Tag Archives: Coping skills

Where have I been?

Image: cartoon of several people sitting in chairs. Group therapy.

I have several chronic conditions: mental health, type 2 diabetes, sleep apnea, hypothyroidism, hypertension. I am on 9 medications. I was wondering if there is any type of holistic treatment that could help, and searched different terms in my insurance directory. I came upon a mental health facility that is holistic and integrative. They have a nutritionist on staff. It wasn’t exactly what I was thinking but it looked helpful.

I saw the psychiatrist and he is a bit different but I like him. He changed my diagnosis from schizoaffective to major depressive disorder and anxiety. He seems sure I was misdiagnosed. He decreased my antipsychotic, I am on a baby dose that is more of an adjunct for depression, so far, so good. I

Image: Stethoscope with words Transcranial Magnetic Stimulation

They do a type of Transcranial Magnetic Stimulation called MeRT. It took a couple of months but my insurance finally approved it. I had an EEG yesterday. They use the EEG to determine how to apply magnetic therapy. I may start as soon as tomorrow morning.

The therapy helps bring your brain waves to calm, alert alpha waves. You can get there through coping tools like mindfulness and meditation but this works much faster. I have had anxiety Al, of my life and it impacts me daily. I am really hoping this will help. I use a lot of stress reduction techniques and have been trying to expose myself to things I fear.

I spent 5 weeks in Partial hospitalization all day M-F. Now I am in intensive outpatient 8:15-11:45 M-F. The next step down is 3 days/week, then I am done but will come in for MeRT. I think the routine and structure help. I am learning a lot. You can’t drink alcohol while during MeRT. It is M-F daily and 36 sessions total.

You come up with a daily schedule but I have trouble sticking with it once I get home. I was supposed to come up with a meal plan but I don’t know how. I eat, mostly low carb, but I don’t really plan my meals. I keep snacks on hand and my husband usually makes dinner.

My fasting glucose does not match my A1C. My A1C is normal. I am trying a continuous glucose monitor. I like it but it show high readings, too. My dr thinks donating blood gives me a false low A1C so I am having another blood test in a few months and not donating. I am thinking of volunteering for the Red Cross at the donor center, but I am having trouble hearing. I am getting the wax cleaned out of my ears soon and try to get on a schedule so my hearing aids can work.

My week

Image plane in flight

I tried hosting a session on sharewell, sharewellnow.com, a site for peer support. My session was supposed to be on coping with psychosis and/or mood disorders, but no one came so it was cancelled. I am going to try another session sun 6/26 on Coping with Social Anxiety. Hopefully, someone will come. https://sharewellnow.com/session/c7aba3cd-0dcb-44d5-b36a-1ed85d28eefe

I went to visit my sister in Boston for a week. It was fun. We saw some historic sites, had great meals, and just hung out. I talk with her all of the time, but it is different being in person. I actually adjusted to the time change, 3 hrs, pretty well. It was a direct flight which made it easy. I know nothing about flying, forget to take out my ipad from luggage at security point and take off shoes. I couldn’t figure out how to stream video. I slept, looked out the window and waited. I had rides to and from airport that went smoothly.

I am having more insurance issues. My therapist from last year emailed me that she did not get reimbursed. She is billing the wrong insurance company. I explained that and that I am stressed with the new insurance company. She was nice about it, said she will not bill me and will get back to me.Speaking of insurance, I have to have a root canal and don’t know how much will be covered, I am seeing an endodontist.

I posted on Reddit that I am frustrated with my hearing loss. I turn up my hearing aids but still have trouble understanding speech, an audiologist replied that I should not be turning them up and should wear them often. I am wearing them around the house today and I can hear. I will see how it goes at work next week,

Update

Image: Yellow smiley face

My therapist was able to fit me in with a phone appointment on my lunch break Monday. He validated my feelings which helped a lot. Then, he gave me cognitive behavioral therapy homework to find evidence about being worthless, a failure, etc. There is no deadline. I don’t have a scheduled appointment. I will let him know if I need an appointment. He is going to retire soon.

Then, I talked to the assistant to my boss, I don’t know her title, and told her how I have been feeling. She said she has had no complaints from anyone about me. That helped, too. I made sure to document my encounters this week and this month already looks better.

I have a LinkedIn friend, I don’t know if we have met ever, who volunteers in my field. She mentioned she was looking for work. I told her we had an opening, part time and how to apply. She jumped on it and got the job. I think today is her first day. I hope it goes well for her.

I saw my new psychiatrist. He works in the same office as my last one, but he is covered by my insurance. I don’t know what to think of him. He barely spoke to me, just checked boxes while I talked which was off putting. He took a personal call. I am maxed out on the meds I take and he thinks my antipsychotic is too high, so he decreased it and told me how to taper down. No one has wanted to change my meds because they are working. He does not want to see me for 3 months.

I am a little worried I will destabilize in that time. When I made the appointment for August, I asked if they can switch me back to the other doctor when they get the insurance worked out. They put me on a list.

Sad

What do you do when all your coping skills only help a little?

