New Year, Not So New Me

I know, it's been far too long since my last post to even attempt to give an excuse. So rather than say "I've been too busy enjoying my recovery from emotional sensitivity" which to be honest, I wish were the truth, I'll try to explain whats been going on. I haven't posted because I wanted to leave BPD, EUPD, CBT, DBT and anything to do with my 'old self' as far in the past as I could. I threw the baby out with the bathwater insofar as my life seemed to be going OK, so I foolishly thought: "I don't need to look after my emotional sensitivity anymore". But recovery for an emotional sensitive person is not the same as recovery from a broken bone. You cannot only do the prescribed therapy for a few months after the event. You must learn the treatment, remember it, and continue to practise it as a preventative measure against future injuries. 

Christmas and New year have come and the festivities have died down. I'm left wondering why I feel so emotionally delicate. I mean, I had an uneventful Christmas, almost enjoyable actually. It was quiet and there was little to report. 

Perhaps it's the last 8 months finally weighing down on me. I can't shake the crushing feeling of being a total failure. I'm also currently therapist-less, which I find scary. Really scary. I have completed year one of four of an undergraduate Midwifery degree programme in my dream university. My dream course which will lead to my dream job and to my dream life. Seemingly.

But I'm not living the dream. Im on a year out, working 50+ hours a week for just over minimum wage to pay back crazy university fees that I wasn't expecting. Yet I haven't begun to pay my fees back yet because I'm bang in the middle of a emotional meltdown which sees me self destructing using old coping habits I thought I had left in my past.

So seeing as its a 'New Year, New Me' kinda time of year, Ive come back here to this blog, to where I found peace and recovery before, in hopes I may find it again.

DBT For Managing Pain

I have been dealing with severe pain in my leg for about two months now. I had a clot in my right leg which has thankfully resolved itself but the pain is still there if I walk for more than 15 mins at a time. I also get horrible PMT pain around my time of the month. Pain management can be a tricky business, drugs are great in the short term, but not a viable long term solution (the side effects are icky) so I have had to find alternate ways to deal with the pain. Mindfulness has had great success with pain management, so when I read the studies (which claim that mindfulness actually changes the way the mind perceives pain so that it’s more bearable), I thought 'If mindfulness is good for pain, and DBT is based on mindfulness... then why not try using the skills for my pain!'

Living with pain is not only a physical strain—be it merely uncomfortable to outright debilitating – but is also an emotional strain as well. Throw in an emotional vulnerability and you get a bubbling, hot pot of dysregulation spitting and spewing over into our relationships and lives. Feelings of frustration, anger, depression or even despair can deeply impact my quality of life maybe even more so than someone without an emotion dysregulation disorder.

Okay.. enough waffle... let me get straight to the point. Here is how I use the skills to manage my pain.

1. OBSERVE

The idea of being mindful of pain and observing it as it is may seem counter-intuitive. Most people want to forget about their pain, I know I do. I want to escape it, run away from it, I wish I could ignore it or get rid of it somehow. My mind typically launches into a litany of judgements and negative thoughts. I start ruminating about how much I hate the pain and want to wish it away. Then I judge the pain, and that only makes it worse. My negative thoughts and judgements not only exacerbate the pain, they also fuel anxiety and depression. The problem is, ironically, that by fighting and struggling against it, and even by trying to ignore it, I create within myself a state of ‘resistance to what is’ and that means stress, and ultimately more suffering.

The mindfulness skill of OBSERVE teaches us to have a 'Teflon mind'. Don't let your thoughts or experiences 'stick' in your mind. Take a step back and look at the situation with fresh eyes. The ability to step back from what is happening in the moment creates a psychological space. This separation allows you to not get caught in or react to your experience. Without the psychological space, your reactions are automatic. Shame, guilt, anxiety, and depression often collapse your ability to create psychological space and cause automatic reactions (acting the way you feel). Experiencing the moment without getting caught or reacting is a way to extinguish automatic responses. Psychological space creates room for mental flexibility and freedom of choice.

2. Being EFFECTIVE

Sometimes if I spend time simply observing and giving the pain my awareness, just doing that can bring the intensity of it down to a manageable level, if not, it prompts me to stop what I am doing long enough to realise I need to change something. 

