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!

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

Lying as a way of avoiding distress.

Masking the truth

This is a topic I find quite painful to discuss. It brings up a lot of shame, leaving me feeling as if I tumbled naked out of a warm bed into a cold room and there was no time to cover up before a crowd arrives to view my embarrassment. Yet, I feel it's important to talk about this. After doing a good deal of reading on shame recently, I see how confronting it head on seems to be the only way to dissipate it fully. 

I must have been about four years old, when my nursery school teacher turned to my mother with a furrowed brow, a concerned tone and said something along the lines of ... "Some children lie, maybe to get out of trouble or to play 'make believe'.... that's harmless and can be corrected as the child grows older, learning it's not nice to be dishonest. But your little one's fibs are troubling. She truly believes her made up fantasies are real. I don't think she sees the difference between reality and fantasy."

When I was in second class in primary school (8 years old) I told my teacher and friends at the time that my Mum was expecting another baby with my Dad. My parents had been separated since I was four, it was a messy break-up, with lots of anger, manipulation and public arguments.  So you can imagine my Mother''s surprise when she came to pick me up and the other Mum's were congratulating her on her pregnancy and recent rekindling of her marriage. Looking back now, I think I did it to try and solve the problem. If I told enough people I had a happy family, then maybe it would come true. I remember fully believing what I was saying was real. This particular lie had a horrible outcome, it was of course found out and I was humiliated by having to publicly apologise and recant the lie to all my classmates. It not only filled my heart with shame, but compounded the reality of my distress of living within a fragmented family.

Another example is a bit more recent. I don't tend to tell people I had to leave my university course because of illness, I mince the truth, I brush it off, say I did finish and quickly change the topic. There are sooo many other examples, but I don't feel able to disclose them just yet. but I can allow you a glimpse at some conclusions I have come to about my lies.

I lied to avoid the distress and the chaos in my life. However, the truth can and does emerge at times which leads to more chaos in an attempt to avoid the past and the destruction that always follows. I can understand why so many family members and friends started to distance themselves from the me. This then started the cycle of avoidance and low esteem. The feeling of abandonment and the lies. No one likes to admit to making mistakes or "wrong calls".

It was about control with me. When my life was so out of control, I could have a little through lying. Sometimes it was to avoid conflict. I couldn't stand anyone being mad at me. I often find myself lying simply because I can't stand one more moment of my real life. Sometimes the lies are of how I wished things were or happened instead of what the real situation is.

When I am really distressed I can't tell the difference between lying and telling the truth because I say what I think people want to hear. I don't tell whoppers as I am too terrified of being rejected if I am found out - but I fudge, exaggerate, deny things and change my facts all the time. I only just discovered this as I have been lying to myself for so long too about this! It's really hard to realize and admit that lying comes so naturally to me that I don't even notice I'm doing it. I would characterise it against the DSM criterion 'frantic attempts to avoid real or imagined abandonment' - I would say my pathological lying is part of my ongoing attempt through frantic 'relationship management' to make others happy and therefore unlikely to reject me.

People with BPD often experience deep and entrenched shame; lying may be one way to conceal mistakes or weaknesses that increase shameful feelings. People with BPD are often also very sensitive to rejection, so one function of lying could be to “cover up” mistakes, so that others will not reject them.

I think I lie lie as a means of protecting myself from rejection or a survival technique, and it did seem that a good deal of my lying was some kind of defence mechanism to avoid any intense feelings of failure and self-loathing.

Given that a BPD hallmark is interpersonal relationships that alternate between idealization and devaluation, the person with BPD may distort facts aimed at the person with whom they desire a personal relationship. … In the moment, their desired objective, whatever that may be, takes such precedence over speaking the truth or behaving honestly that the potential consequences of their conduct are reduced to shadowy details.”

Sometimes we may judge ourselves harshly and expect others to do the same. Lying serves to deflect shame when something might make us look bad, thereby maintaining whatever self-esteem we have on a temporary basis. … We believe that anything ‘bad’ would make others reject them. … Lies may mask real feelings and put up an impressive façade. Lies may help make sense of why things happen to us in our mixed-up identity.

In other words, some of us with BPD lie to avoid abandonment or to avoid self-hatred.

What are your experiences with lying and the presumption of lying?

Give the Child a Chance.

