Turning it Around

That’s what I’ve been up to lately.  Turning the mind is one skill I have certainly been using daily, minute by minute. I’ve had to combine therapeutic approaches and use everything in my toolbox lately.  I just read a wonderful piece on Psychodynamic Therapy in American Scientific Mind.  DBT taught me to do what ever works (Effectiveness).   I’ve decided to step out of my comfort zone of DBT and get to know myself a little better by studying how past patterns are affecting my current situation in the present.  I believe this also ties into Mindfulness (Mindfulness), a key DBT module. 

I gained some awareness (Awareness) that what bothers me about my father, specifically making mountains out of molehills, is something I’ve actually done in the past.  I used to get very, very upset when I misplaced something. 

The logical part of me, the intellectual mind, knew it was almost (relationship thinking) impossible for something to disappear into thin air.  It had to be somewhere.  And I didn’t have to throw a temper tantrum, the emotion mind, every time something vanished.  I could reason and say that I am upset about having misplaced something and I will do what I can to find it.  This helps me to achieve Wise Mind (Wise Mind). 

I have been suffering by choice from a relapse of anorexia (Willingness vs. Willfulness).  The accountability does lie with me.  And I was triggered by my two neurologists, who both clearly knew my history, suggested that I lose weight when there was no apparent medical reason.  I did speak my mind in a calm fashion, stated the fact that I’ve seen a dietitian and she said my weight was fine at that time.  I was appropriately assertive.  I stood my ground even when confronted again as I was checking out.  I told no lies and have been entirely honest with all my treatment professionals (Relationship Effectiveness – FAST).

I am choosing to change the direction of this destructive path, minute by minute, meal by meal (Turning the Mind). 

I am grateful, my father has changed too and our relationship seems to be getting stronger though we still have the squabbles every roommate has.  We are each others rock.  He loves me and I love him.  He means a lot to me (IMPROVE-Meaning). 

My other major issue is my memory loss.  It is scary and I can do my best to deal with the problem and learn to cope (Radical Acceptance).  I have both short and long-term memory loss otherwise labeled as cognitive impairment.  And I do know that it has been like this or worse in the past and medication has made it better (Wise Mind).  I have an upcoming appointment with both neurologists and will bring it up for discussion. 

I will also politely tell them again that I found their comments triggering and at the suggestion of someone else, I will ask “What risk to my health was there?  How many less days or weeks or months would I have lost if I didn’t follow their weight loss advice?”  This is a non-adversary approach (Nonjudgmental Stance). 

I am thankful for all the support and will continue to try to turn it around.

Back to Basics

I am giving myself a round of applause.  I got back to basics.  The basics were not reading, writing, and arithmetic but eating, sleeping, and providing shelter.

I conquered anorexia for today, for now, in the present moment (IMPROVE -One-in-the-Moment).  I successfully ate breakfast, lunch, and dinner (PLEASE-Eat).  This was a direct result of setting an intention yesterday, the day before, and many times during today (Turning the Mind). 

I also took two naps (PLEASE-Sleep).  OK, I might have cheated on this one.  I got up early again, but I went back to bed for another hour a few hours later.  I think this qualifies and I am counting it a success.  My other nap was at Grandma’s.  I lied down for 20 minutes, my prescribed nap amount.  She did too.  It might not seem like much to some, but this is the doctor’s recommendations, not mine.  It’s just enough to feel refreshed and not wake up drowsy.

Yes, and that brings us to providing shelter.  Grandma, unfortunately, is coming to realize that she won’t be able to live on her own in her current apartment much more.  She is trying to stay as long as she thinks she is able.  Because of her increasing physical ailments and because I love her very much, I offered to come help her clean.  Actually, I may have been recruited too.  Our relationship is a good one and works both ways.  I can be myself around her (Relationship Effectiveness –FAST).

I am having a hard time accepting the diagnosis of narcolepsy itself and an even harder time accepting its limitations.  I get discouraged when I see that I have entered REM sleep too quickly again and that I, sometimes (Relationship Thinking), fall asleep with under a minute.  Both of these are telltale signs and have happened several times still this week.  The problem is my perception.  I am thinking that I can be cured.  The reality is that narcolepsy is a chronic neurological disorder and can not be cured and can be treated and I can learn to cope better (Wise Mind).

Just like I did yesterday, I can use Radical Acceptance.  I can accept narcolepsy without liking it (Radical Acceptance).  It seems so simple now.  Trust me, this wasn’t always the case.  The more I use these skills, the faster it occurs to use them the next time around.  I, sometimes, don’t even have to think about them.  They become ingrained.  So essentially, I have solved my own problems thanks to you and me.  Without writing about my skill use, it might have taken me longer to make this connection.

Of course, I exercised and I wrote (PLEASE-Exercise and Describe).  My latest post on my other blog is entitled “Best of Both Worlds” – what a perfect title for my next post here – Wouldn’t you agree?  It speaks to the Dialectical!

Pluses and Minuses

Today, I am tired.  This post may be short. It is important to me that I share my experiences.  Notice I am not apologizing unnecessarily.  I am using the Self respect effectiveness skill of FAST (FAST).  Being firm, avoiding unnecessary apologies, sticking to my values, and being true to self.

