depression

  • Intensive Outpatient – Week 7, Mindfulness

    I had to duck out of IOP early today – my lack of a need for sleep finally seemed to be catching up with me. I worked two extra shifts Friday and Saturday nights, trying to expend the energy in a productive manner, and only slept a few hours Sunday before coming back in for…

    Read more →

  • Hypomania, IOP assessment

    Hypomania, IOP assessment

    Trying to sum up the last few days is difficult. My mind has been all over the place, my energy high, my libido even higher. We closed out emotion regulation in IOP, the end of week six for me. Riley the therapist wanted to see me after. I’m at roughly the one-month mark and it…

    Read more →

  • Intensive Outpatient – Week 6, Emotion Regulation, Cope Ahead

    I can hardly believe it, but I am nearly half completed with IOP. That comes with a lot of feelings – I’m worried I have not learned and properly incorporated the material enough or as well as the others, and I’m scared at the thought of being cut loose. I have to do this, I…

    Read more →

  • “Knock knock…nursing!”

    “Knock knock…nursing!”

    I am exhausted! But I am also damn good at what I do. I didn’t mean to be, it just happened organically. I’ve been at my local VA hospital as a lowly CNA for ten years, with the help of supported employment and a case manager. I started working for an agency back in January…

    Read more →

  • Opposite of Emotion

    Opposite of Emotion

    Opposite of emotion – when feeling distressing emotions, practice a behavior that is opposite to that emotion or feeling. When depressed, force yourself to distract, go for a walk, listen to music, talk to someone (damn near impossible for me but I’m working on it). That was today’s IOP DBT skill. I felt overwhelmed in…

    Read more →

  • The Wall

    The Wall

    IOP was so hard. I am overwhelmed. I question my ability to do this. I question any of it will work. I became slightly overwhelmed with emotion and couldn’t quite articulate how I was feeling. I was starting to open up a little bit more (it’s extremely difficult for me to be vulnerable with a…

    Read more →

  • Coping Skills

    Coping Skills

    As I cling desperately to sanity and basic functioning, I remind myself daily of the coping skills I’m trying to incorporate into my life, something with which I’ve always struggled. It’s like the moment I need them, they fly right out of my head and I don’t know what to do. This is what I…

    Read more →

  • Intensive Outpatient – Week 5, Attending to Relationships

    Emotion regulation continued – in DBT therapy, attending to relationships fosters improved emotion regulation. This relates to last week’s emotion regulation core concept – building positive experiences. The therapist talked about the two extremes – the dialectical opposites – in DBT. There’s being too open, no boundaries, and then the other end, rigid boundaries, isolationist…

    Read more →

  • Words of Comfort?

    Words of Comfort?

    A person with strong suicidal ideation reached out to me. I too have passive suicidal ideation so I feel there is little I can say. Here is what I said: I just got out of the mental hospital. I tried killing myself in it. They made me wear an anti-suicide smock, took my bedding and…

    Read more →

  • Insignificant Moments

    Insignificant Moments

    There is a kind of sadness that comes from knowing too much, from seeing the world as it truly is. It is the sadness of understanding that life is not a grand adventure, but a series of small, insignificant moments; that love is not a fairy tale, but a fragile, fleeting emotion; that happiness is…

    Read more →