It’s a reality that this blog has drawn people to me, but it has also pushed others away. I realize that the “me” revealed in these posts isn't always the “me” that is seen across a table at Starbucks, at a family meal or on a night out with the girls.  I know that some former friends can’t deal with the more complicated “me” they meet on this blog. I can’t help that. It’s unfortunate that sadness drives me here much more than celebration does. So from that a reader may conclude that I am sad much more of the time then I am happy. But emotions are not stable, I am often undisturbed by my internal troubles and I am often a fully functional member of society.

From the time I appreciated the therapeutic practice of writing, of purging the spiraling thoughts from my distressed mind, it has been my way to survive, to protect myself. It was actually a former psychiatrist (with whom I failed to connect with on any other topic!) who must be credited with planting the seed of starting this blog in my mind.  Along with meditation, writing is my spiritual discipline. Inside my head I am torn with conflicts. I struggle to understand myself and my world, I write because I want to bring to myself and perhaps those who read my posts more light, more grace, more understanding. It helps heal the little girl who hurts, it gives her a voice. Finally.

DBT for grief

I am worried what to say to her, but I am sure everyone worries about what to say to a grieving person. But what I really feel is that knowing how to listen is much more important. Oftentimes, well-meaning people avoid talking about the death or mentioning the deceased person, I felt I should bring her Dad up, but when I was grieving for my friends that died a few years ago, I really needed to feel that my loss was acknowledged, I wanted to talk about it.

I wanted to let her know that she had my approval to talk about her dad’s death, even if it had only happened a few hours ago, yet I tried not to force her to open up. I just let her talk when the subject of her dad came up.

I brought food and made pots of tea. It’s what I do. I want to ‘mother smother’ her. That’s my term for looking after a person in time of crisis. I did it for my sister when her baby boy came early and was sick in the hospital. I got some healthy salads and soups, and also some comfort food like pizza and soda bread and giant cookies and coca-cola.

I am going out to her again tomorrow, I would like to make her some food for the freezer, but I am very low on money and can’t afford to buy the meat this weekend. From what I could see, she has enough food in the house for a few days, so can hold off for a while.

Okay… so the point of this post is to figure out what DBT skills to use to stay regulated so I can be the shoulder to lean on my friend needs right now.

MINDFULNESS

I need to be aware of which emotion I am experiencing. I will do this with OBSERVE, by checking in regularly with myself, and through my meditation practise. Then I will DESCRIBE the emotion and how it is affecting my body, thoughts and behaviours. I will be NON-JUDGEMENTAL towards my thoughts, my emotions and the feelings and emotions of those who are grieving. I will do this by putting myself in their shoes. I will let my friend know that t’s ok to feel whatever way they feel, let her express her feelings without judgement, argument or criticism.

INTERPERSONAL EFFECTIVNESS

This is a time to use the relationship effectiveness skill GIVE

·         Be gentle

·         Be interested

·         Validate

·         Have an easy manner

I will smile at my friend and her family and be MINDFUL in my conversation.

EMOTION REGULATION

I really need to reduce my vulnerability with PLEASE, take my medication, go to yoga (even though this friend normally comes with me). Absolutely no drink or prescribed drugs…! I must endeavour to get the right amount of sleep. I will continue with my healthy diet and stick to my meal plans.

I will try to INCREASE POSITIVE EMOTIONS by going to my meditation group tonight. I will notice how I feel in my body, what’s passing through my mind, what I am doing, how I am behaving.

DISTRESS TOLERANCE

DISTRACTION is my best bet here, in particular focusing on others, in particular my friend. I will focus on her and concentrate on her needs. This will help direct my thoughts away from the difficult emotions which accompany death

I am AWAKING OPPOSITE EMOTION by listening to my favourite music, calming and soothing music.

PRAYER is helping me too to not make the situation worse. I am also bringing my friend and her family into my meditation.

I self-soothed by taking a really long hot shower this morning which gave me the strength to go see my friend after.

Finally RADICAL ACCEPTANCE is greatly needed. Death is the ultimate test for this skill. I hate that he is dead, yet I must accept it. 

Thoughts are not always facts!

Living one day at a time 

Enjoying one moment at a time 

Accepting hardships as the pathway to peace 

Taking this difficult world 

As it is 

Not as I would have it. 

And in this way 

Opening to Grace 

And the Joy and Peace that comes with it.

Thoughts are not facts. They may not always be your friends.....