For example; I was going to catch a bus yesterday. The stop is about a five minute walk away. I was nearly at the bus stop when I saw a bus coming. I started to jog so I wouldn't miss it, but was instantly hit with a siring pain in my leg. Rather than push through the pain and ignore it, I stopped, OBSERVED it and realised that the most EFFECTIVE thing to do was walk slowly, let the bus go and wait for the next one. There was no use in damaging my leg further for the sake of waiting 10 mins for another bus.

Another example is cancelling plans and getting extra rest, your friends and family will understand, and going out out despite the pain is only going to hinder your recovery and create extra suffering. Your pain might decrease your ability to be interpersonally effective and could lead to bickering or you saying something you might regret. 

Sometimes being EFFECTIVE is as simple as recognising that the pain is more than you can handle and getting help from a health professional. In these cases the next skill can be really helpful.

3. SELF SOOTHE 

One of favourite things to do, especially when dealing with bad pain days is to SELF SOOTHE. It's great for when I am feeling down and need a pick me up. But the thing is, when I am feeling down, or low is not the time I tend to think to myself, “you know what would really make me feel better? Painting my nails, or calling a friend". So, for this reason, the real key to this skill is to have a SELF SOOTHING kit pre-made for those particularly hard days.

I have written as post about different SELF SOOTHING ideas, so check out the link below, make your kit and then let me know how you got on. I adore hearing about others experiences and ideas.

SELF SOOTHING ideas

Stay mindful. xxx

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

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?

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.

Pros & Cons of Tolerating Distress

I will keep this short. I have been putting off doing this for so long. It's fairly self explanatory in it's title, but the problems lies in ACTUALLY doing it. I have been avoiding doing this for my target behaviors for months now, so here it goes! I am only able to do one for the moment, but I have five behaviors I need to do this for!

Target behavior #1 - Binging. 

Resisting binge.

• PROS:

1. Feeling of accomplishment over skill use.
2. Saves money.
3. Healthier body and mind.
4. I eat to give myself MORE energy. When I become too full, I LOSE that energized feeling.
5. I might be able to change my state of mind and continue my life normally without putting on excess weight
6. I will learn to experience the distress and deal with it in time.
7. Feeling of self control.

• CONS:

1. I will feel the emotion I want to avoid. I wouldn't feel the 'food high'
2. I will be irritable.
3. I will feel deprived.

Giving into urge to binge.

• PROS

1. Instant relaxation.
2. Comforted.
3. Get medical attention
4. Escape emotional suffering momentary.

• CONS

1. Will trigger an urge to purge.
2. Waste of food/money.
3. Weight gain.
4. Self hatred
5. Only hurts me, pain, digestive issues.
6. Does not solve problem

Target behavior #2 - Purging


Resisting purge.

• PROS

1. Will keep the nourishment from the food.
2. Will learn to deal and manage 'full' feeling.
3. Will give myself a chance to use DBT skills.

• CONS

1. I will feel very high anxiety.
2. I will feel dirty, lazy, ugly, fat.
3. I will have to sit with the distress, and feel all the food in my stomach.

Giving into urge to purge.

• PROS

1. Get 'rid' of food and not gain weight.
2. It is a quick and easy way to get the food out.
3. I feel in control.
4. I know my stomach is empty.
5. Its a way to punish myself for negative thoughts/behavior.

• CONS

1. Will damage teeth.
2. Does not get rid of all of the calories.
3. Makes me feel week from dehydration.
4. Dizziness and headaches.
5. Heart palpitations.
6. Gives me spots, dry skin and causes my hair to fall out.
7. Sleep issues.
8. After a few days - swelling in legs
9. Constipation.
10. Reduced appetite which will lead to further foody behavior 

The Raging River of Emotion

My intricate network of defective nerves carrying the equally faulty transmitters must have decided to jolt its self back into action today. I sat for a while in the chilly spring sunshine before my weekly ‘me-time’. It really is such a delight to have a whole hour where I can simply talk about me, and I know that my therapist will give me her full, exclusive attention. That sounds conceited, I know, but I don’t care. I have spent too long neglecting my own turbulent mind.  I thought about how privileged I really am while I sat on an ugly and uncomfortable plastic bench outside the treatment centre. ‘I have someone who gives me time to talk and helps me to become a better person; I have a confidant, a sounding board.’ Then it struck me; ‘I have never given myself so freely and truthfully to anyone before and I have never felt such empathy from another human being in my life.’ It feels peculiar, both excellent and shocking at the same time, for I feel extraordinarily exposed and vulnerable having another person on this earth know my secrets, yet relieved that I don’t have to bear the weight of them alone anymore.

