Category: Physical pain and physical health

Blank and falling

I was sent home from work today because I got to the point I just could not stand up anymore with the pain and altered sensation in my legs. I had to get a taxi home. Walking was so painful and my mind felt totally out of it and like I was ready to fall asleep or faint. I was trying to take steps but it literally was not working and I felt I was coming to pieces.

I’m scared. Things have crashed so fast. Though it isn’t fast really, as I’ve known for months that physically things were getting worse. But it feels fast, how quick I’ve gone over the edge to not coping.

The mental effects are as frightening as the physical loss of strength and all-encompassing exhaustion. I feel the room is swaying. On the verge of a panic attack for ages. Other times my mind feels frozen. My words get mixed up, the words that come out aren’t what I’m thinking or wanting to say, some stupidly substituted word or mixed up syllables comes out. People talking seem far away. I hear sounds but I cannot piece the words they are saying together. It’s scary, overwhelming noise. Thinking and speaking myself feels like struggling through thick water. The worse the tiredness and pain is, the worse it gets.

Then the worse the anxiety, hallucinations, obsessional thoughts and panic about what is in me and what everyone thinks…

I’m scared how far I’ve crashed so quickly. I’m hoping I’ll be able to find the way forward soon. Maybe with rest in a couple of days my head will feel different. I’m scared I’m going to get all shut away in my head again and lose the benefits people tell me therapy has brought me and that I was starting to see in what I can express or hold in mind.

The state of my mind right now makes me feel more vulnerable than the physical effects.

It’s weird the interaction with the pain and the cognitive struggle to keep a grip and the disconnection from reality, either shut off from emotions, drowning, or feeling too overwhelmed by being scared.

There’s so much I want to ask but can’t articulate.

Everything is slipping and I’m trying to hold on to the fact that even though I don’t have control of my mind right now or control over what’s happening to my body physically, I have a loving God, who will not leave me, whose love is perfect when we are weak; I have family members who care and some good friends who are still there now things are hard.

Ginny xxx

Crashing

This is a hard post to write.

I have not been coping physically with my job for a long time. I have really tried to ignore this. Since I started it made my pain levels worse and ever since they have kept increasing. I kept hoping it would at least stop getting worse and maybe that I’d get better at coping with it. I wanted to be able to do it. Be some kind of normal. My job sometimes helps me mentally, engaging in something creative and focusing on helping customers and giving the best service I can. It takes my focus outward which I’ve long believed is really important in staying well. The tactile aspects of my work, handling the different fabrics and trying to create attractive displays, can in themselves be grounding and soothing. Additionally, it’s an area where I can try`to do some good and not feel useless. (I know that’s something I need to work on, how connected my sense of worth is with others’ outward perception of me, but I can’t deny it helps for the time being.)

Now I’ve come to the point of crashing completely. In the last 3 months in particular my pain and physical weakness has increased faster. Since around the time of my operation I guess marked a real down-turn physically and it was to be expected really that  my fibromyalgia symptoms will be worse for a while afterwards. Everything is worse really, my back problems (I had a slipped disc years ago), arthritis…

I know I haven’t really talked about it so maybe this sounds weird. Whenever I talk about my physical health I worry it all sounds stupid, nobody would believe me, I’m a fake and I should just get on with it and everything’s my fault. (There’s a lot I have to work on there too, I know.)

I feel like I’ve crashed suddenly. Gradually it has got harder and harder to – move, to put it bluntly…  Getting harder to get through the day….harder to be able to get home, having to sit and rest, and crumpling as soon as I get in, lying down most of the evening… Today I have had to spend most of the day lying down. Pain and shakiness in my legs makes any standing and walking really hard. My legs are cramping and jerking out of the blue. I can’t feel in my right foot normally and at the same time the pain is really bad through my lower back and hips, worst on the right… I’ve had all this before although not as bad, but I am very scared right now. I feel scared and shaky and lost and so tired. I slept a lot today too. My support worker came this morning and I was so tired I was struggling to literally get words out.

