mindfulness class on Tuesday and have sort of mixed feelings about it. I came home and binged again on pizza after, and it took me a few days to reflect upon why it happened. It was differently emotional eating in response to the new group.

It's very different to the Mindfulness-Based Stressed Reduction group I did last year. It's easier to fit in and actually do the practises as the tracks are only 8 - 15 mins long! No more 45 mins mega sessions. Yay! This course is based on Mindfulness-Based Cognitive Therapy (MBCT).  MBCT has been clinically proven to be at least as effective as drugs for depression and it is recommended by the UK's National Institute of Clinical Excellence - in other words, it works. More importantly it also works for people who are not depressed but who are struggling to keep up with the constant demands of the modern world. This programme focuses on promoting joy and peace rather than banishing unhappiness. It's precisely focused to help ordinary people boost their happiness and confidence levels whilst also reducing anxiety, stress and irritability. All sounds good so far.

This new style of mindfulness suits me to the ground as I am an expert in postponing my practice and in finding reasons why it doesn't matter if I don't practice each day. In addition, sometimes I am afraid to meditate. I'm scared of what I might feel if I am are not busy distracting myself. I'm fearful of being bored or of feeling intense emotions. Looking back to when I first started mindfulness I remember not being ready yet to experience the intense fear or memories of abuse by myself, alone in my own head. I feared that if I meditated, or let go of my usual strategies of numbing or being mindless, I would feel overwhelmed by the intensity of those memories or emotions.

I remember having "an epiphany", I was just so unused to being in the present moment that that was what was making me anxious. This isn't uncommon seemingly - especially for people with anxiety disorders, who frequently live in the future rather than the present. I was not used to looking at what's happening in this moment, never mind trying to bring acceptance to it! So I came home and ate, ate, ate to numb all those emotions that I being trying so hard to escape from.

What I learnt back then and consequently forgot in the last few months is that often what we find in the present is scary, and that's one reason we've been living in the past or the future. In reflection, I learnt or should I say I re-learnt a very valuable lesson this week: negative emotions are shit, really shit, but running away from them just makes you eat more pizza, put on weight and make said emotions even worse.

Anyway here's a shiny new graph charting my loss this week.

Stay mindful friends

Great Expectations

Blogging for Well-being - Advent Blog - 2nd December

Christmas is a special time of the year for us all. It's especially a time for family gatherings and while it may be wonderful to get together and mark the passing of another year there can be many stresses about it too.

Christmas is also a time for remembering and while for many their memories of past Christmas' are filled with joy for others these memories may not be as happy. If this is the case for you it may influence how you approach planning for Christmas

We human beings are always "expecting." In other words, we are always having expectations. Lots of expectations. Some we are consciously aware of. Many others, we are not.

Expectations are always there, however, in the background of our daily experiences. Whether we are attuned to them or whether we are oblivious to them--which too often is the case--our expectations come into play in a multitude of subtle ways.

Why focus on expectations? The main reason is that expectations are a common source of stress in our lives. They frequently create all sorts of mischief, including emotional distress, relationship conflicts, communication breakdowns, misunderstandings, distrust, and a wide range of other common problems.

Expectations produce stress in two main ways. One is that they are frequently untrue or unrealistic. The other is that most of the time, we are completely unaware of them. Individual expectations are not very complicated. They often consist of simple ideas such as "life should be fair," "people should be honest," etc. It's the fact they are hidden from our view that gives them so much power over us.

Many of my emotionally dysregulated periods have been because I have expected something that may have been unrealistic, and when people or situations don’t live up to my expectations coupled with a less than mindful approach, I become very disappointed and upset, causing my emotions to fluctuate and spiral out of control.

When we consciously or unconsciously harbor expectations that are much too high, we set ourselves up for failure. As a result, we end up feeling frustrated, angry, and personally demoralized.

Once you become aware of an untrue or unrealistic expectation; YOU gain the power to free yourself from it.

It's really just that simple. But "simple" doesn't always mean "easy"--unless, that is, you have the expectation that it does! It's one thing to become aware of your unconscious expectations. It's quite another to know which ones are realistic and which ones aren't. This takes wisdom, yet most people have far more wisdom than they usually give themselves credit for.

Social and personal expectations are a major source of holiday stress. The holiday season is not a happy time for everyone. Yet we all tend to feel compelled to look and feel merry during this time.

