CBT: Nineteenth Session

Before I go into writing this post fully, this is my last post for a week as I am off to sunny Tenerife for a weeks holiday!

This week, I started an annoying nervous habit of sniffing up, it’s not hayfever or a cold, it’s just an annoying habit which I want to stop! My therapist said it’s more than likely related to my MH. The only way to challenge it is habit reversal, she also said because I’m so conscious about it, I could be doing it more so I need to learn to not be so conscious about it and it may stop – easier said than done, but I can do it!

As my therapist knew I was going on holiday, this session was all about that, basically talking about it and asking me how I felt about going. I am scared of going on holiday as I’m going to be the furthest away from home I’ve ever been, the furthest away from my safe place. Also, because it’s going to obviously be hot, I will be wearing shorts which will be very uncomfortable for me due to my body dysmorphia, but my therapist put it simply like this “everyone else will be wearing shorts, nobody will notice you” which is very true!

I mentioned that I am still doing my exposure therapy, but obviously, my therapist doesn’t want me to do it on holiday. I’m just scared of having no one to talk to in person about my MH if I struggle on my holiday.

I hope I can enjoy my holiday, I fly tomorrow and a part of me is excited but a part of me is very scared. I hope it turns out well and I have a good week to chill out and just have a break from working on my mental health and relax.

Sorry that this post is short, the session wasn’t such CBT based as some of the sessions are just talking and not much on CBT techniques!

CBT: Eighteenth Session

We mainly focused on BDD and my emotions/moods in this session, which I’m really happy about! I have wanted to challenge my BDD for ages but it just wasn’t time and there were other things to challenge, now is the time though and I am ready!

My therapist introduced me to a thought record sheet for my body dysmorphia, I will list all my thoughts about what I feel about my body and what I think others are thinking. I also have to list the situation/trigger which will help my therapist find my triggers and work on them. It also involves rating emotions, this record will help me as I will be able to find what is the worst situation for my BDD and then I can challenge it, slowly but surely.

We went over the negative core beliefs that we did many sessions ago, she asked me if I thought they were still true, because of all the work I’ve done. Many of them I thought were not true anymore, like where I was scared of people seeing me when I have a panic attack, turns out I don’t really look different. There are still a few that I feel I can work on, such as.  “I’m a failure” “I’m not good enough” There were a few more.. but I stupidly left my sheet in my session! Silly me!

I also looked at a worksheet called “wheel of emotions” My therapist gave me that just to reassure me that the feelings/emotions I have are perfectly normal. She also mentioned that my mood swings could just be more obvious as I am now obviously thinking about my moods.

I’m still doing the exposure therapy, it’s going really well and I’m actually feeling proud of myself for the first time in months!

CBT: Seventeenth Session

// T W // Self Harm 

 

Before I go into detail on this post, I would like to just say that I am certainly not bragging about having CBT, some people think I am. It’s like they think I like having therapy. Fun fact – I hate going therapy, I hate telling my therapist what I feel, I would never brag about doing something I fucking hate, I’m never going to stop blogging, it helps me and I’ve been told it helps others have an insight of therapy when they are worried about starting it. Nobody will stop me.

This session was really good, I should have been 6 weeks clean from self-harm on the day of the session but I self-harmed. However, I’m not letting it rule me, It’s one time in 6 weeks, I am so proud of myself for doing so, here’s to longer next time!

I asked my therapist about the assessment she mentioned as my mood swings are getting awful, really awful. But, because I’m in the IAPT system, I’ve got to see my GP first.. and she’s on annual leave, just my luck eh!

She asked me what I wanted to focus on, as all I am doing lately is exposure therapy for my social anxiety, which is actually going surprisingly well! I said I want to focus on BDD and on my mood and having things to get all my anger out, as I tend to snap at my friends and I hate myself for it.

 

Facing BDD is like facing social anxiety, it’s basically exposure therapy but without doing stuff to hide your body. For me, my exposure therapy includes wearing shorts and short sleeves, as I always wear jeans as my legs are a big part of my BDD and I always wear hoodies to hide my stomach and arms. I don’t quite feel ready for it at the moment, but my therapist says that’s okay! I need to still focus on my exposure therapy for my social anxiety as that needs to be a regular thing for me for the time being!

Hopefully, after I’m home from my holiday I’ll be able to see my doctor and get the reason for my horrific mood swings because I really need to get to the bottom of these as they are horrible and I can’t manage them at the moment.

Liam