So I find myself admitting again that I am probably going to have to leave this job. The physical deterioration from trying to meet its demands is too much. I have tried to look into reducing my hours but it does not look as though this will be possible. I;d have to massively reduce them in any case. My manager has been kind and understanding in her approach but has to follow the sickness absence procedures set down by the company. Since I have been off sick 4 times within a 6 month period, this is flagged as a problem. I can well understand that it is not fair to colleagues to be off too frequently and I know myself that I am struggling more and more with daily tasks, which is increasing my anxiety and in turn my psychotic thoughts and my fears about what colleagues are saying and thinking about me and making it harder to cope with the hallucinations and all the mental struggles of every day.

Outside of work the effect is great too. Not only are the pain and mobility problems an issue, but I have no energy or coping resources left to manage day to day tasks like keeping my house clean, keeping in touch with people, doing positive things to bring a balance to life outside work, or perhaps most importantly right now, giving the energy to therapy and recovery that I need to. The months I have left with the PD service are precious and working on making use of my individual and group sessions is demanding. I want to be mentally “present” for it, not shut off protecting myself because I’m desperately trying to cope with pain and utter exhaustion.

I’m going to be referred to Occupational Health so I await to see what they will suggest.

ergonomic occ health

I also have to follow my doctors’ and my support worker’s advice. I believe they would all prefer me to reduce my hours. My support worker definitely thinks so.

The one thing that ironically, in a twisted way makes this situation possibly not quite so bad, is that I may actually not be worse off financially working fewer hours or not working at all. I want to talk about this more in a separate post shortly. It’s a bizarre situation that doesn’t sit well with me. At the moment I am struggling in pain and making myself physically worse every day, working part-time, earning just above the minimum hourly wage.  I receive less than £10 per week help towards my rent, I am not entitled to any help at all with things like council tax*, and although I was initially assessed as eligible for a small amount of tax credits, this decision has now been changed and I have been told that I am not entitled to any.  Now, I strongly believe that it is morally right to work as much as I can and not to expect to receive handouts when I could be earning myself. However, what I cannot get away from is that on my current earnings whilst I am working as many hours as I can (well, I have to admit now, more than I can) I cannot live. I do not have enough to cover basic bills and simple living costs and I would not be getting by if it were not for regular help from my family and even occasionally my very good friend who has lent me money for grocery shopping when money has been tightest.

Not only can this situation not go on – I am over 30 now and I simply cannot go on needing financial help from my dad; I have to support myself – but the cost of this job physically is just too much to go through to still not be able to live. It is painfully ironic that because if I were not working or were working fewer hours, for example for a few months or so whilst I complete my therapy, my financial situation would actually be more stable because of the greater help I would get towards rent and living costs. That makes me really really uncomfortable and it isn’t right. Yet I have to be able to live.

It isn’t the main factor that has led me to this point. If I were coping physically I would keep going and if I could I would see if I can increase my hours. But I’m forced to accept that just isn’t so and physically things are not good right now.

I feel really worn out and vulnerable right now. The last time I was so low physically, about 7 years ago, I didn’t feel so afraid or sad. I wonder why that change has come. Perhaps I feel more responsible now. Perhaps I am sadder about potentially leaving my job because there are aspects of it that I genuinely like this time. Perhaps I feel more of a failure that this has happened again.

I need to focus on the good things that could come out of it if I do have to leave. My health problems are not life threatening or anything that serious and so many people are going through much worse, much more medically severe, perhaps without friends to help them and understanding doctors. In moments I can see that there can be ways that in the next few months I can try to turn things around.

I don’t want anyone to feel bad for me. Tonight I just needed to get all this out and admit that I’m scared.

Thank you for listening. I can’t imagine where I would be right now without this blog and the support of you lovely people who read and care and comment. There’s so much more I should say on that. I hope you know how much you mean to me. Hugs xxx

Ginny xxx

(*apart from the 25% single person occupancy discount. For non-UK readers, council tax is a roughly monthly fee payable towards local government spending like policing and other emergency services, refuse collection, some elements of care for vulnerable people, etc. Most working adults pay council tax. The amount payable depends on the value of the property you live in.)

Image not mine, sourced on the ever useful Google – I am afraid I do not know the artist (it says in the top left I believe but I was not able to expand it to read it.

Finally online!

Finally online!

