CBT: Final Session

I got discharged after this session, my therapist thinks I am ready and to be honest, I felt ready but I did feel a bit lost a few hours after being discharged, but I am feeling more motivated every day!

We filled out the usual questionnaire, and for the first time in 7 months, I got two number 0’s one on agitated and one on thoughts, which incidents I’ve not had any feelings of agitation like usually and no thoughts and urges really!

This session we filled out the maintaining progress log, it has things which I should do if I feel like I’m getting out of control again, and it has things to remind me of how well I’ve done recently, for example, the “what have I learned” section includes “exposure therapy has helped a lot” “Big I Little I – BDD method” “tools to manage my moods and urges”

Also, it includes triggers of mine so I can see what situation will be a trigger and mentally prepare for that situation. I really like this log as it just shows me how much I’ve learnt and gives me tips and information which is vital, especially if I feel like I am losing control.

It’s been twenty-one sessions of CBT. I honestly thought I’d be in it for years, I had no faith or motivation from my first session, but look at me now! I’d like to thank all my blogging friends for helping me on this journey throughout therapy, couldn’t have done it without you guys, you are all amazing.

If you’re just starting therapy or waiting for therapy and not feeling motivated, I know exactly how you feel, but if you put in the effort into it then there’s nothing to lose and everything to gain.

 

 

 

CBT: Fifteenth Session

// T W // Suicidal thoughts & SH //

 

Earlier this week, I had a really awful start to the week, due to something that happened at the hospital, I told my therapist about this – I continuously worried about telling her, I worried that she would find it silly or stupid.

I told her that what happened at the hospital had literally made my MH plummet and made me want to not live anymore, like seriously. I had the strongest SH urges I’ve ever had, but I didn’t do it. I had a good alternative and good coping mechanisms, and that’s four weeks, which is a month of no self-harm, I am bloody amazed! I only did exposure therapy once as I was meant to do it three times, but because of how bad I felt I didn’t do it, which she totally understood!

I told her that people and herself are telling me I’m doing so well, but I don’t feel like I am, I feel like I’m not doing good? It’s weird to explain but I don’t feel happy or feel like I’m doing good. She explained how that is normal when you struggle with your mental health, that you don’t realise how good you really are doing. She then made me write a list of positive/good things I have managed to do since starting therapy with her, listing it helped so much. It made me think I have been doing well and I just need to stop being so hard on myself and give myself credit at times.

My list was this:

  • No SH for a month
  • Resisting the SH urges
  • Went to Liverpool with a friend and ordered my own drink
  • Went Starbucks by myself and ordered my own drink
  • Planning my future change in career
  • Went on a night out
  • Carried on blogging when I felt like quitting
  • Applying for lots of jobs

When someone who doesn’t struggle with their MH reads this, it may seem like they are such little things to do, but for me, they were so big and I’ve realised that I am doing incredibly well so far and I need to be able to feel it, slowly but surely I will be able to.

My therapist then asked me to list the things I am doing to keep myself on the road to recovery/keep myself doing good things and not falling into a pit of depression!

I will be doing:

  • Going out more on my own
  • Not being too hard on myself
  • Rewarding myself
  • Reading more
  • Being more positive

Another fantastic CBT session, on to the next one!

Liam

 

CBT: Fourteenth Session #MHAW17

This session we talked about me needing to go out more by myself, I’ve started going out more, with friends and my family but I only feel safe going out with them. I’m slowly going out by myself, to places like Starbucks but it’s such a challenge and I don’t stay there for long which is the problem. I need to stay there longer, like exposure therapy basically!

Behavioural Experiment

My therapist mentioned this, she wants me to go out 3 times within the next week, by myself and I must not go home if I have a panic attack. I must ride it out whilst still being out and away from my safe zone which is my home. Which will be really hard, but I can do it! I need to keep motivated! again, like exposure therapy!

Worrying and overthinking

I mentioned this to my therapist today as lately, especially the last few months, it seems to be getting worse when mostly everything seems to be getting better, which is annoying! I told her everything, that I never really go out by myself due to the fear of having a panic attack and having people laugh at me, we spoke about that and I told her it happened when I was in school and college, but not since. That is always playing on my mind though, I worry about what people think when they look at me, worry about what they might say if I am midst panic attack. She asked me a good question, it was “what do you think you look like when you have a panic attack? I basically said a mess, I feel really hot when panicking so probably red in the face, breathing all over the place and sometimes crying. She then asked me to stand up in front of the mirror. This was weird as I hate looking at myself in the mirror because of my BDD. Anyway, I did it. It was so worth it. She made me breathe really fast, which triggers a panic attack. She then asked me “do you look any different” and apart from a bit sweaty no I didn’t! This has changed everything for me. For ages, I thought I look so weird and horrible when I have a panic attack, apart from the crying and the sweatiness! – the room was so hot it’s unreal!

Safety Mechanisms

We spoke about what I do when I’m out to make me feel more at ease/safe. I said my fidget spinner, headphones, my phone and my fidget cube. She doesn’t mind me using these for now as I am getting close to being able to go out by myself a lot more, but soon I will need to try to go out without these, which will be a challenge but I am 100% up for it!

 

Therapy is going great lately, as you can tell by the blog posts probably! It is going so well and I feel like my mental health is the best it’s been this year, what a change! 2 months ago I wasn’t doing so well, but now I am doing so well! It does get better!

Liam