We have an idiosyncratic relationship, in so far as I would never choose to disclose such prized and feared confidences to this woman if I knew her casually. To be honest I don’t know if before DBT I would have been able to tolerate her mannerisms. She is quirky and a bit disorganized. Actually she reminds me of my mother; extremely caring yet frustratingly scatty. I got the feeling that I also annoyed her (but of course that could be BPD thinking!). She seemed to resent how little progress I was making despite how well read up I was on the DBT material.

Before we had even met last summer, I had read Marsha’s Training Manual, and shimmed her major body of work: Cognitive-Behavioral Treatment of Borderline Personality Disorder. 1993. I am an intelligent woman when I want to be, and I like to be primed and set to tackle a problem when I feel able. I am always able to read. So for the year between getting my diagnosis and accessing the right treatment to treat it, I read everything I could get my arduous little eyes on. I spent hours scouring the internet for reliable sources of information and weaving together the best comprehension I could grasp outside of a Clinical Psychology Doctorate. Luckily I still had my University student library admittance which afforded me full access online to both the British and American Medical Journals. I also had a good grounding in mental health from my years studying Occupational Therapy.

Now all that stood before me was to somehow turn my culvert of knowledge into tangible skills. And annoyingly, I couldn’t do it alone. She was the bridge I needed (but didn’t want to have to rely on) to pass over the violent river safely. Battling the raging currents of emotion alone was not working anymore, but I couldn’t see that. I fought for weeks not only against my emotions, but against this woman who said she knew a better way across and wanted to help me get there. I didn’t believe her. She couldn’t understand my internal conflict, no-one could.

At first I thought she came across patronizing, one of the many things which annoy me about her. Yet, as the weeks wore on, I realized she was merely reciting little Marsha-isims. “How can you create a life worth living, if you are not willing to participate in the therapy?” And every time I would be self critical or chastise myself for my transgressions, she would pipe up and bluntly cut across me; “That’s a judgment!!!” So for a while I stopped talking, I stopped telling her anything and I continued down my white watered river of destruction!

Now that I am a few months down the watercourse, the rapids are less frequent and some tributaries of support have joined my journey towards the sea of recovery. The emotions are still there as is the water in the river, but I have more energy to swim back and survey the journey as the intensity of the emotions have subsided and the volume of support has grown.

Even though we still don’t always see eye to eye, I am now at peace with my therapist and the service as a whole. I can see how far I have come, and how far I still have to go, but like the river, it only really flows in one direction… towards the sea. I guess my route has simply taken a small meander along that path. 

Why do we need emotions anyway?

Before fully engaging in therapy, I honestly thought that if I could just 'turn off' my emotions, then all would be fine. This is seemingly a very common request with BPD sufferers according to my group facilitator. Greenberg and Paivio (1997) capture nicely the generally agreed upon functions of emotions, which are that they;

1. Prompt and organize us for action
1. Give us important information about whats going on in a given situation
2. Are for motivating
3. Are for communicating to others
4. Are fundamentally adaptive

So I now realize that my emotions are like a motion-detection or warning system telling me that something is happening that I should know about. Another important lesson I have resonantly grasped is that my emotions never last forever, even though some may last longer than others and I tend to be more sensitive than my peers to emotional stimuli. It also depends on my current level of skillfulness in handling emotion and other factors such as sleep, health, stress, and support.

As Marsha Linehan explains so wonderfully in her book; 

'Emotions are like tides of the ocean, they ebb and flow, they come and go; they're transitory.'

When I forget this simple piece of advise, I am more inclined to act impulsively when in the throws of an intense emotion. But when I can tell myself calmly in the heat of the moment 'This too will pass' I am so much more able to open up a variety of options and not feel so helpless.

When emotions do what they are supposed to do, they are called PRIMARY EMOTION. They are unlearned and fundamental to human functioning. When you hear a loud noise, you jump, you feel afraid. Its a perfectly normal response. They are helpful. 

The problem lies in what are called SECONDARY EMOTIONS. These are complicated, non adaptive patterns of emotions about emotion. You feel shame for jumping and feeling afraid at the loud noise. 