The mass media and happy Hollywood movies fuel these expectations. If you are single, alone, or recently divorced or separated, the social pressures at this time of year can be quite stressful. Similarly, we all have expectations of how our friends and family members should behave during the holidays. When these expectations are not met, stress and interpersonal conflicts can easily arise.

All families experience tension to some degree. But there is a DBT skill that may help you; I know last year it really aided me. COPE AHEAD. Part of the reason why Christmas time can be so stressful is the unrealistic expectation of coming together as a happy family on this one day of the year. Suggestions for coping ahead with Christmas include:

1. Keep realistic expectations. If your relatives tend to fight throughout the year, they will most likely fight on Christmas Day as well. 
2. Appreciate that everyone is under stress to a certain degree. For example, one relative may have worked overtime to get everything done before their office closed for Christmas, and may be feeling exhausted and harried. Another may be anxious because they overspent on their credit cards. Be as understanding as you can of people's situations. 
3. Consider breaking up the celebrations to keep 'warring factions' apart. For example, you could see one group of relations on Christmas Eve and another on Christmas Day. 
4. Family members involved in after-lunch activities (such as a walk by the sea) are less likely to get into arguments. Plan for something to do as a group after lunch if necessary. 
5. Use relaxation techniques, distraction and group activities to help steer around stressful situations. 
6. Avoid overindulging in alcohol – the reduced inhibitions could contribute to (or cause) an unnecessary argument. 

Be MINDFUL of your emotions and feelings today and over the next few weeks, and don’t let your expectations rule your enjoyment of what can be a very happy time of year. It's all part of creating a LIFE WORTH LIVING.

OBSERVING the Christmas Challenge

Blogging for wellness - Advent Calender - Christmas Countdown - December 1st

A dear friend Tracey Weldon came up with this blogging idea, where for every day of advent, I will post about ways to manage and enjoy Christmas without letting an emotional vulnerability cause a crisis or unnecessary suffering.

This way of blogging is a little bit different from my normal manner of expressing myself. But I need to challenge myself into action. I am setting challenges in my recovery and in my hobbies and now, this here is another fun challenge to help ease the stressful anticipation of Christmas.

I have had a few years of having to learn to manage coping with the Christmas run-up, the actual event and the after mass. It's like walking on a tight rope full of obtsicules such as family gatherings, trigger foods, flash backs, over-stimulation, financial worries.....Yet the view from up there while you are balanced on the rope is wonderful. Yes its hard, and really challenging, but the key is to just keep putting one foot in front of the other. Stay focused on the moment your are in right now. It a balancing act of vulnerabilities and happy times.

The dialectic here is that yes Christmas can be hard, but at the same time it can be a really nice time. When you allow yourself to feel and process the distress that Christmas may evoke, you make room for POSITIVE EXPERIENCES and new happy memories to be created. 

The MINDFULNESS skill OBSERVE is really vital here. You can't just by-pass the negative emotions, you need to feel them, and deal with them. Trust me, I have spent so much time running away from my emotions, wishing so hard that they would just go away entirely,  but that is not reality. 

Check in with yourself regularly over the next 24 days, be kind and compassionate to how hard this time of year can be for everyone, not just those with an emotional vulnerability. Just don't forget that the holidays can also be full of beautiful moments, look out for those too. Its all part of creating a LIFE WORTH LIVING.

Battling With Self Hatred

It is far from easy to change my time-honored abhorrence to myself. When asked to choose three words to describe myself it would always have been a hateful expression of self disclosure. Mistake, awkward and failure would be ones that would instantly spring to mind.. Self-negativity just comes more natural to me than self-kindness. I can’t tell you an exact time when my thinking began to deviate towards such a spiteful disgust for all that is me, but I can honestly say I don’t have childhood memories where I ever looked at myself with compassion or kindness or self validation. 

So, now that it comes to using the DBT skill of SELF SOOTHE and ACCUMULATE POSITIVE EXPERIENCES I shudder at the thought of doing something for me, only for me. The only way I can describe it is; it’s like trying to be kind and professional to a really nasty customer in a shop. All you want to do is clobber them. You are forced to be nice to them through gritted teeth because you are obliged to, and because the security cameras would capture your every move! 

That is how I feel today. It’s been a rough few weeks since finished the skills group. I feel so despondent and isolated from the only thing that gave me some sort of a life. My mood has been near to the ground and I have been clinging on to every resource and skill base I can access to keep my emotional boat afloat. 

