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: Twentieth Session

This is my first session since being back from holiday, I thought I’d update you with how the holiday was, as it would make this post longer because my session this week wasn’t that in-depth.

The holiday was amazing! The first day or so wasn’t. My anxiety was the worst it has been in weeks. However, I just did many techniques I’ve learnt throughout CBT and I was back to enjoying my holiday! I challenged BDD by wearing shorts every single day on holiday and it was amazing!

This session just consisted of talking about my holiday and talking about what I want to get out of therapy. My therapist thinks I have improved drastically and she said she didn’t think I would have improved as good as I have done in the time I’ve been in CBT.

I’ve stopped SH, I’ve challenged my social anxiety and challenged my negative core beliefs which I thought were true and right, but turns out by challenging them I have learnt they are not true at all! I am so happy with how far I’ve come and high-intensity CBT has honestly changed my life.

My therapist showed me a “maintaining progress log” which we will fill out in the upcoming sessions as basically my own blueprint for my own therapy when I finish CBT. It will help with relapse prevention and if I need to phone anyone or have more therapy then that’ll also be on there. This is the first time since starting therapy that I actually feel that I am getting more ready to finish therapy. It’s not so scary for me anymore.

As I’m writing this, I’m thinking back to January. I was in the darkest place, I was honestly worried about my own safety and I had almost no one to speak to about my mental health, 6 months later and I have so many supportive friends and I’m close to finishing CBT. I thought this would never happen, but it has.

Things do get better. Even if they seem near impossible to get better, they can and will.

 

 

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: Twelfth session

// TRIGGER WARNING – SELF HARM //

This post was meant to go up yesterday, but I actually went out and socialised! Shock! I had a great time and challenged my anxiety in multiple ways!As I made a list in the previous session, throughout the week I was trying to tick things off, and add things onto it. I found it really motivating to do so.

As I made a list in the previous session, throughout the week I was trying to tick things off, and add things onto it. I found it really motivating to do so.

I filled out the usual GAD-7 PHQ-9 questionnaire. The scores are going down slowly, which is great! We focused the session on what we can do to get the scores down. She mentioned that my depression can go down with doing things, challenging it. Not staying in all day where it’ll get worse and then the self-harm starts again. I’ve only self-harmed once in two weeks! I am beyond happy about this, things are looking so good it’s brilliant I LOVE IT! We also talked about the CBT formula and the cycle of depression, which I am apparently slowly breaking! Woo!

I mentioned how I seem to be so agitated and I tend to just snap at people lately, even my parents and sisters. I seem to snap for some reason. It makes me feel so crap when I just shout at them but I have no reason why I do so. I also explained how I sleep so much and it’s not making me feel any better, so she wants me to set up a schedule, for each week – I had one with my previous therapist but with my relapse of SH and being moved up to higher intensity therapist, I didn’t really stick by it.

The schedule for this week included getting up at 10 am, prevent boredom by doing things I love – reading, blogging, writing, fishing, listening to music etc. Go out with a friend, which I did yesterday and it was the best day for a long time! It also includes me buying a journal which I’ve already done – god I am getting this scheduled one brilliantly!!! I told her about my low self-esteem and how I feel about myself. She then mentioned trying a “positive qualities log” as she explained how people may say nice stuff, but when you’re struggling it just goes over your head and you don’t really take notice. This log should help me with that. I have to write everything people say positive about me, may it be in person, on twitter or anything!

After the schedule idea was explained and it sounded really good, I think it’ll help a lot. We talked more about my irritability, and like my snapping at people. She mentioned a stress ball and asked what I do to chill… I then realised I don’t really do much to chill and that’s where I could be going wrong. I need to chill out more.

I went on to how I feel about my depression getting better, but my anxiety is still really bad. I know that I am going to ask my doctor about propranolol to reduce the physical symptoms but I also need to make my anxiety go down with other things, not just medication. We are hopefully going to look at that soon – if my doctor does give me propranolol that is!

As always, thanks for reading!

