Going to your first therapy appointment can be scary and it can make you very nervous. You may wonder if you’re taking the right step, if you will like your therapist, if the therapist any good, or what happens in therapy? Going to a counselor for the first time isn’t easy, and it doesn’t get any easier even when you return to therapy while in recovery. It’s a huge step forward.
Therapy is sitting down with a total stranger to ask for help. Your therapist must make you feel comfortable, gain your trust, and find ways to treat you. You must learn to trust your counselor and find the strength to bare your soul to him or her. Once you feel comfortable with your therapist and he or she gains your trust, you have to tell them everything, even your deepest secrets. If you don’t, he or she can’t help you.
Through the years I have had several therapists. My first therapist told me I was injuring myself to hurt others, and I came home from therapy in tears. I once had a therapist who told me to think happy thoughts and I would feel better. I had another therapist who was very nice but talked a lot about herself. Those were bad therapists, but not all therapists are bad. If you feel uncomfortable with your therapist, or if he or she gives you bad advice or makes you feel worse, then look for another one. Don’t give up.
My favorite therapist was Linda. I came to her after my ex-boyfriend threw me out and I was hospitalized. My whole world seemed to have collapsed before me. I had nothing to hold onto. I was injuring, suicidal, and very depressed. At my first appointment with Linda, she introduced herself and brought me to her office. From the moment I entered her office I felt comfortable. She asked me questions about my illness, about my life, and about my family. I told her about my ex, my loss of friends, my feelings, and a little bit about me with tear filled eyes. Linda had a special way that made it easy to talk to her. It didn’t take long for me to trust her. She incorporated my ability to write into my therapy, she gave me homework, she listened caringly, and she helped me reach recovery.
Last Thursday I returned to therapy after several years without. I should have been a pro at it after years of therapy, but I was still nervous. I desperately wished I could see Linda again, but she changed job sites. I started new with a stranger. Before my appointment, my stomach twisted and my nerves were on edge. Questions filled my head: Will she be good? Can I trust her? Will I feel comfortable with her?
When I got to her office, I filled out some paperwork, and then she took me back to a room. Once we sat down, she asked me to tell her about myself. I told her about my mental health history, about my husband, and about my writing. I even told her about working for One Life Project. She asked me about the people in my life like family and friends. I found out she was recovering from breast cancer, and I told her about my journey with cancer. She said, “We were sisters.” I also found out she was a dog lover like me, and her dogs often come to the office with her.
I felt comfortable with her right away. Talking to her came easily. The hour went by quickly. When she asked if I wanted to come back, I agreed. She told me to think about what I would like to work on with her, and at the next appointment she’ll come up with a treatment plan. I had nothing to be nervous about.
Going to therapy this time is different. I’m not going because I’m very sick. I’m going to make sure I stay in recovery while dealing with my husband’s illness and to find coping techniques. I’ve come a long way since the first time I started therapy way back when I was in college, but staring therapy again was still a bit scary. It’s not easy to start over again with a stranger, but I’m doing it.
Therapy may be scary and nerve wracking but it’s worth it. Asking for help and getting it is the first step towards recovery. You may feel comfortable with your therapist right away or it may take time. Then there’s the chance you don’t feel comfortable with your counselor at all. Don’t give up on therapy. If you don’t like your therapist, keep searching until you find the one that you feel comfortable with.
Because I went back to therapy I am working on keeping myself from slipping down that hole again, and this helps me hold onto the light of recovery.
Life has been especially hard recently. There have been boulders thrown in my way, and I have had to find a way to climb over them or fall down the hole again. Throughout my life there have been a lot of boulders thrown in my path: boulders I had to climb over and ones that left me falling into that dark hole of depression. It took time to climb out of the hole of depression and lots of hard work. I don’t ever want to fall in again. To prevent falling, I must take care of myself daily and especially in hard times.
Since my husband was diagnosed with his illness, I have been unable to work on my next memoir. I can write my blog posts and speeches, but I can’t write my new memoir. My followers and fans keep asking when I will have the next book done, and all I can say is I have to take care of personal business right now. I wanted to get this memoir done in less than four years. My goal was two years, but now I don’t know when I can start writing again.