I strained myself to do something nice for myself today. I went and got a massage. I did enjoy it, but found my automatic negative thoughts overtaking any pleasure that was coming through my senses. I was so worried about taking my clothes off, as I have put on a considerable amount of weight since stopping the disordered eating behaviours. For so long I punished my body physically with food and exercise, I ravaged my muscles and bones and skin. So today, when the therapist’s warm hands glided over my body and caressed each part so tenderly, it felt unnatural and wrong. The juxtaposition created by the comforting touch and the undeserving thoughts was too much to contend with. I found it hard to settle into the hour and really relax. Instead my mind was racing with spiteful digs of unworthiness and unpleasant sensations of guilt. 

I guess I can say I was at least WILLING to use DBT skills today, but this one created a worrisome chain of thoughts which I did not intend.

Is life about seeking happiness or embracing life's inevitable challenges?

Without a doubt, my life has procured an innumerable amount happy times. Times filled with smiles and giggles and the excited squeals of childhood birthday parties.  Times filled with warmth and nurture and the encouragement of educators and mentors. Times I lock away as if  precious jewels, in my vault of memory, so as never to lose them. Yet it is often very hard to find the key to this vault, and to the positive times I describe, when your mind is polluted by a haze of mental illness.

I earnestly try to recreate these happy times each and every day, only to become compounded with distress as my life fails to reproduce them, fails to provide the embrace of contentment they produce, leaving in their place an empty, hopeless void of distress.

Have I got it all wrong though? Am I chasing the wrong thing? Am I casting shadows on my immense intrinsic power by seeking to recreate happy times?

Tonight I am lying in my bed eating frozen blueberries to tolerate the distress I am experiencing. Savoring the bitter coldness in an attempt to survive the moment. I am not enjoying the warmth of those happier times. I am frozen in the chill of distress. I can't see where my life is leading or fathom as to why I should keep trying.  Something is not right about my pursuit of happiness, and I think I am beginning to understand why.

Implicit in the phrase of 'overcoming an adversity' such as mental illness is; that success or happiness is about emerging on the other side of a challenging experience unscathed, unmarked by the experience. As if successes in life have come about because of an ability to side step, or circumnavigate presumed pitfalls of a life with mental illness.

But I am marked, I am changed, of course, by a challenge. I am starting to think that adversity needn't be an obstacle I need to get over in order to resume living a happy life. It's part of our life, part of who I am as a holistic being. I tend to think of it as a shadow, sometimes I see a lot of it, sometimes there is very little, but it is always with us. 

Now, in no way am I trying to diminish the impact, the weight of a persons struggle. What I am trying to say is that there is always going to be adversity and challenge in life. Its very real and relative to every single person. The question is not whether you are going to meet adversity, but HOW you are going to meet it. 

So the responsibility is not simply to be shielded from the adversities and challenges we face, but to prepare us to meet it well. We do a disservice to each other when we make others feel like they are not equipped to adapt. There is an important difference and distinction between the objective medical fact of psychiatry and the subjective societal opinion of whether or not we are are mentally unwell. But in reality the only real and consistent adversity I face is the world ever thinking that I can be described as disabled or unable to contribute to society.

In our desire to protect those we care about by giving them the cold hard truth about their medical prognosis, or indeed the prognosis of the excepted quality of their life, we have to make sure we don't put the first brick in a wall that will actually disable someone. Perhaps the existing model of 'what is wrong with you and how do we fix it!' serves to be more disabling to the individual than the pathology itself. By not treating the wholeness of a person, by not acknowledging their potency, we are creating another 'illness' on top whatever natural struggle they might have. We are affectingly grading someones worth to our community. We need to see through the pathology and into the range of human capability. And most importantly, there is a partnership between those perceived deficiencies and the great human creative ability. 

So its not about devaluing or negating these trying times we want to avoid or sweep under the carpet, but instead to find those opportunities wrapped in the adversity. The idea I want to put out there is not so much overcoming adversity as it is opening ourselfs up to it, embracing it, grappling with it as Katie Taylor would do in the boxing ring, maybe even dancing with it. And perhaps if we see adversity as natural, consistent and useful, we are less burdened by the presence of it. 

In my own experience, adversity is simply change, to which I have not yet adapted, and the greatest adversity we have created for ourselfs is the idea of normalcy. I mean, who here believes them self to be normal? There is no normal. There is 'common' and typical, there is no normal.would you want to meet that poor beige person if they existed? I dont think so.

