My DBT Classical Music Playlist

Despite my love of music, I grew up in a house where listening to any kind of music was not routine. My parents did not have an extensive selection of music from the fifties and sixties. As regards classical music - there was absolutely no reference. They had never been exposed to the beauty of music and its ability to express emotions, so as children we relied on school for our classical music education.

At Primary School, I was enthralled by Prokofiev's Peter and the Wolf. It was a revelation to my creative mind that music, as well as words could tell stories and I loved the fact that I could follow the characters through their adventure as each instrument became identifiable.

At University I was finally exposed to the joys and intricacies of the classical canon. It helped that two of my closest friends were professional musicians, one had been trained at Wells, then the Royal Northern and continued to earn a living as a harpist both in orchestras and as a soloist. I often accompanied her to her concerts as a kind of 'roadie' helping her to unload her 'big harp' (technical term!). As I experienced live music, I was exposed to an emotional depth in music that popular music, which I equally love, can only dream about reaching. One of my musician friends tried to explain the technical reasons why particular phrases and cadences appealed to me. I really didn't care - what mattered to me in my late teens and early twenties was that there was a form of music which was capable to reflecting the waves and crashes of my internal life at the time.

I find it fascinating that during the period (some eight years) when I found myself feeling nothing but numbness, I could not tolerate listening to any classical music.

As I have moved through treatment into recovery, I have 'rediscovered' my love of classical music. I have used some pieces to help me manage waves of emotion through mindfulness exercises. Unlike pop music which may have one or two emotional notes in a three minute period, most classical music moves through nuances of tone, and uses dynamics, like waves to build to a crescendo before receding into quieter periods. One of my favourite pieces to use in mindfulness is by Rachmaninov and it lasts 17 minutes. That is a good period of time in which to manage many of my emotional waves. So here are some rediscovered gems which have helped me to use my DBT skills recently.

This is my current classical playlist:

1) Bach Unaccompanied Cello Suite No. 1 in G Major - Prelude. This is a good starter because it will be familiar from ads etc and features, as stated one solo instrument and therefore one simple melody to focus on. For some people listening to classical music can seem daunting perhaps because of the number of instruments and the different, sometimes competing melodies and counter melodies.

2) Rachmaninov Symphony No 2 in E Minor - Adagio. This is my current favourite for practising mindfulness 'in the moment' and 'emotion' and 'thought' diffusion exercises. It has a very strong, emotive central theme which recurs right at the end - in the meantime the rise and fall of the melody can be used to track my emotions, as they build up and fade away. I was getting annoyed with my parents on a long car journey recently and successfully used this piece of music to focus on my breathing and let go of my angry feelings. Incredibly soothing.

3) G F Handel - Arrival of the Queen of Sheba. Just really enjoyable and uplifting.

4) Vivaldi - Concerto for Violin and Strings - The Four Seasons - Winter. This is a piece of music which allows you to imagine winter creeping up. I defy you not to be able to imagine ice creeping up on winter as you listen. The final movement reproduces stamping feet, ice skating and the impact of the creeping ice on both man and nature - love it!

5) Faure Requiem - In Paradisum. Amazingly soothing calming.

6) G F Handel - Zadok the Priest. I recently was delayed on a plane flight and was 'participating' so much on this piece of music that I forgot I was standing in a line waiting to be 'herded' onto my EasyJet flight - until I opened my eyes and found several people staring at me. It was the epitome of mindful 'participation'.

This is a relatively short list, but if I don't set a limit I could keep going for a very, very long time.... I am absolutely certain many others reading this will have their own favourite classical pieces that are helpful in managing emotions.

Why Not Me?

Yesterday I was discharged from Mental Health Services after four years. Unlike many people I read about on here my discharge was well managed and took account of some moments a few months ago when it was not appropriate to end the relationship. So it was a positive ending of a relationship with my Care Co-ordinator. I was able to express my gratitude to her and she in turn reinforced the positives in my progress. My week began with a visit to a Breast Cancer Unit following a routine screening which revealed some suspect lumps. In one way I had to laugh - timing was perfect - one week bookended with physical and mental health issues - I'm nothing if not equal opportunities with regard to illness!

