Joy lies in the fight, in the attempt, in the suffering involved, not in the victory itself

(Ghandi)
Showing posts with label DBT. Show all posts
Showing posts with label DBT. Show all posts

Saturday, July 11, 2009

No More Guilty Left To Pardon


I was browsing in a bookstore on Friday night, after a difficult and tiring week, when things became even more hideous. I saw my father. He was pretentious and fancy-suited in the literature section, looking at Joan London's "The Good Parents". Okay, I didn't really see the book he was holding, but afterwards (during the vomit/rant/vomit phase) I laughed to myself that it was probably some such thing. Thankfully, although he glanced my way (and I was only 20 feet from him), he didn't recognise or acknowledge me and I was able to slink away, shaking and feeling the Black Empty invading my insides once more. I haven't seen him, or contacted him, in eleven years yet I knew without a doubt who he was - a visceral reaching out that surpassed any negativity or memory. Part of me felt like the four year old he walked away from and didn't contact again (until forced to 14 years later). Part of me wished I resembled the semi-confident, only partly-mental 28 year old I was the last time he hurt me. But most of me just had to run away and throw up the lovely meal I'd had with work colleagues, and then sit shaking and enraged on the train home.

A few people looked at me as if I was on drugs, and catching a glimpse of myself in the window I could see why. It's weird how emotional and mental challenges reflect in the physical being. I was pale, shivering, fighting back tears, wanting to smash something, desperately desperately wanting to EAT (even though I'd been throwing up into a trash can just moments earlier). I managed to get home without incident, and was fairly composed by the time I got here - rather than ranting or screaming I just made a passing comment to Mom about this small-town-city, and how I'm lucky to have not run into him before now. She, in Queen of Denial mode, said something like "Oh, you shouldn't let people like that upset you". No kidding LOL.

Seeing him, and then in the hour or so coming home afterwards, I could feel the Great Unravelling start. I'd already been having a stressful week (divorce papers, tax returns, pain-in-the-ass work colleague, hormones, yadayada) and I clearly saw looming the coming apart of all my hard work, and my hard-won stability. And you know what, I thought

FUCK
THAT
SHIT.

Excuse the profanity all! But I truly thought to myself, Lil, this can go either way and you get to chose where you end up. So I practised some DBT (Self-Soothed, Distress Tolerated) and talked myself down from the anger. I simply REFUSE to let him hurt me any more. This episode showed me that techniques like Mindfulness and the Non-Judgemental Stance have become comfortable for me, as they came into my mind fairly quickly when the Emotion Mind started to create havoc. I know a lot of people question DBT, and consider it to be jargonistic and over-simplified. I've read some criticism of it, and a lot of praise, and the praise seems to come from people who have used it to become well. That's enough for me, I suppose, and I think it's the best recommendation - people who are managing their Borderline Personality Disorder are often doing so by using the skills of DBT. That's what I want more than anything, to be well and healing. It was a rough couple of days this week, but (as I've said before) those are the ones that really test us - right?

The photo at the start is one of only three or four photos I have of myself with my father. I think I could already tell he was an imposter. My expression certainly hints at it...

(*Post title is from Iron & Wine's song "A Book Unfinished")

Sunday, July 5, 2009

It's The End Of The World As We Know It

And I feel fine (as the song goes).

This week's session with Dr A focused mainly on the two tasks he's set for me as homework. A while back he mentioned that me getting my driver's licence would be a huge benefit, not only in practical terms but also because it would mean I had conquered a life-long fear. He's right, and it's not like I haven't already thought of that myself... but the actual physical task of going and getting my Learner's Permit (for the SIXTH time) is beyond me at the moment. However, I have promised to visit the licensing website and do the online Learner's test as practice, and also to find out the costs involved. I first got my Learner's Permit when I turned 17 (the legal driving age in Western Australia), and was also given a car by my beloved grandfather. The car, a 1972 Ford Cortina, had been his and when he died a few months later I wondered if the loss of freedom (he never got another car) had finished him off. I moved to the city a few months after my birthday, leaving the car with my parents until I eventually decided to sell it (having only had a few lessons and not really ever feeling comfortable with the idea of driving in our country town, let alone the Big City). I've had other goes at learning to drive, with varying success, but I've never booked a driving test - the idea of having to park on command, and to follow complicated instructions from the examiner, seems to negate the fact that I am actually a fairly competent driver (according to the various instructors I've had over the last 22 years).