When I learned about the different levels of emotion, I felt relived. It all started to make sense. I had never understood why I felt such random emotions in reaction to a situation. My secondary emotions were very often generated and intensified by judgments I had about how I was supposed to feel rather than how I actually felt.

My 'Judgement' Counter

The best thing I did to help me OBSERVE the judgments which lead to SECONDARY EMOTION was to get a counter. I found one in my local knitting shop, and its actually a stitch/row counter. A tally counter can also be used. I carry it in my pocket and click it every time I realize I am having a judgement. I observed how critical I can be of myself when i catch my reflection and I noticed how cruel I am with my self talk.

Try it out for yourself. I bet you will be surprised at the results of you judgement monitoring.

Emotional reactions in BPD

What are the hard and fast rules of dealing with emotional turmoil? Please. Please! Someone give me the magic cure-all, the answer, or at least a hint. It’s defeating having to pull myself out of the horned brambles every time I crash down where others merely trip, stumble and get on with their day.

I have come across a greatly validating Blog of late written by a very talented and truly compassionate therapist; Karyn Hall. She is the founder of the Dialectical Behavior Therapy Center in Houston and writes for Psych Central Blogs. Her Blog, The Emotionally Sensitive Person is a wonderfully corroborate part of the web for anyone suffering with intense emotions. While reading a recent post of hers I realized that I live in a world filled with heightened emotional responses to everyday life and as of yet I am totally at their peril. I am afraid of my emotions.

This is what I find hardest about my disorder. Everything affects me to extremes, and the extremes are where my ‘crazy’ comes out. Yes, I am that girl who falls hard and fast for the boy who is nice to her just once, the girl who takes the contrastive criticism to heart, the one who fails to see the room for improvement and thinks she has failed completely when she doesn’t achieve a perfect score on a test, she lets her sadness pour over the good things in life.

My heart breaks when I see a homeless person and I say a little prayer that their luck will turn around someday and they won’t have to live in the cold anymore. My eyes fill with tears at the pictures of sick children in third world countries. I am rattled with guilt that I am on social welfare when there are others out there who have not had such a fortunate life as me. I am ashamed that there are cancer patients dying, not out of choice, who would give anything for just one more year of life, while I spend an unhealthy amount of time planning and researching my own suicide. I am guilty as hell about the loss of my twin babies during pregnancy due to my illness, while other women would give their left arm for the opportunity I had and let slip away because of my eating disorder.

I got upset today; I had to gulp back big overwhelming silent sobs because of the guilt I felt as I walked past a shivering homeless man on the way to Starbucks. It put my problems in perspective; at least I have a warm bed at night, and the ability to provide for myself a safe environment in which to live.

Black and white thoughts, searching for the grey!

Today I was faced with a stark reality check.  I do not have the objective ability to have a balanced view of situations and am thus ruled my my dichotomous thinking. 

Under extreme stress, I find it can be comforting to oversimplify.

I will eat, or I will not eat.

I will live, or I will die.

This rational streamlining allows a sense of peace in the midst of turbulence. Yes, there are plenty of things that are black an white. Simple things. Is the toaster plugged in? Is the door locked? 

But the reason we have words like maybe, probably, partial, more, less, etc. is the grey is all around us. Everything has details, data, different ways to present and interpret the details and data, these different ways of presentation and interpretation is what causes grey.

When the stakes are not quite so high, perhaps a little room for the middle ground would be advisable. There are more choices than you think.A little "wiggle room" goes a long way when navigating through people, events and circumstances. Very little in my own life has ever been distinctly good/bad or black/white in any way, shape or form. Most things are just a subtle shade of gray when examined closely.

So much of the world is best described in an analog way not a digital way and definitely not in the binary way. So much is best described as a continum: I will not eat, I will eat a tiny bit, Iwill eat a moderate amount, and so on with an infinite variety of amounts.

Either / or is just the easy way out. I must leave a little room for humanity to breathe. If the middle ground is removed, how many of us still stand? My life is too complex to be able to discount gray areas in order to accommodate absolutes built on foundations that aren't solid simply because I am are either too fixed in my ideologies to be able to critically assess a situation or too intellectually lazy to do the heavy lifting, so to speak, when it comes to handling difficult ethical dilemmas, I simply use a catch all.

