therapy

  • Intensive Outpatient – Week 9, Distress Tolerance, 2-Month Assessment

    After IOP Thursday, the therapist wanted to meet with me for my two month assessment. It has gone by fast. “How do you feel therapy has gone? Is there anything you need help with specifically?” “At first I was overwhelmed with the material and I felt like I wouldn’t be able to incorporate it or…

    Read more →

  • Justice and Mental Health

    Justice and Mental Health

    I’ve completed the health screening for my new part time renal care job. I have latent TB and completed a course of rifampin to ensure I never develop an infection and that always raises eyebrows when you do patient care, so I had to bring all my documentation for that and hope they don’t make…

    Read more →

  • Sleepless

    Sleepless

    From Sunday to Tuesday, I slept two hours. This was shocking to the group in IOP on Monday. Today I finally got some real sleep but only after a couple hours of laying there, my mind going a million miles an hour. I was so tired, sleepy even, working myself to exhaustion and intentionally staying…

    Read more →

  • 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…

    Read more →

  • 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 →

  • 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 →

  • 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 →

  • 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 →

  • 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…

    Read more →