In the past the uncertainty caused would have resulted in a whirlwind of thoughts and emotions centred on my (imagined) ability to mind read, predict and anticipate the future. At some points I found myself 'reading into' the kindness and professionalism of the clinic staff as confirmation of the worst news possible. I certainly felt the shock of the speed of appointments offered - not to mention the fact that within the space of two hours the clinic had: confirmed the presence of five tiny lumps, the fact that they couldn't tell from the range of tests whether they were benign, and then to have them removed, a dressing applied and instructions given about care for the small wound and details of the appointment to receive the results of the biopsy taken. However, I found myself using my mindfulness skills to keep me focused on what I knew, which was exactly what I had been told by the consultant, and what my senses could tell me was happening around me.

In the past I would have collapsed under the weight of the uncertainty, whilst being swamped with the pain of every trauma I had lived through in my life - quite an emotional burden, I'm sure you'll agree. I would also have been plagued by the constant thoughts centred around 'Why Me?'. Such an event would have confirmed my life role as 'victim'.

This week, though, something had changed - the pain of the past is where it belongs - in the past. I really don't need to be carrying all of that as I deal with life as it is in the here and now. After all as the Bible says 'Today has enough trouble of its own.' (Jesus on the Sermon on the Mount). The other thing that has changed is that I have learned that I am not some toxic person who attracts trauma. Unfortunately, the term Borderline Personality Disorder does seem to confirm this thought, but just because that's the label they've chosen doesn't mean that it has to be a prediction of who I am or who I can become. I may have been a victim of circumstances, or other people in the past, but right now I am not a victim anymore. I am a human being who is experiencing the sort of difficulties that any other human can face. My thought has changed to 'Why not me?' In a week when children and whole families have been indiscriminately murdered in the Middle East and Ukraine, why not me, why should I escape the pain (both emotional and physical) of life in this world?

Pain and suffering is not something I have sought out. The trauma I have experienced throughout my life, has been survivable. The burden of guilt from the abuse perpetrated by others is where it belongs - with them. If they have any conscience about their actions, then it is only right that they bear the emotional burden of their own guilt - not me. Again, I continue the journey away from feeling guilty for the actions of others towards me. The pain and the emotional scars that were left have FELT as if they would kill me, but they didn't and they haven't. I have grown stronger through the life experiences I have gone through and today, along with all survivors, I am one strong 'Mama'.

My current health concerns have a physical pain associated with them - I have managed to cope with needles going into a sensitive part of my body. I know there are many who suffer unending physical pain, so why would I complain about something that has hurt only for a time? And yet I need to acknowledge that this is my pain, I have a right to feel it. My ability to cope with it is different from everyone else. I do not know what the limits of my coping are until I reach them.

With my mental health issues, though my biggest battle will always be with my emotional impulses and the circular thinking that has fed them in the past. I am learning through this experience that the DBT skills that have helped me to manage my emotional issues are helping me cope with the physical discomforts of my current experiences.

Keeping my "Life Train" on Track

I have recently been building new routines. Due to the turbulence of my life with BPD I have always sought out certainty and routine as a way of feeling more in control when my emotions are anything but. This may seem to contradict other aspects of my life which seem chaotic to the casual observer. My problem in the past has been that I have not been able to sustain life structures that help me live the life I want - or even to be the person that I wanted to be. This is symptomatic of the lack of emotional and personal stability that is the hallmark of BPD.