It feels as though it has been a long wait but finally I have broadband at home. Yay! Now gradually I will be able to get caught up on replies owing here. I’m looking forward to being much more able to visit your blogs too. Thank you for your patience with me during the past weeks of problems with connection and posting.
I’m not too well physically at the moment so I am sorry that it may still take me some time to get caught up.
Hoping you have had a good day.
Ginny xxx

Lost and hurting

[WARNING: this post contains content that may be distressing including mention of past abuse and things said and done to me by my abuser; it also reflects my very distressed and confused state. If this may be upsetting or unhelpful I would suggest giving this one a miss.]

It’s been a really bad day.

I’m sorry I can’t post quite what I said yesterday that I would although this is quite closely related.

I can’t do anything right now really. I’ve never felt so lost and fragmented. My thoughts are racing but I can’t get them into words. I’m freezing cold. I literally feel far from everything real. I tried to go for a walk to calm down. Everything around me – trees, people, sounds of talking around me, the ground – seemed to be existing and happening further away than usual behind a screen. The pain and exhaustion is intense and shattering.

Something inside me that was the last thing pushing me forward even in the mess things are, seems to have switched off. I can’t do anything. I don’t want anything except desperately wanting someone to hold me. I don’t know for sure what I feel apart from lost.

I feel a total failure. Failure as a friend. Failure in what everyone else can do. Failure as a Catholic. Failure at being. Not enough.

My friend told me he’s known for years I’m angry. That terrifies me. I have done everything to stop it getting out. I stopped eating. I cut myself. I overdosed. In the end it came back to stopping the evil getting out of me. It didn’t work. Everything I feared. There are evil things in me I can’t control. They got out when I was a child. What my mother said is coming true. I can’t even hurt myself enough to stop it getting out.

He said I’m too angry to let God in; that I don’t want God to love me,  I always want there to be a barrier, I won’t let God love me.

But I thought nothing could stop God’s love. I so want to love God. It has never occurred to me to think I don’t want God to love me. I don’t think I please God and I don’t think I love Him enough and it is very hard to truly believe He does love me. I find it very hard to think He does want me and I’m terrified whatever i do, in the end He’ll reject me and everyone will see how bad i am and I’ll be damned. But to think I don’t want God to love me? It terrifies me.

The thought terrifies me constantly that my real desires and motivations are evil however much i want them to be good and even when I think they are good. That God knows and other people know they’re bad really. That it’ll be exposed sooner or later. That it means I can never be loved and never be good.

Just like when my mother told me, she’d be taken away because of me or whatever she was threatening at the time, I’d fool people it was because of her but she’d know and I’d know it was all because of me really. Nobody would believe a child could be that bad but really it would all be because of me. When all along I didn’t know what I’d done wrong and desperately tried to do what she wanted and needed, it turned out that was how bad I was really. I took in totally on board.

And – they’ll know you enjoyed it, she’d say after she put her hands in me. They’ll know you wanted it and you enjoyed it. Mind you don’t do that,  don’t breathe like that,  or they’ll realise. It hurt and I was frightened but she told me they’d realise I wanted it. It plays over and over in my mind now. The thought that I wanted it, is  as bad again as what she did. And when she had me do things. You love that don’t you, you really like it…. I wonder if anyone’s listening. ..no one would believe it’s all because of you, daddy and I would be taken away and you’d be sent to a special school for morons. Are you a moron?

Another time, just because i couldn’t do something – Look, this is a toddler walking rein. This is what you put on babies when you go out. So if you’re going to pretend, we’ll put this on you whenever we go out so everyone knows you’re a baby.

As a kid I knew I was evil. But even as a kid I wanted to be loved. I wanted it but I knew I was too bad really.

I’m fragmenting now.

Now my friend has said I don’t want God’s love. I don’t want a relationship with God. I want to put up barriers. I’m too angry. I didn’t think it was possible not to let God love. My only hope was we can’t stop God loving. But he said I refuse to receive it. What I feel is shaken and darkness and alone and losing one by one everything that gave me any stability at all. I try to read the Bible and I feel fear. Where I should feel hope. Where my friend tells me i should feel hope and joy and I just have to keep on doing it and i have to make the choice and if hopelessness carries on it’s a choice. My friend said he doesn’t think I’ve really tried to pray. That I haven’t kept doing it. That if I don’t feel hope I have to stir myself back up to it. That it works for most people so why would I be different, why wouldn’t it work for me? I repeat words I cannot believe and promises I cannot feel and try to follow a God I cannot find, I am twisted inside trying to act against everything I feel and say only what I want to believe but isn’t real in my heart.