If we can change this para-dime of achieving normalcy, to one of possibility or potency, we can release the power of so many people and invite them to engage their rare and valuable assists with the community.   

Apparent Competence Vs Unrelenting Crisis

 So much has been going on over the last few weeks. I have been earnestly applying for internship posts, which finally paid off as I got the precious news that I have been accepted to a great service here in Dublin. 

I am still riding the wave of progress and have realized that if I allow myself to just go with the crashing, foaming tides of negative emotions that sooner or later the tempestuous waters become calm and bearable again.

Anxiety is my constant companion once again, making simple everyday tasks extremely difficult. I was startled by the stunning resident robin in my garden yesterday. He sings a morning tune to me most days yet as he fluttered up to graze on the crumbs I left for him on the window sill, I saw a black ghostly shadow then screamed aloud and scared my poor feathered friend away. Then on the bus into town this morning I felt the all too familiar experience of an oncoming panic attack. I froze. I couldn’t move from the spot I was invisibly glued to, which would have been fine if it were towards the back of the bus, out of the way, but no, I froze right in the entrance passage way staring ahead like I was witnessing a murder! Grumbles and rants from tarde commuters finally brought me to my senses and I ran off the bus and into the quite street around the corner. I burst out crying, snots and all, at the realization that my emotions are starting to control me again rather than me controlling them.

But being the borderline that I am…. my apparent competence shines through whist the unrelenting crisis’s fester away under the surface threatening to assault my passive attempt at creating a life worth living. 

You see, when I find myself amidst of fog of fear, it tends to stay with me for much longer than would be expected in those without an emotional vulnerability, making the next onslaught even more unbearable. Slow return to emotional baseline is the problematic cornerstone for me. Typically, a crisis will occur before I get a chance to return to my emotional baseline, which results in me staying very highly aroused emotionally on a continuous basis.

My therapist and I developed a plan to tackle the anxiety ambushes. I am to do a CBT thought record each time I notice a negative automatic thought. I must fight back with evidence which does not support the thought yet still validate where the fear might be coming from too. Then I create a balanced thought taking all evidence into account. This is proving to be a fantastic way to battle the thoughts.

Next I must reduce my tension through visualization and become more mindful of my body and cultivating compassion for myself. This is done with formal mindfulness meditation. I am loving John Kabit Zinn at the moment. His voice is so soothing and comforting.

Finally if I am to live the life I want to live, I must tackle the behavioral outcome of my anxiety. This involves the graded exposure I so dearly HATE. I mean I just don’t get how exposing a borderline to heightened emotions is a good thing! My heart is even racing now as I type this! I guess going for the interviews did help me get over my fear of interrogation, but I felt HORRIBLE the whole time I was doing it. Truthfully, I am pretty sure I will always feel some degree of dread when it comes to interviews, but least now I know I won’t actually DIE from them like I thought I would before. I will though, still be going as far out of my way as possible to avoid another one in the near future.

I have come to the conclusion and have RADICALLY ACCEPTED that I am always going to feel emotions to the extreme. I will always have to manage and control my urges and behaviors, but like anything; practice makes perfect.

Wherever You Go, There You Are

‘Guess what? When it comes right down to it, wherever you go, there you are. Whatever you wind up doing, that’s what you’ve wound up doing. Whatever you are thinking right now, that’s what’s on your mind. Whatever has happened to you, it has already happened. The important question is, how are you going to handle it? In other words, “now what?” ‘

                                                                                                                                                                                       Jon Kabit-Zinn.

I spend so much time contemplating what I will do with my time and not enough time actually doing what I plan to do, living with my head in a tomorrow which never arrives because my incisive worry quells any chance of the present moment enjoyment.

My quandary is; that I allow my sentiment control my day. If I rouse full of wakeful slumber or drudgery, I permit the emotion I encounter in that sleepy moment dictate my plan for the day. ‘Oh it’s much too cold and wet to traipse all the way into town today…’ Ah sure I will stay home and write…’ (That’s a personal favourite of my morning lethargy, and of course nothing gets written!)

I guess the point I am trying to arrive at with this post is that I must tune my mind to the present moment, live in the day I am in and make full use of each precious hour it contains. My goal this week is to make a weekly plan of activity in which I embrace the wonder of each moment. Then I must actually DO what I have set out to do in a mindful manner, just experiencing, not judging. If I feel sad or lonely… so be it… just notice the emotion.