Image view of blue sky from hole in ground

I am in a pit. I know it will pass, but it feels agonizing. My dog and husband try to comfort me, it helps some. I had thoughts of not existing but I have decided against that. I am here to stay, even if I am miserable. I want to quit things that cause me stress. My husband wants me to wait a month to make Important decisions.

I am not sure what I would do with more free time. My therapist moved my appointments further and further out because I was doing well and had trouble coming up with things to talk about. So, he moved me to “as needed”. Now, I need it but I have to wait for a time he can fit me in. I see my third psychiatrist this year next week. My insurance has been denying claims.

If you have any tips on how to ride this out please comment

Brain Hemispheres and the Rest of My Week

Image Brain: colored hemispheres , right pink, left blue

My therapist emailed me this link on a man who learned late in life, through therapy,  how to use his right hemisphere and feel.  I asked why he sent it to me and he said he was sharing the importance of working with the right hemisphere. I am still confused.  Does he think I don’t use half my brain, that I am unfeeling? I see him Wednesday.  I am not sure if I should ask more or just let it go.

https://www.psychotherapynetworker.org/blog/details/1245/its-never-too-late

I have a cold. I took a test and thankfully it is not Covid. I left work early the other day and have been taking it easy. I will be fine before Monday.

I was contacted on LinkedIn to write something on anxiety for choosingtherapy.com.  I wrote a bit about coping skills.  I hope it is what they are looking for.  If anyone is interested in submitting a story,  this is the submission link https://www.choosingtherapy.com/share-your-story/

I don’t know if I have a psychiatrist. I have new insurance and mine is not on the provider list, but I filed for continuation of care which was approved. So, they agreed to cover him. Now, they are asking him to file more paperwork than he is comfortable with. They denied 2 claims. He is only charging me copays. He called my insurance provider , I called, but I have not heard anything yet. I am supposed to have an appointment this week but he will cancel if it is not covered. I did get the name of a psychiatrist on my insurance who is taking new patients but I don’t know much about him, except that he charges a lot if you don’t cancel 24 hours in advance.

My friend turned me on to a hair product. The company is Olaplex. My hair frizzes and it helps tame the curl. I am 57 and finally learning to manage my hair. My daughter has beautiful spiral curls. I just have waves but at least it is not frizzed. I don’t have any stock in the company and I am sure there are other similar products, I am just happy I found something that works for me. And, it goes with my showering habits. I wash my hair 1 x / week and shower without dealing with my hair in between.

They run support groups where I work. I asked about starting a harm reduction or moderation group or SMART Recovery, but they said they are full and they seemed to equate 12 steps with recovery with no other options. They said they will get back to me.

 

 

Trauma Responses

Image with Trauma Responses: Fight, Flight, Freeze and Fawn with features

We have all heard of the trauma responses Fight or Flight. But, what about Freeze and Fawn?

I grew up in a dysfunctional chaotic household. I never fought but I put the other responses into use.

I would freeze, get quiet, stay out of the way and try to be invisible to avoid any emotional or psychological abuse. It did work, in a way, but I was also overlooked.

I would fawn, people please to the point that I don’t know what I want. I sought external validation.I still don’t feel that I am good enough,

I would take flight and stay away from home as often as I could. I escaped into drugs and alcohol. If I could not physically get away, I would dissociate (space out).

Now, I am safe but old coping skills are hard to change. I have to make an effort to stay present, to think about my wants, to set boundaries.

 

 

Sensory Coping Skills

Image: essential oil inhaler, sock, modeling clay, lemon heads and phone with image of bedroom with dog

My health insurance changed, so I have a new therapist. I have seen him twice, so far. I am doing well, so we may move to monthly appointments.

He went over some sensory and other coping skills and assigned me to get items. I have a post “Coping With Schizoaffective Disorder” https://lorib434.wordpress.com/2017/03/20/coping-with-schizoaffective-disorder/ These are additional tools

The first is a calming essential oil, like lavender. I don’t like that so I got chamomile and an inhaler. I was skeptical but I enjoy the scent.

The next was a photo of a safe scene.it could be a place in nature, whatever you feel is safe. I took a picture of my bedroom with my dog. That is my safe place.

Music. Something relaxing like rainfall or ocean waves. I found some nature sounds on YouTube.

Fabric, an item that is soft to hold. I bought a fuzzy sock at the dollar store.

Lemon drops or sour candy

Some other things he recommended:

Box breathing (inhale for 4 seconds, hold for 4 seconds, exhale fir 4 seconds).

Exercise

Watch a funny show

Take a shower

Throwing something safe, like modeling clay

I told him I did not think I would do the throwing, but he encouraged me to try them all.  I bought clay but have not tried throwing it yet.

 

When I told him I have trouble getting in the shower. I don’t like to get cold. He asked if anything had happened in a bathroom or shower. I did not go into details but told him yes, when I was 8 years old. He told me to have all the coping tools and journal from the perspective of an 8 year old. I don’t know how to do that, so I journaled what I remember. I think the tools helped me stay calm. I don’t believe that has to do with me having trouble with showers, though.

