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CGM diabetes empathy keto mental health mental illness support Therapy

Empathy Postcards, CGM, and my week

Image Cover of Empathy Postcards

As part of a gift in a gift exchange I was given Empathy Postcards by Emily McDowell. It reminded me of a time I was hospitalized for my mental health . In art class I made a card to myself. No one brings cards when you are you in the behavioral health unit. I think they just don’t know what to say. These empathy Postcards are perfect for times like that. I think I will use them for friends when they are having a rough time.

Image if this is God’s plan, God is a terrible planner (No offense if you’re reading this God. You did a really good job with other stuff, like waterfalls and pandas.)

I also was given some keto friendly snacks, a little stuffed poodle that looks like my dog, dog treats and a nice note.


As far as keto, things are going well. My labs were good last month, so.my Dr took me off of one med, Januvia. Everything went wacky for a few weeks. My weight was going up, glucose went higher than when I started keto and I was out of ketosis. My Dr gave me the option to give it a couple of weeks more or to go back on Januvia. I decided to see how it goes in a week. It started improving. My weight started dropping and fasting glucose lowered. I am back in ketosis


I asked my coach from the program I am in, for type 2 diabetes, Virta, about a CGM, continuous glucose monitor. The Virta Dr called in a prescription for Freestyle Libre 14 day sensor. I got a voucher from the freestyle libre US website to bring to the pharmacy. It is a free trial. My insurance won’t cover more sensors but I am getting a lot of data. My glucose drops in the early morning and then rises. The sensor does not always agree with the fingerstick. It reads interstitial fluid. The range is set at 70-140 mg/dl and I am in range. I am going to lower it to 126 to see if I can tell the difference. It has a graph but it is hard to read. It is small. So far the biggest rise in glucose is just from waking up and not from my food. The app lets you write notes to go with the readings.

I have sleep apnea and wear a dental appliance. After my dentist adjusts it, he orders a home sleep study. I have done about 4 so far. I did one this week and have seen the results. I wore a t-shirt with tennis balls that is supposed to keep me in my side but the device read as if I was on my back most of the night. I still have mild apnea with the appliance so he will most likely adjust it more. It is not painful but it gets uncomfortable the more he moves my jaw forward and it takes time to get it back in position in the morning.

I talked with my therapist this week. She asked how much time I spend online. I don’t know so I told her that, but it is a lot. She said she spends an hour. She wants me to keep track. I don’t have to change but she says I should know. I like her but don’t like her assignments



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anxiety bipolar Coping skills distorted thinking Medication mental health mental illness NAMI psychosis Recovery schizoaffective schizophrenia stigma Therapy

In Our Own Voice Presentation

Yesterday I did a presentation for NAMI Orange County on my recovery.

https://us02web.zoom.us/rec/share/8I-z9RKNONCJ958C7klIYBjCf3ZzCXs_BD743CKZD0QUzGcCtPbtjjVcYygq5hk.nKTSbzmA_Jj3DrvG


Passcode +6$T%coQ

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keto mental health mental illness moderation schizoaffective schizophrenia sobriety Therapy Weight loss

Medical ketosis for psychiatric illness

Image of highlighted brain

I have been on a ketogenic diet to treat type 2 diabetes, through a company called Virta for about 3 months. I have lost about 1 lb/week, my fasting glucose has dropped 20 pts, and I feel good.

My friend was pushing me to try the diet and now he has been pressuring me to find out information on medical ketosis for psychiatry. He says it has greatly helped his depression. My provider from Virta agreed to talk with my psychiatrist about how a keto diet can affect mental health. But, I started wondering what am I doing. I have schizoaffective disorder controlled with medication and also take medication and use coping skills for anxiety. I don’t know that I want to change anything.

My therapist coached me on how to tell my friend thanks, but I feel pressured. I am not great at setting boundaries. I took her advice and he was cool. He said it is not his business what I decide to do and he is just making suggestions.

Then, I read a post on Reddit where someone is working with a dietician from the Charlie Foundation on a keto diet for schizophrenia. They work on keto for epilepsy in children and have expanded. I emailed and they gave me info on a dietician and I made an appointment for a zoom call on Wed.