My husband is independent for the most part, but he needs help with some things. His biggest problem is trying to accept his illness and adjust to his new lifestyle. He lost his driver’s license and his ability to work. He is stuck at home while I am at work. I go out of my way to help him and make things better for him. I assist him with the things he has a hard time with, I take him for rides after I get out of work, and I try to plan things to do on our days off that will get him out of the house. I know eventually he will get worse, and things will get harder, and that scares me, makes me sad, and angry and I feel lost.
A lot of emotions are running through me. I joined an online support group for his illness, but reading the posts scares me even more. I’m trying to wrap my mind around his illness. Everyone tells me I must prepare myself for what is to come, but I don’t know how. I don’t want to think of my husband getting that bad. He’s the love of my life and it’s unfair that he must go through this.
When I go to write my next memoir, the emotions I’m feeling now are mixed up with the past. To write my new memoir I have to relive painful memories. To do that I have to be emotionally strong enough to handle it. Right now, I don’t feel strong enough to add another layer of pain and emotions onto the ones I’m dealing with. I’m not strong enough for two layers of emotions and pain. I can’t work through the past when I’m struggling with the present.
I start seeing a therapist on the July 30. I get four free sessions through my job before my insurance takes over. The cost of co-pays and my deductible will determine how long I can afford to continue with therapy. If anything, I’m hoping the therapist will teach me a few coping techniques that will guide me through handling my husband’s illness. If I can’t afford to continue with therapy with her, I’m hoping she can suggest other alternatives.
I’m also trying coping techniques I’ve already learned to help me deal with what is happening. I need to find a way to get through my emotions so I can write in my memoir again. I’m journaling, I’m leaning on my support team, and I’m practicing self-care.
Taking these steps to deal with my emotions and working towards being able to write in my memoir again helps me stay in the light of recovery.
Last week I shared healthy coping techniques to use instead of self-injuring, but there are still things that will trigger you. Everyone has triggers that cause them extra stress or anxiety. Self-injurers have things that trigger their need to hurt themselves. In order to completely quit self-harming you have to know your triggers and how to cope with them. It’s a process to stop hurting yourself and it’s not an easy one. Take each day step by step.
When I was self-injuring, a lot of things triggered me to injure like stresses of life, a bad relationship, feelings of worthlessness, feeling alone when with others, and angry outbursts. When I started to replace my self-injuring with healthy coping techniques, I found myself struggling with my triggers. To control those triggers, I had to learn new techniques. It wasn’t easy. A few times I slid backwards, but in time the need to harm myself went away.
Here are some coping techniques to cope with your triggers:
Reach out to someone you trust or someone on your support team. In last week’s post I mentioned starting a support team. This team should be a group of people you trust and know will be supportive. If you don’t have a team, talk to someone you feel comfortable with and trust. This is not a fight you can do alone.
Go somewhere different. Self-injurers are known to hurt themselves in the same room or area. Leave that place. Go where there are other people like to a restaurant or to the movies. Go for a walk in the park or ride a bike to your favorite spot in nature. Find something fun to do like going hiking, going out with friends, going to a fair, or anything else you consider fun.
Practice breathing exercises or relaxation techniques. Breathe in slowly and slowly exhale several times. Do relaxation techniques like listening to soft music or nature sounds, visualization or guided imagery, or muscle relaxation. Some people do yoga and meditation. This helps relax the body and refocus the mind.
Express your feelings. Express your feelings the best way you know how to like with journaling, art, dance, crafts, or some other kind of art. Find whatever way you can to release your feelings and emotions. Keeping them inside only makes the triggers stronger.
Punch a punching bag or pillow. Use a punching bag or pillow to let out your pent-up feelings. Punch until everything inside you is released. Keep from punching anything that will lead to more harm. Keep it safe. It defeats the purpose if you hurt yourself while letting out your feelings.
Use something cold. Hold an ice cube until the sting replaces the need to self-harm. Put an ice pack on your chest to get your adrenaline pumping. These will take the place of hurting yourself without causing you injury.
Join a support group. A support group gives you other individuals who are struggling with the same problems. Together you’re on the same journey, and through the group you will learn more about self-injury and other coping techniques. Your support group can also become like a support system. You support each other.
