tag:blogger.com,1999:blog-62071227591717412362024-03-13T04:56:27.674-07:00BPD BunnyBPD_Bunnyhttp://www.blogger.com/profile/11480605827417308252noreply@blogger.comBlogger19125tag:blogger.com,1999:blog-6207122759171741236.post-77132040434047916672013-02-18T06:49:00.002-08:002013-02-20T05:41:36.472-08:00Trauma Therapy: Eye Movement Desensitization & Reprocessing (EMDR)<div style="text-align: justify;">
If you struggle with painful memories from a past trauma, and are considering what types of therapy might be most useful, let me be your guinea pig today and tell you about Eye Movement Desensitization & Reprocessing (EMDR).</div>
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In a nutshell, EMDR basically aims to help you reprocess memories of past traumatic events that your brain has failed to properly process. </div>
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The hippocampus is an organ in the brain that deals with storing emotional memory. When a traumatic experience happens to a person, the logic and reasoning centres of their brain are overwhelmed, so the hippocampus fails to communicate with them effectively to process the memory of that event. </div>
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This can result in a person experiencing severe distress when remembering this trauma, and sometimes finding they relive the experience as though it were occurring in the present, because the memory has not been properly stored by the brain as a (sometimes very distant) past event. </div>
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<b>The purpose of EMDR is to reprocess traumatic memories by manually involving both the emotion side of the brain and the logic side of the brain, given that they previously may not have been working together, to properly place that memory in the past.</b></div>
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During EMDR, I was guided to remember the traumatic memories that I continue to find distressing by bringing into conscious awareness the memories themselves, as well as the thoughts, emotions and bodily sensations that come with them. </div>
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This means that if you are considering EMDR, you need to be willing to experience reliving a distressing memory through recalling it in detail. Your therapist should help you to come up with a safe place to use if you need it.</div>
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This is quickly followed by having to follow the moving fingers of the therapist rapidly for a brief period of around 30 seconds. And I mean, RAPIDLY. It was actually a little bit hard to keep up at times!</div>
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It is possible for this therapy to be conducted using other external prompts, like sound or touch, but prompted eye movement is usually the most common and most accessible for the majority of patients. </div>
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<b>The process produces a distinctive and naturally occurring pattern of electrical activity in the brain, which causes the stored trauma memory to quickly change.</b></div>
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During EMDR the therapist is not meant to talk or offer suggestions. I was not asked to change any aspect of the memory, but just to notice the experience. </div>
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At the end of each set of eye movements I was asked to report how I was feeling. I found the emotional and bodily sensations reduced in intensity quite consistently during the whole process. Sometimes the physical symptoms would change or come back a little bit, but then further "rounds" of eye movement helped those feelings subside again.</div>
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The next step is to associate a more useful thought to the now more distant trauma memory. The EMDR process is complete when the new perspective feels true even when the old memory is recalled. For me, I worked on accepting ideas that "I did the best I could" and that "I was only a child" to help me experience these memories in a less distressing way, as previously I had been experiencing strong feelings of shame, self-blame and guilt.</div>
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It's apparently common to feel tired after an EMDR session, and this was definitely true for me. I recommend scheduling in time for rest or something soothing afterward.</div>
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Whilst EMDR sounds simple (and let's be honest, a little bit like hocus pocus!) there are many important procedural steps for the therapist to follow. It actually takes over 50 hours of training and supervision to fully train an EMDR therapist.</div>
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EMDR can be effective whether it is conducted once or over a series of sessions, depending on the patient's needs. I am currently approaching my fourth session. </div>
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Overall, I can say I do recommend it as being very useful.<br />
<br />BPD_Bunnyhttp://www.blogger.com/profile/11480605827417308252noreply@blogger.com27tag:blogger.com,1999:blog-6207122759171741236.post-38613334212237517822013-02-08T22:41:00.000-08:002013-02-09T08:47:59.460-08:00Falling Apart & Beginning Again: Jess' Story<div style="text-align: justify;">
Today I've decided to share a bit about my story. </div>
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You may find it interesting or entirely purposeless :) either of which is okay, but I thought it might be useful for giving you an idea of context when reading my blog. </div>
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I'll start when adulthood sort of did... The first two years out of high school weren't that exciting for me. I finished school at 16, when the usual age for graduating high school in Australia is around 18, because I was skipped a grade after being told I had a high IQ. I have my doubts about this!</div>
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Aside from a retail job and a hospitality job during school, my first "real" job as an adult was a youth worker position. This 25 hour per week job had very little
support, and I did it while I tried to simultaneously pull off a full-time study
workload at University. I ended up just doing a second-rate job of both
tasks and didn't find much fulfillment. </div>
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I also enjoyed a little bit of travel and had a couple of healthy relationships. I sometimes got the sads, which affected one exam period at worst, but life was alright.</div>
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Then at eighteen I entered an industry in which I would spend the next six years of my life and where I would meet some of the best and worst people I've ever known. I worked full-time in very intense and stressful environments during which I experienced upwards of half a dozen instances of workplace bullying. (Of course, I am now better able to acknowledge my role in these situations, and no doubt those people were influenced by their own distress in our ridiculously high-pressured industry, but it truly was horrible for me and some people were just jerks... Perhaps a topic for a future post!) </div>
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I also spent most of these years in and out of an
extremely traumatic relationship with someone who was twice my age and
newly divorced. They and their ex-wife worked in the same industry
as me. Everyone knew and had to work with each other despite hatred
and tension. It was unpleasant, to say the least.</div>
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Throughout these years there was not a single day that my work tasks were limited to working hours. There was a constant expectation to attend events and socialise with colleagues out-of-hours, which was made all the more unpleasant by the goings-on of my emotional life. And socially it wasn't that great either - there were complex networks of who liked who, who hated who, and who was undermining who just for the heck of it. Even my recreational reading time needed to include media and literature relating to work. I was passionate about the cause and willing to work hard, but geez! Years of this stuff wears you down. On top of this, all of the actions and choices in your personal life reflected directly on your career. </div>
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I should also point out that there were some great aspects to the jobs I worked in and that I was very privileged to have had some of the support and opportunities I did. In amongst the hard times there were some people who were great to me and there was some very cool stuff I loved doing. I really believed, and still do believe, in the cause behind my work, and I wouldn't change that for the world.</div>
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But it was still killing me. So, why didn't I change anything? Why did I stay? And why did I lock myself into a lifestyle that was clearly making me unhappy?</div>
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I'm not one of those people who is particularly wrapped up in money or appearances. I never pay for designer labels and I'd seriously rather shop at K-Mart. But I locked myself into a cycle of expectations where I had to keep earning money and then keep earning more. Once you sign a rental lease, you pay that for a year. Once you've rented one place, you want to rent a nicer one. Once you have your own place, you pay bills. And once you are sitting alone in your own place with all bills paid, you eventually get bored or lonely, so you go out with friends or do some activity to keep your mood up. (Especially when you're always feeling the blues!) </div>
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I also did all this because I just thought I had to, because it was what adults did. Adults have their own place, buy furniture and groceries, drive their car, go to dinners, work their jobs, get promoted, get new jobs... meanwhile, my mental health kept deteriorating. I couldn't understand why I was feeling worse and worse despite doing all the "right" things with my life.<br />
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I really was trying hard to improve things for myself. I would complete an extra university subject or make a new friend or try to find hobbies and projects I could volunteer in. There were even a couple more overseas trips with family and friends. But my condition kept going downhill. I began to dream about just throwing it all in and running away to join the circus. As time wore on, I dreamt about doing worse things.</div>
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<b>[ TRIGGER WARNING APPLIES</b> ]<br />
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And do worse things I would! Sometimes I was just sad, and I would fill my time with sleep or food to escape. Sometimes the emotions were stronger. Emergency rooms and ambulance rides became a nauseating blur. So many times I fought off the panic of oncoming pain with drugs and alcohol. If I really couldn't even bear the minutes it would take for those to kick in, I would resort to self-harming - cutting, scratching, burning, hitting.<br />
