Reflections on life with BPD. Experience of using DBT to manage ESPD/BPD symptoms. Wanting to connect and encourage others struggling with Mental Illness. Stop the Stigma - the best way to learn about my Mental Health is to ask me about it...
Thursday, 16 January 2014
Sometimes Self Soothe Doesn't work...
This caught my eye on @HealingfromBPD Pinterest board. Can't help think that there are days when using my DBT skills seems harder than others.... or is that because the people/relationship I'm dealing with is being more difficult? Am realising that when I feel like smacking someone - self soothe won't cut it and maybe I need to learn more about 'surfing the urge' or 'opposite action'. Note to self: I can't control the bad behaviour of others, I can do something about my reaction to them...gosh, was that 'wise mind' in action??
Monday, 13 January 2014
Tell Tale Signs I'm Middle Aged #9
I understand the emotional lift that sexy underwear gives me....
It's important to keep the woman in me happy. Problem is, these days, I'm more attracted to words like 'comfort', 'thermal', kidney hugging',supportive and 'sensible' when choosing lingerie, than words like 'slinky', 'alluring' and 'silky'.
I've decided the woman I'm keeping happy inside is more 'Norah Batty' than 'Mrs Robinson'.
It's important to keep the woman in me happy. Problem is, these days, I'm more attracted to words like 'comfort', 'thermal', kidney hugging',supportive and 'sensible' when choosing lingerie, than words like 'slinky', 'alluring' and 'silky'.
I've decided the woman I'm keeping happy inside is more 'Norah Batty' than 'Mrs Robinson'.
Sunday, 12 January 2014
Music, my own special TARDIS
I have always loved music, playing it, singing it, listening to it. Emotionally, of all my pastimes, I have found music the most evocative in terms of conjuring memory. When I was growing up I was selectively mute for many years. Music became the way that I expressed myself. It helped me to survive. I just didn’t speak to adults, I had one friend in school who spoke for me. After my first year at school, aged 5 my friend was taken from me as they put us in different classes. Due to my non communication I was labelled as ‘remedial’, requiring ‘special help’. When teachers started to ask questions about my physical and emotional welfare, my parents took me and my brother out of our local school and we then attended a private school in the city centre. In 1970s Northern Ireland, child protection was a taboo subject. During this period, from the age of seven, I discovered the joy of playing music. I would lock myself away with my piano and play for hours on end. Then in my teens, I learned to explore every nuance of my pain through other people’s music, again, locked away with my stereo/radio for hours on end. Perhaps, an extension of my choice not to engage with the world around me.
It is when I attach personal feelings and memories to my music that I believe it finds its real power. Music has the power to lift your spirits, to articulate your grief, to take you back to specific times in the past. In a sense Music, along with the sense of smell tends to be the most powerful of ‘time machines’, usually with a default to the past.
It was at this point that I found music to be a potential obstacle to my recovery. Mindfulness training and DBT exercises were focused on bringing me to and keeping me in the moment. However, one of my true pleasures in life was in danger of inadvertently causing me to ‘time travel’ to the past. I didn’t want to lose out on one of my real pleasures in life, just because of my overwhelming emotional responses to it. Not every memory is painful and it’s important to acknowledge that, even before recovery, my life was actually made up of shadows AND light.
Because of my tendency to use music as shorthand to express important emotions, it follows that when trying to build up the skills to manage my overwhelming emotions more effectively, I needed to find a way to either use it as an aid to my recovery or lose it by limiting my exposure to it.
It occurred to me that the waves of emotion evoked by music, had a tendency to recede if I focused on the music itself, rather than use the music to unpick my emotional scars. So I recognised that the way forward was to perhaps treat the emotions evoked by music in the same way that I had learned to let go of unwanted thoughts and feelings which arose during mindfulness exercises in DBT skills group.
In practice, this means that my focus is not on the emotional impact of the music on me, but is on the notes themselves, the instruments and voices listened to. When my feelings arise and are in danger of taking me into the past, I notice them, then return to my musical focus. Listening mindfully is an excellent practice, simply because music is all around us and could become a problem, with songs evoking flashbacks and unwanted feelings and thoughts in all sorts of environments. It has taken me some time to extricate my emotional memory from music and learn to enjoy it as it is in each moment. Equally, music can express emotions effectively so that it can soothe, or change emotion, or help us to ‘sit with’ painful emotions. For me the important factor is about ‘when’ I am feeling the emotions: am I ripping the plaster off painful feelings from the past, or am I experiencing sadness, grief etc. in the here and now? In which case, music becomes an aid to observe, describe and then let go.