Seek professional help. When nothing else works, turn to a professional for help. Get a therapist and psychiatrist. A psychiatrist can try different medications to treat your mental illness to minimize the symptoms that make you want to hurt yourself. A therapist can help you work through your mental illness and self-injury. You must be willing to do the work.
Try these techniques when you feel triggered to injure. Putting an end to self-injury is not an easy task. It takes a lot of hard work and dedication. You may slip up a few times, but don’t give up. Keep fighting the urge and in time it becomes easier. Once you learn to cope using healthy techniques, you will no longer have the need to hurt yourself.
Once in a great while I think of injuring, but instead I use my coping techniques. With my healthy coping techniques, I stand in the light harm free and happy.
Recently I was asked to write a keynote speech for One Life Project’s online conference in August. When Alex Kavarovic asked me to write it, the subject of the speech came to me instantly: self-harm. Self-injuring happens frequently among teens and college students, and it’s a bad coping technique that is very hard to change. To stop injuring oneself, a struggler must find new and healthy coping techniques.
I was once a self-injurer. I had a lot of painful emotions inside me, and the only way I knew how to release them was to hurt myself. It wasn’t until I found the right therapist that I learned healthier ways to cope with my emotions. It was a challenge to give up self-injury; I was addicted to it as if it were a drug, but with new coping techniques I soon found I no longer needed it.
Below are some coping techniques to replace self-harming.
Express your feelings in a creative way. Find some way that you can release your feelings using different kinds of art like drawing, journaling, or dancing.
Keep a self-harm journal. In a self-harm journal write how you are feeling before you hurt yourself. List your emotions. Then after you injure write how you are feeling once the rush of the injury has gone away. Do you feel shame, anger at yourself, more depressed, or anxious? Look at your entry and ask yourself, “Was hurting myself worth it?” Then list healthy coping techniques you can try next time.
Change negative thoughts into positive ones. If you think, “I am a worthless person who ruins everyone’s lives,” change that to “I’m a good person who is important to many people.” You can take a piece of paper and fold it in half and put negative thoughts at the top of one side and on the other side write positive thoughts.
Talk to someone you trust. It’s important to build a supportive system of friends and family you can talk to when you feel the need to injure yourself. It’s very helpful to talk out your feelings and have someone help you find different ways to cope.
Go for a walk or do exercises. Walking and exercising are very good for your mental health. They give you something physical to do to release your pain. Ride a bike, do jumping jacks, lift weights, go for a run, and so on. When you walk, go briskly. Work out those emotions with each exercise or step.
Set a goal to stop injuring. Set a small goal at first, like going one week without harming yourself. When you make it to that one week, celebrate by having dinner with friends, treating yourself to something special, or buying a cake. After completing a week keep adding to your goal, two weeks, a month, or a year. Celebrate each time you reach your goal. In time you will go years without hurting yourself.
Write affirmations. Write positive things about yourself and your life. Put positive things about yourself on notecards, and put them where you’ll see and read them each day. Start a journal just for affirmations.
Seek help. Therapists can teach you different ways to cope with self-injury, give you someone to talk with, and guide you in putting an end to self-harm. It may be hard to find a good therapist who makes you feel comfortable. Don’t give up. Make sure you ask your therapist if he or she has experience helping others who self-injure.
Learning healthy coping techniques will help you overcome self-harm. You can break away from the shame, silent struggle, hiding your wounds, and the endless cycle of agony. Try these coping techniques. Practice them regularly until you no longer need to hurt yourself. You can reach recovery.
Because I practice these techniques and incorporate them in my life, I have gone 23 years without self-harm. I stand in the light of recovery with pride.
Life is stressful and some things that happen in our lives heighten our stress. Stress can lead to anxiety, depression, and lack of sleep. Knowing how to manage your stress will help you handle it in healthy ways.
I’m not very good at handling stress. I become overwhelmed and end up having anxiety attacks. Right now, my life is very stressful with my husband being sick, my dad having bone cancer, and my older sister being vision-impaired. I have been helping my sister find help for her vision problems by taking her to specialists. Now my husband is sick I need to do extra things to help him out. With his illness I’m trying to figure out what all I need to do to prepare for when his illness gets worse. I’m also trying to help him cope with his diagnosis and keep him active. It’s a lot. I feel more anxious.
I did some research and came up with some stress management tips.