I finally figured out that I started getting less sleep at night when anorexia started to resurface.  I did not come to this conclusion sooner, and then again, anorexia affects my thinking as well.  So I decided to be productive and do something about it (Turning the Mind). 

Many people suffering from anorexia, or its relapse like me, also are perfectionists.  I, often, define myself by my productivity and I am trying to define myself through my poetry, through being a good friend and being my true self (relationship thinking).

What I did do about it was list Anorexia’s Pros and Cons.  This is not the typical two-sided T chart.  DBT does it a little differently.  I first listed the Pros of having anorexia (By having anorexia the positives are…), the Cons of having anorexia (By having anorexia the negatives are…), then the Pros of not having anorexia (If I don’t have anorexia the positives are…), and the Cons of not having anorexia (If I don’t have anorexia, the negatives are...).  The chart below may help:

Pros of having ANOREXIA (By having ANOREXIA, the positives are…)

Cons of having ANOREXIA (By having ANOREXIA, the negatives are…)

Pros of not having ANOREXIA (If I don’t have ANOREXIA, the positives are…)

Cons of not having ANOREXIA (If I don’t have ANOREXIA, the negatives are…)

It amazes me how well this worked.  Perhaps it is the fact that I love logic and math.  After all, I was employed as a successful accountant. I repeated the process for the Pros and Cons of staying with my ex-fiance, now my current boyfriend.  It made my thinking, though not the decision, clearer and easier to evaluate. (Pros and Cons).

Something else great happened today.  I was able to Radically Accept that I can love someone dearly and strongly dislike what they did.  In this case, I am referring to the abuse by a close family member.  I finally feel totally free (Radical Acceptance).  Writing and therapy both helped me come to this conclusion (Describe and Participate).

And with that conclusion, this shall be my conclusion for the night!

Trick and Treat

Today I am taking a slightly different twist on Halloween.  Instead of “Trick or Treat”, I am saying “Trick and Treat” because, with the dialectical, I can have two opposite emotions at the same time (Dialectical).  One does not negate or preclude the other.  Please feel free to borrow the saying for next year.

Today has been both.  I am going to be brutally honest.  The tricky part of the day involved the tricks that I allow anorexia to play on my mind.  My body image has been skewed for about 8 months now.  I am not allowing myself guilty pleasures including potato chips, candy, massages and daydreams.  I know that in moderation, any of these are fine and I do believe it sometimes (Wise Mind). 

The other trick is self-doubt.  I was certain about my decision not to get back together with my ex-fiance and I am uncertain that I can stick with my original decision.  I am gullible (Non-Judgmental Stance)am vulnerable when my defenses are down such as when I am tired, when I don’t give my body nourishment, and when I am faced with strong emotions including laughter and anger.

I was really tired, twice today, and I refused to take a nap (PLEASE-Sleep).  In other words, I did not allow myself a treat.  Actually, for me, the narcolepsy makes napping a requirement instead of a treat.  I had a hard time using skills today and I can have a better day beginning now (Turning the Mind).

The treat was that my relationship with my Dad seems to be improving.  We hugged.  I scratched his back.  And he has mine (Relationship Effectiveness).  I also treated myself last night with Belleruth Naparstek’s Guided Imagery for Fibromyalgia (IMPROVE- Imagery). 

I remembered to pray and express my thanks that the pain in my neck and head eventually abated.  I am grateful it was not worse, like last year.  I also asked for help from Mom & God to decrease my anxiety (IMPROVE- Prayer).  They reminded me to use Describe.  I’ve been spending too much time in my own head, so when I realized I was doing this, I stopped.  Instead I focused on one thing at a time (One Mindfully) and described the objects in my room out loud (Describe).  This really works for me and is a wonderful thought stopper. I also focused on the physical sensations of my body, where it was and how I felt (Awareness).

I was cognizant of my language.  I don’t usually curse, but this is not what I mean.  Instead I was conscious of avoiding terms like “Always”, “Never”, “All”, or “None” (Relationship Thinking).  I think I succeeded.

With that, I will proceed to wind down for the night. And once again, “Happy Halloween – Trick and Treat”.

Leaving No Skill Unused

Today I contributed a blog entitled “Leaving No Stone Unturned: My Journey from Total Denial to Radical Acceptance” (Participate).  I also contributed to SMITH Magazine’s Six Word Memoirs and went outside my comfort zone with my writing.  I allowed myself to go inside a little deeper than I’ve ever gone before to let out my buried feelings.  I had much success.  I was sad and happy at the same time (Relationship Thinking/Dialectical). 

I also got the most sleep that I’ve had in three or four weeks (PLEA”S”E).  I needed it and perhaps this helped me have the willpower to dig a little deeper.  It amazes me how crucial sleep is.  I was disappointed that I kept entering REM sleep immediately after returning to bed this morning because that is typical of narcolepsy and I was grateful that the short acting medicine at least worked for most of the night (Relationship Thinking/Dialectical).

