CBT: Ninth Session

This session, again, was the best session I’ve ever had. It’s making me feel so good how each session is just getting better and better! I’m thinking back to my first few sessions with my previous therapist, I liked the sessions and learned a lot about myself and my mental health, but I just think they didn’t help much as it takes me a while to open up in a session, and I’m so happy I’m having longer sessions now!

I had a mini panic attack out of the blue today just before this session, didn’t really know why up until I had the session, funnily enough, the session was solely about panic attacks and how they work, how they get triggered, and what I can do to stop them/control them!

As usual, it started out with doing a questionnaire. I then told her how bad I felt last weekend, solely because I got invited out for a few drinks but I kept overthinking it and said no, and it made me feel so down and depressed. She then went on to explain how it’s a vicious cycle. Being invited to go out, end up saying no and then feeling low and then the self-inflicting behaviours start, but she reassured me that we can break that vicious cycle.

We talked about the symptoms I get from panic attacks, she wrote them down (legs shake, uncontrollable breathing, churning stomach and light-headedness) She then explained how thinking about those symptoms or panic, can actually cause you to panic, I thought that was pretty unbelievable, so she told me to say those symptoms out loud until I felt those symptoms, it actually happened. Me thinking and saying the symptoms out loud, actually brought on the symptoms, something I’ve never heard of/thought of before. She wants me to try and socialise more, and if I feel a panic attack coming on, don’t leave situations like I normally would, and try to ride the panic attack out and see how good I’d feel then – as I feel awful going home from somewhere early as I had a panic attack.

My therapist also explained about the trigger of panic attacks – fast breathing. If you are able to control your breathing, you can stop the panic happening. She then told me to start breathing really heavy, as I would if I was panicking. I did it, and it caused a panic attack, and she was able to calm me down out of it within minutes. That was just to teach me the trigger of panic attacks and also teach me that they are not dangerous or bad. We went through Diaphragmatic breathing, and she showed me how to do it, I have to practice it every single day now. I have tried doing it before, but when I went bad in terms of mental health, I just stopped as I had no motivation what so ever.

This was my last session for two weeks. I am motivated to do well in between those two weeks. It scares me as whenever I have no CBT for a week, I tend to go downhill a bit, but I am determined to not go down and just keep going up!

As always, thanks for reading!

Liam

 

CBT: Eighth Session

I was going into this session with a bag load of nerves, anxiety and panic. I was panicking for this session as I had to tell my therapist something pretty serious which happened within the week of having no CBT. Luckily enough I could actually tell her, sometimes when I want to say things, they just don’t come out, but they did today!

As usual, I filled out a PHQ-9 GAD-7 questionnaire but didn’t get told if my scores were higher, the same or lower. It was hard for me to truly say everything, but I did and it made me feel so much better getting it off my chest. We then spoke about how I went out to Liverpool, and that I panicked when out, and how it stops me from going out again.

We started on this formulation sheet, that spoke about my experience of bullying in high school, which makes me think that everyone is thinking horrible things about me, so anxiety is basically being the bully now. We figured out that my core belief is that people will think I’m “weird” “not normal” and “strange” which I worry about people thinking on a day to day basis, and it makes me panic when I see people staring at me, as I immediately think that they are thinking that.

I also found out my unhelpful thinking habits, I got told to have a read over them within the week without CBT, and I related to “emotional reasoning” “judgments” “mind-reading” “prediction” and “critical self” These are important to find out, as once you’ve found out you can then focus on beating the thinking habits! She also wants me to start exposure therapy again after a few more CBT sessions, but she wants it to be more intense, like in my previous exposure therapy, I just left after doing it for like 5 minutes at a time, she wants me to do it until I have a panic attack, and that panic attack ends. Which is scary!

I got shown a “thought record” which she wants me to fill out, especially when I go out. It has columns of “emotions/moods” “physical sensations” “unhelpful thoughts/images” This will give her a wider view of what I feel like when I go out. Pretty similar to a panic diary, same layout just different columns!