Know your triggers. Know what things in your life cause you extra stress and work on ways to manage them. List the things in your life that cause you stress like money, death, divorce, illnesses, homework, school, college, and so on. Finances are a big trigger for me and right now we’re struggling financially. I’m doing my best to deal with the anxiety this stressor causes. I’m looking for financial help and cutting things we can do without from our budget.
Practice relaxation techniques. If you’re feeling stressed out, do deep breathing, listen to soft music, do guided imagery, meditation, and so on. Find which technique works best for you. I do deep breathing and guided imagery.
Set boundaries. Learn to say no. You can only do so much, and when you have a lot to do, it’s okay to say no when someone asks you to do something extra. Know how much you can handle and stay firm on not going over that limit. I know I have a lot going on right now, so if someone were to ask for my help with something else, I know to nicely say no.
Reduce your workload. If you have a lot of things to do and it’s stressing you out, see how you can reduce that. If you’re running a club, doing choir on the weekend, and volunteering three times a week, and you feel overwhelmed, then see what you can cut or do less of. I work part-time because working full-time causes me extra stress, which causes anxiety and depression.
Lean on your support team. If you are really struggling and feeling stressed out, turn to your support team. Talk to them about what is going on in your life. They may have some good advice and encouraging words for you. Right now, with everything going on in my life, I am leaning on my support team a lot. They remind me to slow down and take one day at a time.
Take breaks. If you have a lot of things to do at once, find time to take breaks. My days off are when we plan errands and appointments. Doing a lot of running around gets stressful. My husband and I plan breaks in between our errands. We go for a ride around the peninsula in our city or go down to the dock.
Take care of yourself. When life gets stressful, you must remember to take care of your needs. Make sure you eat regularly, make time to sleep, do a craft you like, and make sure you are taking care of your health. While helping my husband cope with his illness, I’m making sure I’m managing my mental health. I take my medication, I use coping techniques, and I lean on my support team.
Look for professional help. If things become too much for you to handle, there is no shame in seeking professional help. A good therapist can help you find coping techniques and work through the things that cause you stress. Right no I’m handling the stress in my life well, but I know when things get worse to look for a therapist. I see a psychiatrist and I keep him informed on how I’m doing so he can properly manage my medication.
If you are dealing with a lot of stress in your life, try these tips. Managing stress effectively can help you avoid becoming anxious and depressed. It can also ease tension and help you maintain a healthy mental and physical wellbeing.
I’m working on managing my stress, and doing so helps me stay in the light of recovery.
Sometimes life throws us the unexpected, and we find ourselves overwhelmed with a flood of emotions. We try to wrap our minds around the situation: a sudden death, an unexpected illness, or something bad happening to a loved one. The unexpected throws us for a loop, and we are left asking how to cope? How do we process these emotions? What do we do next?
My husband has been my rock. He went to therapy with me while we were dating to learn how to manage my mental illness, and he handles it well. He’s taken care of me during many surgeries. He has emptied drains, changed bandages, emptied a potty chair, lifted me up to a walker, and pushed me in a wheelchair without any complaints. He even cried with me when I found out I had breast cancer. He’s sat in the waiting room for hours during my surgeries and tests. He comforted me when I grieved the loss of my breasts and cried because I got an infection in a surgery site. He has held me during emotional break downs when I have had bad days with my mental illness and continuously reminds me to be positive.
This Wednesday we found out Lou has a serious illness (he asked me not to tell what the illness is) that will get worse in time. We sat in the doctor’s office while he gave us results of a test Lou went through. Lou sat quietly with a sad look on his face and my heart broke. There is no cure. The doctor talked and I struggled to fight my tears. I tried to think of questions to ask. I managed to ask a few, but I felt like I needed to ask more, but my mind went blank. Lou sat in shock, unable to speak at all.
Our lives are about to change dramatically, especially Lou’s. He must give up his hope to find a job and his ability to drive. He is faced with a disease that will only get worse in time. I can’t imagine what it is like for him. I understand a little bit. When I was diagnosed with breast cancer, I was shocked, sad, and overwhelmed. I thought I was going to lose my hair and get extremely sick and die. Luckily I was in the early stages and a surgery got rid of my cancer. For Lou there is no surgery to take away his illness. There’s medication that can slow it down, but nothing to take it away.