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I've poured boiling water on myself. I've torn my flesh off in chunks. I've smashed my forehead onto cement walls. I know that there are others who have no doubt experienced worse than me, but I can tell you that within myself I went over some cliffs. Whatever I could do to fight off the surge of emotional pain that was coming, I would do it. And sometimes the emotions were just a never-ending dull ache that made me choose not to put my seat-belt on when I was driving or be pretty careless about looking before I crossed roads. I would imagine my funeral or the actual process of dying just to soothe myself a bit that there was an ending available. In general, it was safe to say I spent upwards of 80% of my life wishing not just for death but for respite from my feelings.</div>
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<b>[ END TRIGGER WARNING ]</b><br />
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By the time 2012 rolled around and my family had caught on to all of this, I found myself hospitalised and on four different psychiatric medications. Something had to give. Eventually, it all did. The ridiculously dysfunctional relationship finally began to cave in for good. (Though, he only ever truly left me alone when he found a new half-his-age partner. Make of that what you will.) I couldn't handle being bullied at work each day by my line manager and gave my notice of resignation. I opted not to renew my lease, sold my furniture instead, and told everyone I was leaving to go travelling overseas. I didn't know what I was going to do, but I just had to get away.</div>
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I was alone in Amsterdam when the nervous breakdown hit. Hard. I ditched the rest of my travel plans and came home to a serious psychiatric hospital stay and more medication and even more therapy.<br />
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I'd quit my job and relationship. All my things were sold or packed up. I had almost no friends left. (My social circle had become entirely full of work relationships and pretty much no one was interested in me once I quit my job - like I said, they weren't the nicest of people.) </div>
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It feels like a doomed airplane was careening and breaking apart through storm after storm for so many years, as I desperately taped its wings together and pumped the fuel lines and wrestled the yoke, like some maniacal pilot... when what I really needed was for the whole mess to finally plummet into the sea. Now I'm sitting on a life raft, alone, at last able to tend to my wounds, and rest. I'm bobbing along in this deafeningly quiet stillness. You get the metaphor. It's over.</div>
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And it's a new year, I've had a break and a lot of treatment, and I'm officially "stable" according to three doctors. So does this mean I'm almost Recovered? HAHAHA! No, wow, not even remotely close. What I am is (finally) Beginning to Recover. </div>
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Or, more accurately, I will be in a process of "Returning to Work/Study" for some years to come - which is an Australian concept of only having one job or course of study at a time, and only doing this on reduced duties, while incrementally returning to a full-time capacity, under the supervision of treating doctors. This means I can do things, but they will need to be balanced with medication and therapy for a long time.</div>
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I've chosen to move to a bigger city and go back to University. I'd like to study so that I can enter a new industry, and because I truly enjoy it. I also think a new city is going to give me the space I need from old friends and old habits. I'm still keeping some of the support with me though, as my best friend and her lovely sister are also moving at the same time. (Plus the city is super cool and much bigger than my boring old home town.) My family have even agreed to help me out with financial support and ensure that I'm returning home very frequently for stability. This all fits in with my doctors' plans, so it's looking good.</div>
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In finishing my story, here are some lessons I have taken from my years of misspent youth which I implore you to consider lest you ever find yourself in the same place I was in...</div>
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<b>A job is a huge part of your life, and any problems at work should be taken seriously. </b>How you are treated and whether you have a healthy work-life balance are especially important. Report instances of bullying or harassment. Talk to your boss about fair expectations from you as an employee. And if you just don't enjoy your job, keep looking around for others until you find a better fit. </div>
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<b>Try not to get stuck in one mindset and never cut off your own options. </b> All the cliches are true, the world truly is full of limitless possibilities and if you want to wake up tomorrow and do something completely different, DO IT. </div>
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<b>Screw the norm. </b> You don't need a big house, car, or impressive-sounding job, to be truly happy. In fact, you can have all these things and be very unhappy. Believe me! What really matters is family, friends, and doing what you love. The rest is negotiable.</div>
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<b>Never sell yourself short because you really do deserve every good thing in life.</b> You deserve happiness. You deserve a vocation that you love. You deserve happy and healthy relationships. Even if you have some crazy dream job or lofty ambition, give it a go! You'll never regret the immense love and respect you show for yourself when you seek to achieve your goals.</div>
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If I could speak to my seventeen year old self, they are the things I would tell her. Instead I have written a long and boring blog post to you! If you have managed to read it, please know I am sending you a genuine and heartfelt thank you for doing so. </div>
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P.S. Of course, I should say that my mental illness likely required a genetic predisposition and
would have involved contributions from other traumas in my life. But,
would I have ever reached such a severe point of crisis had I spent those
years in a normal workplace and normal relationship where I was not prevented from living a healthy life?
No. Never. (Again, I'm an adult, and I am responsible for my choices. But seriously, I encountered some messed up people and was
put in some extremely distressing situations. TO THE MAX. If I ever write a book it'll be titled "Crap After Crap TO THE MAX" and no one should read it.) </div>
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P.P.S. If I can somehow keep myself intact despite many attempts to achieve the opposite, I truly believe that other people going through mental health challenges can get there too. </div>
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BPD_Bunnyhttp://www.blogger.com/profile/11480605827417308252noreply@blogger.com12tag:blogger.com,1999:blog-6207122759171741236.post-56744102268185129902013-01-11T05:08:00.000-08:002013-01-26T05:26:54.571-08:00Braaains<div style="text-align: justify;">
Anyone who has suffered through a mental illness knows all too well that it is not something you just "get over" or "snap out" of. Mental illness is real and tangible suffering.</div>
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Need proof? Here is a link to a very excellent science blog that lists hundreds of recent studies, tests and trials that scientists are working on around the world: <a href="http://samsnyder.com/2012/02/26/the-neuroscience-of-borderline-personality-disorder/" target="_blank">The Neuroscience of Borderline Personality Disorder</a>. </div>
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The more research that is done on BPD and other psychiatric conditions, the more that science is unfolding the physiological structures of the brain that contribute to their symptoms.</div>
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From the bits and pieces I've read so far, when it comes to BPD symptoms, the overwhelming trends are prefrontal cortex and amygdala dysfunction relating to structure and reactivity. </div>
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When we talk about balancing Emotion Mind with our Reasonable Mind - in order to use both and be in our Wise Mind - it's possible to understand the regions of the brain that affect each.</div>
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Studies are able to show BPDs often have a smaller and hyperreactive amygdala. This is the organ in the brain that plays a crucial role in emotional learning, memory and responses.</div>
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It's even been demonstrated that the larger your amygdala, the larger and more complex your social circle is likely to be. This doesn't mean that BPDs are unpopular, but rather that we are more likely to struggle with emotional activities like intense social interactions, and so perhaps do them less.</div>
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The prefrontal cortex of the brain (essentially the forehead part) is responsible for the type of executive-level thinking that makes us humans as opposed to just cavemen by giving us the ability to visualise what is not physically visible - for example, the future consequences of making a decision. This means you need this part of the brain to work well in order for decision making, planning, moderating social and emotional behaviours, impulse control and goal setting. </div>
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Research in this area has shown that BPDs often demonstrate difficulty in getting parts of the prefrontal cortex to coordinate with other parts of the brain, especially the amygdala.</div>
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<b>Generally speaking, this means it's possible to see on MRI scans the physical aspect of the struggle between Emotion Mind and Reasonable Mind when someone with BPD is emotionally triggered.</b></div>
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While it might be some time before we fully understand the neuropathophysiologic (yes, that's a word apparently!) basis of BPD, there is no doubt as to its existence, and no one should ever be made to feel that their mental health is any less "real" that their physical health. </div>
<br />Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6207122759171741236.post-70403918566789653272013-01-03T07:06:00.000-08:002013-01-03T07:07:19.726-08:00BPD & Object Constancy, Or, Why I Love Presents<div style="text-align: justify;">