My Week

Image: Yorkie with words you just won a free pet portrait from I’ll shoot your pets a $250 value!

I was at a Halloween event at Hala’s Paws pet store in Mission Viejo, CA. I entered raffles and won 2 prizes. A Target gift card and a photo shoot of my dog by I’ll Shoot Your Pets located in Temecula, CA. They came over to my house to take pictures bringing a toy and treats to get his attention. Raider was pretty cooperative, but grew restless by the end. He was laying on the couch so the photographer took pictures of him there. The pictures turned out great. I had the choice of a large canvas photo, 3 8×10 prints or a ceramic mug. I have a large picture my niece made with pastel on wood, so I opted for the 8x10s. Here is the link to the photos.

https://galleries.page.link/Q9XLV

I own a small amount of shares from a company I used to work at in the 1990s. I received a package in the mail of documents that they want to buy the shares back. I want to sell. The only thing is I misplaced the certificate and it is over $100 to replace it. Then I can sell and make a small profit. My friend says it does not sound legitimate. The company is definitely buying the stocks back. He just thinks I should be able to do it all electronically. I have never sold stock or tried to replace a certificate. I have the holdings statement. I am going to look through our files this weekend and try to find the certificate.

The hearing aids are in limbo, my primary dr got them authorized but it is not with the right company, so they are working to get that straightened out. I will have them by the end of the year. I just don’t know when. They can’t order without the insurance authorization so for now I am just waiting.

I am going on a walk for NAMI Orange County, CA tomorrow. I am bringing a friend and will see people I know there. I have a fundraiser on Facebook and the Nami walks website. I have met my goal and will add to my collection of T-shirts.

https://www.facebook.com/donate/326881332539007/?fundraiser_source=external_url

https://www.namiwalks.org/participant/359276

The position I applied to transfer to changed from full time to per diem weekends so I withdrew. I will keep my eyes open. Fortunately, I like what I am doing now. When I told my friend I was anxious just deciding if I should apply he said “ don’t suffer twice”. I wish I knew how to turn off precipitatory anxiety. Now, I can relax.

Have a nice weekend!

Will it be too stressful?

Image: STRESS spelled out in scrabble

I have been stable for 15 years, but I have really decreased stress in my life. I find that when stress increases my symptoms can increase. I did not work for a few years after diagnosis. Then, I volunteered part time for years. I have been working part time for 6 years and I am doing well.

I found out about an open position at my work. It is higher pay, but more responsibility and full time. I put in a request to transfer and am waiting for an interview. I have no offer yet, but I am starting to worry if I am doing the right thing. (My opinion does not represent my employer). I want to ask my psychiatrist his opinion on taking on more, but he is out of town.. I emailed therapist but I don’t know if she will get back to me.

I have a delay with the hearing aids. The audiologist contacted my insurance and they said I have no coverage. That did not sound right, so I called. I have a $1000 allowance but it needs authorization from my medical group. I asked my primary care and she said she is not the one to ask, I had been referred to an ENT when they sent me to the audiologist so I don’t know if the ENT is supposed to get authorization. I am hoping I get them before the end of the year.

I am still doing TikTok videos on coping with schizoaffective disorder. Username Schizoaffective Dog Mom. I used to do live Periscopes. Few people came, but it was fun. TikTok has a live feature, but you need to have 1000 followers (I have 50). I guess it does not make sense to go live with no audience, but I am a little bummed I can’t use that feature. I have enjoyed viewing live videos.

TikTok @Schizoaffectivedogmom

I made my first TikTok video https://vm.tiktok.com/ZM8DvPD97/ my username is @schizoaffectivedogmom I wrote a blog post early on about coping skills called Coping with Schizoaffective Disorder https://lorib434.wordpress.com/2017/03/20/coping-with-schizoaffective-disorder/ so I am starting with a series on coping skills. The first one is my dog because he is the best. He is cute and funny and likes walks and being pet.

Image: dog on bed

I will keep blogging. The reason I was drawn to TikTok is that I went to an online NAMI CA conference and someone recommended a few users on TikTok. I liked what I saw and would like to add to that. I am older and not very technologically adept so we shall see how long I last. I did make some periscope videos when those were a thing, but few people came.

I am doing well. I just took my dog, Raider, to a Halloween event at a pet store. They had treats for dogs and people, lots of dogs dressed up, raffles, an artist, a dog rescue with the cutest puppies. Raider gets nervous but he seemed to have a good time meeting the other dogs. I just put a bandana on him. I entered the raffles. One prize is a portrait of your dog which would be awesome. We have one that my niece made that I love.

My health insurance, including behavioral health, changes Jan 1. My psychiatrist takes the new insurance. My therapist doesn’t but can apply for continuation of care and if it is approved the new insurance will cover her. Otherwise, I found someone highly recommended who takes the new insurance but retires in 2023. I was really anxious at first but now I am calm since it should work out.

ETA: hey I won the pet portrait from I’llShoot Your Pets (gotta love the name). So excited! and a Target gift card.