I am completely lost. The relationships that meant most to me all broke down and it turned out I’m not a good enough friend, that when I was trying everything I could to do good and to keep all the frightening horrible evil things inside me, I was just a burden.

I have lost any grasp on what I can trust. I’ve lost any grasp on my faith. I think I desperately want my God – i thought I did, at least that was sure, although I found it impossible to believe He could want me. The terror of the harm I do and the evil that will come out of me and knowing I can never really know if I think or mean or want what I think I do, was too great. But now I have been told I don’t even want God, am too angry to want God’s love. I’m utterly shaken. Have I never had any faith. …if despite everything I really don’t even want God and everyone but me knows that then I’ve never had any faith and I’m lost.

This is absolute pain now. I cannot function. I am so frightened.

Ginny xxx

Do you think hope is a choice?

Two things were said to me yesterday which have given rise to strong feelings and thoughts for me.

The first was that hope is always there and it’s a choice and we choose whether to accept or deny it.

The second was that healing of even awful pain is possible but we have to want it.

These statements and what they imply and the thoughts they lead to are very hard for me.

Tomorrow I will post again on this topic. For now I’m really interested to know what you think. Do you agree? What do you think? Do the statements imply particular things for you or give rise to strong feelings?

I know it’s a bit strange without the context but I did not want to cloud the issue with my own strong interpretations and what I felt. Tomorrow I’ll write about that…but first I’m really interested in any thoughts you may want to share in the comments.

Thank you.

Ginny xxx

Not my day off

Today has been demanding. It’s one of those days that seems too much to have been only one day. I got big stuff done but also I’m losing time in unsettling ways and I know I was dissociating a lot between the different tasks and meetings I had to do, slipping out of being engaged with what’s going on and what I’m feeling and struggling to come back. Nevertheless I got through quite a few challenges.

Last night I knew I needed to tidy and clean my flat. My support worker was coming today. Also I hadn’t been on top of the housework since my operation and it was bothering me more and more. Recently I’ve started to find a greater sense of order and calmness if I don’t have too many things disorganised around me. This is interesting because til now, I’ve tended towards accumulating things I don’t need and not being able to keep my house ordered, not exactly hoarding but not being able to face items and paperwork and household tasks without going into panic.

Yesterday I was very anxious about today but put some of the physical drive from the anxiety into cleaning and then went on to clearing out some of my cupboards. By late evening I’d cleared 7 big bags (between rubbish and charity shop) and set 3 more big bags of things to try to sell at a car boot sale. The fact I don’t have a car for the boot element of that plan is potentially problematic 🙂 but there are the odd few table-top, largely indoor, sales in community centres / church halls here in the summer and I’m hoping I can find one to join in.

Today was a struggle to get up. Everything hurt. Still, I got together the papers I needed to show my new support worker (more on this tomorrow), then it was off to my care coordination appointment with my CPN. This wasn’t easy to go to because, although my last appointment was okay, in the two previous appointments I’d been really distressed and felt I didn’t get heard when I was desperate and at risk. Today’s appointment was actually really good. We looked at some DBT skills and we did a review which was overdue (every 6 months or so is a review appointment). I’ve not yet felt able to discuss with my care coordinator exactly what went wrong in the difficult appointments earlier this year when everything was going to pieces. I’m scared I’d lose control and the feelings of anger and not being believed would return and I’d do bad things and be back where I was. However my care coordinator and I have managed to move forwards having 2 positive appointments. I was scared after what I’d done – how upset and angry I’d got – he wouldn’t believe me or want me anymore and they’d know how bad I am and that I didn’t deserve help. That hasn’t happened. That’s something that I don’t usually get to experience.

Straight after my care coordination I met my support worker, H., who is from a housing support charity I was referred to recently. He is going to help me sort out my benefits like Housing & Council Tax Benefit, Tax Credits and disability benefits,  as well as liaising with my landlord about the rent arrears that I got into when I lost my job last year. It was a long appointment. We went through the background to how I’d got here, financially and in terms of my health, and we looked at lots of documentation, my income and my benefit and Council Tax notices. This took a lot out of me and I came so close inside to panic and losing it and emotions shooting too high. H. was very calm and non judgemental, which helped a lot. (More on this in the next couple of days.)