My second piece of homework involves Mr Ex, and the fact that our 12 months' legal separation was completed this week. I downloaded the paperwork (don't you love the technological age) for the divorce but had yet to broach the subject with Mr Ex, especially as last weekend he came along to my Bowling Birthday Party and we had a great time. Not a "getting back together, happy every after" great time, but a great time nonetheless. Dr A had a bit of a go at me for the mixed messages I was sending out willy-nilly... especially to myself. I definitely DO NOT want to be married - to anyone. But that fact remains that I adore Mr Ex, for all his faithlessness and foibles (and by that I don't mean "infidelity". Blame Wandering Coyote's deep thoughts here for the use of the word "faithless" haha). Part of my worries about him, whether he thinks we'll get back together, whether he will do something self-harming. But, in the spirit of "Being In Therapy" I agreed with Dr A that the paperwork needs to be addressed. I printed it all out today and was planning to deal with it when Mr Ex came over to walk his dog. My best-laid plans were thwarted when Mr Ex texted me to say he can't come over today. At least the papers are printed and filled out, and in reality I don't need Mr Ex's permission or signature to file them. I do, however, need an amount of cash to go with said papers. Ouch.

Apart from these nagging administrative tasks, my life continues to sail along. I start my new hours tomorrow, which sees me working every second Monday along with Tues, Wed and Fri each week. On the opposing Monday I see Dr A. Which still gives me Thursdays to sleep in, vege out, blog and blog-visit and see friends. I think I will manage, it's a fine compromise, and having some extra money is always welcome. I can save up to get divorced - blah. I still haven't written to my friend H, who sent me the out-of-the-blue birthday presents. I've been thinking about it, and intend to do it, it's another one of those "when I have the energy" tasks. Being mental is exhausting lol.

One area I need to watch is the continuing urge I have to over-achieve at work. Given that work was my area of downfall prior to this most recent breakdown, I've really been keeping track of my thoughts and emotions at work - and during the week I had a weird "showing off" hypermanic episode. I still crave validation and approval constantly, and have to fight the urge to pursue it from my superiors at work. It's one thing to do my job well, but another thing to undermine other staff, over-achieve, big note myself and get breathless and giddy when I'm given praise. The best thing was, though, that I caught myself in Emotion Mind (as DBT would call it) and could step back and use Reasonable Mind to see the situation for what it was - thereby stopping the roundabout before it got going. Something that might have progressed and spun out of control, was dealt with fairly quickly. Being only low-dose medicated also helped, because I am not as numb/blunted these days I'm more aware of my changes in physiology (heightened colour/warmth, faster breathing, shaking hands, talking faster) which sometimes come along with my Emotion Disregulation episodes.

Thursday, June 18, 2009

"Kathy, I'm lost" I said, though I knew she was sleeping

It's strange the things that can bring on the melancholy. My stepdad bought a dvd today, of Simon & Garfunkel's Concert in Central Park (1981 I think) and has been playing it while I was in the kitchen cooking. For a lot of different reasons, the songs brought up memories, mostly sad. When I was about 10 years old I found an LP record in my parents' collection that had a handwritten name on it I recognised. It turned out to be (as I suspected at the time), one of the few things my mother kept that had belonged to my father - a Simon & Garfunkel record that I would secretly play when my mother and stepdad weren't around. Over the years I became more and more enamoured of them, and folk music in general, and I ended up buying the Concert in Central Park album in about 1987. Hearing the songs again reminded me of how in those days, at 17, I was still under the misapprehension that being depressed was something I would "grow out of". I believed that all the low moods and suicidal thoughts were part of my groovy & creative personality and I channelled them as much as I could into writing songs, stories, poetry.

What struck me the most today was that I could recognise melancholy approaching, and rather than eagerly laying down and becoming its mistress, I fought it and won. I used Mindfulness to view the feelings objectively, and could see clearly (maybe for the first time) the two paths on offer. I could either go with the sad memories, and add to them in the same way I was adding ingredients to my vegie soup, ending up with a confusing mess of mixed emotions and general blah. Or, I could feel and acknowledge the sadness/loss, briefly revisiting the memory of the past before letting it go.

Half an hour later, instead of being bedridden, binge eating, self-harming or bawling, I was finishing off making my soup and starting on brownie cheesecake (as my birthday treat for tomorrow). All the while still singing along with Simon & Garfunkel (that's one long concert lol).

I used to think that my over-emotional or extreme reactions to songs, films, books, etc were part of my personality. With DBT, I view it differently -- the reaction is the first, "normal" part of the equation, and the BPD encouraged me to take the reaction to the extreme and let it overwhelm my thoughts and (therefore) my emotions. With the new filter of my Wise Mind I'm learning/trying to enjoy the reaction to the song (for instance), but keep it in context and balance. It's still not second nature to me, but I know it gets easier to practice DBT/CBT skills.

