Distraction. ACCEPTS, Distress Tolerance

Everyone loves progression right? Well I know I do in any case. Today in group we finally moved onto the next module: DISTRESS TOERANCE. Again, this is a nice inoffensive, non triggering topic. This time round anyway. Last time I found it hard to accept that these skills won’t solve all my problems straight away, as in right now! But rather they are designed to help you to bear pain skilfully without making the situation any worse. (Marsha Linehan 1993)

This set of skills is for when in the throes of an emotional crisis. When the problem can’t be solved, or if it can, maybe it is simply not the right time to solve it in that moment. It may not be the right environment to try to solve the problem either; for example, I am not skilled enough yet to stay emotionally regulated around my family during disagreements, so for now, using the DISTRESS TOLERANCE skills is the best solution for me. When I am in a food crisis, where I am trying really hard not to binge or purge, then being at home or around food is most defiantly the worst environment to be in, so some skills might not be as effective. And parallel to that, sometimes I can’t get away from situations involving food; this is when I find DISTRESS TOLERANCE skills really help. I like to think that my cue to use the distress tolerance is when I reach my complex skill breakdown point. It is also a way for me to find wise mind and calm the moment so I can try a solution focused skill like OPPOSITE ACTION, because it’s really important to not spend all my time self soothing or distracting! I would never get anything done!

What I picked up from today’s group is that PREPERATION is the key for these skills to REALLY work, and to allow myself to gain maximum benefit from them. We are always being told to practise the skills in less emotionally intensive situations so as we are familiar with them when we really need them when deregulated. So that is the aim of this post. To put together a list of distraction ideas based on the skill WISE MIND ACCEPTS.

DISTRACTION for CRISES SURVIAL is not the same as ‘zoning off’ when a problem CAN be solved, like staying in bed watching Disney films and avoiding the real world for days on end. That will just make it worse! WISE MIND ACCEPTS is for when you have to tolerate the situation in a way that is not harmful to yourself or others.

WISE MIND ACCEPTS stands for:

A – Activities

C – Contributing

C – Comparisons

E – Emotions

P – Push Away

S – Sensations

These are some of my own ideas; things which I know will help me during a crisis. Again, it is a work in progress and as always I would love to hear all your suggestions.

Activities Throw self into the moment.

·         Reading books – Silly novels, short stories about unimportant topics, Sci-Fi, Harry Potter. NO non-fiction. Magazines, trashy or glossy! Read recovery Blogs, Karyn Hall, Audio Books

·         Exercise - Get active, something intensive which demands focus and attention. Zumba class, Yoga.

·         Hobbies – Music, learn a new song on the guitar. Art and crafts. Writing, blogging. 

·         Mental activities – Memrise.com. Word games, scrabble on phone, Memorize a poem or prayer. Write a poem or short story.

·         Cleaning – Bedroom, Kitchen, Bathroom, Make-up, Wardrobe, Cooking, Washing

·         Events – Go see a movie, a play, a show, a lecture. The Silent Room, Meditation class. Google entertainment.ie, Hospital lectures.

·         Friends – Meet up, text, call, chat, email….. But DO NOT talk about crisis.
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Contributing - Focus on something/someone other than yourself.

·         Volunteer time, Hospital, Church,

·         Do something nice for another person. Bake, cook, send letter/card

·         Surprise someone, pay for coffee, buy something

·         Send nice text, Email, facebook

·          Smile at shop assistant, people on the street.

·         Give money to charity, buy food for homeless person

·         Visit Nana, Granny, Someone who is sick

·         Say prayers for the well – being of others

Comparison – Remember, it could always be worse

·         Compare myself to myself this time last year, a few months ago, even a few weeks ago!

·         Compare myself to others in my situations who are coping worse than me.

·         Compare myself to the rest of my family who have the same condition who are not accepting and coping with the disorder.

·         Be thankful for what I have

Emotions – Create opposite emotions to the one you are experiencing.

·         Music – create ‘happy’ playlist, ‘upbeat’ playlist, ‘relaxing’ playlist

·         Movies – Disney, Comedies, Period Dramas, Scary films

·         Comedy show

·         Read romantic books, thrillers

·         Read inspirational stories or poems

Push Away – Allow yourself a break from the emotion/thought

·         Mentally leave the situation, go to another ‘room’ in your mind

·         Give it to God box

·         Do a guided visualisation on Youtube

Thoughts – Focus mind on thoughts, Take a mental ‘Time-Out’

·         Count to ten

·         Count your breath

·         Visualise STOP! Sign

·         Look around, observe the things around you, and name them.

·         Say the same thing over and over in your mind. Breathe in WISE breathe out MIND. Over and over

Sensations – Interrupt physiological action urges with something intense which will not harm

·         Have a very hot or cold shower. Alternate between the two

·         Hold ice, eat frozen fruit

·         Go swimming, use the steam room

·         Suck on a lemon/lime

·         Snap a rubber band on your wrist

I cannot stress the importance of being prepared ahead of a crisis, and also it’s so important to find what works for you. It took me a really long time to figure out that these things work for me.