Then I had to rush to my GP appointment, which was the first since I’d been very distressed and angry at the surgery a couple of weeks ago;  also the first since my operation and finding out endometriosis isn’t actually the explanation for my pain and gynae issues. I’m still working through what happened in today’s appointment. I was dreading going into the surgery because I’m still terrified of what I did and how much I lost it. I was ashamed and embarrased and knew that they probably didn’t want me around again. I knew I’d really upset and inconvenienced and disturbed people. I’d scared people. That’s the worst thing,  the harm I caused, the bad I’ve always feared getting out of me. Talking to the GP  and discussing what happened and then also talking about my physical health was really emotionally charged.  It’s hard trying to deal with a lot of uncertainties about my physical symptoms. I know not having endometriosis is a really good thing but not having any explanation for all the things I thought it explained, and the fact the doctor isn’t really interested any more in investigating what may be wrong – well, that’s hard and triggers all my fears that it’s all in my head, I’ve made it up or I’m mad, it’s my fault. …

After the GP it was off to the pharmacy with my prescription, then finally home.

It’s been quite a day. I had a soothing bath tonight. Today was the first day I could have a bath since the operation (don’t worry I promise I did still wash 😉 !). The doctor sealed the wound with dissolvable stitches so it was important not to soak them in water too soon or they could have come undone. Also it was not safe to try to get in and out of the bath whilst my mobility was further reduced with post op effects. Falling is a risk for me anyway because of the problems the fibromyalgia and arthritis cause in my legs. So, tonight was a good little relaxation and refreshment. The little things do help!

How has your day been?

Ginny xxx

 

A closing drawbridge and a silent cry: too much; too big

 

A closing drawbridge and a silent cry

Eating disorders and personality disorder

My body becoming too much

WARNING: this post contains potentially triggering content on the topic of eating disorders, weight, body image and emotions. Please proceed with caution. Please note that in this post I express my distressed thoughts about my body and the relationship between my body, needs, emotions and relationships. I’m aware that a lot of these thoughts are part of my personality disorder and historic eating disorders. I am not advocating or encouraging these perceptions and feelings but describing what the process of trying to live with my body and face emotions is like. I think the stage of therapy I’m going through is bringing a lot of this distress to the surface. 

My body is changing. It’s out of my control (or so it feels, though the angry punishing eating disordered voice in my head says it’s me that’s out of control – disgusting fat b*tch – and my own disgusting failure).

I have gained so much weight in the past 2 years. I have tried hard in the last few weeks to lose and done all the things that used to be my trusted go-to solutions, with the exception of using illicit medications. I have failed and no matter that I succeeded in restriction, my weight has hardly dropped. If anything, now I feel more out of control. Sometimes I wonder if any of it is to do with being in my 30s now (quarter aged spread instead of middle aged spread?!) and my mobility being poorer with so much physical pain just now.  But that does nothing to justify the gain or calm me. Many people taking the medications I take report weight gain as a side effect even when restricting.  I think it increases my appetite but I know so does my need for comfort and my lonely emptiness and my…feeling. Feeling that’s dangerous and unchecked and explosive.

Anorexia meant I was never alone. I was cold and numb and empty and hurting, but needs and unbearable feeling stayed where they belonged and I dissociated, living somewhere whiter, higher, safer, always with the twisted pleasure of bitter success in my spiral to greater protection and greater weakness. Anorexia was my companion, that reassured me all would be well if I did not deviate from this path,  spurring me on with wild energy to control and deprive and make dangerous need and demands unreachable. Soon enough I would detach and dissociate totally then maybe disappear.

Anorexia left me. Abandoned me. I failed yet again. Just like my friends, even my family, my protector and guide left me. Found out I was a vile disgusting greedy failure, undeserving of that whiter place. Anorexia too abandoned me, and sped away to a place I can no longer reach, now that it is proved yet again that really the evil inside consumes and demands and if anyone else thinks differently, it’s only that I’ve tricked them into staying and caring. They’ll leave soon, when they find out.

I could take it if it were only for my protection that I needed my friend anorexia. But the thing is, it was to protect everyone else, first and foremost, from the danger and “too much” “too big”that I am. Without my friend I hurt beyond control and I hurt others beyond control.