See, what I tend to do and can foresee happening this week is; me doing anything to escape experiencing the negative emotions that plague my daily existence. My favourite method at the moment is to blank out in front of Netflicks with my cat and a gallon of tea, oh I even found myself the full price section of a clothes store riffling through dresses I can’t afford, not to mention facebook…. As I say, I wonder aimlessly though my day and then get a shock to see the day is almost over. I tut to myself how unwonderful my day has been and make a wee vow to change my behaviour tomorrow only to experience an all too familiar sense of déjà vu come four o’clock the next day.

It must end. So I am off to experience the next moment as mindfully as I can and will be back to write soon. Adios amigos. 

Progress

I get little fits of 'energy' from time to time. They scare me, yet paradoxically they motivate me into productivity. Its like I realize that; all too soon I could be back in the familiar haze of depression, so in a fury of energy, I have to take full advantage of any brief respite from the emotional hell when it comes. 

Yesterday the two girls I lived with moved out. They were students and had finished their exams, so have now moved home for the summer. For at least the next three months it is just me and the landlady living together in my house. I like it this way. I really do not enjoy living and sharing my space with other people, yet financially I have little other option. Call me anti-social, I don't mind. I agree!Anyway, back to the topic at hand; It gave me a perfect opportunity to give the kitchen well over due clean. As you can imagine; cleaning is not high on any students agenda. The place was festering with months old grit and grim. 

The most outstanding part to this idea was not that I found the motivation to clean, no. It was that I wanted to clean it for me, not anybody else, so that I would have a nice comforting environment to live in. When I realized this, I sort of stopped in my tracks. I can't remember the last time I was this kind to myself, this compassionate. I see it as progress, I really do. I know from previous 'healthy' periods in my life, that when I take pride in my own choices and in my environment that I am doing well. I am living for myself again now, heck, I want to live! That's a big difference from a mere month ago...

With regards to DBT, I can most certainly see a noted improvement of late also. There are so many things I know have contributed to this bout of wellness, all of which I feel have been needed in conjunction with each other rather than in isolation.This includes my very successful treatment stint in the Center For Living, also I am now attending OA regularly and have started eating and sticking to a food plan daily, my sleep has vastly improved due to a more structured routine, and I am volunteering twice weekly and meeting new interesting people and most importantly I am making friends and family a priority again, I am resisting the urge to isolate. I have reduced my vulnerability factors drastically by really concentrating on PLEASE. By doing this I am giving myself an opportunity to have happy, or 'normal' life, or if we go all Marsha on it 'a life worth living'.

That is not to say that all is peachy all of the time. I had a good chance to practice self soothe only hours ago. I was at a public lecture tonight in a private hospital here in Dublin. The same hospital where I spent five very unwell months two years ago, and where I received my  BPD diagnosis. Even though I loved the security this hospital offered me from reality, the 'bubble' effect I like to call it, I also have very negative memories of the treatment I received there.

One incident in particular involved the very Doctor who was giving the lecture tonight. He was not my Consultant, but he was on call for the night in question when I became very dysregulated. I had not yet received a formal diagnosis at this stage and had no idea what was going on with my emotions. I thought I was a horrible person, my self worth was nonexistent and I was seriously contemplating ending my life. Now, obviously being in hospital, this wasn't really a viable option and thankfully I at least had the sense to express my thoughts to the nurse on duty. 

Little to my knowledge at that time, the formal protocol for suicidal initiation during the night is to page the on call Consultant. I got the addiction specialist, who, in my opinion didn't know any more what to do with a Borderline any more than a man does with a bottle of moisturizer. 

In retrospect, all I needed was to talk, to distract, to be thought distress tolerance. Simple as. But instead I got put in the high security ward as I was a potential danger to myself. I cried and shouted and pleaded and begged, until this Doctor was left with no other option than to sedate me, and turn me into a deserving zombie. I fitted right in on that ward then. 

I was so angry at him. I felt let down by him. All I wanted to do was get relief from the hell going on inside my mind. I needed someone to explain what was happening to me. I needed validation that at that time suicide was the only coping method I possessed. 

So to get back to the present moment, I was taken aback when  this Dr strolled up to the podium and began talking. I had no idea he would be speaking. I got flashback of me, the bawling, screaming mess sitting in-front of him as he sent me 'down stairs'. Down to where the real crazies were.