One of the benefits of having gone through lengthy periods of turbulence when I left behind previous jobs, relationships and areas is that I have had the opportunity to rebuild my life many times. I used to think I was good at it. But the lives I rebuilt before obviously were sustainable. Somehow this time is different. For the first time in my life I have stayed in one area of the country for over a decade. For the first time I have stayed put even when friendships and relationships have become difficult. This pattern continued until diagnosis and treatment, due to the fact that I had reached an age when mortgages and progress in my chosen profession made it difficult for me to uproot my life and move on. Effectively, my circumstances meant that I was forced to face my emotional instability and to take time to explore the reasons behind my turbulent, emotional and mental life.

So, I have found myself in unfamiliar territory. For once, I am not rebuilding my life from the foundations up. The basics of life, a home, relationships, the means of putting food on the table are already in place and have been allowed to mature over the past twelve years or so. There is another difference, in that I now know what I have been fighting against all my life. I have learned that some aspects of my condition and responses to the world will not change. My attitude to my condition and to myself have changed. I now have skills that are not self defeating to manage my emotions and my relationships.

As I've been thinking about what kind of life I want, I have found myself thinking in terms of trains. The engine is what provides the power to move the rest of the locomotive. The engine requires fuel and both engines and carriages require maintenance. No metaphor is perfect and there will be inevitable flaws in this one. However, I have found it helpful to think of my current track to recovery in these terms. Here is how I see my life train (once you've finished laughing at the poor artistry feel free to read on about how I think the parts of my life fit together):

1. The Engine - What I believe about myself and the world around me is essential to giving meaning and hope to my life. When my emotions drive me, my beliefs about life are vaguely in the background. Due to the twisted impression given to me about myself by an invalidating upbringing I am having to relearn self acceptance, care and compassion. In effect this builds on my beliefs about how I relate to others - the challenge is can I show the same compassion to myself as I can show to others? Do I really accept what my faith teaches me about my place in God's world? Can I absorb what I am taught about how much I am loved? In rebuilding my life it is essential before I put anything else in place that I develop and practice my beliefs about who I am and how my life fits into the world around me.

2. The Fuel Truck - My beliefs help to determine the nature of my spiritual practice. I need to maintain those beliefs and this means that I need to maintain myself spiritually. I need to pray, I need to maintain my relationship with my God, this helps me to relate to others and to my day to day life according to how I believe I fit with those. So my daily activities include: prayer, maintaining my understanding of my beliefs by being part of a Church family, meditation on positive beliefs about who I am in my God's eyes and how that impacts on how I live my life.

3. The Emotions - With BPD I need to keep my emotions regulated. This means a combination of skills, including making sure I get enough sleep, food and water. It also means that I show myself compassion when I am emotionally sensitive. Within friendships and relationships I need to maintain my DBT interpersonal skills - ensuring that I do not allow my over sensitivity at times to prevent me being wise in my reactions to things that happen. Above all, I need to be kind to myself and keep learning about what it means for me to live with the symptoms of BPD.

4. My Physical Well Being - I have begun looking after myself - this is one sign that self compassion and self care are beginning to become a habit for me. As I have lost weight and am enjoying being part of a gym and a group of others trying to feel better, physically, I have found that the other parts of my life are improving.

These are the basic components of my life. They need to be linked together and need to work as one for my life to be more effective. All of which means that in every day of my life there is a basic framework which means that I attend to the spiritual, emotional and physical needs and that my life consists of holding these parts of my life in balance.

How Time Heals - a meditation from Henri Nouwen

I read one of these meditations from Henri Nouwen every day. It is one week to go until my final discharge. So today's meditation I found very apt. Sometimes glib cliches have become glib over time and due to over use. Because my diagnosis only came in my forties I have had a long time without help to manage my condition, not always in the best ways for me. That means that I need to grasp hold of the truth that I need time to let the new skills I have developed through therapy to help me manage my BPD need time to bed in. When there has been a lot of pain and distress in the past, I also need to acknowledge that time passed does not mean those things suddenly cease to hurt. I found these words from Henri Nouwen say it so much better than me:

"How Time Heals

"Time heals," people often say. This is not true when it means that we will eventually forget the wounds inflicted on us and be able to live on as if nothing happened. That is not really healing; it is simply ignoring reality.... "Time heals" implies not passively waiting but actively working with our pain and trusting in the possibility of forgiveness and reconciliation."

