upmc pre-discharge work june 2017
Jun. 17th, 2017 10:19 am060917
things to do over this special weekend:
- make mix CDs for mom, grandma, the boys, dad, & Jessie! ♥
- GO TO THE MOVIES and EAT CHEESE FRIES w/ GENESIS
- go out to eat w/ grandma & grandpa
- give ALL book boxes back to St. Johns
- ORDER & BUY NEW CLOTHES = reflect your heart!!
- buy ONE "challenge meal"? OR, one "celebratory" meal? (healed!)
- go to ONE restaurant by yourself?
★LOOK UP COOL PLACES IN HERSHEY
★PLAN WHAT TO BACK FOR THE TIME AT CIOCI ANN'S
★SYSTEM PLAYLISTS + CDS
(ALL relevance/ resonance; even old stuff)
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061117 DBT emotion regulation
emotions = try not to LABEL; it's how you USE/ MANAGE them!
(think of the Spectrum!)
★ emotional "numbness" = VERY PROBLEMATIC!!
★ emotions "triggered" by CONTEXT/ ENVIRONMENT
★ emotional vulnerability is VITAL to REALLY LIVE
but you also have to be PRUDENT.
vulnerability is only scary if it's tied to helplessness.
but vulnerability can also be a HUGE boon to STRENGTH!!!
★ HEALTHY CATHARSIS!!!
find outputs for emotions that you "don't know how" to express verbally, or that you can't handle safely w/o overwhelm?
ANGER= exercise, sports, sparring?
- physically "spend" the anger as fuel
SADNESS= sad movies w/ HAPPY ENDINGS
- express it, "safe crying," then SOOTHE
ANXIETY= short term "it's OK" reassurances? "not as scary as it seems"
MANIA=
CONFUSION=
DESPAIR= Scripture, Laurie quotes
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Jun. 11th, 2017 08:26 pm
Sooner or later, I'm going to be discharged, and I'll be going back to the family home. But here's the big concern: I JUST got off the phone with them, and EVEN NOW, after about 2 weeks of radio silence and deep personal introspection AND intensive future planning... even now, I am downright frightened at the thought of returning. I feel like, once I step back into that house, ALL my progress here will be put on ice. Frozen. Inaccessible. And THAT is deeply terrifying. My dad really isn't too keen on the idea of my possibly staying with him for a while. I'm going to have to pray quite ardently about this housing issue, because God knows I am legitimately scared. The family home is still cluttered, still cramped, still stuffed full of trauma-memory and dark corners and stagnant air. The living room is still off limits. I can't play the piano. I can't play Nier or Dishonored or even Sonic, and that hurts my heart. The paradoxically blissful college mornings of silence & freedom, all by myself, are gone. But maybe now I can do even better. I'm going to use this frustration and sad-fear to motivate me. I'm gonna make a change, sooner or later, for my HEALTH AND HAPPINESS, and I WILL move forwards. I'm just going to pray, follow that guidance, and as soon as God opens that door, I'm moving out. I don't care if all I have is 2 rooms and a bathroom; I'll treasure it. I'll keep it bright and safe. I'll MAKE a Good Future for myself, whatever it takes, God willing. (And He is. I just need to trust HIS plans for me even/especially in this.) I can't rent with my brother, not like he is now. His mental state is FAR too unstable, and I cannot healthily live with that, for both our sakes. But... I keep thinking about what Laurie said to me the other night. "YOU." .so on and so forth. But... what if, by the grace of God, she IS right? What if, after 8 weeks gone, my return home somehow shifts EVERYTHING for the better, at long last? ...But I'm scared. If they... I... let's be blunt. I still can't eat safely in that house. Not as I am now.
But maybe I'm the sole deciding factor in THAT, too. Maybe that will be the BIGGEST test of my strength, my courage, my determination, my Love... to be in such an "inhospitable to healing" environment, and CHALLENGE that, COMPLETELY... and win.
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061217 DBT Distraction
★burning coal analogy = pick it up barehanded, or with gloves!
- the GLOVES are distraction techniques!
- the COAL is a distressing situation!
★YOUR "prove I'm strong" instinct is to do it BAREHANDED.
but remember-- sure, you can, but it WILL BURN.
so take that into account, dude.
if you can't handle the pain, don't risk it, please.
if you're already covered in burns, don't make it worse.
★"A.C.C.E.P.T.S."
061317 SELF ESTEEM ★humility + compassion + hope + courage
("whether you believe you can or cannot… you're right!")
★SELF ESTEEM IS NOT "PRIDE!"
★don't discount the positives-- THEY are what's REAL!
★SELF = INTERNAL
"you are NOT what happened to you/ what you struggle with"
1) ALL have infinite/eternal worth as people
2) ALL are equally worthy of value, despite differences
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061517
RECOVERY PLANNING = TIME MANAGEMENT!
★recovery is INTERNAL & EXTERNAL! and CONTINUAL!
★EXPECT SLIPS; but get back up & continue even stronger than before!