I look in the mirror and I’m frightened and recoil from what I see. I wish I could rip myself away from the “too much” in the presence that I see, hating every part of the space I occupy, the weight, the body that absolutely does not seem to fit together right and screams too much, too much. I cannot escape. I cannot get rid of this body and these needs. I cannot stop what it contains, the out of control, the demanding, aching. … alone without my friend to starve and cut and numb and leave this place, I cannot stop the damage I will cause to everyone I so care for and so wish to save, protect and love.

Ginny xxx

Carers who really care

The doctors and nurses who looked after me when I was in hospital for my operation last week were fantastic. I owe them huge thanks. It was really busy on the ward the two days I was there, probably all the more so because a lot of surgeries had had to be rescheduled from the previous day. From my arrival, they were sensitive and compassionate. I was there because of my physical health but they knew about my mental health as well and we discussed it during my assessment when I arrived. The nurse taking care of me took time to be really aware of how both my physical and my mental health issues were affecting me and to enquire about whether I was getting the help I felt I needed and would be supported once I returned home after the operation.

It was a minor op but still daunting to me. The nurses and doctors’ compassion, communication, availability to answer questions, even simply their general presence, genuinely doing all they could to help, made such a huge difference. One nurse even taught me the instant ice trick!

I wasn’t an emergency, an urgent or complicated case, thanks be to God. They treated so many people in those two days, most of whom I’m sure needed much more care than I did. Yet they still had time for me.

I am so thankful for these people who give so much.

Ginny xxx

Walking this Borderland #11: ice and lemon?

[Warning: the last 2 paragraphs under the *** contain discussion of self harm]

I know I’ve banged on about this technique elsewhere  in this blog but I just realised it may be a useful tip to add to the collection of coping strategies I’m trying to build up  in this Borderland series. Also, last week I learnt another similar very effective tip which I’d like to share. Thank you for bearing with me through the first two paragraphs if you’ve read my previous posts mentioning this topic.

In Borderline, regulation of emotions is difficult. States of emotional arousal shift quickly. Emotions and the intensity with which they are experienced can change rapidly and yet quickly become all consuming. The instability doesn’t make the emotions less real. Emotions may rise more quickly than they do in people without Borderline PD and stay at the higher level for longer. Equally, those of us with Borderline may suddenly enter emotionally numb or cut off states.

Both extremes can be dangerous, in my experience. Both can quickly tip into dangerous impulsivity, recklessbehaviour and decisions, self harm, suicidal intentions, explosive emotions and higher and higher states of distress. In either state we can’t explore our feelings and thoughts or other people’s feelings and intentions. Most coping strategies or systems of value that keep us strong, or protective factors like caring about other people, or religious faith or other beliefs that give us hope, become inaccessible in these states.

We need something that changes or emotional state so that we are able to reach again for these strengths and beliefs and strategies. One thing that can do this is giving the body a (non harmful) shock or surprise. We can only experience a certain number of sensations at once. A sudden strong physical sensation can serve enough to slightly bring our emotions away from the extreme. Once our emotions are coming away from the extreme, and only then, can we access other thought processes and coping strategies such as self soothing or the rescue box.

My top two ways to create this shift are as follows:

  • Lemon juice: lemon juice is a sharp sour taste. Take a couple of mouthfuls of neat lemon juice. You can even keep a small container of lemon juice in your bag when you’re out (easily available in supermarkets, eg the plastic “Jif” lemons).
  • Instant ice packs: I just discovered these! A really helpful nurse have me one when I was getting panicky in hospital last week after my op. I find this more effective and more practical than holding ice cubes, which is another alternative. Instant ice packs are really small and light, containing little crystals which activate to become cold when you squeeze and shake the packet. The tactile aspect is another helpful distraction too. I’m going to try to get some more. They appear to be available online from about 50p each, though I haven’t tried and tested any sources yet.

It sounds crazy, but the sudden ice and lemon shock does work. (Note to self, don’t follow the ice and lemon with the gin every time 😉 ! Remember to stick to Cola. Joke. No offence intended.)

Other potential ways of achieving the same effect include chewing small pieces of chilli (not too much and make sure you aren’t allergic first!), putting mustard on your tongue, or putting your head under a cold shower. The lemon and the ice are just the ones that work best for me and that I find most practical. I can use them even when I’m out or away from home.