One of my all-time favourite songs, and my favourite S&G tune, is "Kathy's Song". I used to cry when I heard it, especially the lines:
"I sit and watch the drops of rain
Weave their weary paths and die
I know that I am like the rain
There but for the grace of you, go I"
Forgive me if I've misquoted, I'm writing them from memory! Anyway, today I heard those words in a completely different context and they didn't make me sad. I even half-jokingly substituted "DBT" for "you" in the final line. This morning could have ended up very differently, much bleaker, without my new therapy. A few people I know who have done DBT call themselves "DBT Geeks", or DBT Obsessives - experiencing it work really does make you a convert/true believer! I hope I don't come across as simplifying Borderline, or other mental illness, and I am definitely not saying Dialectical or Cognitive Behaviour Therapy is the only way to treat these things. They have just worked for me, after many years of NOTHING working. And I wanted to share it.

Tuesday, June 16, 2009

SNAFU

After five weeks of solid performance at my new job, I had a truly crappy day. In the scheme of things, it's not that bad. No-one got fired. No-one got shouted at. No-one cried (though I felt like it). I've been working on a couple of graphic design jobs, which is not what I was hired to do and something I at which I am only self-taught, and I think I took on more than I should have. After printing 500 full-colour copies of one of the forms, a major error was noticed (too few boxes in the credit card payment section) and we had to reprint them. I remind you, the place I work is a CHARITY and can barely afford to print the darn things once, let alone TWICE. It was a stupid mistake, and the two bosses had signed off on the form without noticing, so maybe I shouldn't be beating myself up quite as badly as I am...

But there you have it, the self-loathing swings into action to replace the self-aggrandisement. Even though I have resisted my usual urge to show off and big note myself around the office, secretly I was feeling quite superior and patting myself on the back for my amazing coping skills. Ha! Life always knows how to level me out... Afterwards, all I wanted to do was eat. I needed junk food, stat, to block out the surprise/shock of my fellow workers that I, Ms Perfect Superwoman, had made a mistake. To medicate the intense embarrassment and shame that reminded me I was just the same fuckup I have been in every other job/relationship/situation/etc. With concentration, and some Distress Tolerance skills, I managed to chill out and not run to the chicken and fries emporium across the street. I also managed to realise I was over-reacting (dare I say it...BPD-style catastrophising?), and reminded myself I was human, not a piece of useless crap. It was a big lesson, and let's face it, that's where the true learning and recovery starts. But man, it sucked. I offered to pay for the extra printing (which was appreciated but not accepted) and made a vow to check and re-check all the other graphic design work I'm doing.

A couple of people said to me afterwards that they were relieved that I showed I wasn't superwoman. The newest employee (apart from me) said she'd felt intimidated because I was picking everything up so quickly! Sometimes I am stunned that the world sees the Happy & Capable Lil facade and believes it... 'cause it feels like the Big Crazy is so close to the surface that everyone on earth can see it.

PS: If you're that way inclined, please send prayers and/or love to Coyote & Juno. Poor kitteh is not well - feel better soon Juno xxx

Thursday, March 12, 2009

Comfort Box


One of the tasks I'm working on this week, as part of my "Understanding Borderline Personality Disorder" workbook, is creating a Comfort Box. The process is very simple, and probably most folks have come across it before, but there's a little article on ehow.com about it here if you want to know more. Basically, I've been asked to create a boxful of stuff to cheer me up and to help with Distress Tolerance (Distracting) -- so that when I feel overwhelmed/ stressed / depressed I can use the items in the box to cheer myself up and distract me until the "difficult emotions" and "unhelpful thoughts" have eased up. You can see most of the items I have in there so far, including a wallmap of the USA with all my trips marked, a couple of books, photos of the cats and dog, a lavender scented soap and a Barbie fake camera which says "You look WONDERFUL" when you press the button! It's cheesy and always makes me smile! I'm still adding to it.

Putting together the box was heaps harder than I thought, and harder than the workbook suggested. They didn't warn me to watch out for trigger items, which of course came to hand faster than comforting items lol. For instance, trying to find a nice stuffed animal that didn't have sad memory attached -- the ones that weren't gifts from Mr Ex were given to me when I was in hospital. Photos were another suggestion, but it took me a while to find some that brought genuine happiness when I saw them, and I had to search through a lot of albums and relive a lot of not-so-happy times and relationships. The real killer was the music, though, as touched on in my last post...

I'm putting together a cheery peppy music CD to put in the comfort toolbox, and I think I've ended up with a great mix. Songs that aren't too angry or negative (sorry Alanis!) but are just kind of happy and upbeat. Mika features, as does Fergie and Madonna, and some offbeat Australian music like Ben Lee, Darren Hanlon and The Cat Empire. I talked to Dr A today about the music thing, and how I have been known to use it as an intentional trigger, to make myself cry and feel when I am too closed down to cope with anything. He says crying suits me and I should do it more often. I think he's aiming for some hot transference action hahahahaha.