Category Archives: relapse

What I Have Been Up To Lately

I had therapy last week. I started seeing this therapist after the pandemic, so all my sessions have been virtual. I forget what she asked but I mentioned I remember mistakes from the past, 20, 30 years ago or more and they torment me. She wanted me to share but I am not comfortable with that. I feel such shame and they were mistakes that I feel are unforgivable. If I did not feel shame there would be something wrong. But, I don’t want to delve into them.

My father did not believe in mental health treatment even though schizophrenia, schizoaffective disorder and bipolar run in our family. When I started therapy he discouraged it saying talking about the past just makes everyone sad. I did not understand what he meant until now.

My therapist wants me to work on forgiving myself.  I have to explain to her that some of these things are best kept hidden.

 

 

I have been able to stay alcohol free after my planned intoxication in April.  My plan is sobriety until our wedding anniversary in October.  It was pretty easy to get back to it.

 

 

I posted a link to an In Our Own Voice presentation I did for NAMI, National Alliance on Mental Illness, in a different post. I have not been speaking much lately. I saw a different program by NAMI called VOICES. It is geared towards first responders. I signed up to be a speaker, but am having trouble figuring out where to start. My initial interaction with mental healthcare and police was not until I was 39, but since mental illness runs in my family that was not foreign.

My brother had a psychotic break in college at 20 (I was 15). He refused treatment and would get picked up by the police for 72 hour observational holds in the late 70s. His is a sad story. He was severely symptomatic for 6 years when he finally was placed on a different medication that he responded well to. But, he started becoming symptomatic again, paranoid, edgy, and probably needed his medication adjusted. He went to Yosemite while symptomatic and fell at a waterfall. I don’t know if it was accidental or not, but he died from the fall.

This is supposed to be a story of hope, but it is part of my story.  If I had not seen him so ill for so long I may not have accepted treatment, but I did not want to be stuck in psychosis like he was.  I think it is okay for first responders, but not sure if it will scare the general public who may be worrying about their own children.

My story is much different.  I did go in and out of psychosis for 3 years, but I have been stable since 2006.  I have not been hospitalized for 16 years.  I am married, have healthy grown children, work part time.  I still have some doubts about what was real from the past, but I can function.

 

Mental Health Conference

i went to a conference today. There were 32 workshops..

the first i went to was on Borderline Personality Disorder. It was very informative and i learned a lot.  The next was on support groups, that was good. There were a number of organizations represented.

the last one i went to was “ask the doctors” on schizophrenia. It was an open forum for people to comment, and ask questions. There were suggested questions on the screen.

one of the questions was, “what has worked for you?”  I would have loved to hear the answers to that one.

one thing that worked for me, was talking to people with similar experiences, either on-line or in person. I went to dbsa support groups, nami connections and eventually started a group affiliated with the national organization, schizophrenia alliance. I don’t run the group anymore, but i am glad it is still going.

another thing, that is a little different, was when i was very troubled with auditory hallucinations, my psychiatrist found a way to communicate. He wrote words while he spoke, circling and crossing out important words.

no, one had asked what my experience was like when i had a psychotic break. They asked about symptoms, but not what were the voices saying or what the messages were. Not until i saw a therapist who seemed interested. It felt lke a relief to be able to tell my story.

i would love if anyone would share what has helped them

 

 

Hypocrite much?

 

imageI feel like a sham

i tell people coping skills, but I have trouble doing them myself. My therapist told me to try mindfulness. I know what it is. I recommend it. But, my mind spins so much,  i can’t be “mindful”

i have trouble breathing, cbt is out the window, i can’t seem to act as if, if as if is that things don’t suck.

my life is fine, i am fixated on the past. And, that i can’t change it.

and of course, i suck, i suck, i suck!

i slipped and drank, too, which i feel bad about, but if it is drinking or suicide, i don’t think it will hurt.

i am safe. I am afraid i would mess up, as usual, and make my life worse.

i can’t be sick. It is not a good time. It is a very bad time.

Stages of Change in Recovery From Alcohol Addiction

Originally published in Psych Central

https://blogs.psychcentral.com/triple-winner/2017/04/stages-of-change-in-recovery-from-alcohol-addiction/

stages of change

(Photo from SmartRecovery.org)

There are a number of stages one goes through when recovering from an addictive behavior.

1. Pre-contemplation — at this stage one is unaware of any problems. Others may point them out, but you have no interest in changing.

2. Contemplation– At this stage one is aware of the problem, but not sure how to change. You may be thinking about changing but ambivalent.

3. Preparation– You develop a plan to change behavior.

4. Action– Modify behavior to put plan into action

5. Maintenance-Able to stick with new behavior with minimum effort and strong commitment

6. (Termination)– In some recovery programs they have a step where you have completed and no longer have the addictive behavior.

(Relapse)-relapse may happen at any time. It is common, but not everyone has a relapse. A relapse is when you revert to the addictive behaviorI was in the pre-contemplation stage with my drinking for years. If people would suggest I had a problem, I thought it was their problem. I started having certain rules. I wouldn’t drink if I had to drive or if I had responsibilities.

When I contemplated changing, I was ambivalent. Not sure I wanted to abstain forever. Not sure it was a problem. I prepared and even started going into action and would stop drinking for a bit, but then I would relapsebecause I had not really made the decision to quit.

I had done cost/benefits (pros/cons) and knew it was beneficial to quit. I knew drinking wasn’t one of my priorities. I knew I would drink more than I wanted to and had trouble abstaining. But, there was a part of me that still said “you’ll miss out on the fun”. And, I may. I will also miss out on any consequences.

I am in active recovery right now. I have been going to meetings and sticking with a plan. I have worked on motivation and controlling urges. I am using cognitive behavioral therapy and other techniques to control my distorted thinking.

I can resist temptations. I have been sober for 5 months straight. Another month of consistency and I believe I will be in the maintenance stage. At my work, they are training a couple of people, including me, to facilitate a SMART Recovery group. Facilitating should help keep me focused.

The end goal of these stages, is to live a life that is complete without alcohol.