Friday, 10 January 2014
My DBT Inspirational Playlist
For times when I need to be lifted up spiritually or emotionally, I have my 'Moments' playlist - most of which seem to have a musical key change at some point.... could be part of the musical methodology or just 'a thing'. What amazes me about music as a tool in my DBT arsenal, is how quickly it helps me to both soothe and change problem emotions:
1. Rhapsody on a Theme of Paganini - Rachmaninov
2. One Moment in Time - Whitney Houston
3. Stronger (What doesn't kill you) - Kelly Clarkson
4. Beneath Your Beautiful - Labrinth
5. Shadows Fall - The Proclaimers
6. Welcome to my World - Jim Reeves
7. L'inverno (Winter) The Four Seasons - Vivaldi
8. No More Tears (Enough is Enough) - Barbra Streisand and Donna Summer
9. Don't Bring me Down - ELO
10. Zadok the Priest - Handel
Diversity and emotional range of music is good - I've found that when I immerse myself in these songs they help me 'gird my emotional loins' and remind me that emotions can change, even if they feel like they might totally overwhelm me and they feel like they will last forever. My biggest obstacle to use these skills? My fear that the waves of emotion will overwhelm me - as I've practised the DBT skills of Distress Tolerance and Self Soothing (using Mindfulness and trying to use my five senses to root myself in the moment) I've learned that despite how I feel - feelings and memories have not yet killed me.
1. Rhapsody on a Theme of Paganini - Rachmaninov
2. One Moment in Time - Whitney Houston
3. Stronger (What doesn't kill you) - Kelly Clarkson
4. Beneath Your Beautiful - Labrinth
5. Shadows Fall - The Proclaimers
6. Welcome to my World - Jim Reeves
7. L'inverno (Winter) The Four Seasons - Vivaldi
8. No More Tears (Enough is Enough) - Barbra Streisand and Donna Summer
9. Don't Bring me Down - ELO
10. Zadok the Priest - Handel
Diversity and emotional range of music is good - I've found that when I immerse myself in these songs they help me 'gird my emotional loins' and remind me that emotions can change, even if they feel like they might totally overwhelm me and they feel like they will last forever. My biggest obstacle to use these skills? My fear that the waves of emotion will overwhelm me - as I've practised the DBT skills of Distress Tolerance and Self Soothing (using Mindfulness and trying to use my five senses to root myself in the moment) I've learned that despite how I feel - feelings and memories have not yet killed me.
Tell Tale Signs I'm Middle Aged #8
Thursday, 9 January 2014
What doesn't kill you makes you stronger - Really?
It's one of those throw away comments that those wanting to instil 'backbone' in their audience utter from time to time - 'Remember, Chaps, What doesn't kill you, makes you stronger... onwards and upwards.... play up, play up and play the game...' You get the general idea.
However, there is a ring of truth to it, which means that I am not able to just dismiss the philosophy behind it, perhaps it depends on who is the mouthpiece at any given time. If it is the glib response from someone wanting to stop you talking about your pain, then it becomes an empty cliche. However if it is the considered comment of someone who has truly survived the worst in life, then maybe it's worth another look.
One thing I have learned about living with BPD is that those who suffer the depths and heights of emotional sensitivity are exceptionally strong characters - and how! Try sitting in on a DBT group skills session and even the apparently quietest member of the group will have a core of steel. Why? Simply because most have survived what onlookers might consider the unsurvivable. My biggest problem before I started DBT was that most of the ways I had used to get through were not helpful and at times were positively self defeating. Sure, I did survive and heck I know I was stronger, ask anyone who encountered me in full temper at that time, but contentment? Happiness? Stability? They were alien to me.
Marsha Linehan (the creator of DBT) has described the level of emotional pain suffered by those with BPD as being equivalent to third degree burns. There is a resonance to that description as I know that the emotional distress I have felt at times has been like someone breaking open my chest and exposing my heart to the most searing, biting fire imaginable. The pain felt physical and so I tried to replace one physical pain with another, through self harming behaviour. The problem being, I had got to the age of 42 and, yes I had survived what hadn't killed me and, yes, in some ways I was much stronger, but I was emotionally numb, unable to sustain deep relationships, feeling isolated and trapped in a cycle of surviving pain through unhelpful behaviour, feeling guilty about it, then starting again the climb to the top of the emotional crescendo before repeating the pattern. It was, frankly exhausting, just living.
One of the most amazing things I heard when I started DBT was that my problem behaviours were 'understandable'. I had taken so much time hiding them, because I was so ashamed and felt, rightly, that very few people would be non-judgemental about my behaviour - primarily because on the surface I was 'successful', holding down a job, owning my own home, articulate and popular. I was also in my 40s - not how most people picture self harmers.
However, for me to make sense of this level of acceptance I had to first accept that I had suffered sustained trauma throughout my childhood, something that I had avoided doing for fear of being overwhelmed by that truth. Again, what doesn't kill you makes you stronger, right? Slowly, it began to dawn on me, that I had walked out of the prison cell of my past but I hadn't let myself believe that I had been released. Slowly, with help and support from the DBT skills group I began to realise that not only did I have the strength of the survivor, but I could actually use the tools given to me by DBT, to finally cut the chains hanging off my mind and stop my thoughts and feelings from dragging me back to that cell. One turning point in my recovery was in realising that rather than freeing me, my previous coping skills had kept me trapped in the prison of my past.