Anyone in therapy or studying a form of psychology might be familiar with the concept of "object constancy". This refers to a person's ability to recreate or remember
feelings of love that were present between themselves and another person after the other person is no longer physically there.<br />
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For as long as I can remember, this has been something I have struggled with. Even in primary school, I can recall how much I'd treasure scraps of notepaper from class that would "prove" I had interacted with a friend via some scribbles, or any other token or souvenir that could only be attained by being someone's friend. Photos or presents are ideal. Whatever the keepsake, I never have enough. It never feels like enough.<br />
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This is because of my ineptness at maintaining object constancy. I always struggle to feel loved by a person unless they are in the process of demonstrating it to me - I just can't feel it unless I'm seeing it, touching it, or hearing it. Otherwise I feel totally disconnected, and potentially abandoned. <br />
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It's not that I don't love or appreciate the aspects of relationships that have lasted over time, it's just that I just can't remember them on my own. I need prompting. I have to be reminded of individual events, stories, and resulting emotions from throughout the relationship to get the full benefit of them having occurred. <br />
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I can only imagine how exhausting this is to those who love me. My relationships are a never-ending quest for the other person to prove their loyalty, devotion, and caring.<br />
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But because my brain can't preserve those efforts, it's the emotional equivalent of typing up a Microsoft Word document that can't save. Every time you close the window, whatever you've written is gone, and you have to start again.<br />
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<b>I'm not sure who gets the worst end of the deal with this symptom. My loved ones, who can never do enough, or myself, given I can never feel permanently loved.</b><br />
<br />
It's entirely feasible that a boyfriend of years has met a new partner since I saw them two hours ago, or that a best friend hates me after one cranky text message, or that a family member has disowned me because I didn't give them a Christmas hug. It's feasible that people would do this to me, because I could do it to them.<br />
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It's that classic BPD trait of being able to "switch" or "split" and see someone as either all good or all bad. Lacking object constancy is a big part of what makes this possible. It's easy to switch to hating someone for one wrong move if you're unable to remind yourself of the many, many times they've done something right. <br />
<br />
In reverse, I can honestly say that it is entirely possible for me to
love a friend I have known for one day as much as a friend I have known
for one decade, if the chemistry is right and if I view them as "all good".<br />
<br />
Researchers have linked problems with object constancy to dysfunction in the area of the brain that deals with emotional memory. The memories are there, but some parts of the brain just aren't talking to each other for me to be able to access them.<br />
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<b>Dealing with this symptom is just another case of having to intervene in my thought processes manually, where a mentally healthy person would enjoy it on automatic. </b><br />
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</div>
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For me, I find it helpful to carry around pictures and notes from loved ones, as well as any gifts I've been given. Also, on the more extreme end of things, I've got my four closest family member's names tattooed on my back. Every morning I look in the mirror and am reminded.</div>
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If I come up with other ways to deal with this, I'll be sure to post them here.</div>
<br />BPD Bunnyhttp://www.blogger.com/profile/16119202175073875973noreply@blogger.com13tag:blogger.com,1999:blog-6207122759171741236.post-54856274069615252792012-12-28T05:07:00.000-08:002012-12-28T05:54:13.696-08:00The Up-Sides Of Mental Illness: Compassion<div style="text-align: justify;">
Recently, a friend shared with me a practice he's been using at the end of each day to boost his confidence, mood and sense of self. Interestingly, this friend is of good mental health, but still finds it necessary to work on "improving moments" from time to time.</div>
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The technique is something most of us have probably heard of in one form or another. It's to list three things at the end of each day that you are grateful for.</div>
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I initially didn't think much of this, until I actually gave it a go. It's really helpful. </div>
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Some days, even if it's been a really bad day, I am still grateful for something as simple as sanitation. If this sounds like it's not that big a deal to you, then I am almost certain you have never been to China - believe me, when that pork dumpling platter started to go south on me, and there was nothing but a hole in the ground behind the restaurant where kids were playing... Well, you can take my word for it, access to a sanitation system is a blessing.</div>
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I've decided I'm going to use this more often, to get in the habit of changing my perspective on things to see all the angles.</div>
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So, I'm starting a series of posts about the positives of having mental illness.</div>
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Lately I've noticed that my own mental health struggles have allowed me to be much more compassionate to others experiencing the same. This seems obvious, but it pops up in places I wouldn't expect. </div>
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Today, when I was stopping by the shops to pick up some groceries, a man was being arrested in the car park and was causing quite the kerfuffle. </div>
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It took four police officers to hold him down, and two more to keep pedestrians away and prepare the police van to transport him. He was screaming and shouting that these weren't police officers, but were secret police, that had poisoned his water. Most people were standing around rolling their eyes and shaking their heads.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkEywI__tHcQaCGX18w6TxBgKE3GnpaBIIU9gw2pUXyUlQ7nYY4VEKYLym5FhsxGmQnMuuMsG_j1gKluRTNCUbUBIYpOoE3iLLhnIx9KpBn8Uknt2kwaw9p1zcpwdF5vYkeBT7gf_FV_DW/s1600/crowd.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkEywI__tHcQaCGX18w6TxBgKE3GnpaBIIU9gw2pUXyUlQ7nYY4VEKYLym5FhsxGmQnMuuMsG_j1gKluRTNCUbUBIYpOoE3iLLhnIx9KpBn8Uknt2kwaw9p1zcpwdF5vYkeBT7gf_FV_DW/s1600/crowd.jpg" height="166" width="200" /></a>But my first thought was that the guy probably suffered from mental illness, and that if he had a choice, I was sure he wouldn't want to be in the situation he was in.</div>
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I can guarantee that a few years ago, before becoming mentally unwell myself, there is no way I would even have considered that. I still probably wouldn't have been as judgmental as the people standing around, but it wouldn't have immediately occurred to me how involuntary his predicament was.</div>
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In all honesty, I can say that I appreciate being able to access this compassion and understanding for anyone who is let down by their brain in the same way that I have been. </div>
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This isn't to say that I'm Jesus or anything, but I think it actually feels better to experience the emotion of compassion rather than emotions like judgment or disgust.</div>
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BPD Bunnyhttp://www.blogger.com/profile/16119202175073875973noreply@blogger.com2tag:blogger.com,1999:blog-6207122759171741236.post-26062266552703292332012-12-23T05:35:00.000-08:002012-12-23T05:35:49.483-08:00Is It Hot In Here, Or Is It Just Me?<div style="text-align: justify;">
It's ALWAYS just me. Today I will be telling you about my struggles with anxiety and... sweating. Please accept my apologies for grossness in advance.</div>
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As you may be aware, one of the telltale signs of Social Anxiety Disorder, or any form of anxiety, is sweating. There are others - such as blushing, trembling, palpitations, nausea, stammering, and rapid speech. And I experience all of these too. </div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXifdSAqYL6_tpPBlpFIYQl264x8VDOxMH3xxTGgPLuduKki5v3ZBSlaSVZuJi1bS0rA2mVNZuPTpPsoADo28WjRCrzW_XTykoA-7HhicPTBBHGV2nH0W8xNIVYIPoFVxzu3360imOguLY/s1600/sweat+copy.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXifdSAqYL6_tpPBlpFIYQl264x8VDOxMH3xxTGgPLuduKki5v3ZBSlaSVZuJi1bS0rA2mVNZuPTpPsoADo28WjRCrzW_XTykoA-7HhicPTBBHGV2nH0W8xNIVYIPoFVxzu3360imOguLY/s1600/sweat+copy.png" height="200" width="136" /></a>Blushing, however, can be overlooked as nerves, or a sign of alcohol ingestion. I've also had a person tell me they just assumed I put on too much blusher make-up!</div>
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Trembling and palpitations can be hidden. Even when holding a drink, it's possible to steady your arm across your body. And nausea is also invisible to the naked eye.</div>
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Stammering and rapid speech are noticeable, but often written off as behavioural or personality traits. Ironically, it sometimes happens that people will assume you're so relaxed you aren't even bothering to speak too formally!</div>
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<b><br /></b></div>
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<b>But sweating. Ugh, sweating. Sweating is the give away. Sweating is obvious, awkward, and embarrassing. </b></div>
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It can't be hidden. It can't be stopped or slowed on cue. And everyone knows what it means - you're embarrassed, you're very uncomfortable, or there's just something wrong with you.</div>
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<br /></div>
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Here are a list of things that make me sweat:</div>
<ul style="text-align: justify;">
<li>Being outside my house - this will often begin during the car journey</li>
<li>Entering or exiting a store, restaurant, cafe, pub, building, or other venue</li>