I would add that due to the nature of so many past hurts there is only a 'possibility' of forgiveness and reconciliation. Sometimes we need to radically accept that those who have hurt us cannot accept our forgiveness, nor is it possible to reconcile the relationships, simply because usually those relationships were dysfunctional and destructive, and therefore can never, nor should they be, restored.

The Pain of the Unfrozen Heart

TRIGGER WARNING: IN THIS BLOG I DISCUSS VERY PERSONALLY THE IMPACT OF DISSOCIATION AND OTHER WAYS OF MANAGING SEXUAL ASSAULT - MAY TRIGGER SOME, BE CAREFUL WITH YOUR OWN HEARTS.

Franz Kafka once said 'Literature is the axe which shatters the ice around the heart.' Colourful, but I'm not sure he got it right. I think it would be more accurate to say 'Time and therapy are the axes that shatter the ice around the frozen heart.' This has become painfully clear to me as I make progress through the recovery process.

I can tell you almost to the moment, when my heart finally was broken, nearly fifteen years ago now. I was exhausted from all the pain and distress, from the constant battling of emotions I had no control over, from the pain of broken relationships, feared and realised rejection after rejection and the constant internal commentary which was boosted by those experiences and feelings, confirming to me that I was worthless and unloved and unlovable. I didn't think of myself as resilient up to that point, but looking back I realise that I had crashed and burned so many times, that it was almost an automatic response for me to move to a new area, and begin again - new home, new job and, most drainingly, new relationships and friendships. In the moment my heart froze I suddenly felt all the accumulated effort and pain as a burden I could no longer sustain. In that moment, my mind decided that I needed to stop feeling, rather than constantly keep feeling the pain of my life so keenly.

It has been easier in some ways. I was, once again, the victim of sexual assault, but instead of being capable of reacting in any way that any onlookers would deem 'appropriate', I walked out of the situation and continued as if nothing had happened. Why not? It was just another example of how worthless I was, a confirmation, from a stranger this time, that the abuse I had suffered at the hands of those close to me, was indeed down to me - after all I was the common factor in it all.

There are those, particularly in the media, who tell us how victims SHOULD behave. How would they know? If you have never had your spirit broken, been convinced that there is no one out there to hear your screams or cries for help, how could you know what it is like? Being a victim of sexual assault once, makes you more vulnerable to such abuse in the future, (although it is not always inevitable). That seems to be so hard for many people to understand, I mean isn't it a case of once bitten? Let me ask you, if you have constantly been told that what is happening to you is as a result of you and your behaviour. If you are told that something about you meant you 'deserved' it. If one of the voices telling you these things is your own thoughts. If you have become accustomed to abuse as an expression of 'love' and been told that you are 'special' because of it. Is it any wonder that as an adult when you encounter the same behaviour towards you, you don't fight back, you don't 'just walk away'. Survival means that often survivors divorce what is happening to them from their conscious experience. I was passive - a victim - because this was the way I had managed to survive numerous abuses from my childhood onwards.

Having, stopped, short, never to feel again, my heart was incapable of feeling anything, either good or bad. Now, having begun the process of healing I am learning to recognise the tingles and pangs of the ice cracking. Sometimes, it's ok, I realise I can survive feeling again, but at other times even the good feelings are problematic. The other day I mentioned that I was worried I was being 'hyper' to a friend who is familiar with my cycles of mood - 'No,' she said, 'That's happiness'. My immediate impulse was to panic, in case I couldn't handle it, but I sat with it for a moment and realised it didn't have to spiral till my behaviour was out of control, prior to the inevitable crash to the emotional floor. Instead, I allowed the feeling of contentment and enjoyment of the afternoon to run its course and it was ok, in the end I enjoyed the whole day.