The diet I am on now is 30 g total carbs, 13 oz protein containing food and fat to satiate. I am sure the dietician will have something more precise with macro g or percentages. Right now I weigh some but estimate amounts, where I will be measuring more.

My therapist gives me homework. The last thing she gave me was to give examples on where I could be more assertive, like with my friend. And to think of things I am grateful for and proud of. I am grateful for many things. The people in my life, especially my husband and even my pushy friend. My car, dog, food, home… i could go on, but proud of had me stumped.

I work and take care of my family but there is nothing I can identify as I am really proud about. I thought some more. I am proud I have been alcohol free for 6 months and have a plan for moderation. I am proud I have been able to stick with keto 3 months and with the results.

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12 step AA depression mental health mental illness psychosis relationships schizophrenia Therapy

Discombobulated Thoughts

I had therapy, virtual, on Wednesday.  I went over what was going on in the present.  Then my therapist started asking questions about when I was school age.  Jr high and high school were not the best years of my life.  I had a friend drop me in 8th grade to hang out with more popular friends.  I had a boyfriend in high school who was very critical and was sometimes mean.

Creative Commons girlshealth.gov

My home life was horrific. My father had an undiagnosed, but quite obvious in hindsight, mental illness and my brother had a severe psychotic disorder. He was nice, just a bit scary to me. Everything was unpredictable. My dad would be fine one day and raging the next. I could not deal with being there so I spent most of my time out, with friends, drinking alcohol or smoking weed. I was very sad, and quiet.

After answering her questions she asked for my thoughts and I said they are discombobulated.  I don’t know what to think.  So, she told me to write down my discombobulated thoughts when they come to me.  She used my own words but I don’t  what she wants.  I am going to email mon.

She gave me other homework. To write what you can gain from AA, without spirituality. That is easier for me. I belong to a secular AA Facebook group. I tried one meeting but I felt out of place and have not looked at others. I did think the accountability and recognition for time sober helped me. I have not gone to meetings lately but I am staying sober,

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bipolar Dysfunctional mental illness parenting Recovery schizoaffective Therapy trauma

Dysfunction Junction

My father had an undiagnosed mental illness, probably bipolar, but I did not know that at the time. He was just a moody, raging, jerk. People knew but no one wants to interfere. I remember we had an uncle who was physically abusive to his kids, maybe his wife, I don’t know. Everyone knew about it but nothing was done. We are all grown with families of our own now and the perps have died.

My mother is passive and anxious. She did not want to disturb anything. She would tell us our father was just joking and he is wonderful when he would say or do hurtful things.

My dad has passed and can’t hurt me anymore. My mom and I have a strained relationship. I don’t want to put any hope into it growing into more. But, we can be amicable and she does not upset me so much.

And, I had an older brother who had a psychotic disorder, maybe schizoaffective like me, but my dad did not believe in psychiatry so the only help he got was when he got picked up by the police for observation. He would stop any meds as soon as he got home. Nothing changed. He died young at 26. I don’t know if it was an accident or suicide. He fell at a waterfall. But, I felt I had lost my brother years before, when he first got sick.

Everyone else in my family is over it all. I don’t know if I should let it go or if I could heal.

I was watching a YouTube on dysfunctional “tricky” families and childhood ptsd. https://youtu.be/EBpF8sWycQQ

I could answer yes to almost everything and a few maybe’s. He suggests working with a therapist.

I have a new therapist. I don’t know what to work on. Day to day, things are okay. I kind of went through my family history with her last time.

Or should I be done with therapy? I am pretty stable and see a psychiatrist. Things in my day to day life are fine. My past is a mess, but maybe I should just leave it there. My father discouraged me from going to therapy. “You talk about the past and it just makes people sad.” I thought he was being ignorant. Of course, it is more than that. But, did he have a point?

I plan to ask my therapist next time I see her if she thinks I even need it.

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Inner demons mental illness Responsibility schizoaffective schizophrenia Therapy Uncategorized

Inner Demons

I have shame about past behavior. I am not ready to disclose to anyone. I have a therapist but am not able to tell. I won’t repeat or get in that situation again.