<li>Talking to anyone, be they friend or stranger</li>
<li>Doing anything whilst being watched, by friends or strangers</li>
<li>Meeting new people (this one's a killer)</li>
<li>The point of check out and payment when shopping (also a killer)</li>
<li>Lastly, the "normal" causes, such as hot weather or exertion</li>
</ul>
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</div>
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When I sweat, it's always concentrated on the eyebrows, forehead and upper lip. If I'm trapped in the situation and can't leave, this will extend to the eye area, chin, and hairline.</div>
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The worse is when I sweat to the point of it being visible in my hair. It's humiliating.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEifYfRHx1rkXn8y14TCrceqh_yCQJ6dZq6u3gkn77D0BWXIxIS2qpMKFO9j6Mro3XV7oNTp6Sn_KLAodxffdHa8C3kO1jrj5Oe1BWP7cDB_PPG8xW2Op8R_e6PgNrhWi2waEp2kyc-QPvYz/s1600/sweat.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEifYfRHx1rkXn8y14TCrceqh_yCQJ6dZq6u3gkn77D0BWXIxIS2qpMKFO9j6Mro3XV7oNTp6Sn_KLAodxffdHa8C3kO1jrj5Oe1BWP7cDB_PPG8xW2Op8R_e6PgNrhWi2waEp2kyc-QPvYz/s1600/sweat.jpg" height="147" width="200" /></a>And that's just my face! I don't have enough hours in the day to go through all the places one sweats on the body, but suffice to say that anxiety promotes sweat better than anything...</div>
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So, if you ever see me in public, I'll usually be dabbing away. Eventually it will become too much sweat, and the panic about sweat causes more panic, and I have to leave. My options are usually only the bathroom.</div>
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Alcohol makes it worse. Nicotine makes it worse. Caffeine makes it worse. Even a hot meal exacerbates the situation.</div>
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<b><br /></b></div>
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<b>Basically anything you do socially can make it worse, but even if I stood there with a glass of chilled water, I'd still be sweating away.</b></div>
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The only time the sweating stops is when I am sitting in a cooled area and not talking to more than one person. Or when I go home.</div>
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</div>
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To be honest, it's horrible. It gets in the way of every single thing I do outside of my house - work, meetings, university, friends, family, dates, shopping, errands, doctors. I sweat them all.</div>
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And it's not just the embarrassment of being sweaty. It's also deeply upsetting that your body is misrepresenting who you are to the world. </div>
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Excessive sweat makes it look like I'm a deeply nervous person, or a drug/alcohol addict, or someone who dislikes being around others. There is nothing wrong with any of these things - but they aren't accurate about me, and I just want to be myself! </div>
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<b>I don't want to be sweating, I don't need to be sweating, I'm not hot/nervous/drunk - why so much sweat?! </b></div>
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</div>
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It's because anxiety is your body letting you down. Anxiety is the firing of a bunch of physiological responses to perceived dangers or threats that aren't actually there.</div>
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To try and stop the sweat, I've tried botox, aluminum based skin products, and altering my diet. No good results. I've also used more natural alternatives, such Aloe Vera and Witch-hazel based skin products, which have helped a little more. </div>
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And I am working through Cognitive Behaviour Therapy with my Psychologist so I can use better skills in everyday life.</div>
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So, that's my sweaty story. I am sorry to post about something less than palatable, and believe me, it was a difficult post to write. But I did it because I think it's important to to be speaking openly about symptoms of mental illness, and because maybe one day another sweater will read this, and feel just a bit less like an alien.</div>
<br />BPD Bunnyhttp://www.blogger.com/profile/16119202175073875973noreply@blogger.com5tag:blogger.com,1999:blog-6207122759171741236.post-53734635065997064752012-12-21T04:45:00.001-08:002012-12-21T04:45:56.697-08:00Delayed Sleep-Phase Disorder<div style="text-align: justify;">
I thought I would take a moment today to tell you all about another (yes, another!) condition I am living with: Delayed Sleep-Phase Disorder.</div>
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Essentially, your body clock runs between two to six hours behind everyone else, evidenced by its timing of sleep. It sounds innocent at first, but bear with me!</div>
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Delayed Sleep-Phase Disorder (<span class="caps">DSPD</span>) belongs to
a group of sleep disorders known as circadian rhythm sleep disorders -
where individuals experience chronic sleep disturbance
due to misalignment in their body's circadian timing.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjctNAp6x7stnyqg1fpRAWUUu6YQQzVjmgDU_1t88YdmMaGjWA7gOmpKXS6GmtK1Wo1JcDmoNmhA21I0od9KEA0rhR7XXhEO8xktHdAvK5vN8AIESz-VSywslrNzXzwekNX0Wd8Kix9DQU/s1600/sleep2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjctNAp6x7stnyqg1fpRAWUUu6YQQzVjmgDU_1t88YdmMaGjWA7gOmpKXS6GmtK1Wo1JcDmoNmhA21I0od9KEA0rhR7XXhEO8xktHdAvK5vN8AIESz-VSywslrNzXzwekNX0Wd8Kix9DQU/s320/sleep2.jpg" width="320" /></a></div>
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<b>For example, an individual whose circadian rhythm, or "body clock", is
delayed may find that their ideal time for sleep is 4am with a rise time
of 12noon. </b></div>
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</div>
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This schedule does not match the typical sleep window of
most adults; and thus the main problems of those with <span class="caps">DSPD</span>
relate to attempting to fall asleep (before their body clock is ready
to) and attempting to wake up in the morning (before their body clock is
ready to).</div>
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Now, I know what you're thinking, and trust me - people with DSPD are used to it!</div>
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"Just get out of bed you lazy bugger!"</div>
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"You're such a night owl!"</div>
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"Why don't you just go to sleep earlier!"</div>
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</div>
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We spend our whole lives hearing this, because DSPD is a life-long condition. Since I was a baby my parents would struggle every night trying to get me to bed. Every. Single. Night. </div>
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<b>Sleep disorders are hugely under-diagnosed, because people often assume the problem is just a personal or behavioural trait.</b></div>
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Other than being life-long, the main diagnostic criteria for DSPD include:</div>
<ul style="text-align: justify;">
<li>No other problems with length or quality of sleep once asleep,</li>
<li>Not to be confused with insomnia, </li>
<li>If allowed to go to sleep when ready and rise when ready, can enjoy a normal balance of sleep, </li>
<li>Sleep delay not caused by substances or other medications,</li>
<li>Can be proven with testing of body temperature and polysomnographic monitoring, for example at a "sleep clinic".<br /> </li>
</ul>
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Right now, it's 11:21pm, and I can feel my body shifting up a gear. This is my prime time for creativity, productivity and energy. Convenient, huh?</div>
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</div>
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My body will not fall asleep naturally until after 3am. That's when it thinks the sun goes down. And, obviously, I won't get up any earlier than 12noon.</div>
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This of course has negative effects on, well, everything. I'm known for running late. People ask if we're meeting at our agreed time, or at "Jess time", which allows an extra 30 minutes.</div>
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It has caused me significant, repeated problems in attending school and work. </div>
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And the treatment for DSPD is - not a lot! There's nothing that works in the long term, or that "fixes" the problem. Melatonin and "bright light therapy" only work as long as you're actively using them; once you stop, your body goes back to its ways. </div>
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</div>
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<b>Of course, you need to keep up good sleep hygiene (e.g. avoiding caffeine, regular bed times) but this won't alter the body clock of someone with a sleep disorder.</b></div>
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</div>
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Luckily (sort of!) for me, my current psychological conditions mean I am on several medications, one of which puts me to sleep. So for now, I can artificially control my bed time. </div>
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I just have to aim to have a job that fits into an afternoon or night shift fixture when the day comes that I'm not on medication. If that day comes! </div>
BPD_Bunnyhttp://www.blogger.com/profile/11480605827417308252noreply@blogger.com9tag:blogger.com,1999:blog-6207122759171741236.post-71723119479472687062012-12-18T02:13:00.000-08:002012-12-18T02:19:54.027-08:00Wising Up To My Old Tricks!<div style="text-align: justify;">
Today I was reading a blog post from a new and different source to what I normally read, and I found myself becoming suspicious of this person and angry at them.</div>
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I did my usual trick of trying to Distract by continuing to read the post. For me, Distraction is a good first step tool to use, as my emotions come and go so quickly it is always worth seeing if they will dart off as fast as they came.</div>
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The feelings persisted though. I realised I had to consciously address them when I noticed myself wanting to react to these emotions.</div>
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<br /></div>
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So I spoke to myself out loud. I non-judgementally listed how I was feeling and what thoughts those feelings were giving rise to. Straight away, I was able to tell myself that these emotions were coming from past experiences, where I had been hurt by people who this blogger was now reminding me of.</div>