Panicked and afraid

I came out of my one to one therapy session yesterday feeling utterly ashamed of myself. I am a fraud, a fake, an undistinguished manipulator, who's sole aim is to gain attention and pity from those who are only trying to help me. I can't cope with life. My miserable and  shameful life. I have no clue who I am, and the scary thing is that don't think I want to find out. I am terrified that when I find out who I am, I won't like the real me.

It's better to be unwell, and use that excuse to explain my horrible personality than to accept that ultimately this may be who I am and that I choose to behave the way I do. I am so afraid of myself.

I found myself calling a suicide hotline last night and wondering if I would ever have the courage to go through with it, but I am too weak. That is the conclusion I came to, that my drive is there, but I am to scared to really go through with it. Its like a marathon runner who has trained for their entire life for a big race. The have the ability and the drive to run, but the day before they break their foot and can't go through with it because they physically can't.

Today I panicked again. I need answers to the hazy questions circulating in my mind. I didn't go to work and instead festered in bed with my unwashed thoughts.  I don't care about anything. I didn't even pick up my social welfare payment this week. I am back to thinking about starvation and attention seeking.

I called my Doctors office not to long ago knowing full well that my therapist was out of the office today and couldn't call me back. Now I am waiting for a call back from some randomer and I have no clue what to tell them about why I called. All I know is that my insides are screaming in silent agony with confusion and guilt and that I am terrified of myself.

Why did I call? It was an instinctual reaction to the emotional pain. My head wants me to be devious and secretive yet also wants to let others know when I am hurting too. As if by sharing the hurt that it will somehow soften it and justify its reality. But the instant I open my mouth it won't let me explain it in a way that gets me any help.

Oh I am not making much sense I know, and I am also well aware that this blog has taken a radical turn from recovery to something much more dark and disturbing and I really am sorry about that.

Just off the phone with the on-call doctor there. He was nice, but detached and was reading my notes as we spoke. We agreed that I must put in place my distress tolerance skills and reminded me that these feelings rarely last... so in the words of Marsha.... I must ride the wave of the emotion.... I fucking hate surfing. Could never stand up on the board and always got thrown off into the white thunderous water. But she tends to be more wise than me when I am feeling like this so I'm off to self soothe in a hot shower and wash away the dirt of my anxiety, then I will paint my nails and paint a half smile on my face in order to ride out this period. 

Prozac Mind

Oh wow, what an odd week this has been. Trepidation and deregulation have burdened my mind with troublesome thoughts, causing me to suspend life and live apprehensively, awaiting some unforeseen dreadful event. The sensation lies deep in my thoracic cavity, somewhere between my heart and soul, like a boil ready to burst and spread its nasty disease to all unlucky enough to be nearby. 

My family are worried, heck my WISE MIND is worried too, but at both ends of the pole, the two destructive EMOTION/RATIONAL MINDS are at war. Devoid of emotion my RATIONALITY states that “all is lost, there is no hope, no-one wants you around, and no-one even likes, let alone loves your fat ass!” With that spurring it on, my EMOTIONS are loaded to attack and pounce on an opportunity to destroy myself with all the vigor and drive needed to succeed. So what’s stopping me? 

My exhaustion is. I have barely made it out of bed all week, too afraid to even go to the kitchen or bathroom for fear that something will happen, afraid of others and ashamed that they might see me this way. Surface to say, food is not high on my agenda. I haven’t eaten a real meal for days, and I am scared at the all too familiar glory I feel from my hunger pains. “Success!” whispers my ED in a snaky slighter of a voice! “Keep it up and soon you won’t feel anything except thinness and happiness!”

As long as I can stop myself from binging I think I will be ok, just until I see my Consultant on Monday and therapist then too. Just have to keep myself safe and out of the kitchen, away from temptation. Restricting is less destructive for me than binging and purging.

The dose of Prozac (20mg) makes me nauseas anyway so eating is not all that appealing to me right now, Add the intense anxiety I feel and a weak stomach is an understatement. Food repulses me at the moment. Long may it last!

Morning Contemplations

MMmmm Coffee...

As I sit here with my cup of steaming hot coffee and stare out my little window at the trees, I find myself wondering the question which, at some stage, I think everyone will ask themselves, 'What is my purpose in life?' It is by no means the first time I've asked myself this remarkable question.

