Category Archives: DBT

My Fight with Anxiety

I have been in a constant state of anxiety for several days now.  My heart and thoughts are racing, I’m grinding my teeth, my sleep has been broken, I’m irritable and I can’t stop catastrophizing every situation I think about.  The most worrisome part of my anxiety is that my hallucinations are working overtime.  Not only am I hearing my ‘people’ (voices) again; I am also dealing with moderate visual hallucinations.  All I want to do is escape and find a quiet place where the world can’t touch me and I can curl up in a ball and be left alone.  I don’t want to deal with anything right now and I don’t want to face any of my fears.

The voices I experience have been with me as far back as I can remember.  The best way I can describe them is that one is a male and one is a female and they sit at the base of my brain just waiting to make life difficult for me.  They don’t have faces or anything like that; the way I see them is as silhouetted heads something like this…

Image result for images of silhouettes

 

 

They are always there facing one another but I never see their lips move when they talk however I can always tell whether it’s the male or female communicating with me.  My voices never tell me to harm myself or others or do things that I normally wouldn’t do; they just like to have an input into my thought pattern when I’m stressed, anxious or overwhelmed.  We do have two-way conversations but no one would ever know this just to look at me.  The dialogue only goes on inside my head and my lips only actually move from time to time.  It sounds funny but that’s how our relationship is.  No, I am not psychotic nor do I suffer from any sort of schizophrenia.  I just experience these voices because of my bipolar disorder and my anxiety.

My visual hallucinations are not as significant as my voices.  Basically I see things move and run across the floor or dart across my field of vision.  I see things with my peripheral vision that aren’t there but I still turn to look as though they are as a knee-jerk reaction.  I have trouble with my visions, too, when I’m stressed and overwhelmed or when I’m overstimulated like I tend to be in the grocery store or large department stores.  All the colors and images and different sounds and smells make it a chore for me and it becomes nearly impossible for me to concentrate in this type of environment.

I can start feeling anxious out of the blue, however I have learned over the course of my mental illnesses to identify certain situations that may make me anxious.  I don’t like to be around a large group of people whether I know them or not.  It’s not so much the people but the barrage of images and movements that make me anxious when I’m around a lot of people.  I can also be anxious in a small group of people if I don’t know the people in the group.  Unlike a large group, I can get to a point where I’m relatively OK in a small group once I get to know the other people though I still experience some anxiety.  New situations or how I perceive a new situation might go are two more times when I will experience a lot of anxiety.  I have to use a lot of self-talk when I’m going into a new situation so that I can get to a point where I can still function.  This is a fairly common situation for me seeing as new experiences are a part of daily life but because of this I’m often preoccupied and inside my own head.  I get anxious when I have to make a phone call I’ve never made before, opening new mail, driving to a destination I’ve never been to, watching the news on television and even praying.  I know right; yes, praying can cause me a great deal of anxiety.

It would seem that it would be easy to combat my anxiety if I know when I might be anxious or I can identify it when it comes but it’s not that easy.  Having anxiety and being aware of it doesn’t make it that easy to deal with.  Life would be so sweet if I could just identify the anxiety, label the source of it and then take the necessary steps to make it go away.  NOT!  It doesn’t work anything like that.  For some years I was on Xanax to help combat my anxiety however that was the worst thing that a not medicated, bipolar alcoholic/addict with borderline personality disorder could possibly do.  When I made the serious decision to get sober and deal with my mental illness I had to make the decision to go at my anxiety from a different direction.  Now I use both CBT (Cognitive Behavioral Therapy) and DBT (Dialectical Behavioral Therapy) tools to combat my bouts of anxiety.

The tools that I have been taught are not foolproof however they do help me to get a better hold on my anxiety when it comes.  I still shy away from many people and situations because of my anxiety but, at least now, I know that I can get passed it when I’m ready to.  I say ready because no matter how hard I may try to combat anxiety in any of its many forms, unless I’m ready to face whatever situation is giving me anxiety that anxiety will still be there.  Anxiety keeps me from experiencing many things in life that I’m positive are probably pretty amazing and I want to be a part of any number of them however my battle with anxiety will be ongoing and on my terms.  I just have to be patient with myself and that’s the best I can do.

 

Tagged , , , , , , , ,

Running In Place

My bipolar disorder causes me to experience something called racing thoughts.  Actually, racing doesn’t even begin to define what my brain is doing every waking moment of every day of my life.  Even when I say I’m going to lie down for a bit and rest or take a nap my mind is still racing.  I have racing thoughts while I’m showering, while I’m cleaning, when I’m feeding the dogs even when I’m talking on the phone.  My mind and thoughts are always racing and it gets to be pretty damned exhausting.

My racing thoughts make it hard for me to complete tasks despite how sincere my intentions are to finish them.  I can’t even begin to count the number of projects and personal commitments I have on my plate right now that are only half done because of my racing thoughts.  It doesn’t help that there are some things that I must do every day no matter what; record blood glucose readings, record what I eat, complete DBT diary cards, take my medication, I could go on but that’s enough to get an idea of what my day is like and to see how all of this contributes to my racing thought issues.  Just having to do these things daily is enough to send me into a tailspin of racing thoughts and it would seem that this would be enough for me but it never is.  In addition to the things I do daily I am always taking on more and more tasks to do, sadly many of them go unfinished.   Right now I have a half-finished blanket I’ve crocheted, I have my first novel that I started editing sitting unfinished, without finishing my first novel I’ve already started on my second one, I’ve been working on a book of short stories that consists of two undone novellas, and so on and so on.  I really do want to finish all of these things unfortunately my racing thoughts and mind only let me get to a certain point and then it seems that I just run out of steam.