I don’t know if any or all is related to mental illness. Probably some

I lied, sometimes for no reason. I did not ask for help when I was in over my head, for fear. I am not sure why I was afraid.

I regret things that happened 20 years or more ago. But I re-live it like it is today.

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Therapy

I don’t know how to do therapy

I am seeing a new therapist. I picked her because she has experience treating patients who have experienced trauma. At my first appointment, I told her at the very end of the session that I want to delve into the past because it affects me still. It took me the whole time to get up the nerve to say that.

So, I go in today and talk about my husband, kids, dog, work, anxiety level. Everything is okay. I ran out of things to talk about so I left early. The problem is, there is more, .i just don’t know how to spit it out. I guess I can tell her that next time. Maybe, it will take me a bit longer to get comfortable.

I am going to try to write down things when they come to me and bring that.

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Therapy trauma

Trauma Llama ding-dong

I had an emotionally-psychologically abusive childhood. I am in a good place now, physically and mentally. My family, husband and children are wonderful. I feel safe when I am home.

I am seeing a new therapist. I have had one appointment. It went well. She has experience with trauma, that is why I sought her out. My childhood experiences negatively affect me today. I mentioned that I would like to work on that as one goal. I am nervous that it will be difficult but also looking forward to breaking free of some of these memories and thoughts that haunt me.

I just read @lavenderandlevity blog which is awesome and you should check it out. She mentioned the fear of going back to that hell. My main abuser has passed away and there is no way to crawl back if I needed. But, everyone seems to have forgot what it was like and have moved on. They praised him at his funeral. A man who thrived on breaking young wills. I did return to live there a few times during my adult life. It took it’s toll on me every time.

I do wonder, if it was possible, if I would choose to forget it all. I can’t. I have so many pent up emotions. I don’t know if they can hurt me anymore, but I don’t want to risk it.

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anxiety Dysfunctional parenting Therapy Uncategorized

Uncomfortably Numb

I saw my therapist today.

My daughter moved into the dorms for her first year in college yesterday. We talked about that for a while. It is bittersweet. I am very happy for her, but it does feel different with an empty room. I got shaky when I was moving her in. I don’t think it was the lifting, but anxiety. There were so many people.

Once we got all of her stuff in her room, I said goodbye. My husband and son took her shopping for a few last things, and had lunch in the cafeteria. I would not have been able to eat.

I told therapist about the shaking. I was still doing it today. In the room my son was telling me to breathe in my nose and out my mouth to try to help. He is sweet.image I told her when I came home from the last visit I was unsure how I felt. We had talked about the past, growing up, and it was uncomfortable. She asked me what I needed and I said some acknowledgement that parts sucked. The unpredictability.

I tried to be invisible and would do what I was told at home and keep a low profile, and stay away from home when i could. I told her i got into trouble with drugs and my boyfriend, but my parents were too preoccupied to notice or care. She thought that would upset me, that i went unnoticed, but it was my plan.

At one point I told my therapist I was “pulling back”. I guess I was dissociating. I was there but numb to any emotions.

i mentioned how once my mom was talking about my niece, saying really nice things. She brought up my daughter, for some reason, saying she is not the same or something. I said, i know and was agreeing with her, and said that my daughter is really good, but she is different. Then my mother said, ” well, I thought you were good, too.” It really bothered me because I thought she was insinuating my daughter might be up to something she isn’t. My therapist said, ” I don’t know what to say to that. There are so many levels.” And it came out of the blue when my mom said it.

This is so hard. My father is gone. My mom has changed some, for the better.

My therapist said, parents do what they can for their children, unless they are sociopaths, and that mine did not know how to do things differently, is that fair? I squirmed with that. Not the sociopath part. I know they did things the way they thought was the best. I don’t understand how they could think some things were okay to do, let alone good. if I can get past this it might be a breakthrough.

My dad once discouraged me from therapy, because he said you talk about the past and it makes you sad. As far as i know he had never had any therapy and I shrugged it off, but here I am. Talking about the past and feeling sad.