I'm off on a break for a week soon. As I contemplate dropping my dog off at the kennels I have encountered a pain from separation anxiety of sorts. Last night, I shed tears. Initially, again my immediate response was panic, what if this is the start of a depressive episode? Then, I allowed myself to sit with the feeling. I tried to use wise mind. After all, we spend every day with one another and she is good company. It's ok to miss her.

The fact this relationship with my dog is having such an impact on me emtionally worries me. I realise that this is part of my natural fear of fondness or love. My dog has been a big part of helping me to heal. I can tell her 'I love you' and I feel that is natural. It is a huge step for me to transfer that ability to humans. As a survivor of abuse the emotion that I am most confused about is 'love'. It is a huge task to separate the sexual from this emotion and to be able to recognise the different nuances of love that are part of the full range of human relationships. For me there is a yearning just to be held, by someone safe, without it leading anywhere. So many times, people touched in ways that were damaging without asking permission, or without a bond of trust to enable me to feel that I had any say over what would happen next. It scares me that my unfrozen heart could respond to another human being and it not lead to an abusive relationship. I wouldn't know how to handle it.

The other reason I fear my love for my dog is that, along with the love emotion, I have always, before my heart froze, feared the ending of any relationship. I have always anticipated the loss long before it arrived. When I realised how fond I was becoming of my dog, I started to fear how I would cope when she dies. This is the benefit of not connecting with any other creature, death doesn't have to hurt so much. Except that's so not the way it works, is it? Even if I don't acknowledge it, I am connected to others around me and losing them even temporarily will be FELT by me, that's part of being human.

In the past, often, rather than wait and see, or trust the relationship I would behave in a way which would hasten the ending I feared so much. That way I believed the pain was somewhat controlled by me. I believed that it was just me fulfilling what I always 'knew' would happen.

In the here and now I am learning new ways to be in relationships. Rather than impulsively rushing in where angels fear to tread, I am learning to be 'careful' with my heart - it is after all heavily scarred and rather fragile. I have managed to focus on friendship at the moment - anything more intimate is beyond me right now. I noticed the other day that there is a lot of change in a number of friendships. This has meant changes in routines - a friend who may have been available to go for lunch is no longer available. Forgetting this the other day, I phoned her at work. We had a quick conversation and I put the phone down. My old familiar panic feelings, followed by shame and then embarrassment flooded over me. In the past that would have meant me backlashing by cutting myself off from her and self harming for being so stupid. Instead, I spoke to myself (out loud) and used wise mind to query if the interaction really meant an end to the friendship. I also used a mindfulness breathing exercise to calm myself and focus on the positives of the friendship, which include a face value honesty that I have always appreciated. When she phoned later in the day, I picked up the phone and we agreed to meet as normal later in the week. For those not familiar with BPD this may seem something very small, but not making this exchange an all or nothing matter, and thereby saving the friendship is a massive step forward for me.

I guess that the pain I am feeling now is not unlike when you are in the process of trying to warm your hands after a good game of snowballing. You know you need the blood to flow again for your hands to function, but you also know that as the blood does so you will feel a world of pain - for a time. As the emotional blood flows back into my heart - I know that it is painful at the moment and will continue to be so, as I risk my heart with others. That pain will remain for a time, but one day my heart will be able to function as it was designed to, maybe with one or two little twinges from the scars it bears, but it will be fully, finally, unfrozen.

What on Earth is DBT?

I have found myself being asked this question a few times by people who follow my twitter feed or this blog. It's funny how easy it is to obscure your message by the use of jargon. I actually enjoy explaining what DBT is and what I have got out of it as a treatment - it has been a massive positive in my life. Unlike the question 'what does the borderline in BPD mean?' Not easily answered as frankly most people now don't actually agree with it as a descriptor of this condition - anyway that's another topic altogether and if my DBT has taught me anything it is not to be distracted by thoughts that are not relevant to the here and now.