He is feeling devastated, sad, and angry. He feels like his life is over. I find myself in a new position. I must be strong for him. There is no time for me to fall apart. Lou needs to lean on me, and he needs me to help him through this. I have to schedule his appointments, I have to make plans for future care for him, and I have to make sure I get time off work for his appointments. I have to do what is needed to protect my job in case I have to call off to take care of him. There is so much to do and to prepare for.
I want to lie in bed for a day and just cry, but I can’t. My husband needs me. Lou filed for early retirement, but our plans were for him to work part time to help with finances and to get him out of the house. Now he’s not going to be able to work at all. With my paycheck and his early retirement, we won’t have enough money to pay all our bills. I’m looking into financial assistance and ways to reduce some of our bills. I’m overwhelmed.
I feel sad. I wanted my husband to enjoy his retirement and work a part time job he would love. I can’t believe the love of my life, my rock, and my soulmate has to go through such a horrible sickness. It’s unfair. He deserves better. Am I strong enough to help him through this? Will I be able to manage his illness? Should I go back to therapy? When he gets really bad, will I be able to handle it without falling apart? I’m not used to being a caregiver. Can I do it?
I keep hearing the horrible things that can happen with his illness. I’m told in time I will have my hands full. Even TV shows portray the worst side of Lou’s illness. I just want someone to tell me that everything is going to be okay, and no matter what happens I will be able to handle it. I don’t want to think about the worst side of this illness, not now. I want someone to hold me and tell me to go ahead and let the tears flow. I need a few minutes to stop being strong. I want this to be just a bad dream.
If this happened several years ago, I would not have been able to be strong. I would have fallen apart and not been able to be there for my husband. I have come a long way. I know that I need to take one day at a time. I need to practice coping techniques to keep myself going. I need to lean on my support system. I need to go to therapy when things get harder. I need to practice self-care. It’s important to handle my mental health and to take care of myself as I take care of Lou. It’s important that I look into extra help options early so I will be prepared for when things get worse.
When you reach recovery from mental illness, it’s important to always manage your illness especially during the rough times. You can manage the unexpected as long as you remember to take care of yourself also. Don’t be afraid to go to therapy for extra support or to join support groups. Even though you must be strong, you are allowed time to fall apart as long as you pick yourself up.
My life is changing dramatically, but despite my mental illness I know I can handle it. I know when and how to ask for help. I’m taking one day at a time while I lean on the shoulders of my support team in the light of recovery.
We often react irrationally when we are angry or frustrated. We say things we don’t mean, and we behave badly. It’s easy to lose track of ourselves when our emotions get the best of us. The same is true when you are struggling with depression. When you’re feeling very sad and hopeless, everything seems overwhelming and your emotions become out of control. You get hurt by simple reactions from others, you might see a friend canceling something as if they are doing it to hurt you, or you might overreact to a text or comment a person makes to you. To protect yourself you might say, text, or react badly towards the person whose intentions you misperceive
I have misinterpreted many things while I was at my worst. I have overreacted to others’ simple words and reactions. When a friend had an emergency come up, I interpreted her canceling a get-together as “She doesn’t want to spend time with me.” I’ve mistaken others’ intentions or misread things people have said. My wrongful reactions have cost me friendships or led me to hurt people I care about. So, I came up with tips to help you take control of your reactions so you can handle situations better.
Here are my tips:
Don’t react when you are very emotional. If you’re feeling down and you’re flooded with emotions, allow yourself to calm down and think more clearly before dealing with a disagreement or something that might have been said or done. Like when a friend told you she doesn’t have time to talk to you right now. You might be angry, sad, and hurt. All those emotions flood you and you start thinking your friendship is over and your friend hates you. In this case you might be attempted to say or text something mean. Instead of saying something you’ll regret, give yourself time to calm down. When you are calm, talk to your friend.
When a friend cancels something, don’t take it personally. Emergencies come up, people get sick, and plans change. Don’t automatically think it’s because the friend is trying to hurt you, doesn’t have time for you, or the friend doesn’t want to be around you. Ask him or her why he or she canceled. If you take the time to talk to your friend before you jump to a conclusion, you might just find out the cancellation has nothing to do with you, and you might be able to reschedule with your friend.
