Showing posts with label Stress. Show all posts
Showing posts with label Stress. Show all posts

Monday, September 23, 2013

Mindfulness

       Every therapist I’ve been to has tried to get me on board with mindfulness, which is basically a type of meditation, but I’ve always been very resistant to it because there is no way I am going to sit and meditate or listen to zen recordings, etc. The therapist I have now initially tried to get me on board by introducing me to Acceptance and Commitment Therapy but I only lasted a couple of chapters. It doesn’t matter how much it will help, I am never going to sit and think of meadows or chew my food a hundred times trying to identify each individual flavour. That’s just not happening. However, she recently started me on Dialectical Behavioural Therapy which takes a very different approach and so far seems actually doable. Now, I have been seeing my current therapist for about 18 months and she has been through almost every type of therapy out there with me, all of which have failed miserably. I give them a shot but usually end up thinking that the exercises are stupid and ineffective so she was relatively surprised when she managed to finally find something that I was on board with. 


       The main reason for starting me on this type of therapy was that I experience very extreme emotions and am incapable of calming myself down so I get desperate and turn to other people to talk me down. Unfortunately, most of them are just scared and overwhelmed by it (and probably not all that pleased either) so it ends up damaging the relationship. This type of therapy starts by teaching you distress tolerance, giving you ways to self-soothe when these emotions hit. In my opinion, this is way more effective than writing out your thoughts and trying to tell yourself they aren’t true. I haven’t experienced one of these episodes since I started this therapy so I don’t know how well it works for me but it just seems much more practical. It is also applicable to trying to fall asleep, something I often have trouble with, because falling asleep requires you to be able to self-soothe (apparently this is a skill I never learned). Anyway, I have now moved on to the next section of the workbook which is mindfulness and geesh why couldn’t all the other books be this straightforward?! Within the first two pages of the chapter I knew exactly what mindfulness entailed and how to practice it without meditating for an hour. Basically mindfulness is just being aware of the present moment, recognising when your attention wanders, and bringing your focus back to the current task. How difficult is that to explain? And you can practice it at any time: when you’re reading, watching TV, having a conversation, etc. As you continue to read they do give specific exercises you can do, some of which involve picturing meadows and clouds, but they are just options so if you aren’t into it you can just stick to the basics. Eventually all this practice is supposed to improve your concentration and reduce the time you spend worrying about future and past events, making you happier and less anxious, so we’ll see how that goes. For now I’m just glad that I don’t have to meditate every day.

Saturday, January 26, 2013

Stress


     The other day I mentioned that I’ve been having a bit of a rough time lately, and I couldn’t really put my finger on why (except that we’re still working out my drug regimen). And then last night something happened that had me a little stressed out and panicked and I became hypomanic (which was followed by a short but intense bout of depression). Now, I normally lack any ounce of self-awareness. Doctors and therapists ask me questions about myself or about the effects of increasing the dose of one of my medications and I honestly have no idea what the answers are. I’m sure it’s very frustrating for them because it’s not like anybody else can answer those questions for me but most of the time, I know nothing about myself. So imagine my surprise when I was able to make the connection between me being under stress and the occurrence of hypomanic episodes. This makes perfect sense though, and if I was self-aware I would have realised this a long time ago, because stress is on the list of things to avoid if you have bipolar disorder. Unfortunately, I’m a grad student and stress is part of the job description. Not to mention I am currently studying for an exam that I really need to pass, so a little extra stress is inevitable. But how do you study when your mind is going at a million miles an hour and you couldn’t sit still to save your life? And then when the depression hits and you can barely get out of bed, how do you study then? What about on exam day, how do you get through it if the stress induces a hypomanic episode and you can’t get your thoughts straight? The answer: I have no idea.

     I’m sure there are a number of therapeutic techniques that allow you to cope with stress and prevent it from triggering a hypomanic episode, or to lessen the severity of an episode once it hits, but I haven’t been dealing with this disorder long enough to have mastered any of them. I’m still working on recognising when an episode is starting so that I can ignore my brain and keep myself from doing something stupid and irresponsible. And since there’s only a month until my exam, I don’t really have a surplus of time in which to work on any coping strategies. Hopefully my therapist will have a quick fix, or the new psychiatrist can adjust my meds to make me a bit more stable, otherwise I’m seriously out of luck. Then again, I was pretty much out of luck when I developed the disorder so this really isn’t anything new, just another wonderful hoop to jump through.