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<b>It's amazing how often the purpose of my emotions turns out to be my brain trying to protect me from a perceived threat or harm.</b></div>
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<br /></div>
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After realising this, it's hard to be all that frustrated with myself or my disorder. I mean, in its own way, my brain is just trying to look after me. It's even kind of sweet! </div>
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<br /></div>
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But, I know that more often than not, having BPD means my brain is using ineffective or misinformed methods when it comes to emotions and relationships.</div>
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I just need to practise rewiring and redirecting these good intentions so that they more effectively respond to what is really happening.</div>
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</div>
BPD Bunnyhttp://www.blogger.com/profile/16119202175073875973noreply@blogger.com2tag:blogger.com,1999:blog-6207122759171741236.post-29953179866660702912012-12-14T18:57:00.000-08:002012-12-14T18:57:29.257-08:00Being Right or Being Happy?<div style="text-align: justify;">
Yesterday I found myself in a tricky situation. I was visiting my Dad, and had naturally parked my car on the street in front of his house when I arrived. </div>
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We were chatting away inside when we heard a loud car horn being beeped and someone yelling. When we went out to see what was going on, his neighbour from directly across the road screamed several profanities out her car window at us, before driving off in a hurry.</div>
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It turns out that this neighbour believes no one should be allowed to park across from their house because it means she can't just reverse carelessly out of their drive-way without looking. Despite this having no legal standing whatsoever, she had verbally abused my family before about this.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhjIqERD4EEXK2bS65uzscUCauQiYf6U5YB9PpBHHfyn7m5ZLgKr9-JyzZqMN5Q7jzQpT2SjLK1mQpVRDTYHDrKRRAPe7mUG2nDa_cxATEZedXp6IMZJSy5QoINjbDiplq5r79TeYzjzTpE/s1600/man+having+traffic+tantrum.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="135" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhjIqERD4EEXK2bS65uzscUCauQiYf6U5YB9PpBHHfyn7m5ZLgKr9-JyzZqMN5Q7jzQpT2SjLK1mQpVRDTYHDrKRRAPe7mUG2nDa_cxATEZedXp6IMZJSy5QoINjbDiplq5r79TeYzjzTpE/s200/man+having+traffic+tantrum.jpg" width="200" /></a>Immediately, my Dad went walking over to this neighbour's house to have a word with whoever was home, and I went with him to share my dissastifaction at being yelled at.</div>
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<div style="text-align: justify;">
The husband was home and had a conversation with us. He also preferred no one park there, but didn't believe his wife should have yelled about it. </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
In actual fact, it's a completely normal parking spot on Australian roads.</div>
<div style="text-align: justify;">
<b><br /></b></div>
<div style="text-align: justify;">
<b>When it became clear he would not shift his views, I had to decide: do I want to be right, or do I want to be happy?</b></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I could have stood there for another thirty minutes debating the point to try and make him agree it's a perfectly valid parking spot. However, we had family to meet up with, and this would have caused us to run later than we already were.</div>
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<br /></div>
<div style="text-align: justify;">
I had to stop and think about using DBT Interpersonal Effectiveness skills.</div>
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<br /></div>
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I also had to balance the "wants-to-shoulds" - as in, find a balance between what I wanted and what I should do.</div>
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<br /></div>
<div style="text-align: justify;">
I <i>wanted</i> to argue with this man until he accepted that he and his wife were mistaken in trying to enforce non-existent road rules. (Which they were!) But, my wants weren't the only things that mattered, and I knew I <i>should</i> have wrapped up the conversation before it intruded on any more family time.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
In the end I was able to achieve my main goals as recommended in DBT: </div>
<ul style="text-align: justify;">
<li><b>Get my opinions taken seriously:</b> he was definitely listening to us.</li>
<li><b>Get others to do things:</b> he said he would talk to his wife and calm her down.</li>
<li><b>Say no to unwanted requests:</b> I made no commitment to park elsewhere given that this is unreasonable, has no legal standing and is not what I want to do.</li>
</ul>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
And wouldn't you know it - as we were walking away and saying goodbye, he THEN managed to slip in TWO apologies for his wife's behaviour.</div>
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<br /></div>
<div style="text-align: justify;">
That was all we had really wanted all along! </div>
<br />BPD Bunnyhttp://www.blogger.com/profile/16119202175073875973noreply@blogger.com2tag:blogger.com,1999:blog-6207122759171741236.post-86838544527048984732012-12-11T10:36:00.000-08:002012-12-11T10:36:07.219-08:00Past Hurts<div style="text-align: justify;">
Today's post, "Do You Deserve Happiness?" by Debbie at <a href="http://www.my-borderline-personality-disorder.com/" target="_blank">Healing From BPD</a> really brought up some big, unexpected realisations for me.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
She has written about how many of us with BPD respond to positive experiences in our life with hesitancy, trepidation and suspicion. We have often experienced traumatic events in our past that colour how we see our present and future. We struggle with trusting people and ourselves, and do not believe that we are worthy of good things.</div>
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Reading this post really surprised me. I already knew that when good things happen to me, I spend most of the time telling myself that it's only temporary, and miss out on enjoying positive feelings. I just thought of this as being overly protective of myself, and on guard.</div>
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<br /></div>
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But when I stopped to really think about it - I realised there is a lot more going on beneath the surface for me. I am actually telling myself things like:</div>
<div style="text-align: justify;">
<br /></div>
<ul style="text-align: justify;">
<li>"This is going to end or turn out to have been false, like everything."</li>
<li>"You will ruin this, like you always do, because you are an incompetent failure."</li>
<li>"Someone you love will ruin this because they hate you and never really loved you back and want to see you suffer."</li>
</ul>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Whoa. Turns out there's a bit more going on in my head than just mild suspicion.</div>
<div style="text-align: justify;">
<br /></div>
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I am actually telling myself some really toxic things. A lot of it stems from some very traumatic times I had in a past romantic relationship. There might be some of it that comes from another place, but I'm not sure.</div>
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<br /></div>
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Clearly I have some issues to think about for myself. I might need to start by turning my mind to enjoying positive experiences.</div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6ANy2PBO-qY-x3zeOgIy2yaDjkPJqm0rprvaRqOa8B4ivSRZI3BQOXrkHNFMegQuilkQx4ginTohSHsQHQdrECCH2dU0xkkTymahWWunfqSwjdlKlezVUP48i762WPJ_wBPfUwJ1Yunt8/s1600/construction.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6ANy2PBO-qY-x3zeOgIy2yaDjkPJqm0rprvaRqOa8B4ivSRZI3BQOXrkHNFMegQuilkQx4ginTohSHsQHQdrECCH2dU0xkkTymahWWunfqSwjdlKlezVUP48i762WPJ_wBPfUwJ1Yunt8/s320/construction.jpg" width="320" /></a></div>
<div style="text-align: justify;">
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<div style="text-align: justify;">
This is especially important because it doesn't make sense for me to stop myself from enjoying things like friends, family and personal time because of past trauma in a relationship. It is not even relevant to the present experiences I'm having.</div>
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There are also some self-esteem issues that I'll look at, in terms of expecting myself to fail.</div>
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<br /></div>
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Once again, I am deeply grateful for Debbie's blog. And once again, I have lots of work to do!</div>
<br />Unknownnoreply@blogger.com5tag:blogger.com,1999:blog-6207122759171741236.post-57196175798656948842012-12-09T04:36:00.000-08:002012-12-11T22:46:56.833-08:00Coming Out <div style="text-align: justify;">
Recently on Twitter I mentioned that I had been "coming out" to some people in my life about my BPD diagnosis. I've also started using my real name - Jess! - on Twitter and now on here for my blog posts.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
This has been inspired, like so many aspects of my journey towards recovery have, by Debbie at <a href="http://www.my-borderline-personality-disorder.com/" target="_blank">Healing From BPD</a>.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Reactions have varied, but whatever they have been, the first few minutes seem to be irrelevant as the person is usually just processing everything during this time. You need to explain it and give them a few moments to comprehend before you get the full measure of understanding and empathy that most people will offer.</div>
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<br /></div>
<div style="text-align: justify;">
In fact, so far there haven't been any "bad" reactions, just different ones. Anything from total surprise, to curiosity, to condolences. Interestingly though, a very common response has been the person then telling me about a loved one who also suffers from mental illness.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I have been genuinely taken aback by how many people already know someone they care about that struggles with mental health.</div>
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<br /></div>