Dialectical Behaviour Therapy (DBT) was developed by a clinical psychologist in America called Marsha Linehan (do google the name she has produced numerous videos and articles about her therapy) in the 1990s. It is a combination of mindfulness techniques and Cognitive Behavioural approaches to help those diagnosed with Borderline Personality Disorder learn to understand and control the extreme fluctuations in their emotions.

As a replacement for BPD as a label some have taken to referring to the condition as either Emotional Sensitivity Personality Disorder or Emotional Dysregulation. As a descriptor I find the latter preferable. Whatever term you choose to describe it, what it meant for me was a see sawing of moods which could cycle from being 'hyper', excitable, voluble and energetic to extreme feelings of depression with a high degree of suicidal feelings within the space of a few hours, several times a day.

As you can imagine such constant cycling of emotions can be extremely draining and distressing. A key hallmark of the condition is poor impulse control accompanied by strong urges towards self harm (or self destructive behaviours) and suicide. Throughout my life, until I really started to practice my DBT skills, the idea of killing myself or harming myself was an almost constant presence in my consciousness.

DBT is not offered as a cure for these issues, but seeks to offer the sufferer the means to interrupt and then control the emotional storms which are the moment by moment experience of BPD. One important point to make is that no treatment in Mental Health should be considered as one size fits all. This is why the individual sessions of DBT are so crucial for each person. I can only decide what skills I need to master in order to manage my emotional life. Because it is a skills based treatment it requires a major commitment, not only during the time in group and with your one to one therapist, but, more importantly, after discharge the treatment will only work long term if I commit myself on a regular basis to remind myself of the skills and to practice them.

I remember my GP expressing her frustration with patients who had been referred to the Physiotherapist to deal with one condition or another. She would make follow up appointments to see them after six weeks or so. 'How's it going?' She would ask on their return. 'No use whatsoever'. She would persevere 'Really?'. 'Oh yes, I went twice and to be honest the exercises were alright when I was there, but then the complaint returned in between visits.' Now, it seems to me that the GP shouldn't then have to explain that these exercises should be repeated daily in between 'visits'. If I think after discharge 'well that's that then' not practice or take seriously the skills I have worked so hard to develop, during my time in therapy, then I don't think I should be surprised if I start to lose control and become a prisoner of my emotions once more. I need to keep going with it.

So what are these skills?

The core 'treatment' is a weekly skills group along with a weekly one to one session. In the group we are introduced to the skills and encouraged to start to use them to manage day to day issues as they arise. In the individual sessions there is an opportunity to discuss in more detail the skills that are most useful to me as an individual and the key parts of my emotion dysregulation I should be working on.

There are four main modules:

1. The Core Skill of Mindfulness runs throughout the length of both the group and individual sessions. (typically one year, although some centres are trying to offer 6 months which only allows one cycle of the skills modules).
2. Distress Tolerance - skills to help me manage when I am in distress without reverting to self destructive and self harming strategies that I may have used all my life. (here the importance of developing familiarity over a longer period of time becomes clear).
3. Emotion Regulation - longer term skills to enable me to recognise what feelings I am dealing with and to develop strategies to maintain a stability in those emotions. (these have become more regularly used by me since my discharge in seeking to maintain my progress with managing my emotions)
4. Interpersonal Effectiveness - anyone who has BPD or has lived with someone with BPD will tell you that the emotional maelstroms inherent in the condition wreak havoc in all sorts of important relationships. Reading other people is not a natural skill that I possess because of my invalidating upbringing. This is an area I need to consciously be aware of and that I need to practice constantly in order to counteract the natural urge to respond to my instinctive (often mistaken) feelings about the relationships around me.

I completed a one year programme, during this time, each module is introduced and after six months, and a review of progress, they are repeated and reinforced both in the skills group and in the one to one sessions.

This is a very sketchy outline of DBT, there will no doubt be many other questions.