In the midst of a full blown emotional dysregulation attack I find myself so much estranged from my heart, body, and spirit, relying almost exclusively on the thoughts in my head for guidance, companionship, criticism, and comfort.

To hear “your thoughts are not facts” was scary to me. If I couldn't trust my own thoughts, was there anything trustworthy I could count on?

I slowly began to understand more about thoughts during the summer (and a bit) I spent inpatient at a hospital in Dublin, their nature and purpose, how they arose and where they went after I stopped paying attention to them.

Along the way, I learned that thoughts were not necessarily my enemies either.

They were just my thoughts.

And even the “my” was up for debate, because technically they belonged to no one until one floated by in my mind and intrigued me, at which time I reached up, nabbed it, and claimed it with a triumphant  “Mine!”

Thoughts, one kind occupational therapist explained, are like clouds. Only much closer to the ground. 

We snatch them up as if it they are the last pair of jeans on sale in our size. We are afraid it will get away before we decide if we want it or not.

I feel I know so little about myself that I seem claim anything and everything so that I will not be left with a shell where a personal identity should be.I must be choosier, I have the right to question each and every thought – to turn the tables and become the exclusive commodity that my thoughts want to hang around!

I am the one who is in demand. I am the one that keeps my thoughts keep hanging around. I have limited capacity for thoughts, and only want the cream of the crop.

Therefore, each thought must go through an extensive screening process, much like a job interview. “What can you add to my life?” “What have you come to teach me?” “Are you here to uplift me or drag me down?” “Are you telling me the truth?” If I see a thought float by that looks interesting, I can pause it, circle its perimeter, ask it a few questions, then decide whether to pull it down into my awareness for further scrutiny and conversation, or just motion it along.

I realize now that I have the right to question my thoughts – but my thoughts do not have the right to question ME. WE choose them, and not the other way around.

The Art of Being Average

"Having excellence as a goal doesn't mean that we always achieve it. It can be difficult to achieve excellence in all major areas of your life simultaneously. Most of us have a few areas of life where we try especially hard to do our best. As a consequence, other areas receive less attention"

Average is Actually "Normal"

Humans can't be excellent every day. Everybody is just average some days.

There are days when we're under the weather, we're distracted by troubling events, or circumstances just conspire to make the day tougher.

It is not necessary that our work -- even our important work -- always be excellent. Often, just showing up is 99% of what we need to do.

And, to be honest, some days we are even worse than average. It's unavoidable. It's the law of averages -- double meaning intended.

But if you're like most people, and you're faced with a whole lot of things to do, some of them perhaps stressful or challenging, then let me be the first to wish you a very happy, average week.

Perfectionism can be paralyzing and is certainly stressful!

New found RADICAL ACCEPTANCE

As the leaves fall and the trees turn bear in anticipation for the ice queen to spread her frosty breath, I have settled down calmly with recognition of the change of the seasons. I do mourn the balmy summer nights where the sun's rays stretch so generously into the evenings giving endless days and shorter dark, scary nights, but as sure as summer must end, winter will also pass in time.

DBT has thought me that rarely are things permanent. The gift of acceptance (when I can practice it) has allowed me to live a life less terrified by despairing thoughts and emotions. They do pass, maybe not quick enough, and maybe not for long enough, but the brief respite between the terrors allows us to reach deep inside ourselves and enjoy the time when we are in control. When the haze of distress lifts, it provides a short period of wisdom where preparation can take place, where gratification can develop and life can be lived.

Recently I have been living in an all too common mist of fear and anxious thoughts. It’s a fear fog which has established itself atop my recovery mountain. It’s holding me back from seeing the view from the top. I am out of breath and exhausted from climbing so high and so hard. Each step developed my emotional muscles and built my tolerance to exposure. I have had to face tough terrain and steep cliffs. Now as I reach the top, I am so so close to achieving the glorious moment of breathtaking beauty, the stunning view from the peak of the mountain. Yet my view is clouded with terror, and I am waiting for it to clear…..

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.   

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. 

Upgraded Armour. Reflection on The Center for Living

I abilities feel stronger, robust even. My suit of armour has been fixed and polished. Inside the suit I am vulnerable, full of emotions and open to triggers, but now that all the chinks and dents have been smoothed out, I am prepared for the onslaught of emotion, armed and ready with more skills. I feel humbled and so glad that the Centre for Living proved me wrong. It’s not easy for me to say that. I like to be right, but I was really mistaken about the programmes ability to help me evolve in my understanding of DBT.