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TIME= not too busy OR too bored, so to speak!
★LEARN TO SAY "NO" when a "yes" would be unhealthy AT THAT TIME!!
★PRIORITIZING: wants vs NEEDS!
"what is TRULY important in my life?"
★needs = SURVIVAL; health of body, mind, AND soul
- food, rest, hygiene, shelter, etc.
- emotional stability, mental healthy, relapse prevention, etc.
- career, finances, education, etc.
★REALISTIC to-do lists; tangible goals, sense of accomplishment/ progress
★DELEGATION: let others help you! ★HUMILITY/ LOVE/ APPRECIATION
★you CAN'T do EVERYTHING; sometimes to properly meet NEEDS, you HAVE to let others do some of the things you feel YOU must do
★FREE TIME/ EXTRA TIME: reduce stress & just be!!
★REMEMBER CHRISTMAS 2013!! ♥ THAT'S good freetime use!
★HEALTHY stress relief: you're ALLOWED to take time to do those things!! ♥
★fit prudently INTO schedule!!
~KNOW THYSELF!~
"Do the MOST with your time in the HEALTHIEST way!!"
★OVERCOME PROCRASTINATION = if it needs to be done, DO IT!
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061617 DBT =
RATIONAL MIND = Decisions based on FACTS, not FEELINGS!!!
★judges, lawyers, etc.
WISE MIND = considers BOTH minds!!
★emotional mind's biggest gift is EMPATHY! wise mind gives it PRUDENCE!!
"HOW" SKILLS: being mindful in a crisis
1) non-judgmental
- if we don't have the big picture, we tend to ASSUME?
- can be POSITIVE or NEGATIVE = labels; not always true!
- AS FACTUAL AS POSSIBLE! "same conclusion from different people" (describing a chair)
2) be one-mindfully
- focus on ONE THING at a time IN THE MOMENT!
- vigilance for YOUR sake AND others!
3) effectiveness
- what works for ME? POSITIVELY/ HEALTHILY!!
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DON'T THINK DISTORTEDLY!!!
Problem: scared of going home // horribly depressed at home
1) specific reasons WHY the problem exists
- scared of cramped, cluttered, dark environment
- no space to "call my own"
- lots of noise and virtually impossible to find quiet
- minimal access to safe coping skills/ activities
- feeling trapped, stagnant, "swept up"
- lots of traumatic-memory triggers, esp. environmental
- hyperfocus OR ostracization from family
- feel hopeless, futureless, aimless, lost
- overwhelmed by family/ church responsibilities
- feel obligated to/ dependent on serving family
- I'm just miserable there for some reason
- prone to E.D. & S.A. behaviors as a result
- unable to express myself genuinely w/o threat, danger
- high-stress, anxious, angry, noisy environment
2) possible solutions
- MOVE OUT
- isolate self outdoors? (impractical)
- spend less time AT home: travel (need $$ though, AND places to sleep/ work creatively)
- go back to school & dorm? (need $$)
- make friends & stay with them?
★ stay with dad instead/ temporarily?
- look into shelters & such
★ TELL FAM WHY I'M UPSET SO WE CAN ALL WORK TOGETHER TO MAKE A NEW, HEALTHY ENVIRONMENT!!!
★would you STILL be scared if, theoretically, the family had "moved into a different house?"
· NO = no environmental trauma triggers, possible own room/ open space/ light, NO CLUTTER, NO HOARDS
· YES = still living w/ anxious & noisy & angry people, and that seems to be the main factor?
BUT!!
-grandma would be MUCH HAPPIER in a clean house
- my bros would be MUCH HAPPIER with their own spaces & privacy
- viral would probably also benefit greatly from "non-trauma" environment
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061717 CBT =
3-Step thought records! (situation/ thought/ feeling/ rating)
★ write down thoughts = KEEP TRACK & STAY COHERENT = once written, they leave your head
★ pinpoint "what thought STARTED all of this?"
★ allows for thought-by-thought discretion: CHALLENGE them; distorted or True?
★ if DISTORTED, do the 5-step TRANSMUTE/HEAL process
DISTORTION = falsehood assumed to be truth; BODY IMAGE especially here = "FUNHOUSE MIRROR"
- assumptions based on negativity being viewed as "facts"
★ FEEL AWFUL; perpetuate vice, block virtues
★COMMUNICATION/ COMPASSION CONQUER THEM!!
★DISTORTIONS★
1) ALL OR NOTHING (no grey)
2) OVERGENERALIZATION (pattern)
3) MENTAL FILTER (dark glasses)
4) DISCOUNTING POSITIVE (no worth to)
5) JUMPING TO CONCLUSIONS
6) CATASTROPHIZING (worst end)
7) SHOULD/SHOULDN'T (obligation)
★LOTS OF "PERFECTIONISM" ROOTS: PRIDE, FEAR, DESPAIR, SELFCONSCIOUS
★VIRTUES CONQUER THEM ALL! LOVE, FORGIVENESS, HOPE, JOY! +