 I wanted to yell at him "DO YOU KNOW WHAT YOU DID TO ME!" "DO YOU EVEN KNOW HOW WRONG YOUR TREATMENT PLAN FOR ME WAS!!!!!" "STUPID IDIOT!"  I sat stewing in my anger for at least 15 mins. I couldn't take in a word of the lecture. 

Then suddenly, my WISE MIND kicked in. "He was only following procedure, he was doing his job. He didn't know the correct way to deal with an emotionally sensitive person. He was making sure I was safe. " 

My anger started to decrease slightly. I then reminded myself that I was not under his care and that I had a wonderfully supportive treatment team who specializes in treating BPD. I used OBSERVE to bring myself back into the present moment and really paid attention to what he was saying, letting all judgement flow through me. I then took out my hand cream from my DBT emergency kit and soothed myself back into calmness by gently massaging the cream into my skin. 

It was only on the bus on the way home that I reflected on my fantastically skillful evening. Who would have thought that the quivering wreck of a girl in that ward nearly 2 years ago would be able to mange her emotions in a such a skillful way! I really wanted to go up to the Consultant after the lecture, to show him how far I have come. I imagined the wonder and pride on his face and hoped he would feel humbled by my progress. Maybe I even wanted an apology from him. But once again my wise mind took the driving wheel and stirred me away from confrontation by asking what I really wanted from him.

I wanted validation and I know well enough now that looking for it from others is not as reliable as giving it to yourself. So one blog post and a very skilled evening later, here I am patting myself on the back, and forgiving myself for the chaos I created that faithful night 2 years ago. I didn't know any other way to manage my emotions. Thank God I do now. 

Darkness into Light....

My Father and I took part in the Pieta House Darkness into Light 5K this morning. The walk is a really beautiful way to bring people together in support of their work. Pieta House is in existence since 2005, and has helped guide over 4000 individuals including myself out of dark times. The walk kicked off at 4am at different locations around Ireland,  and you can find more information on their website. 

I am reminded of the wonderful Sylvia Plath, whose walk didn't find the way back to light. We have been gifted with her many words. They stay with us. 

"I love people. Everybody. I love them, I think, as a stamp collector loves his collection. Every story, every incident, every bit of conversation is raw material for me. My love's not impersonal yet not wholly subjective either. I would like to be everyone, a cripple, a dying man, a whore, and then come back to write about my thoughts, my emotions, as that person. But I am not omniscient. I have to live my life, and it is the only one I'll ever have. And you cannot regard your own life with objective curiosity all the time..."

Taken from The Unabridged Journals of Sylvia Plath.

Personal Responsibility and Action Plans

For a week filled with extreme emotions and tear stained streaks down my cheeks, I am feeling lighter. Clichéd as it may sound, I feel like a weight has been lifted off my mind, well actually, it’s been yanked off my mind by harsh but powerful words and my own realization that I am the only person who can ‘fix’ me.

If I was to summarize my experience of this last week of intense treatment, it would be in two simple words ‘PERSONAL RESPONSIBILITY’. I have been jolted back into reality being on this programme. No-one is going to do the work for me, no matter how much I want it; it simply is not going to happen. No prince is going to ride in on a shining white horse and save me from the BPD monster, but I can get on my own horse, learn how to ride it and trot away into the sunset myself.  Personal responsibility in my recovery involves taking action and doing what needs to be done to get well and stay well. It involves problem solving, making goals and sticking to them. It involves making promises to myself, not my family, not my team and not my friends. It involves taking ownership of my life and my future. I must remember that am an expert on myself and gain back control of my life.

I have been given a wonderful sense of empowerment, while still validating my emotions. I am so afraid of what my life will bring now that my future is so uncertain. I feel it in the pit of my stomach; I have noticed the inability to catch my breath and the hot sweats I break out in when thinking about what I will do. Yet although these emotions wash over me, and I feel them, they are not going to change or improve my situation.

I have been really trying to use the core skill OPPOSITE ACTION in response to the anxiety. My action urge is to avoid, not thinking about options, not to get advice and not to apply for opportunities. That way I can’t be disappointed again, I can’t be rejected. Yet I am also not helping the problem, I am not giving myself a chance at a LIFE WORTH LIVING, and am pilling more misery on top of misery. More fear on top of more fear.