The most valuable morsel of information I am leaving with today is that my life is never all-or-nothing. Just because I had a bad morning, say I eat more than I planned, it does not mean that I need to discredit all the other good things I achieved that day.

One particular therapist was really wonderful. It’s not that she thought me anything new; in fact at first I found it hard to participate in her sessions as I thought I had heard it all before! But the longer I sat there, the more everything just ‘fell’ into place. It’s about using the DBT skills together, in tangent with each other, it’s about weaving the mindfulness skills into everything I do, not just sitting quietly observing my thoughts for 10 minutes a day. It’s about noticing the grumbles of anxiety before the fear takes over and I loss control. It’s about catching the little niggles of frustration and quenching it with self soothing skills, so that intense anger stays at bay. It’s not about the food, or the behaviours. I need to be mindful long before I get to that stage. It’s always about the emotions. This therapist clawed me back to WISE MIND and is a perfect example of the therapy really working, of it making sense.

I found such great validation in the other service users I met over the last 2 weeks. We were all at different stages of our recovery journey. Most were at the beginning of treatment, just becoming accustomed to the structure of DBT, and still exploring the diagnosis. Some had accepted it, others were still fighting it. Some simply didn’t understand it and hence couldn’t make an informed decision either way! We were all sitting in that room because of a common link. We all in some shape or form lacked the ability and skills to deal with our emotions. I found comfort in being reminded that I was not alone, that there are other people out there going through this hell. 

Objective Self Compassion

So, after spending time in the south of Ireland with my sister (and the baby bump!) and brother-in-law, where my Mother lives with her new husband and his daughter, I am pleasantly relived. I was really worried about spending so much time with my family, as previous comparable experiences have resulted in vexing squabbles and quarrels. I understand now that my sensitive and highly emotive character can be very vulnerable to the criticisms and teasing which occurs within my family unit. Simply OBSERVING this helped me to muddle through the weekend. It also helped me to take a NON JUDGMENTAL STANCE towards myself, something which, until recently I have found incredibly difficult to do. Self compassion just was not something that I was able to accomplish before. A constant record was stuck on self hate in my mind. I believed that I was not deserving of compassion and was not allowed to give it to myself. One of the greatest lessons I am learning in therapy is the gift of self compassion. I am starting to treat myself as I would like to be treated by others, and also how I treat those around me, as I have a great ability to be compassionate to others, but am terrible when it comes to being kind to myself. 

I had so much time to think between the car journeys and early nights with little to do in the countryside. I astounded myself with a realization of how far I have really come in the last year. It hit me that it has been a year since I last attempted to end my life. Which when compared to the year before, is really an achievement. The reason I say this is because the accomplishment lays not just in the absence of suicidal actions, but the ability to now deal with and manage the same feelings and urges (which are still at the same intensity as before) with new, healthier coping mechanisms. I can truly say that I am proud of myself. 

This last week has been a real eye opener for me. I have had huge swings of intense emotions along with some really dangerous action urges. Instead of carrying though with the urge to end my life, I reached out for help, and most importantly; accepted the help I received. Of course it took a while for me to get my head around the acceptance part of this process, as you can tell from the posts on this blog from earlier in the week!!! 

I have an open mind about the upcoming admission. I really think it will help me figure out some of my current problems. I will hopefully have a good team of people around me to keep me regulated. And I also have this wonderful outlet, my own form of personal form of therapy. My blog is another gift I received this past year. Writing is the best way for me to find objectivity during difficult situations, where due to my intense emotions my judgement is often compromised. 

I am so grateful for all my readers too, as you always offer such sound feedback, and often make suggestions which have helped me to act in more efficient ways with more successful outcomes.

ACCEPTING the importance of MINDFULNESS

This has been a good week. I am feeling more 'me' again. Its not that the black cloud has gone away, its just I feel like I am better able to cope with the next storm life throws at me. Almost like I am prepared to fight now, posed and ready with my armor of skills and SELF-COMPASSION.

I returned to a meditation class on Tuesday and Thursday evening and it was simply wonderful. It was inspiring to listen to others stories of how meditation helps them in their daily lives. The inner peace they radiate really is infectious. I truly get the importance of MINDFULNESS in DBT this week.

