IOP

  • Intensive Outpatient – Week 8, Distress Tolerance

    I’m already at my two month mark for IOP. I can’t believe it. Today started the module I’ve been simultaneously dreading and looking forward to the most – distress tolerance. As Dr Black and the therapist in IOP explain it – emotion regulation is for day to day life and utilizing coping skills. Distress tolerance…

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  • Intensive Outpatient – Week 7, Wise Mind, Gratitude

    I can’t believe it, but I finished week seven of intensive outpatient DBT therapy today. The focus is mindfulness for the next few weeks, peppered with shorter concepts to bolster the much larger concept of mindfulness. Today that was gratitude and the “wise mind.” Our minds exist on spectrums. On one end is the strictly…

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  • 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…

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  • 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…

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  • 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…

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  • 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…

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  • 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…

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  • Adrenaline Rush

    Adrenaline Rush

    Hypomania continues unabated. I have to work hard to avoid rash decisions or avoid decisions altogether. I have to try and remember to have safe sex. I have to avoid spending money. I don’t really trust myself. With heavy medication, I managed 5 hours of sleep today. That’s pretty good for me. IOP tomorrow and…

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  • Dream a Little Dream of Me

    Dream a Little Dream of Me

    I could not sleep today. I take the meds, I make a bedtime ritual, I try hot showers and meditation and even masturbation but today I could not sleep. When I finally did, I had terrible dreams. I take a medication, prazosin, for bad dreams but it can only do so much. Pills only pack…

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  • Aftermath

    I see my psychologist weekly, and had my appointment with her this morning after my shift. I’ve been back at work three weeks now. I told her how I’ve been doing, how hard I’ve tried to be normal – “You’re not normal. This is the acceptance part of who you are. You’re different, and you’ll…

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