I am now committed to making the most of the present, as it is. Some days I feel sad and that's ok - nobody can be 100% happy all the time. Now the inner strength which helped me survive is helping me to rebuild my life from the ground up. I am learning that my feelings do come and go on their own, that no matter how searing the heat of the emotions, they have not killed me... yet. Although I will admit that there are still times when my anxiety is that if I let the full force of the emotions come unchecked, they will overwhelm me. But with the support of others who are on the same journey and my DBT therapist, I am able to find the right DBT skill to help me get to the other side of the emotional wave and acknowledge that, yep it didn't kill me and, guess what? It has made me stronger!
However, there is a ring of truth to it, which means that I am not able to just dismiss the philosophy behind it, perhaps it depends on who is the mouthpiece at any given time. If it is the glib response from someone wanting to stop you talking about your pain, then it becomes an empty cliche. However if it is the considered comment of someone who has truly survived the worst in life, then maybe it's worth another look.
One thing I have learned about living with BPD is that those who suffer the depths and heights of emotional sensitivity are exceptionally strong characters - and how! Try sitting in on a DBT group skills session and even the apparently quietest member of the group will have a core of steel. Why? Simply because most have survived what onlookers might consider the unsurvivable. My biggest problem before I started DBT was that most of the ways I had used to get through were not helpful and at times were positively self defeating. Sure, I did survive and heck I know I was stronger, ask anyone who encountered me in full temper at that time, but contentment? Happiness? Stability? They were alien to me.
Marsha Linehan (the creator of DBT) has described the level of emotional pain suffered by those with BPD as being equivalent to third degree burns. There is a resonance to that description as I know that the emotional distress I have felt at times has been like someone breaking open my chest and exposing my heart to the most searing, biting fire imaginable. The pain felt physical and so I tried to replace one physical pain with another, through self harming behaviour. The problem being, I had got to the age of 42 and, yes I had survived what hadn't killed me and, yes, in some ways I was much stronger, but I was emotionally numb, unable to sustain deep relationships, feeling isolated and trapped in a cycle of surviving pain through unhelpful behaviour, feeling guilty about it, then starting again the climb to the top of the emotional crescendo before repeating the pattern. It was, frankly exhausting, just living.
One of the most amazing things I heard when I started DBT was that my problem behaviours were 'understandable'. I had taken so much time hiding them, because I was so ashamed and felt, rightly, that very few people would be non-judgemental about my behaviour - primarily because on the surface I was 'successful', holding down a job, owning my own home, articulate and popular. I was also in my 40s - not how most people picture self harmers.
However, for me to make sense of this level of acceptance I had to first accept that I had suffered sustained trauma throughout my childhood, something that I had avoided doing for fear of being overwhelmed by that truth. Again, what doesn't kill you makes you stronger, right? Slowly, it began to dawn on me, that I had walked out of the prison cell of my past but I hadn't let myself believe that I had been released. Slowly, with help and support from the DBT skills group I began to realise that not only did I have the strength of the survivor, but I could actually use the tools given to me by DBT, to finally cut the chains hanging off my mind and stop my thoughts and feelings from dragging me back to that cell. One turning point in my recovery was in realising that rather than freeing me, my previous coping skills had kept me trapped in the prison of my past.
I am now committed to making the most of the present, as it is. Some days I feel sad and that's ok - nobody can be 100% happy all the time. Now the inner strength which helped me survive is helping me to rebuild my life from the ground up. I am learning that my feelings do come and go on their own, that no matter how searing the heat of the emotions, they have not killed me... yet. Although I will admit that there are still times when my anxiety is that if I let the full force of the emotions come unchecked, they will overwhelm me. But with the support of others who are on the same journey and my DBT therapist, I am able to find the right DBT skill to help me get to the other side of the emotional wave and acknowledge that, yep it didn't kill me and, guess what? It has made me stronger!
10 Ways my Dog makes me smile
1. She has a cute furry face with very brown eyes.javascript:void(0);
2. She thinks she is the same size as every other creature she comes across - from chihuahua to great dane, from toddler to adult males - therefore she reacts with the same level of excitement and lickage!
3. The way she grovels when I discover the bin bag contents scattered over the kitchen floor - ears down, cute crawling towards me, then paw offered in supplication... always works!
4. Her happy trot.
5. Her curious nature - she would never make a sledge dog as she follows her nose on walks (literally!)
6. Her capacity to come home from walks with other dogs' toys - good money saving tip.
7. Her look of embarrassment when going to the toilet 'in public' - she prefers a bit of privacy away in the woods, guys!
8. The way she holds her nose in her paws when sleeping.
9. The way she sneaks up behind me and 'dunts' me on the butt to let me know she's ready to play. (also encountered by my CPN on a home visit and by my friend - guess they're accepted members of the family, then).
10. She has been a constant companion and encouragement to me to get off my backside and get out in fresh air, when I feel down. She is reliably affectionate and knows and accepts my different moods.
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