<div style="text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYXfmzIWpgJ9BKJZKSbbMe-PNvtr90hZ635klMn00jBGWqpHcPx8t9v0I8LtbjtZ7IKtwBZImke4gK31RqUm6g7ZE-FMef4BRwdKQ6aeFLAMRlVXrNYHUtMPQ1btP-WO2Rmqp0seg-PElf/s1600/five.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="115" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYXfmzIWpgJ9BKJZKSbbMe-PNvtr90hZ635klMn00jBGWqpHcPx8t9v0I8LtbjtZ7IKtwBZImke4gK31RqUm6g7ZE-FMef4BRwdKQ6aeFLAMRlVXrNYHUtMPQ1btP-WO2Rmqp0seg-PElf/s320/five.jpg" width="320" /></a>This shouldn't be surprising, as in Australia statistics are that 1 in 5 people will face a mental health challenge in any given year.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I believe that the more we are open and honest about the challenges we face, the easier we make it for other people who are facing similar challenges. Even for those who may never suffer from mental illness, statistics guarantee they will interact with people who do, and learning about one person can inform their caring and sensitivity towards another.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I also believe that there are benefits in naming a part of you and owning it for the world to see. There should not have to be any shame in suffering from mental illness, any more than there would be for having a heart condition or blood disorder.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Understandably, this doesn't mean anyone should have to shout their diagnosis from the rooftops, walk around in a t-shirt saying "ASK ME ABOUT MY BPD!!!" or begin every conversation they have with a disclosure of their mental health. I have chosen carefully who I am choosing to open up to and in what context. And if someone is just not up to talking about their mental health, then that is just fine too. Everyone is at a different point in their journey.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
But no one with a mental illness has chosen to have that illness. We should all be proud of ourselves and the path we are traveling, because it is just a part of life that none of us are perfect. (Except you, dear reader!)</div>
<br />Unknownnoreply@blogger.com7tag:blogger.com,1999:blog-6207122759171741236.post-48025309345626175152012-12-08T02:30:00.000-08:002012-12-09T03:02:09.595-08:00Am I Scared Of Getting Better?<div style="text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQwZHQXJnXj9h2WDWhyVF6LMy28Ez0Z07CVgAVQq-d7oegRKKDnDkO6umEjQSNBdOTCwZ66D3k63dL3hPqBYOPB-8klGqap_UjRGQgQxYselPON6WHX5DD9LORL5ggxTbt7B-kgf3R_9_p/s1600/positive.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQwZHQXJnXj9h2WDWhyVF6LMy28Ez0Z07CVgAVQq-d7oegRKKDnDkO6umEjQSNBdOTCwZ66D3k63dL3hPqBYOPB-8klGqap_UjRGQgQxYselPON6WHX5DD9LORL5ggxTbt7B-kgf3R_9_p/s320/positive.jpg" width="212" /></a>Now that I am discharged as an outpatient and living at home with my folks while I work on my recovery, we are looking at my options for next year.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
However, any time I think about recovering and the bigger picture, like future plans, I feel overwhelmed and extremely anxious. I think I'm scared of relapsing worse than previously. At every stage of my illness I have truly thought that it was rock bottom, and every time I have thought this there has always been further to fall later on.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
One year ago I was living independently alone, working full-time in an Executive level job, seeing friends not often but when I could, paying bills, driving my car, flying interstate for work or for leisure, planning my round-the-world trip... Just generally keeping things roughly together.</div>
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<br /></div>
<div style="text-align: justify;">
Now my main activity for the day can be something like beading a necklace. And even this can be a challenge - to physically bring myself to outpatient therapy, to ride fluctuations in my moods, to deal with the social anxiety that comes with leaving my room.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I feel like I have lost so much ground, that I don't want to regain it and feel the loss of losing it again. Thinking about this, I have two strategies for tackling my fears. </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>1. Opposite Action.</b> This is meant to be used whenever the fear of something is not useful or proportional to the threat. For example, I shouldn't be scared of feeling better, because this is a good thing that I will find enjoyable. So I am trying to chose the actions that a non-scaredy-cat would chose. Today I looked online at rental properties just to get an idea of costs and locations.</div>
<div style="text-align: justify;">
<b><br /></b></div>
<div style="text-align: justify;">
<b>2. Achievable Goals. </b>Breaking things down into achievable parts is useful and realistic. No one is expecting me to wake up one morning and miraculously recover from mental illness. I don't have to immediately fix my life overnight. In fact, this isn't possible. Recovery is done in bits and pieces over time.</div>
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<br /></div>
<div style="text-align: justify;">
It's ok to not be perfect and to go backwards as well as forwards. I also won't morph into a younger version of myself and be back in the middle of a previous crisis, because that isn't possible - the experience that I've gained can't be lost or taken away.</div>
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<br /></div>
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So while my future might not be Easy Street, and there will be ups and downs, I know that this is normal for everyone - even people without mental illness - and that the experiences I've already had will help me deal with things better as they come.</div>
<br />Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6207122759171741236.post-85116969561111681472012-12-05T20:50:00.002-08:002012-12-11T22:48:00.831-08:00New BPD Diagnostic CriteriaI couldn't resist posting my thoughts on the newly announced updates to the diagnostic criteria for Borderline Personality Disorder.<br />
<br />
Alicia Paz runs a very excellent and informative BPD blog, where she has recently posted the <a href="http://aliciapazdbt.blogspot.com.au/2012/10/borderline-changes-for-dsm-5.html" target="_blank">Borderline Changes for DSM-5</a>. It has gone from a list of nine criteria of which five must be met, to a list of key areas with sub-categories of symptoms.<br />
<br />
To summarise in basic terms, the areas of BPD diagnosis were previously listed as:<br />
<ul>
<li>Avoiding Abandonment</li>
<li>Intense/Unstable Relationships</li>
<li>Identity Disturbance</li>
<li>Impulsivity</li>
<li>Suicidal Behaviour</li>
<li>Affective Instability</li>
<li>Emptiness</li>
<li>Anger</li>
<li>Dissociation/Paranoia </li>
</ul>
<br />
To summarise in basic terms, the areas of BPD diagnosis will now be organised as:<br />
<br />
<b>A: Significant Impairments in Personality Functioning</b><br />
1. Self<br />
a. Identity<br />
b. Self-Direction <br />
2. Interpersonal<br />
a. Empathy<br />
b. Intimacy <br />
<b><br /></b>
<b>B: Pathological Personality Traits</b><br />
1. Negative Affectivity<br />
a. Emotional Lability<br />
b. Anxiousness<br />
c. Separation Insecurity<br />
d. Depressivity <br />
2. Disinhibition<br />
a. Impulsivity<br />
b. Risk-Taking <br />
3. Antagonism<br />
a. Hostility <br />
<br />
(<i>Obviously the criteria - new and old - go into much further specifics than that, but to me I find it most helpful to understand these changes by starting with general summaries as above.</i>) <br />
<br />
In my (humble) opinion, I think the new diagnostic criteria provides clarity for some of these symptoms by including more details, even if this means more scientific terminology in parts.<br />
<br />
Less emphasis on Emptiness does seem useful as although this is a persistent feeling for me it's better explained by listing it as part of a lack of identity and self-direction, rather than the other way around.<br />
<br />
Specific thought processes that are outlined in the new criteria, like "worry about the negative effects of past unpleasant experiences" and "feeling threatened by uncertainty" and "denial of the reality of personal danger", seem especially accurate to me.<br />
<br />
Dropping the description "difficulty controlling anger" and instead having "persistent... angry feelings" is less helpful in my view. I easily identified with the original definition on this one.<br />
<br />
And lastly, even though this is probably just semantics, I am not thrilled about the word "Pathological" being used to describe anything about me.. but, in it's technical use, it does apply.<br />
<br />
Overall I think the new criteria explains BPD just as well as the previous criteria.<br />
<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6207122759171741236.post-78849589493046662242012-12-03T05:30:00.000-08:002012-12-09T03:02:35.430-08:00Doing My Homework<div style="text-align: justify;">
Recently, Debbie at <a href="http://www.my-borderline-personality-disorder.com/" target="_blank">Healing From BPD</a> posted the DBT Emotion Regulation Worksheet 1A and encouraged us to consider using it in times of intense emotions.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I have just taken this advice and have found it extremely helpful, as with all aspects of DBT! <b> </b></div>
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It has allowed me to think a bit more clearly about what is going on in my head when I re-experience traumatic events in my mind. I hope that over time I will become stronger in dealing with this.</div>
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<br /></div>
<div style="text-align: justify;">
For now, here is my "homework" below. I hope to use this worksheet more often.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Emotion Names:</b></div>
<div style="text-align: justify;">
Hurt, Sadness, Anger, Abandonment, Panic, Anxious</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Intensity:</b></div>
<div style="text-align: justify;">
75</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Prompting Event:</b></div>
<div style="text-align: justify;">
Reading my journal from a time of distress in a previous relationship.</div>
<div style="text-align: justify;">
<b><br /></b>
<b>--- TRIGGER WARNING ---</b><br />
<br /></div>
<div style="text-align: justify;">
<b>Interpretations:</b></div>
<div style="text-align: justify;">
No one will ever want to be in a relationship with me, I am worthless. My ex-partner has moved on and is extremely happy. I will never feel this way and will be stuck living in the past painfully forever.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Body Changes and Sensing:</b></div>
<div style="text-align: justify;">
Tight chest, sick in the stomach, mild headache, lump in throat.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Body Language:</b></div>
<div style="text-align: justify;">
Frowning, tensed.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Action Urges:</b></div>
<div style="text-align: justify;">
Contact him to beg him to understand the pain he caused me and still causes me. Hurt myself by cutting/scratching my leg to distract me.<br />
<br />
