mental health system

  • 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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  • “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…

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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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  • PTSD

    PTSD

    My god, the flashbacks. I’m having so much PTSD right now. Have been for hours. I just go right back there, back in restraints, back in the manic panic, back in the fear and anger. I can feel the heavy, sick grogginess of chemical restraint. I wish I could move past this but sometimes I…

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  • 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…

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  • Intensive Outpatient – Week 4, Emotion Regulation

    Week four of IOP and probably one of the more important modules, at least for me, is about to close tomorrow – Emotion Regulation. I have really struggled with some of the concepts and incorporating them into daily life. One exercise involved drawing concentric circles and in the inner, writing the emotions we do not…

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  • Psychiatric Hospitalization, Fall 2023, Part 5

    “How are you doing?” “I’m good, I’m good. I called my brother; I need his help. I can’t do it alone anymore. I don’t know what I’m going to do about my living situation. I want to move out. I think I’ll move out.” “How about the meds, any side effects?” “Just from that artane…

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