This isn’t intended to be a long term solution but a short term way to keep safe and regain some stability. After you’ve used one of these techniques, you may then find you’re in a position to use other coping strategies once your level of distress is reduced (self soothing or mentalisation, for instance).

****

Incidentally, I wonder if there’s ever a link between why these techniques work and the drive to self harm. I say this with caution because it’s a sensitive and painful thing and what drives someone to self harm will be different for each person. For me, sometimes there’s pain, loss, need, anger, or self hate, or needing to hurt myself so I don’t hurt anyone else, or needing the physical pain to numb and quiet the noise in my head and voices, or to know what the physical pain will almost faithfully be as it stills some of the much more unbearable mental pain for just a little while. For the next person it’ll be different.

One CPN I talked to describes the ice pack and lemon type techniques as safe self-harm. It’s a shock, a not pleasant, over powering physical sensation. Personally I don’t see it as similar to self harm or at all a way of self harming safely. Nor do I think it has in itself directly reduced my self harming. I don’t think it’s yet something I could do to avoid self harming once I’m at the point I’m about to self harm, although perhaps it does stop me reaching that point in the first place. However I think perhaps I see some of the point the nurse was making, in that the ice or lemon shock serves to still and control the emotion a little bit. Maybe part of why I started to self harm was needing to control unbearable emotion.

Anyhow.  When life gives you lemons, as the saying goes. …

Ginny xxx

 

That should have been me

Do you ever feel that someone else’s place or circumstances should have been yours? That you really wish you could swap, or take for them what they are going through? I am not talking about good things, more about difficult things. So many times, when someone I care about is suffering, I’ve wished that I could take for them what they are going through. I guess that much is natural, when we care for someone, particularly with parents and children – I’m not a parent but I imagine loving parents would probably willingly take suffering themselves to spare their children’s suffering. Weirdly, I get these feelings with people I don’t really know. I can get really strong feelings that I should have been in their place, that it should have been me, not them.

When I was in the hospital for my operation last week, there were several of us on the ward having similar procedures. Lovely NHS blue curtains round the beds are fine for privacy in visual terms but do nothing to stop you overhearing what is going on, much as you really try not to! So, I ended up gathering that the lady in the next bed, about the same age as me, was having the same operation as me for suspected endometriosis. We both went into theatre and both came out and the doctors came round to see us to tell us the outcome. I’d gone in expecting to be told I had extensive endometriosis and that it had grown across my bladder and potentially other organs. I’m single and I do not want to have my own children. The lady next door to me had a (from what I saw) caring, loving husband or partner and I gathered that they were at the stage to consider starting a family. She didn’t know what to expect in the op. We both came out. I got told that there was no endometriosis. She got told that she has severe endometriosis, it has grown through her other organs, it was so severe they could not remove it in that operation and will need to do another more complicated operation, and if she wants any chance of having children it’s very unlikely and she would have to go through freezing eggs and having IVF. She was so astoundingly brave, talking to the doctors and talking to her husband / partner, I was stunned, but she has this shock and loss to face of likely not being able to have children.

Now – apart from acknowledging the fact that I have distinctly too big ears and need to stop being such a nosy moo (bring ear plugs next time!?) – I instantly felt that my place and hers should have been swapped. I should have been the one to have the endometriosis. I’m single. I don’t plan to have children, for so many reasons. I knew that already. I expected endometriosis. I’d not really have lost anything if I had it. She has a partner and they love each other and probably wanted a family and she’d have been a lovely lovely mum.

I didn’t know her and I’m sure I’ll never cross paths with her again but I cried and prayed to God, that should have been me. It should have been me, not her. It hurt.

Frequently, I get this strong feeling that it should have been me. It happens with friends, where I really wish I could, and feel I should, be able to take on pain that they are going through and go through it in their place. It also happens with people I barely know. Possibly it’s connected to times I dissociate, or my feelings that I “shouldn’t have been me”, shouldn’t have been who I am, I’m not real, everyone knows my thoughts and intentions are something other than what I think they are (something bad) – but this is different. Feeling I should have been in the other person’s place when they are suffering… that I wish I could take it on for them… that I want to take it away from them (but it’s more than that)….

Is that a typical Borderline Personality Disorder feeling? Or typical of Personality Disorders in general? Do you ever experience these feelings?

I’m sorry this is a badly written post.

Ginny xxx