Write down your thoughts and feelings. When you are upset with someone, put your thoughts and feelings down on paper in a journal. Write out all those crazy thoughts that are driven by your emotions before you say something you don’t mean to. Once you get all those feelings and bad thoughts out, look at them and see if you can understand them differently, then write that down. Like, someone I know well ignored me when I said hi, so I thought she’s embarrassed by me. I hate her and will never talk to her again. Then think about it and write down: Maybe she was busy and didn’t hear or see me.
Don’t take boundaries personally. We all have boundaries, and we need those boundaries to take care of ourselves. Don’t get mad if someone can’t talk about your problems because he or she is going through their own problems. Be understanding of that and find someone else to talk to. If your friend can’t talk after ten at night, respect that and make sure you call before ten. Don’t take boundaries personally. They are there to help the person who you care about and it’s nothing against you.
Turn to a support partner. Talk out the situation or thing that happened with your support partner or support team. Having someone with a clear mind to talk to can help you think rationally about your feelings or the situation. They can help you calm down and tell you if you’re distorting things.
Use these tips to help you handle your emotions without overreacting and hurting relationships. It’s not easy to do when your mind is clouded by your sadness and hopelessness, but you can do it. By working through your emotions and thoughts before you overreact, you’ll find you’ll have stronger relationships and will avoid driving away people who really care about you.
I’m doing better at controlling my over-reactions when I go through a hard time, but sometimes I slip up. When I do slip up, I take the time to think it through and work it out with my friends and the people I care about. Following these tips helps me dance in the light of recovery.
Life is very unpredictable. Sickness hits us when we least expect it, and other things seem to go wrong all at once. Our car breaks down, our roof leaks, a friend walks away, or a husband gets hurt. When you’re struggling with mental illness, life’s challenges can worsen your illness. If you’re in recovery or on the road to recovery from mental illness, life’s challenges can threaten to push you down that dark hole.
If you have been following my blog, you know I have faced a lot of health problems and challenges that have tested my ability to stay in the light of recovery. If you’re new to my blog, check out some of my older posts. I developed ways to cope with life’s challenges that I faced. Below are a few tips on how to handle challenges.
Allow yourself time to feel. Give yourself time to get sad, cry, scream, and let out your emotions. Holding in your feelings can only send you further into that hole of darkness. Do what you need to get those feelings out even if it means spending a day in bed.
Pull yourself together. Don’t let yourself stay stuck in your emotional state of mind. Remind yourself of how strong you are and what it took you to get where you are, whether it would be on the road to recovery or in recovery. Wipe those tears away, get out of bed, get dressed, and remember how strong you are.
Focus on the positive. Even though things are tough and seem hopeless, there are positive things. Pull out a piece of paper and write down the positive things in your life like you have a home, you got up that morning, the sun is shining, and you have food. Even the smallest things can be positive. It might be hard to find good things during the hard times, but don’t give up.
Turn to coping techniques. What kind of coping techniques did you learn in therapy? Do you do deep breathing, or grounding techniques? Do you have a hobby, do you journal, or do you go for a walk? Whatever coping techniques work for you, use them. If you don’t know of any techniques, then research some on the internet or talk to your therapist.
Lean on your support system. Talk or text your friends or family members who are part of your support team. Often, they can give you good advice or guide you to a healthier path. Sometimes it’s just good to have someone listen to you.
Push forward. When life hits you hard, it’s easy to give up and go backwards, but remember you’re strong. Stand up tall and push forward. See the hard times as something you can find away around. Be determined that you won’t let the struggles pull you down. You can get through this, and life will get better.
Seek help or talk to your therapist. If you find that you can’t get through this difficult time in your life on your own, call your therapist and make an appointment. If you’re in recovery and you no longer have a therapist, find one. There is no shame in seeking help. A therapist will have lots of ways to help you through and can guide you through the challenges that face you. Don’t be afraid to ask for help.
Remember no matter how difficult things can get, you can get through it. Don’t let life’s challenges push you down that dark hole. Your road to recovery or remaining in recovery is too important to risk. Follow these tips or find your own ways to handle life’s challenges.
I have been through numerous illnesses, surgeries, and hard times and through it all I used these tips to keep me in recovery. I face life’s challenges with strength in the light of recovery.