I say remarkable because to me, it has stirred up a multitude of diverse and utterly different emotions each time I ponder it. At times when my mind has been tainted by the black thoughts which come with depression, it has conjured up feelings of utter hopelessness and despair. But today, as my anxiety reaches new, unreached heights, it fills me with fear. As in order to have a purpose in life, one must partake in life. So this time, it’s not the thought of the vague, bleak future which fills me with distain; it’s the fact that I must overcome my social anxiety. 

This is the temperament of emotionally unstable personality disorder which many fail to understand. The way we feel and therefore live our lives are imperative to the emotions we battle with. Our minds are never mute or calm, yet always churning with the unfiltered thoughts of self hate, perfectionism or fear of failure. I have never experienced that magical moment of trust of certainty. I have never had the moment where I feel comfortable dropping my mask and letting the world know the real me. But as I sit here clutching my empty cup, I realize, this is all I can do for now. I am the best I can be right now, because although my emotions control my life, they don’t control who I am. I am Andy, and that is all I need to be.

Live life and enjoy today. xxx

Mindfulness In Action

'Serenity' 

Remember when you were a kid, and you got a new toy for Christmas or a birthday, and the whole world of time stopped while you played and became totally engrossed in the process of discovering how it worked and what you could do with it? Well, after my not-so-successful attempt to PARTICIPATE in a mindful eating exercise earlier today, I remembered how I used to get so involved in arts and crafts that time would slip away before I knew it. 

Until recently my ability to concentrate on a hobby or on anything much was zero-to-none. And while I was acutely unwell I simply just did not see the point in trying. But I slowly built up my tolerance and frustration since those lonely fives months in hospital and began to partake in activities which tested my concentration. Most notably reading and writing, but art is also one of them. 

I dislike doing things I am not very good at, and oftentimes I will not do something at all if it will only turn out mediocre. My judgments of myself get in the way. Therefore I was surprised to find out this evening, that I really enjoyed drawing this picture, so-much-so that I found myself lost in time for a little while. I was PARTICIPATING. I was so fully engaged in 'the flow' of drawing, that 20mins were happily spent mindfully attending to each stoke of the pencil on the smooth paper. I had to make a choice as to which color to use and where to put a mark on the page. 

For 20 mins I wasn't annoyed by unpleasant thoughts. Of worries about the future, or flashbacks from less happy times. I wasn't afraid of the food slowly digesting in my stomach or planning ways to rid my body of the calories. I was simply present in the moment, participating and acutely aware of how I was doing it.

'Participation' Is Torture

This week we have been set the goal of in incorporating the 'What' Skill (from the Mindfulness module) PARTICIPATION into our everyday lives. Thing is, with every good intention of being a diligent member of DBT group therapy, I made a plan. But annoyingly, I keep forgetting to fully participate in a task in order to be mindful to my experiences. 

"I used to think mindfulness is some form of passive observation… it is NOT passive.  In fact, mindfulness requires you to be both the participant and the observer simultaneously.  In this way, you are the observer of your experience at the same time as you are the experience itself.  As thoughts, feelings, and sensations naturally arise, they arise with the same vessel that observes them.Mindfulness is not a denial of your experience and a retreat into nothing but detached observation.  It is a type of open observation that is experiencing that which it is observing." Laura Schenck MA

Some skills from DBT are like little treats for the soul, while others are more akin to TORTURE! This is one of them. When you are fully awake to an experience you have actively spent a good proportion of your life trying to avoid, it is not a nice experience to then have to be aware of all the unpleasantness.

Does that make sense? I can't seem to explain what I mean in the way I want to. For example, a way I have tried to incorporate participation into my life this week, is to fully engage in eating. I really tried hard to experience every morsel of food. To taste the differences between sweet, bitter and salt. I noticed the variances in temperature and texture. Then I switched from external stimuli to the internal. To my thoughts, judgments and emotions.

Here is where the problem with this skill arose for me. No matter how hard I concentrated on noticing my thoughts, there was a strong resistance to participate in the task any longer. It was too hard to observe, then describe, then participate with eating when my head was screaming floods of guilt. 'Fat cow' 'You have no self control' 'You will be alone forever' 'This is what you deserve, fatness and unhappiness' .... 

This skill needs practice I think. And its not what I want to do. Its hard and annoying, but I guess if I was to pull from another skill, and weighed up the pros and cons, is it harder to live with an eating disorder or to just practice this skill?