I spoke with her about how I rarely go out because of the chance of anxiety taking over and then making me panic, and therefore going home early. We both know my mental health is ruling my life, but the session was so good and informative, I came out of it with such a big smile on my face, knowing that I have learnt so much about my mental health in one hour session means a lot as it’s stuff I 100% know and I 100% know I can beat!

After that session, I felt the best I have felt in months. It felt so good, to come out of a session not drained, and feeling happy! On to the next one next week!

As always, thanks for reading!

Liam

CBT: Seventh Session

I could not help but dread this session, new place to go, new therapist to meet. So much to worry and overthink about. I was worrying that my therapist wouldn’t be as nice as my previous one, or as understanding. Turns out she was just as good!

This session was basically a duplicate of my first ever CBT session really, so this post will probably be very short! We first started off with the usual GAD-7 PHQ-9 forms and asked my about my medication, told her that I had side effects but they are slowly easing off, she asked me the questions and I answered, and she asked why and such, just so she could get more details, as she was writing notes on me.

I told her absolutely everything, even things that I didn’t tell my other therapist. I was shocked I was able to! Things like past experiences of bullying in high school, such as comments about my appearance and my speech, which she thinks is a trigger for my MH as I always think back to that, and feel that everyone will say stuff like people did in the past. I also explained to her how I feel on the way I look, and she said she thinks I  have BDD (body dysmorphic disorder) which could be a big part of my anxiety. Finding that out was very overwhelming. I could have cried, I was really close to doing so. She gave me some information on what it was, and a website called www.bddfoundation.org to have a look at.

She then mentioned that it will be a hard road to recovery for me, but it will work! She did mention that it’ll get worse before it gets better and because of my SH, she is going to take things carefully, which I totally appreciate. I was so scared, and I even told her. It was so hard for me to go into a new place and go to a new therapist, and she totally understood! She gave me a sheet of unhelpful thinking habits and wants me to look through them and tell her which ones I feel like I do, such as “mind reading” as I assume people are going to think I look weird because I feel like I’m too thin and look too thin, which links into BDD and such. Also “catastrophizing” as I imagine/believe the worst will happen in every situation,  which I actually went through with my previous therapist!

I haven’t got CBT next week, which might be a bit offputting for me as I’m in a routine now of going to CBT every Wednesday. Coming out of the session I had yesterday, I felt overwhelmed, but after a few hours of trying to get my head around the session and BDD, I can’t feel demotivated. I will beat this mental health, I will learn to manage it.

 

As always, thanks for reading!

Liam

Overthinking

Overthinking is a big part of my anxiety and mental health overall. Overthinking things like “ugh I sounded like a right idiot when I asked that” makes my anxiety worse, overthinking is extremely common when you have anxiety. Overthinking rules my brain, everything I want to do, I overthink. Let’s say, for example, I want to go out with a few friends. I overthink things like “what happens if I fall over” “what happens if I do something stupid and everyone laughs”  “what happens if I stutter and just sound idiotic to people”

It’s annoying, just due to the fact that I plan on doing things, like going out with a few friends. I overthink about the social situation and think that people will find me weird, and think I’m silly for being so anxious and panicky, and just end up cancelling. I try so hard to look for a solution or something else to stop overthinking, but my mind just cant stop thinking about that situation, I don’t know why I do it if I did I would try to stop, but nope, don’t know why I do it.

There’s so much involved with overthinking, past situations for me make my overthinking worse, and I’ve heard from people that it is the same for them. I overthink so many social situations solely down to stuff that has happened, such as panicking in public. I also overthink things that have happened. Like “oh I shouldn’t have said that” “why did I say that” Overthinking for me is also solely down to my anxiety/social anxiety. I continuously overthink about what I come across like, what people think I am, what people think of me when I panic, panicking in public.

Overthinking is a cycle, and I’m currently caught up in that cycle of overthinking mostly everything. For me, avoiding situations which I overthink about, will obviously not help and I am trying to slowly do those situations i.e go out with friends and socialise etc.

I hope I can get out of this vicious cycle of overthinking, as it is truly tiring and constant battle.