To go ALL THE WAY with this skill, I have to stop procrastinating and ‘just do it’ as the Nike ad tells us. One of therapists always tells me that ACTIVATION PRECEEDS MOTIVATION, so even if I don’t feel like applying for the internships, jobs, courses or voluntary work I just have to do it, then I will feel the benefits of my labour after.

It’s so hard in real life though, so the way I have tackled it is by making small little steps. The number one reason we put off improving our lives is because big changes feel so scary and unattainable. Which is why breaking goals down into small steps is the secret of success. There’s less fear when you’re just concentrating on what you need to do that day, and as you stick to your good intentions, you’ll be motivated to carry on until your new habits become a way of life. I was told to write your goal down on several pieces of paper.  Hang them up everywhere.  This is my first step to focusing on my commitment. Then make lots of smaller easier to achieve goals for each step of the bigger goal.

 So here it goes; I want to get back to university. I want to do a health science related degree. I either want to study occupational therapy or midwifery. It’s been my dream since I was a teenager, and I was two years into my OT degree when I had to drop out due to BPD.

Step 1: Find out what I need to achieve to get onto course and what university I can study in.

·         I need to have the skills to stay in university for 4 years,

·         Be able to endure 8 hour days of lectures/study.

·         I need to have communication skills to be able to interact with other students.

·         I need to be able to manage stress and have good time management.

·         I need to have the finances in place to support myself for the four years.

·         I need to be physically healthy and emotionally fit.

Step 2: Finish DBT and fully engage in therapy to learn new skills.

·         Attend DBT skills group and individual therapy every week.

·         Complete all homework and be willing to learn new behaviour patterns.

·         Adhere to DBT contract to create a life worth living

Step 3: Attend a less intense course/internship/voluntary work in order to build up skills and confidence.

·         Research opportunities online with voluntary organisations and apply for any that interest me.

·         Talk to and ask others about different opportunities.

·         Update CV and write cover letters.

·         Follow up on all leads and correspondence.

Step 4: Get finances in order

·         Talk to social welfare office

·         Find out about financial aid for going back to university.

·         Continue to babysit and pick up small manageable jobs

·         Set up credit union account.

·         Try to save when I can.

Step 5: Work on personal relationships

·         Stay in touch with friends, and be appreciative of their love and support.

·         Reach out to family; be considerate and patient as they are also learning new skills.

·         Make efforts to create new friendships.

·         End destructive relationships.

·         Be honest

Step 6: Foster and develop creative talents and interests

·         Make regular time to write/attend writing classes

·         Listen to music daily, sing.

·         Keep art supplies stocked and ready to use

·         Make cards/collages/draw/paint

·         Learn new things as often as possible.

This is all I can think of right now, but I know that more steps and action plans will emerge from these rudimentary goals. It feels good to have a plan, something to work towards. i don't feel so empty ans lost. 

Where are my VALUES!

I really just need to get the jumbled mess of craziness out of my head. I feel like I am simply existing, not for myself, not for any purpose but simply roller-coasting through life. I feel so empty and scared. Of what? I have no clue. I am just afraid of life in general.

The fear really started after SKILLS GROUP on Tuesday. We are still (read my frustration) doing EMOTION REGULATION. And this week the group focused on CREATING A LIFE WORTH LIVING.   The exercise we were doing is about LONG TERM ACCUMULATING POSITIVE EXPERIENCES. I guess I find it hard to see the point in building a positive life when I have very little hope of ever achieving said life. Its like I am doing it for someone else and not myself, hence why I feel like I am just enduring this prevailing hopelessness. It makes ending my life seem like a really god option right now.

The specific exercise I am talking about which scared me out of my semi functioning state is IDENTIFYING PERSONAL VALUES AND GOALS. I was presented with a horribly long list of equally vague and ambiguous list of values from which to choose from. It was hugely overwhelming. I stared at it for far too long. Which in its self made me uneasy. I mean, who doesn't know what their own personal values are? It compounded my feeling of inundated failure.

After ALLOT of pondering, head scratching, and a whole individual session given over to this exercise, I still had a horrible lump of fear in my throat. I am still so afraid that I have no values. Surely I need to know these. Will they become more apparent as time goes on? How do I know?

Needless to say I had to switch to DISTRESS TOLERANCE MODE all this week, namely the CONTRIBUTE part of ACCEPTs. I have been spending time getting to know my wee cousins again. Its keeping me out of trouble. Stopping me from ending this void and valueless life of mine.

Has anyone else had this experience? How did they get through the emptiness it brings up?