<b>--- END TRIGGER WARNING ---</b> </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>What I Said or Did:</b></div>
<div style="text-align: justify;">
Filled out this sheet. Tried to Radically Accept my emotions without suppressing or blocking them as this can only make them worse. Mindfully listened to crickets chirping outside.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>After Effect of Emotions:</b></div>
<div style="text-align: justify;">
Emotions eventually eased, still felt waves of anxiety and hurt from time to time.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Function of Emotion:</b></div>
<div style="text-align: justify;">
These emotions are trying to tell me that I was treated badly by someone who did not love me and that I need to look after myself because I am still recovering. For me, painful and invalidating relationships should be ended as they are unhealthy and unsustainable.</div>
<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6207122759171741236.post-88800407878275291432012-12-01T04:22:00.002-08:002012-12-09T03:02:46.502-08:00Who Am I? No, Seriously.<div style="text-align: justify;">
Today I am thinking about the diagnostic criteria for Borderline Personality Disorder that relates to Identity Disturbance:</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b> "</b><i>3. Identity Disturbance: markedly and persistently
unstable self-image or sense of self.</i>"</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I spent my two hour day leave from hospital today shopping with my Mum. Shopping is one of my favourite activities, but one that I have to be careful with to make sure I don't become overly impulsive about purchases (impulsiveness - another BPD criteria!) and to make sure that I don't spend more than I have.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
However, while I was shopping today I kept noticing little internal struggles about which item looked like my "style" or what sort of "look" to go for. I began to feel really confused to the point of being overwhelmed. </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I realised that I honestly feel I have no defined sense of style for myself. </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I also realised that I am far more likely to feel confused about this if I see examples of other young women who do have a very strong sense of their own "look". </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
In this case, last night I was catching up with an old school friend on Facebook, and saw lots of great photos of them and their band. I was simultaneously really glad for her and her career taking off, while depressed that I don't have a similar lifestyle for myself. </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg75cPLqOiCSfZRpw0epjNj3SSBwq1YS_WnuH9NynX3m4zgZzowDYE4-X-KB3EBe450Dg72fOQcpklJGwJvnSX3Le6BK0ag1tiQtDcFFF48N5kFaH8JlHGVtkKoADt9eddUxF_Gaejy4kGO/s1600/ID-10033288chameleon.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg75cPLqOiCSfZRpw0epjNj3SSBwq1YS_WnuH9NynX3m4zgZzowDYE4-X-KB3EBe450Dg72fOQcpklJGwJvnSX3Le6BK0ag1tiQtDcFFF48N5kFaH8JlHGVtkKoADt9eddUxF_Gaejy4kGO/s320/ID-10033288chameleon.jpg" width="212" /></a>So today when I was wandering through stores, I found myself trying to emulate certain aspects of this friend's style, and feeling even more confused about what I like or don't like as a result.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I have often felt this confusion in regard to many things: hobbies, interests, career, friends, music.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I can remember as a kid waking up one day and wanting to play the violin, convinced this was going to be my new thing, only to lose all interest two weeks and one lesson later. (I also remember my Dad driving two hours to a stockist to purchase the specific violin I wanted, and then of course having to drive there again to return it! My Dad is very lovely.)</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
This unstable sense of self is apparently classic BPD, and is also why we are sometimes known as "chameleons" for being so ready to alter ourselves. </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I am not sure how to tackle this. I know I want to understand myself better, and then be assertive about who I am as well as pursue what I want. I think this is tied in with having better self-esteem as well.</div>
<div style="text-align: justify;">
<br /></div>
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I have started by writing a list of things I am absolutely certain are true about me. I only have a few items on there so far, but I add to it when things come up.</div>
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From time to time, I might get some help with this too, when a friend or family member will make an observation about me. For example, "Of course you don't like action films!" I guess I know I don't, but I can be surprised when I'm reminded of some things. </div>
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Other than this, perhaps it will all just have to be worked on through experience.. And maybe some more shopping.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6207122759171741236.post-7968232730903877442012-11-30T04:37:00.003-08:002012-12-09T03:02:57.951-08:00Glitter Jars!<div style="text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6C6306pghufS6DYqd5j5VLblKwiqTpkJx6S-eLWbOH63qOsd_zzPfBs83YgyLz8VxSlSBq3zhqj3fihfavbraICXATmaexpekobMrW7iCGW7-Qzl-kQWmXVzfF1pnUvfJCJSSPnpG1fRx/s1600/photo-8.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6C6306pghufS6DYqd5j5VLblKwiqTpkJx6S-eLWbOH63qOsd_zzPfBs83YgyLz8VxSlSBq3zhqj3fihfavbraICXATmaexpekobMrW7iCGW7-Qzl-kQWmXVzfF1pnUvfJCJSSPnpG1fRx/s320/photo-8.JPG" width="240" /></a>If you haven't already seen this via sites like Tumblr, Glitter Jars (also known as Calm Jars) are a great craft idea for anyone looking for a soothing activity.</div>
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When you shake the jar, it's basically just very pretty. It's an easy form of form of Distraction as part of Distress Tolerance skills, as well as a way to Self-Soothe. Double win :)</div>
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I have also heard of them used in place of self-harm, with the idea being that if you feel the urge to do so you shake the jar and commit to yourself that you won't take any action until all the glitter has settled, then repeat as necessary.</div>
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There are lots of different versions of instructions but here is my summary...</div>
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You will need:</div>
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<li>Clear jar with tight sealing lid</li>
<li>Glitter, 3 - 6 tablespoons (depending on jar size)</li>
<li>Clear gel glue or clear craft glue, approx 1 tablespoon per cup of water in jar </li>
<li>Hot or boiling water</li>
<li>Fork or anything pointy that can get messy (for stiring)</li>
<li>Food colour/dye</li>
</ul>
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Add the glitter and glue to the empty jar. Fill half-way with hot water. Stir, stir, stir! When it is a totally even mixture, fill the remainder of the jar with cool water and add food colouring if you want. Glue lid shut. Allow to dry before testing. </div>
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If I'd give any extra advice, it would be to use a few different sizes of glitter, so that when the smaller pieces settle slower than the large pieces you end up with pretty layering. Also, possibly prepare to have a few attempts at this, as I know I needed to!</div>
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And lastly, be careful when opening glitter packets :(</div>
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Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6207122759171741236.post-81623925565634301912012-11-28T08:41:00.000-08:002012-12-09T03:03:08.226-08:00I Think I'm Trying To Tell Myself Something...<div style="text-align: justify;">
The last time I was hospitalised, one of the projects that we were most encouraged to work on in our group therapy program was a "plan" for being ill.</div>
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This sounds a bit depressing at first, but to me it's a way to utilise the DBT technique of Radical Acceptance - radically accepting that I do suffer from mental illness and that I will become unwell from time to time and that it's my responsibility to do my best to manage this.</div>
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The first part of the plan was to come up with a list of Warning Signs - these are the thoughts or behaviours you notice yourself exhibiting when you're becoming unwell. Here are mine!</div>
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As my symptoms might be triggering, I'll indicate where this starts and ends if anyone would prefer to skip this. (Thanks to Debbie at <a href="http://www.my-borderline-personality-disorder.com/" target="_blank">Healing From BPD</a>, my favourite blog ever, for this idea.)<span style="color: #274e13;"><b> </b></span></div>
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<span style="color: #274e13;"><b>1. Sleep</b></span></div>
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<span style="color: #274e13;">My sleep will become of very poor quality, with frequent waking and some scary dreams, but I'll continue to spend huge amounts of time in bed. </span></div>
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<span style="color: #0c343d;"><b>2. Social Isolation</b></span></div>
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<span style="color: #0c343d;">I'll start saying No to everything. Leaving the house becomes harder and harder.</span></div>
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<span style="color: #134f5c;"><b>3. Irritability </b></span></div>
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<span style="color: #134f5c;">Oh yeah, I become irritable as all get out! Nothing is too small to tick me off when my mood is worsening. Friends, my parents, the cat.. everyone gets some nasty words.</span></div>
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<b>--- TRIGGER WARNING ---</b></div>
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<span style="color: #073763;"><b>4. EDNOS</b></span></div>
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<span style="color: #073763;">Eating becomes a minefield, because I'll either stop for anywhere from one to three days, and/or then binge uncontrollably. For anyone wondering, this is a terrible idea for weight loss! Your body thinks it's starving and so the OPPOSITE occurs. I'm just saying.</span></div>
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<span style="color: #20124d;"><b>5. Self Harm</b></span></div>
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<span style="color: #20124d;">For me, I cut my upper right leg when there's too much inside. (This never used to happen before I met a person who was not very nice. But I've already covered enough about them!)</span></div>