Dad and I also had very candid and caring conversations about his health, my memory, our fears, and our fond times (Build positive experiences).  Today, I would say was all about a balancing act.  I feel integrated, and grateful.  I actually was able to give myself a compliment without feeling I was bragging. (Non-Judgmental Stance). 

I also read a lot of other blogs and though not present with the individual, I was glad that we shared common bonds.  Feedback is so important to me in both my professional and personal lives.  I made sure to leave comments on other’s writings in a focused fashion with meaning (One Mindfully & Participate & IMPROVE).

I also built a shelving unit by myself and felt proud (Build Mastery). The directions said you needed two people (yes, I actually read the directions, they helped) and being the independent person I sometimes am (Willingness vs. Willfulness) I decided to attempt it alone and call in reinforcements (Dad) if I needed them.  I didn’t. 

Just minutes ago, I did not think that I used that many skills; however, looking back…it happened again.

Thanks to all who give my life meaning!

p.s.  I also colored a mandala as a way to relax (IMPROVE)!

It Was Like Pulling Teeth

Reaching my goals was like pulling teeth

Today, I had to go to the dentist, again.  While they used the drill, I used skill(s).  Thankfully, I focused on doing one thing at a time (One Mindfully) which helps me since I have truly have serious memory problems.  I’m focusing on what works for me (Effectiveness).  I recalled reading my Covered Benefits statement and remembered that composite (white/bonded) fillings are a covered service.  However, my new dentist, after my other new dentist committed a variety of criminal infractions (yes, really), actually outright lied to me to increase her own income.  This is the story and how I used my skills.

I am very depressed about needing 15 fillings and 1 crown because I brush my teeth twice a day, floss, use Prevident, and Act Total Care both with fluoride and visit the dentist every 6 months.  I just had a checkup two months ago, yet none of this was detected…hence the criminal infractions…charging for services that weren’t performed, falsifying records (after all dental records are used to identify bodies, OMG), and refusing to give me my dental records which is required by law.

Most people are scared of the dentist anyhow.  This certainly scared me.  My newest dentist told me that Medicaid only pays for composite fillings on the four front teeth.  I asked her twice.  Her staff and billing department told me the same thing and recommended that I pay out of pocket and were practically writing up the bill when I resigned myself to the fact that I was going to have silver over most, not all, (relationship thinking) of my teeth.  These are the teeth that I care for every day.  I told the dentist and her staff that I thought Medicaid covered all composites and that I even had composites done on my other teeth.  Of course these fell out and my new dentist told me “You get what you pay for”.

I was scheduled for these fillings at 11am today.  I called the Medicaid State Dental Unit and wanted to know what services were covered.  I explained (Describe) the situation and provided background, I thanked the representative for their past help (Encouragement).  Then I asked (Ask) specifically if composite fillings were a covered service.  She said she didn’t know.  What!  This is the highest level (comparable to the Supreme Court) and the representative was telling me she didn’t know and to just ask my dentist, they would know.

I explained that I read it was covered, that one dentist was telling me the composites were covered, and my current dentist was telling me only four were covered.  I asked (Asked) for clarification on the mixed messages.  She said to take the dentist at their word. 

I was in awe that she was not helpful in the least.  So I tried to practice Non-Judgmental Stance (Non-Judgmental Stance).  It worked.  I thought about other ways to get the needed information and called a local dental clinic and Medicaid customer support who all led me back to the State Medicaid Dental Unit.

So, I called again hoping to get another representative.  No luck there so I continued my Objective Effectiveness skills of DEARMAN:  I repeated our earlier conversation regarding the mixed messages (Reinforced). I was conscious (Mindful) that there are only 6 employees for the entire state.  I emphasized my belief that I was correct that they were covered (Appear Confident) and asked her if she could please check with someone on her staff (Negotiate).  She said they were a covered service.  I asked, “For all my teeth?”  “Yes, and you don’t need pre-authorization for fillings.”

Repeated the skills with my new dentist who, rather reluctantly, told me I was correct, however, it was her practice and she used higher grade materials so she was choosing not to do it herself since Medicaid had not raised their rates in ten years.  She was more than willing to let me have them done by another dentist.  She didn’t have to lie to me in the first place to coax me into paying out of pocket to better her pocket.  And she didn’t have to have her staff cover for her.  I am still deciding what to do about this matter, for a later post.

I felt intimidated especially since she was going to be drilling in my mouth, however, I asserted myself and told her she could have told me this ahead of time.  I usually avoid confrontation but instead I was fair to myself, didn’t apologize, stuck to what I knew was right, and kept my honor (Self-respect effectiveness:  FAST) and (opposite to emotion action).  I gave the dentist a half-smile to show I was calm and aware of her final honesty (Half-smile). And I appreciated that she uses better materials and does not discriminate against those with Medicaid. 

I increased my feelings of self-worth and confidence through creative writing at SMITH and on my blog (Building Mastery).  I exercised in moderation (PLEASE).  I also reread my therapy homework assignment which increased my self-confidence and kept me calm (Build positive experiences).

On that note, I think tonight I will practice guided imagery or just relax (IMPROVE).

Here’s to good dental health.