It’s funny; you would think that a racing mind would be conducive to finishing things but, quite the opposite.  My mind races so much and so often that when I try to do something the myriad of musings that bombard me constantly has me throwing up my hands in frustration rather than crossing the finish line over and over on a regular basis.  Sometimes I just sit looking around in a stupor because I don’t know where to begin trying to tame and satisfy the constant buzzing in my brain.  Now everyone gets a little overwhelmed from time to time having things to do but nothing compares to true racing thoughts.  I have even tried using daily planners, hourly planners and setting alarms on my cell phone to try and make some sense and put some order to my racing thoughts but, often, this tends to have the opposite effect.  I get so worked up trying to stay on task or being on edge knowing that one of my many alarms may be going off at any moment that I find myself abandoning one thing after another out of sheer anxiety.  This just makes my racing thoughts move that much faster.

Racing thoughts are frustrating to me because they make me that much more distracted in general.  Already battling against myself to stay focused, racing thoughts make staying on point a Herculean task.  I have a hard time watching a movie or television program, reading, writing, holding a conversation to name only a few things that my racing thoughts interfere with.  Life is hard enough with all that we are told to like, buy, do, see, acquire, listen to and such but pair this with chronic racing thoughts and the world is a rambling chasm of constant overstimulation.  A lot of the time I wish I could just put my hands over my ears and close my eyes and make it all go away, unfortunately that wouldn’t help to calm my racing mind.  I’ve only found a couple of things to help me with this; medication and working on mindfulness.

Since I take medication for my bipolar disorder I already have a tool available to me to help quell my racing mind.  Another tool that I’ve learned I can have at my disposal, if I work at it, is mindfulness.  Mindfulness includes a lot of different things such as meditation, focusing on the moment, experiencing my feelings without judgement and, most importantly, working with one thought at a time.  This is not something that is a quick fix; I have to constantly work on being mindful so that I can gain some sort of control over my racing thoughts.  Under my breath I’m constantly telling myself to focus, sit still, do one thing at a time, finish this first, stop moving around and the list goes on.  At this moment, I’m trying to write, listen to a program on the National Geographic channel, absorb the smell coming from a fragrant candle, get ready for a visit from a longtime friend, drink a cup of hot chocolate and watch the birds eating bread outside my window; all this going on as a result of my racing thoughts.  Needless to say my focus level is on the negative side right now but I’m pushing on ahead like I do all the time.

It has taken me a matter of hours to write a measly thousand words all because of my racing thoughts and what they do to me.  Popping up and down like a jack-in-the-box and moving from one thing to another several times over these few hours has made getting this done pretty hard.  Though my goal the whole time was to complete this I’ve been unable to just sit in one place and work from start to finish.  Now that I can look back and see the progress I’m capable of it lets me see that even with this handicap I’m still quite a peach!

 

Tagged , , , , , , , , , , ,

Mental Illness and Two Types of Therapy

I have been in and out of treatment for my bipolar disorder and substance abuse for nearly fifteen years and I have gained a lot of knowledge about different treatment therapies.  Most recently I have been exposed to two types of therapy that have helped me tremendously. Following is a brief summary of each one of these therapy models.  I encourage further research on both.

The first of these is DBT (Dialectical Behavioral Therapy). DBT was developed by Marsha Linehan to help people suffering severely with BPD (Borderline Personality Disorder). DBT deals with helping to reshape detrimental behaviors that can stand in the way of effectively living with BPD and, over the course of its history; it has been expanded to treat other mental illnesses and recovery from a number of addictions and disorders.

DBT is made up of four specific skill sets being taught that help with the stabilization of extreme moods and addictive behaviors.  These skill sets are mindfulness; being fully present and aware in the moment, distress tolerance; how to tolerate uncomfortable situations without the need to change them, interpersonal effectiveness; how to ask for what you want and learn to say no while maintaining positive relationships and emotion regulation; how to change emotions that need to be changed when you want to change them.

The dialectic module of treatment focuses on self-acceptance but also realizing that some behaviors need to change in order to facilitate mood stabilization and recovery.

The second therapy I have been in is CBT (Cognitive Behavioral Therapy).  This was developed by Dr. Aaron T. Beck and it deals with helping people with depression combat “automatic [negative] thoughts” that can increase this depression.  CBT helps patients to realize that how we see the world will affect how we feel; this, in turn, can increase or decrease depression.  Therapists help patients with anticipated challenging situations that may arise, and they help them to come up with a plan to combat these situations in a positive way.

Of all the different types of therapy and groups I have been a part of I would have to say that these two have been the most beneficial to my current journey towards recovery.  They have also helped me to develop skills that help me to deal with everyday life situations with bipolar disorder.  I highly recommend these therapy models to anyone suffering from mental illness and substance addiction.

Tagged , , , , , , , ,