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A long rave

A long rave

Edit Feb 2018: This thread has evolved into a chat thread, which is fine by me. In addition, I encourage other members to feel free to post their own 'long raves' in here too if wished. I will continue to post my own longer raves from time to time, as well as chat with friends along the way.

Original post from May 2016:

First of all, a (very) long post alert. Please don't feel obliged to read or respond. Mainly I am writing today to clear my own head of some things. So, here goes...

Last week, I managed to get to all planned appointments and activities every day of the week except Sunday. That only amounts to one, maximum two, per day, but was an improvement on previous weeks and months. I've made all planned appointments in a week before, but there have not been so many appointments in so many days consecutively. Many of you will know that, prior to about mid last year, I spent years very rarely leaving the flat. This was since the last of my breakdowns from paid employment in 2008 (one of so many similar breakdowns from paid working, though none as devastating in consequence as this last one). With each of these breakdowns, the recovery time got longer and longer. It's taken eight years to recover much at all this time around.

This week, so far, I've made none of my appointments or activities. In fact, I've not showered for days. Embarrassing to admit but maybe helpful to own up to it. As I write I'm still in what I wore to bed, as I was all day yesterday and the day before. The weird thing is that I don't feel that bad in my emotions, just crashed out physically and lacking almost all motivation except to use the computer. In other words, my mind and fingertips are alert and active, in fact nervy and overactive as usual, but the rest of me is crashed out. Perhaps I have entered what some people call a bipolar 'mixed state'. Whatever the terminology, this is where I am and I've been here so many times before.

The way I see it, there are a number of possible reasons for the way I am after last week:

  • inner conflict about how helpful my psychologist treatment is for me (saw her on Friday);
  • trying to further reduce my tobacco intake (the struggle seems disproportionately huge and exhausting);
  • needing recovery time from a big week (by my standards);
  • simply another manifestation of bipolar disorder in me.

Regarding the psychologist. She is young compared to me and I have the feeling that she may not grasp the full extent of my situation, partly through lack of life experience. Perhaps she may particularly lack an understanding of the various physical ailments that complicate things with me, some age-related (menopause, musculo-skeletal problems), one of them a chronic illness (crohns disease). She is treating me with some techniques from Dialectical Behavioural Therapy, something I honestly have never liked the sound of when I've read about it. The main 'homework' I have for this four week period is a sheet I am meant to fill out every night covering various things including tobacco use, coffee intake, isolating, unbalance eating, sleep patterns, lack of exercise. The sheet also includes sections monitoring mood every day. The problem I find is that monitoring and (by implication) tackling all these things at once is just overwhelming. I am significantly depressed after filling out the form because it seems to highlight all the ways I am failing rather than the ways I am succeeding. The psychologist has given me this sheet as homework once before and it had the same effect on me then. A full month long slump into depression is what followed. This sheet makes me feel very pressured to recover quickly from all of these things at once, a message that contradicts the advice of my psychiatrist (who I trust much more). His advice is to take it slowly and steadily and not feel rushed. As of yesterday, I stopped using the DBT form altogether. I am even considering giving up on the therapy with this psychologist after my next (sixth) session instead of seeing it through to the ten sessions my GP is willing to refer me for.

With the difficulty of further tobacco reduction, I am succeeding in reducing this a little more but the effort is gargantuan and seems to be sapping all the strength I have for making it out the door to my activities and appointments (or even to get dressed and showered). Writing here is just about the only thing that is distracting me from smoking again or thinking about it obsessively.

I've run out of steam on writing about it all now (a huge sigh of relief from any readers at this point).

I wonder if anyone else can make any sense of this.

27230 replies

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In response to: A long rave

Re: A long and self indulgent rave

Dearest @Mazarita and @Faith-and-Hope

Thank you.

hey friends, does any of you have ilife insurance? WE are looking at it and it feels stressful with MI and smoking.

I cannot tell you how much you both alter my life and focus and make it stronger.

Anne x

In response to: A long rave

Re: A long and self indulgent rave

Well said, @Former-Member ... giggle... 🙂

In response to: Re: A long and self indulgent rave

Re: A long and self indulgent rave

hugs @Mazarita

my brains not really working well enough to give you a thoughtful reply like you deserve, but wanted to let you know that ive read and heard your frustrations and worries. and im also relaly proud of you for writing it out and letting it out in a new thread.

hugs

lj

In response to: A long rave

Re: A long and self indulgent rave

Thanks @Silenus. I was proud of that post. Just another empty post by me to keep everyone on their toes😜
I have some comments but I'm way to tired to post them now. Surviving on 8hrs sleep in total for the past 4 days 😴

In response to: Re: A long and self indulgent rave

Re: A long and self indulgent rave

Hi @Mazarita it's so good you were able to really put down what's going on for you, and that so many people have responded supportively.