Liam

 

CBT: Eleventh Session

// TRIGGER WARNING – SELF HARM //

I went into this session the best I’ve felt in a long time. I only self-harmed once in 7 days. I am so proud of myself for being clean for 7 days. I told my therapist this obviously, and she was so made up and she knew I was going to be so much happier when I start going out more. I went for a meal last Friday, a party on Saturday and wales on Sunday. That is such a big step for me with my social anxiety!

My therapist did say that once I start fighting my anxiety and panic attacks and start going out more, my depression will get slightly better over time and my self-harm should do.. and it is!

We basically just talked about what I did the last week, and what I wanted to. There was no CBT involved really, it was just talking and I love it when the session is like that, it’s ace to get things off my chest! I told her about my blog and volunteering with time to change. I also told her that I’m starting to really have an interest in mental health, however, I’ve not done any a-levels and spent my time in college training to be a chef so my life can only go down one route, but as my therapist said.. there’s always time to change! I can always do a-levels whenever I want to! Or even a counselling course!

She asked me to write a list of things I wanted to do. At first, I listed about 3 things as I was struggling, but we got talked about what I want to do and the list was massive!

The list is:

  • Go out more – challenge my anxiety
  • Start working again
  • Read more – it’s a good distraction for me
  • Going out alone – don’t be afraid to go out by myself
  • Go to London – meet some of my really close friends from twitter!
  • Meetup in July – try and go to a meetup in July.
  • Blog more, and do media for time to change.
  • Host talks – Something I’d love to do, express my passion in mental health and host talks in youth centres, schools etc.

I never realised this until yesterday. It’s good to have a list of goals what you want to do, it keeps me motivated, and whenever I feel low, all I have to do is look at the list to get motivated to feel better.

I’d recommend making a list of things you want to do, I am always adding things to it, it’s not a list of what you need to do as soon as possible, it’s just for motivation purposes and it’s helping me already!

As always, thanks for reading!

Liam

CBT: Tenth Session

// TRIGGER WARNING – SELF HARM //

This session was my tenth ever CBT session! Wow!! We went through my depression going worse and my self-harm, and the self-harm cycle. It was a really good session, really eye opening and I learnt so much.

I told her about the last two weeks, how depression and self-harm have gotten worse and about how I hardly went out. She explained that not going out is just feeding the depression and making self-harm worse. It’s time that I really push myself to start going out more. She mentioned propanolol to me and how she thinks it’ll help me a lot going out etc, so I’m going to ask my doctor about it next time I see her!

We had a look at this cycle, called the “self-injury cycle” It includes six steps in the cycle. This just carries on and the self-harm carries on. I need to try and break this cycle by starting to do things, so the depression doesn;t get worse, if I start doing things it should help break the cycle!

  • Mental anguish, the first step. I know, what a weird word?! It just basically means what goes through your head at the time. For example, self-critical thoughts, images etc.  For example, for me, it’s self-critical thoughts mainly.
  • The second step, emotional engulfment another word I didn’t know what it meant. It just means what emotions are you feeling, especially distressing emotions. I feel anger, sadness and upset and I feel disappointed in myself too.
  • Panic stations, the third step in the cycle. What are you feeling, what happened next? feeling out of control, numb etc. Then, the next step in the cycle is action station. In what way you self-injured, how, when where?
  • The next one is action stations. What way did you do it? Why? What reason?
  • Feel better/different, the fifth step. Relief, euphoria etc.  I feel calmer and a sense of relief and release of all my emotions.
  • The last step, grief reaction. When did you feel bad about yourself? self-disgust, self-hate. shame etc.

We went on to discuss this even further, and we both filled it out with the thoughts I think and other things. She said it’s important if I feel the urge, to be around people, as she noticed that I told her I only self-harm when I’m by myself. Funnily enough, I didn’t realise that, eh that’s why I’m in therapy right? To understand my messed up brain, and to learn how to control my mental health!

I came out of this session feeling so confident, happy and just all the good feelings you can feel. She told me to go to the party on Saturday, to enjoy myself and just feel how good it is to not go home because you’ve had a panic attack. Something I have to stop, if I stop that, there will be little to feed the depression, so my self-harm should get better.

As always, thanks for reading!

Liam