Three years ago, when I FINALLY got some psychiatric help for an episode that was already almost a year old at that point (thanks for nothing), my then-psychiatrist diagnosed me with panic disorder/agoraphobia, OCD, Borderline Personality Disorder, depressive disorder, dissociative disorder, and Eating Disorder Not Otherwise Specified. Believe it or not, I was okay with that. It gave me something to hold onto, because I couldn’t make sense out of what was happening to me anymore. By the time I got in to see him, it was already too late. The damage was done. I will never fully recover. It’s not pessimism, just plain fact. Too much has happened to me, and rearranged my brain and how I perceive things.
Once upon a time, there was me. I was a drunk. I wanted to die. I couldn’t handle the way I was living anymore. So I went into a recovery house. I failed. I went to another one. Three years into sobriety I had a mental breakdown. Things have been fucked ever since. But through it all I’ve also had this eating disorder, see. So it’s not enough to try to get my life back from mental illness. I’ve got an eating disorder too.
This is the final installment of the DBT Skills series. I want to say a special thank you to Breyonne for her hard work in writing this series – I know it will be useful for so many of our readers!
When I first heard the words ‘emotion regulation’, the first thing I thought was, Oh great. Another therapist trying to tell me that feelings are just feelings, they can’t hurt me, they can’t kill me, blah blah yadda yadda. And I’ve been to enough therapy, enough counseling, enough self-help meetings to know this, even if only theoretically. So I wasn’t prepared to learn a whole lot from this module. I couldn’t have been further from the truth.
I have to admit that social interaction and communication are not my strongest points. This is a relatively new development for me, or so I thought. I used to think I was great at using my voice, at standing up for myself, at being in social situations. Today there are a number of barriers that prevent me from being effective in interpersonal communication. One of them is mental and emotional health issues. It’s really hard for me to connect with others when I don’t feel so great myself. Another is acute hearing loss, in both ears, coupled with tinnitus. And finally – and probably the most overwhelming for me, especially when it comes to asking for what I need and speaking up for myself, or saying no when being asked for something – I was raised in an environment that didn’t really encourage me to use my voice under any circumstances. In fact, it was preferred if I was invisible, or at least that’s how I translated it.
I am a 33 year old woman. I received a diagnosis about a year and a half ago of Borderline Personality Disorder. At first I didn’t really understand what it was. I thought, Isn’t what I have more serious than that? I was pretty sure I had something else, something more recognizable. Something I’d actually heard of, for instance. Turns out it’s serious enough. On top of the shitstorm of feelings and thoughts I have on a daily basis, professionals are reluctant to treat people with BPD. We’re notorious for being ‘hard to deal with’.
Seven years ago I got tired of living my life the way I was. I couldn’t stop drinking, smoking, eating or doing drugs. I was sick constantly. I was living in harmful situations with toxic people, and each and every day was exactly the same. My only respite was to go out and get loaded again.
I’m in a DBT group right now. It’s comprised of four modules, and I just finished my second, which is distress tolerance. Of all the things I could possibly say about it, the most accurate would be that it’s a lot of work. Think of it this way: it’s a lot of practicing things that are aimed at reducing distress, regardless of what mood or state of mind one might be in. Thankfully my emotions are still pretty distressing on a regular basis, so I was able to more or less have something to compare the results to.
I didn’t become bulimic to lose weight, as most people assume is the case with bulimics who happen to also be fat. I became bulimic because I didn’t want to gain any more weight and I couldn’t stop eating to deal with myself and with the world around me. I became bulimic because ultimately I wanted to feel like I had some kind of control over my rapidly downward-spiraling life.
In the article on the DBT Chain Analysis I mentioned labeling cognitive distortions. To give you a better idea of what I am talking about, and to clarify what the more common ones are, I have listed them below. If you require further clarification, I have also included the source cited. Filtering – filtering out [...]
Who doesn’t want freedom from rapidly spiraling and/or out-of-control cognitive and emotional cycles? I know I do. A couple of months ago, after a particularly grueling weekend during which my emotional and cognitive processes completely derailed, leaving me feeling like an empty trainwreck, I spoke with one of my counselors and he suggested we do [...]