I'm another who dodges the shower quite often but if I have to go out and haven't had one I'll have a wash with a washer and the hand basin. Like everyone said, what is deodorant for? And I too also quite often sleep in my clothes and wear them the next day if they're not stinky. I've found this one of the hardest things to confess to my Dr and only did so very recently. Will be looking at it with the psychologist when I get there if I'm brave enough as she put 'affecting self care' into the mental health care plan for the referral.

Last year I kept sleep, mood and symptom charts for the psychologist for months and was really disappointed when I took them to my appointments and she didn't even read them. She eventually said the purpose of them was for me to get an understanding of what was going on for me, and particularly to be able to see when things were changing - getting too high or too low. (Not as you are experiencing with your psychologist for more pressure to fix everything all at once). As time went on I found a lot of the items on the charts stayed closer to the middle, so it did help in a way. I was able to see that I was managing better and the bipolar was more stable. I'm talking over 4 months of keeping the charts every day. But it also meant I was constantly focussed on assessing myself and making records defining life with bipolar and as soon as my sessions finished I stopped keeping the charts and felt much lighter. But since then (I kept the charts) and when I notice things are changing I look at the charts and just mentally go over the signs and symptoms and that's partly what helped me realise recently that I needed the pdoc's support again. So I guess what I'm saying is that in some ways they weren't good and in other ways they were and still are.

Dare I say that you are probably exhausted from external and internal pressure for a long time? I've seen your consistent effort and want you to know that you manage to do way more than I do so please don't judge yourself. And if you feel judged by the psychologist maybe you can find another one, or take a break. Like you said in one of your posts here you have several other supports in place.

So good that you feel well supported by your psychiatrist. I hope some of what I've said is helpful. Sending you s

In response to: Re: A long and self indulgent rave

Re: A long and self indulgent rave

Hi @eth 😊

In response to: Re: A long and self indulgent rave

Re: A long and self indulgent rave

Hi @eth,

Thanks so much for your considered response. From our history of chats and friendship on the forum, I feel that a lot of what you and I go through is similar in many ways, so it's always great to get your perspective.

I love that so many have come out of the woodwork owning up to their less-than-perfect hygiene habits. It took me a long time to be able to confess this to doctors/psychs too. But, like you, if I haven't had a shower for the day (or two days or three days or...), I mostly do have a routine to clean and deodorise myself in the important parts of my body. The bad times are when I can't even be bothered doing that, as with today. Didn't brush my hair until just before I got in the shower in the afternoon and the teeth were neglected for hours too. It's when I get like that I think it's a sign something is really not okay with me.

Interesting what you say about the mood and symptom charts and how they helped in some ways and not in others. I don't mind some of the homework at all. For example, I liked the 'postpone the worry' exercise I did for the past four weeks, which also involved a nightly sheet to be filled out. And I've spent every day since October last year tallying the green and tobacco I've consumed each day. It's helped me finally to give up the green and I will keep doing that until I give up the tobacco too. This involves more than a once nightly sheet as it means tallying all day long every time I smoke. It's just this particular DBT sheet I have at the moment that seems so counter-productive for me.

Your comments about pressure are spot on. I've had a lot of real life support over the past year, which has been great in so many ways. But it also means there are a number of people regularly 'telling me what to do', which not many people really like, me included. The internal pressure is probably the biggest problem for me though, being a perfectionist in many ways.

What you've said is very helpful. Sending back love and s to you.

In response to: Re: A long and self indulgent rave

Re: A long and self indulgent rave

Hi @Mazarita and @Faith-and-Hope hope you're both having nice quiet evenings of relaxation.

In response to: Re: A long and self indulgent rave

Re: A long and self indulgent rave

Starting to go a bit cross-eyed over here ....... think it's time to go to sleep.

G'night night owls 💗

In response to: Re: A long and self indulgent rave

Re: A long and self indulgent rave

Goodnight, @Faith-and-Hope. Wishing you the sweetest of dreams tonight.

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