Tag: crisis plan

My rescue box – update

A while ago I posted about making up a “rescue box” as a tool to help me cope in times of crisis. You can read more about the principle and how the box helps here and I’d strongly recommend reading that before reading this post. In brief, the Box is a way of putting together in one place, easily visible and quickly accessible, the things that will help you cope when you are feeling bad. For me feeling bad tends to mean very upset, crying, struggling with voices and other hallucinations, and re-experiencing traumatic memories. The Box is not a cure for how you are feeling and is not meant to make the emotions go away. It isn’t intended to be a way to suppress them. Having said that, it is to some extent distraction, and a way to access tools to lower your very heightened emotional state so that you can then be more able to cope, to think, or to avoid impulsive actions that may be harmful to you. The CPN who explained the idea to me recommends it as a tool for BPD sufferers. I would imagine it could help people dealing with a variety of other situations / conditions too.

I promised an update about my box once I had put it together, so here goes. I’m new to this technique and I’m sharing updates as I go along.

I made my Box by covering a cardboard packaging box in gift wrap. I’ve started to stick some pretty things to the outside of it as well – a flower, some Hello Kitty stickers because they make me smile, a few little snippets of encouraging text – and I’ve put a little plastic pouch on top with a pretty card and a message from a dear friend. I’ll continue decorating the box with more sensory, pretty, attractive things and things that have a meaning for me and remind me of good times. I think this increases the likelihood the Box will be in my mind and be an appealing thing. (Half the problem with coping strategies, I find, is remembering to use them when the hard times come – often the distress can be so consuming I just don’t think of how to access helpful tools and techniques! Anything that helps me call them to mind has to be a plus!)

rescuebox

The contents of the Box is very much a personal thing, of course, as different things will be important to each of us. In case it’s of interest, here are some of the things I keep in mine (you can see them in the picture).

  • A couple of little stuffed animals – I’ll freely admit I am very childish! 🙂 I find them comforting and have quite a collection. To be honest, Bunny is usually next to me on the sofa, not in the box 🙂 and I collect “ty” Beanie owls and my-little-ponies. I guess stuffed toys also give a soothing tactile experience when you hold them, which can be useful for BPD sufferers. As a soothing sensation increases, the unpleasant sensation of very heightened emotion may reduce (again, I explain this better in my earlier post).
  • For similar reasons, a little bottle of scent. It’s soothing and distracting and if you are trying to control your breathing, the pleasant aroma can help you be aware of exhaling and inhaling.
  • A coaster, to remind me – make a soothing cup of tea! Drink it really focussing on the warmth and taste.
  • A special smooth, flat pebble from the beach, which is calming to hold (feeling the cool, polished surface) and which reminds me of the happy day on which I collected it.
  • A CD – at the moment it’s a CD I like with songs that lift my mood. This is a new one for me to try and I’m not sure which way it will go. When I am not in crisis, I enjoy listening to music. Putting on particular kinds of music and even dancing to it (well okay that’s a strong word – bouncing, at least!) can really pick me up. I’m not sure what kind of effect listening to upbeat music when I feel absolutely dreadful will have, but I’ll give it a go! It’s a way of trying to take an “opposite action” i.e. forcing yourself to do something “happy” or good for you when you are feeling sad and bad about yourself. The idea is this may in turn lift your thoughts. So listening to happy music and making myself move around to it might help lift my thoughts and feelings. Equally, at times music that expresses some of the anger or sadness I’m feeling can help as a way of “letting it out”.  I think I am going to trial both and then put together a playlist of favourite tracks specially for times I’m feeling down. Good job I live alone so there’s nobody to suffer for the fact that if I sing along I sound like a mouse with a particularly bad chest cold 😉
  • A favourite book I know well, which encourages me at the very hardest times, and some prayer cards with very short prayers. I can read over passages of the book, or say the prayers in my head, to repeat a hopeful and loving message to take the place of spiralling panicky thoughts, or the voices I hear telling me that I’m evil.
  • A few cards and a pen, to remind me – could I write a note to a friend? I.E., something nice to take me “out of” my own mixed up head, to force myself to do something positive, thus acting against the negative thoughts in my head, and making somebody else happy too?
  • A ball of wool – could I do something creative? Make pom poms? Do some cross stitch embroidery? Colouring?

I’ve tried to include a mixture of things that are happy and soothing of themselves (eg the stuffed animals, the scent) and things to encourage me to do something positive (eg the cards or the music). I’m also going to add to the box some pictures of my family and my close friends and my godchildren, basically people that matter to me, as a reminder of reasons to keep going and all the good things and good times that I can be thankful for – all things that can so easily be eclipsed in times of extreme distress.

So, that’s my Box! I hope perhaps this might be of interest…. I’m new to this and I will post another update about whether / how I find that it helps me.

Do you use any kind of toolkit like this to help you in the hard times? What would you put in your rescue box?

Ginny xxx

 

Crisis Plans

Last week, after the really distressing meeting on Tuesday, where I completely lost it and just screamed and screamed, I had another meeting with the same CPN on Thursday. It went quite well although I am still reeling from Tuesday. I never lose it like that when anybody else is around. I do that alone at home, usually at night, usually cutting myself before I can reach that point, because it stops some of the noise in my head for a while and quiets the fury and hurt. On Tuesday all my control methods didn’t work and the worst of me exploded. Since then I’ve been feeling both raw and outside myself at the same time.

We tried to come up with other ideas for what to do when I am extremely distressed when I am on my own, other than always turning to cutting or overdosing. The problem is that no matter how harmful those things are, they do “work” to stop the feelings (if only by stopping me being conscious!) punish myself, so bring down the emotion and enter a state of numb nothing for a while, or at least explicable pain.

One of the things we came up with was the Rescue Box, which I’ve posted about previously. I’ve committed to making that up this week.

The other things my CPN suggested were: putting my head under cold water eg cold shower for 20 seconds, to shock the body and so bring down the emotion (a bit like the lemon juice idea!), starting some activities that would give me more social interactions and so leave me on my own less, developing a relaxing routine for evenings (which I’ve got out of the habit of), and sorting out my dodgy internet access so that I can have more contact with people via blogs and similar, as well as making use of online resources for relaxation and mindfulness.

I’m not very sure how this is going to go. I’m starting with small steps, making up the Rescue Box this week and getting in contact with my internet provider.

A large part of the problem for me is that all these techniques are great ideas but I too quickly reach too high a level of distress to be able to use them. When I’m in that state, or when I have more of the psychotic symptoms (which tend to accompany higher distress), it’s as if the part of my brain that would reflect enough to try one of these techniques just shuts off. I have an overwhelming need for someone else to keep me safe and almost hold me and ground me and prove something exists beyond the fear and distress. But the PD Service seem absolutely against anything that would lead to me not being on my own in these situations (like being referred to the Crisis Team who’d come to see me at home, or being admitted when I’m overdosing etc). I’m not entirely sure why. They are written into my “crisis plan” as ways to keep me safe when I can’t keep myself safe, but when it comes to it they are withdrawn or refused. This is something I’ll be talking more to my 1:1 therapist and/or Care Coordinator about.

I guess I have to learn to discover earlier when the extreme feelings are coming – at the moment they spring up at me from nowhere and that’s terrible. It feels very out of control. There’s no doubt that as I’m experiencing more emotions, I’m becoming less stable.

I’ll post an update on how things are going with trying these techniques.

Ginny xxx