Such as, what do I mean by Dialectics? Essentially, my understanding (which will be limited to my own experience) is that it seeks to bring stability and balance to my emotional life so that I can enjoy the parts of my life that are to be enjoyed, without expecting everything to be 'sorted' or 'perfect' (I've covered this in my blog on recovery and what it now means to me here: http://bpdlifeinthemoment.blogspot.co.uk/2014/06/putting-jigsaw-together-learning-to-fit.html

The following are links to helpful websites about BPD and DBT: http://www.dbtselfhelp.com/ has really useful exercises and videos for the practice of DBT skills and Mindfulness, www.my-borderline-personality-disorder.com (Healing for BPD) is an online version of DBT but there are also really helpful articles and examples of using DBT skills in recovery. There are many other websites that offer useful mindfulness videos or self soothe ideas etc. Just be selective and be aware nothing will bring about any miracle cure and any skill needs a lot of time and hard work to develop.

I think the best way to find out about Marsha Linehan who has an amazing story about coping with BPD herself, is to just google her name.

Access to DBT groups in the NHS seems to be very limited. I have been so lucky to live in Lancashire and to be able to access the Central Lancashire DBT Team for nearly 18 months. I am so grateful for a local NHS Trust (Lancashire Care Foundation Trust) which has seen fit to offer not only this, but also other therapies for BPD. Having not meshed with one previous therapy, I only had a waiting time of one year to access DBT. I am aware that not every area has so much to offer to what is a cinderella condition, but hopefully, if I can encourage others to ask about it and whether it is available in their area then, maybe, some 'up high' might begin to see the light.

For me, having my discharge report set down in black in white that I have not self harmed for over 18 months has helped me to see just how far I have come. My time in the group was an important part of my journey but I haven't arrived, I'm just moving on. I continue to work on my Emotion Regulation skills, occasionally I use my Distress Tolerance skills when an echo of my past takes me by surprise. Rather than creating dependence one of the best things DBT has given me is a developing confidence that I am ready for life without Mental Health Services, that I am capable of maintaining and building on the progress I have made so far and that even, if I may never have a life without my turbulent emotions, they will never have to overwhelm in the same way again.

I will be forever grateful for the visionaries behind this great innovation for BPD sufferers.

A Visual Tool for DBT Opposite Action

When I am overwhelmed by negative emotions and can't find a way to anchor my thinking, I use some tools that have been designed to help children. And why not? Since when do we think that only children respond to colour, visual stimulus and fun when learning? I have never been a traditional learner - I was a nightmare at school because I couldn't focus well when required to just sit still and 'learn' I need my learning to be vivid, active and engaging.

As a person with BPD my whole life has been full of drama and interest, and it's not always meant negative things. I am an interesting person to know and talk to. I do need tools that help me to manage the extremes of my emotions. This simple tool helps me to find a way through the fog of negativity about my life to be able to use 'opposite action' and 'opposite emotion' DBT Skills.

Some aspects of my life may not be as colourful or full as others and this helps me to see that. Equally it helps me to see those aspects of my day to day life which can help me feel better. No matter how much it feels like it - no life is either all good or all bad. I found a picture on Pinterest which says: 'Don't let a bad day make you believe you have a bad life.' It is a little trite, but there is a grain of truth in it, especially if I am trying to make sense of the whole of my life - no matter how bad some days are at the moment I know I have survived worse. I like having the completed image this tool creates it's a reminder that the bright moments, shine brighter because of the darker moments. If I can focus on these moments one by one as they happen, I can learn to enjoy them for what they are in the here and now.

The tool also helps me to define the things that are important to me. This is essential for those times when I feel 'all at sea' emotionally and need a reminder of my core values - what matters to me and therefore, what gives me meaning in living.

The other thing this tool gives me is a focus for mindfulness and I can enjoy colouring 'in the moment' once I've written in the names of the people and things that are good in my life. When I come back to it after some time I find that some of these remain constant, but others can change and I may have changed too, so that maybe I can see more of the good about my life. It's great to keep them as a record of good things when I have those 'I hate my life' days or weeks!