When emotions wreak havoc, it helps to “get it out” — ranting to a therapist, friend or partner, or writing about your feelings in a diary, or blog like this one. Sitting down on a cushion to meditate is seemingly the polar opposite of this catharsis. But could it be that the two approaches are helpful for similar reasons?

Talking or writing about your feelings forces you to call them something. And one technique taught in mindfulness is naming your emotions. It’s part of noticing and detaching from those emotions vs. letting them hijack your bliss. I like to imagine it as 'the mindfulness wedge.” It’s about developing that pause button,' so you can observe emotions from the outside.

The main focus of DBT for me is gaining control over my emotions and it is now known that simply labeling my emotion promotes detachment, providing a stop-gap and the opportunity to choose of a healthier coping mechanism.

It’s very challenging to bring what you practice on the meditation cushion out in a real-life situation, when you’re actually in that moment — say someone is yelling at you — you have to remember to step back, say, ‘Oh, that’s anger I’m feeling,' and change what you do with that emotion, all in a millisecond. It takes a lot of practice. To help with this, I try to extend my meditation to everyday activities like going for a walk, having a shower, or drinking my morning coffee.

Often when you feel something, you don’t acknowledge it, and by avoiding that feeling, you perpetuate greater pain. Meditation helps me realize that I create my own feelings. If I’m in a state of frustration and I stop and observe it, I realize there’s another way to deal with the pain. Acceptance is key to dealing with distress, and it is without a doubt the hardest part of mt therapy, but each journey starts with a single step right!

HALF SMILE your way to acceptance

Two elegant yet, sheepishly impatient women are making rapid glances around Starbucks, hoping to nab a free space to sprawl out and natter after an afternoon of window shopping. You can tell they are the leisurely type. I overhear them giving out about the lack of seats, and can’t help giggle as the hand approaches the first single digit on my watch, signifying my third hour sat in the comfortable chair by the window which seems to have moulded to my frame by now. I am not moving. I even turn my chair to get a better view out the panoramic glass wall.

People-watching is a not a new hobby of mine, but observing the finer details of said people is. I recently acquired a very helpful possession for this pursuit; eyesight! For some reason or another, cost and hassle being the most likely, I had not replaced my broken specs when the arm unhinged its self from the frame last year. I had grown used to the blur, and liked not living in focus. But when I passed my own father on the street, I thought ‘enough is enough’ and got them fixed.

There are two categories of people who meander up and down Grafton Street in winter. The fast paced snakes who weave their path in plaits around the care-free traffic blockers, who are much more easily distracted as they gather in large semicircular groups around each of the buskers dotted on the side of the street.

The girls compete in the small city style wars, and the guys compete for the most stealthily glances and puffed up chests. The dramatic outfits somehow seem to conspicuously blend in a contradictory fashion with all the rest and it’s the plain and ordinary which stand out. The frizzy haired student, the make-upless lady and the elderly man with a walking stick all seem out of place in this world of perfection and antagonism.

Once, a woman smiled at me as I walked by in a daze. It shocked me, and my initial reaction was to wonder if I had food or bicycle grease on my face. Why it was that something so pleasant made me react in such a capricious manner? I was a suspicious mess, and was almost angry at the woman for evoking such an unstable feeing in me. But of course it was not her error; it was my own lack of self confidence which made me react that way. Then I realised that it was not just anger stirring up in the pit of my stomach, it was jealousy. I wanted to be that woman, who could smile at the world and warm the hearts of others. 

So I guess that the point of this post is that the DBT skill of HALF SMILE is a valuable one. The idea with this one is that there’s a biofeedback mechanism between the face and the brain. If your face is tense, the brain gears up for trouble. If on the other hand your face is relaxed, it tells your brain that everything is fine.

I’m not sure yet how this ties in with accepting reality, but then there’s a lot I don’t understand about accepting reality generally. The book says ‘Half smiling is accepting and tolerating with your body’. DBT seems to ease you gently into ‘accepting reality’ before finally hitting you with Radical Acceptance. I’m hoping that after we’ve covered radical acceptance I’ll understand more where these breathing, smiling and awareness exercises fit in.

I’ve used this skill several times since I learnt it. On the bus when I saw my reflection and realised just how anxious and cramped my face looked. In a crowded market today when I felt overwhelmed and my face was agreeing with me. Both times I consciously changed my face to an ‘I can cope’ expression. And cope I did… Coincidence perhaps; I need to experiment more but I’m definitely prepared to try it out.