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<span style="color: #351c75;"><b>6. Alcohol Abuse </b></span></div>
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<span style="color: #351c75;">During a time when my condition is not going so well, it's far more likely that I'll challenge my body to a drinking contest. I notice that I am actively trying to dull my feelings or distract myself from them when I do this. </span></div>
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<span style="color: #741b47;"><b>7. Suicidal Ideation</b></span></div>
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<span style="color: #741b47;">I just start thinking about it a lot. Not much more to say. </span></div>
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<span style="color: #a64d79;"><b>8. Suicidal Plans</b></span></div>
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<span style="color: #cc0000;"><span style="color: #a64d79;">For me, there's a noticeable difference between thinking about it and <i>really</i> thinking about it. </span></span></div>
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<b>--- END TRIGGER WARNING ---</b></div>
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Did you like the little rainbow colours of increasing craziness? :)</div>
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The second part of the plan is to have a clear idea of what steps to take when these Warning Signs show up.</div>
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For me, it boils down to:</div>
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<li>Telling a friend or parent that I'm not doing so well.</li>
<li>Telling my Psychiatrist, Psychologist or GP that I'm not doing so well.</li>
<li>Telling a Mental Health Crisis Team that I need help.</li>
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This way I can pick a response that I think suits the signals I'm giving myself. I guess it could depend on how long I've been noticing a difference, or how strong my symptoms are.</div>
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In any case, although it seems like obvious stuff, I find it helps to have it written down.</div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6207122759171741236.post-72497290764665280042012-11-27T03:24:00.001-08:002012-12-09T03:03:20.538-08:00Do Drugs Work?<div style="text-align: justify;">
There seem to be a lot of different views within the mental health community about the usefulness of medication in the treatment of BPD, and I thought I would add my one experience to the discussion.</div>
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Personally, based on my experience, I am in favour of the use of medication to assist in the management of mental illness if it is suitable.</div>
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Understandably, some people feel concerned about the idea of being "on meds" or feel there might be a stigma attached. However, I strongly believe that someone considering medication options shouldn't have to be restrained by these social or emotional pressures, and should be able to focus on the facts about what's best for them and their health.</div>
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This does not mean I am advocating that:</div>
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<li>Drugs fix everything,</li>
<li>If you take medication you don't need any other therapy,</li>
<li>Everyone who feels ill should be on medication, or</li>
<li>Medication is suitable in the treatment of all mental health issues.</li>
</ul>
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What I am advocating is that I frequently see it stated that "there is not much research on the effect of medication on BPD" or that "there are no medications commonly used to treat BPD" when in fact there are many people using medications to successfully help treat BPD symptoms and that there are a variety of medications that can be used.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOT3ftgpd0JnYfnlNbX-2QauOrDaLcGrn_-do851tqXaUVvw3tVlZCgTANvlIyqIGfjhjhI8IITdZwfqIMEy9afQi1iA5bbGoBqziSsMQp5mL7UXrtsgoE44XzbSYdaFPFPzyofImH5IB6/s1600/ID-10086206pills.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOT3ftgpd0JnYfnlNbX-2QauOrDaLcGrn_-do851tqXaUVvw3tVlZCgTANvlIyqIGfjhjhI8IITdZwfqIMEy9afQi1iA5bbGoBqziSsMQp5mL7UXrtsgoE44XzbSYdaFPFPzyofImH5IB6/s320/ID-10086206pills.jpg" width="320" /></a></div>
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So, now for my experience! It has taken a long time and a lot of adjustments, but the current equation of meds that I have worked out my body responds relatively well to is:</div>
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<li><b>Pristiq (<span class="st">Desvenlafaxine</span>) antidepressant, 200mg daily</b></li>
<ul>
<li>Desvenlafaxine is an SNRI antidepressant which basically works by blocking the reuptake of key neurotransmitters, like serotonin, leaving more available to your brain. I have been taking it for two years, and the most noticable difference was at the 200mg mark, whereas you typically start at 50mg. The only side effects were that it could make it difficult to go to sleep, so I take this in the morning.</li>
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<li><b>Valpro (Sodium Valproate) mood stabiliser, 800mg daily</b></li>
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<li>Valpro doubles as an epilepsy medication, in that it combats seizures. For unknown reasons this also assists in managing the parts of the brain that struggle with panic and anxiety type disorders. I haven't experienced any side effects. </li>
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<li><b>Seroquel (<span class="st">Quetiapine Fumarate</span>) antipsychotic, 200mg daily</b></li>
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<li>Many people feel uncomfortable when they hear the term "antipsychotic", but aside from treating schizophrenia and bipolar disorder, it is mostly used to augment (or enhance, improve, etc) the effects of an antidepressant. It makes you very sleepy though, so I take this at night. One side effect experienced was hand tremors, which went away after the first three and a half weeks.</li>
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<li><b>Ativan (Lorazepam) antiaxietant, 1mg PRN</b></li>
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<li>Lorazepam is an antiaxietant, in that it combats anxiety. "PRN" means the dosage is "as required". This means I can take it to help me fall asleep, or if I am finding my symptoms unmanageable, or if I am expecting a very stressful event or activity. As you can imagine, this is very helpful with the unpredictable nature of BPD. I have found the effects don't last longer than 12 hours and have experienced no other side effects. </li>
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<li><b>Avanza (Mirtazapine) antidepressant, 30mg daily</b></li>
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<li>Mirtazapine is a tetracyclic antidepressant, which just refers to its' chemical structure. This is used to augment the effects of my initial antidepressant. However, this one does make you sleepy, so I take it at night. I haven't experienced any other side effects but have only been using it for one week - so I will update this.</li>
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So how has medication helped me? All I can go on is a comparison of my moods and behaviours before and after. Before, I used to be able to continue conflicts for hours to the point of screaming and screaming until I threw up - with no regard for neighbours, police attendance or life structure. After beginning medication, I have never done this again.</div>
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It's my best guess that it seems medication has "taken the edge" off my symptoms, rather than totally "curing" them. Even though I still have horrible moods, suicidal thoughts and irrational overractions to things, it seems like these just aren't as sudden or destructive as before.</div>
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Essentially, it's like the roller coaster has slowed down a little. (I just wished it helped more with the depressive symptoms.)</div>
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But overall, given I have no major ongoing side effects, this means medication is worthwhile in treating my BPD symptoms. </div>
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I hope this gives any other sufferers out there a better idea of their options.</div>
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<span style="color: #666666;"><br /></span>
<i><span style="color: #666666;">(This isn't to say that I am cured or that I am never going to relapse in any of these ways. The thing about medication is that your body can and will adjust to it over time. This is why it is so important to consistently take medication as per your doctor's instructions, as well as to review dosage and application along the way. In addition, I am no scientist and I write this only from the basic understanding of a consumer. Obviously, you should confirm all facts and details with your doctor when deciding what is right for you.)</span></i></div>
<br />Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6207122759171741236.post-20675464766537057752012-11-27T01:30:00.002-08:002012-12-09T03:03:32.028-08:00Recovery<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0PQigp-7TZ8yrNjZr0Oa2h6-XtiKfgi-9kmD-4arMN9sM_W_ZEQDwFB1tHHfSnThTSElUKIdbvxKLCHggHxKMUyp-rWj94sx14xQkvtMJTMy7Q6hX3nj8pu1WRt6OmPIEBryrm_x3WnDm/s1600/tumblr_m5tp0s1fBZ1qa9omho1_500.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0PQigp-7TZ8yrNjZr0Oa2h6-XtiKfgi-9kmD-4arMN9sM_W_ZEQDwFB1tHHfSnThTSElUKIdbvxKLCHggHxKMUyp-rWj94sx14xQkvtMJTMy7Q6hX3nj8pu1WRt6OmPIEBryrm_x3WnDm/s640/tumblr_m5tp0s1fBZ1qa9omho1_500.jpg" width="424" /></a></div>
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<b>--- TRIGGER WARNING APPLIES ---</b> </div>
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I found this image while browsing the web, and it just really struck me as how recovery feels.</div>
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Recovery isn't this gradual steady climb up a hill with guaranteed timelines of improvement until you're standing at the top saying "phew, glad that's over!"</div>
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To me, at least, recovery is ups and downs and relapse after relapse. It's like being lost in a fog and feeling so defeated at the end of each day you can't imagine starting again the next morning. But somehow there are some changes that do occur - but it's never what you plan, it's never easy, it's never logical... It sucks, basically.</div>
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And always, always, the road before you looks impossible and terrifying.</div>
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Image credit: "<i>Til the End of Days</i>" by <a href="http://500px.com/photo/8671443" rel="nofollow" target="_blank">Javier de la Torre</a></div>
<br />Unknownnoreply@blogger.com2