One Thousand Paper Cranes

Paper Crane!

I want to do something positive for my recovery, something which does not involve therapy, or food diaries or skills group. I need something more holistic, more spiritual and meditative. I need a project and I need a wish.

An old Japanese legend said that anyone who folds a thousand paper cranes so pleases the gods, the folder is granted a wish.  The well known story is Sadako and her 1,000 paper cranes.

Sadako Sasaki (January 7, 1943 – October 25, 1955) was a Japanese girl who lived near Hiroshima, Japan. She was only two years old when the atom bomb was dropped on Hiroshima on August 6, 1945.  As she grew up, Sadako was a strong, courageous and athletic girl. In 1954, at age eleven, she became dizzy and fell to the ground. Sadako was diagnosed with leukemia, the "atom bomb disease".

Sadako's best friend Chizuko, came to visit her and brought with her some origami (folding paper). She told Sadako the legend of the crane. It is Japanese legend that folding 1000 paper cranes (senzaburu) so pleases the gods that the folder is granted a wish. Sadako wished to get well. So, after hearing the legend, Sadako decided to fold 1,000 cranes.

After she folded 500 cranes she felt better and the doctors said she could go home for a short time, but by the end of the first week back home the dizziness and fatigue returned and she had to return to the hospital. 

Sadako continued to fold cranes. Even though she was in great pain, she tried to be cheerful and hopeful. Not long afterwards, with her family standing by her bed, Sadako went to sleep peacefully, never to wake up again. She had folded a total of 644 paper cranes.

Sadako's story had a profound impact on her friends and classmates. They completed her thousand cranes and continued to raise money from school children all over Japan to build a statue to honor Sadako and all the children affected by the bomb.

This is my project, my ambition. Wish me luck friends.

Who am I?

I have no stock answer to offer about a life-changing experience or a moment of enlightenment, and it is hard for me to give a comprehensive proclamation of who I am, for my identity unfolds more every day as my experiences grow.

I dislike saying "I am trying to find myself" because my identity is not lost, it just needs more uncovering. Luckily for me, what I love to do and want to be helps me uncover more about myself. I want to be a writer. I may not end up a professional writer but I will always write, even if I am the only one interested in my work, because writing is my self-reflection.

When writing, I sometimes get worked up into such a fervor that I barely know what I am saying. I just let my fingers fly over the keyboard and the ideas pour from my head. When I go back through the jumble of unpunctuated ideas, I notice a theme running through the writing. I don't try to put a moral in the theme, but invariably it happens. Evaluating the theme and the rest of the writing helps me interpret my own character and decipher my at times bottled-up feelings.

Emotional Stability at Christmas

Christmas is a stressful time. Even those without a mental health problem find the holidays difficult to get through, so it goes with out saying that, when an eating disorder is thrown into the mix too, there are bound to be problems.

For me and many others, there is a sadness, grief and loneliness behind my Christmas cheer. My disordered family is thrown together and the intensity nearly always bubbles over into arguments and squabbles. I am deeply ashamed to admit that there is still a stain on my family home's sitting room wall, where I threw a glass of wine at my sister one Christmas, missed and instead imprinted a cherry red mark on the cream wall as a memento of my rage!  

Late nights, rich food, extra alcohol, traffic and crowds, shopping and finances, cooking and cleaning and all the other tasks of Christmas, all make this time of year a protracted emotional time.

There ARE a few things which DBT offers us for a successful way to ride the holiday wave. I personally am concentrating on  COPE AHEAD. The more I plan for and organize the less likely that something unformulated will shock me into an emotional backlash. All my clothes are washed and outfits put together. I have made plans for friends to ring me on Christmas eve, Day and Stephen's day as supports and handy excuses from the dinner table. 

I am putting together a wellness toolbox to bring with me as part of SELF SOOTHE. This box is a little like what you might bring to keep a child entertained on a long car journey. I have knitting, coloring pencils and paper, magazines and books. I also have my DBT notes and MINDFULNESS exercises. I have 6 reminders on my phone which simply say 'Check-In'. these are to remind me to recognize my anxiety and take regular MINDFUL breaks throughout the day. I find things always seem less overwhelming after a few deep breaths.

I will also be practicing RADICAL ACCEPTANCE. I need to have realistic expectations. My family will not suddenly change into the perfect Brady bunch overnight. And if I can ACCEPT that my family are not perfect I think I have more of a chance of dealing with the potential holiday fallout.

I plan on respecting my values. I do not want to compromise my recovery 'just because' its Christmas. I am going to eat intuitively. So if I am hungry and dinner is not ready yet... well sorry, but I will eat anyway! 

Christmas is supposed to be a happy period and therefore a perfect5 opportunity to make new better memories for future years, so ACCUMULATE POSITIVE EXPERIENCE is another skill. I am going to spend time at the end of the day to reflect on what things went well and add them to my positivity book.

Are there any other tips you guys have?

MERRY CHRISTMAS EVERYONE 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.