Showing posts with label DBT. Show all posts
Showing posts with label DBT. Show all posts

Tuesday, 18 December 2012

Wising Up To My Old Tricks!

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.

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.

The feelings persisted though.  I realised I had to consciously address them when I noticed myself wanting to react to these emotions.

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.

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.

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! 

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.

I just need to practise rewiring and redirecting these good intentions so that they more effectively respond to what is really happening.
 

Friday, 14 December 2012

Being Right or Being Happy?

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.  

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.

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.

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.

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.  

In actual fact, it's a completely normal parking spot on Australian roads.

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?

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.

I had to stop and think about using DBT Interpersonal Effectiveness skills.

I also had to balance the "wants-to-shoulds" - as in, find a balance between what I wanted and what I should do.

I wanted 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 should have wrapped up the conversation before it intruded on any more family time.

In the end I was able to achieve my main goals as recommended in DBT:
  • Get my opinions taken seriously: he was definitely listening to us.
  • Get others to do things: he said he would talk to his wife and calm her down.
  • Say no to unwanted requests: I made no commitment to park elsewhere given that this is unreasonable, has no legal standing and is not what I want to do.

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.

That was all we had really wanted all along! 

Saturday, 8 December 2012

Am I Scared Of Getting Better?

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.

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.

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.

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.

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. 

1. Opposite Action. 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.

2. Achievable Goals.  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.

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.

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.

Monday, 3 December 2012

Doing My Homework

Recently, Debbie at Healing From BPD posted the DBT Emotion Regulation Worksheet 1A and encouraged us to consider using it in times of intense emotions.

I have just taken this advice and have found it extremely helpful, as with all aspects of DBT! 

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.

For now, here is my "homework" below. I hope to use this worksheet more often.

Emotion Names:
Hurt, Sadness, Anger, Abandonment, Panic, Anxious

Intensity:
75

Prompting Event:
Reading my journal from a time of distress in a previous relationship.

--- TRIGGER WARNING ---

Interpretations:
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.

Body Changes and Sensing:
Tight chest, sick in the stomach, mild headache, lump in throat.

Body Language:
Frowning, tensed.

Action Urges:
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.

--- END TRIGGER WARNING ---

What I Said or Did:
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.

After Effect of Emotions:
Emotions eventually eased, still felt waves of anxiety and hurt from time to time.

Function of Emotion:
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.

Friday, 30 November 2012

Glitter Jars!

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.

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 :)

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.

There are lots of different versions of instructions but here is my summary...

You will need:
  • Clear jar with tight sealing lid
  • Glitter, 3 - 6 tablespoons (depending on jar size)
  • Clear gel glue or clear craft glue,  approx 1 tablespoon per cup of water in jar
  • Hot or boiling water
  • Fork or anything pointy that can get messy (for stiring)
  • Food colour/dye

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.

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!

And lastly, be careful when opening glitter packets :(