Tag: therapy

Looking for an app to track mood and pain

I am seeing a psychologist at the pain clinic for a short number of sessions. When I was first sent an appointment to do therapy I was really worried and almost angry about it, feeling I’d had enough of therapy in other services where I couldn’t trust the therapists or the community team and I couldn’t risk making myself vulnerable again. On top of that I was sure the therapy would be from the point of view that nothing is wrong with me, the pain I have is unnecessary and my fault because I’ve rested too much and not pushed myself enough, which is an attitude I’ve encountered too many times on so-called pain management courses. Amazingly it has turned out to be a very different experience.

I don’t tend to find pain is terribly related to my mood, beyond the fact that I’m more anxious and low when the pain is worse. It’s also connected to flashbacks but I don’t quite know how. We identified in therapy today that I find awareness of my body very difficult. Maybe that is common in personality disorder and certainly in dissociative identity disorder.

I want to try tracking my pain and my mood together to see if this may show up any links I’m not aware of. I’ve done the two separately before as part of learning to pace activity (I did not find the recording gave me any new insights) but I’ve not really done the two together, not over an extended period anyway.

Phone apps exist to track your mood but I’m looking for an app that tracks mood and pain. Ideally I’d like an app where I could record a numerical score for my pain and my mood every couple of hours through the day, with space to make a brief note if something very significant happened (for example if I have flashbacks or an event triggers traumatic memories or dissociation).

Have you used an app like this and did you learn from it? Any recommendations would be very helpful.

Ginny xx


Anger management courses – do they help?

I’m scared that I’ve become increasingly angry and less able to control it. Maybe I never could control anger. Under my abuser’s control I never felt it, except for a very few occasions where some feeling that probably was anger exploded, always severely punished. When I did start to feel it, when rebellious feelings grew, fear of myself almost always grew stronger, and so I channeled it towards myself with anorexia and self-harm. I lost control eventually, years later, but bulimia and binge eating, overdose and cutting still did well to numb my most frightening emotions. But then, and I don’t know why, I started to scream. Rage burned and exploded and my control was gone.

I did not learn, in the therapy I undertook for my personality disorder, how to control the anger.

It may not be the first emotion that takes hold of me but every difficult, unwanted, feared, painful emotion seems to work its way to uncontrollable anger that I can’t control. I still turn it against myself but it explodes outwards as well. Dissociation possibly gives me and others some protection but my “others” can get angry too and that’s so dangerous.

Recently, someone suggested to me that I could try an anger management course.

I’d never thought of this. On one level it’s an obvious thing to try. Why hadn’t I thought of it before?

I’d be very interested to hear about your experience if you’ve tried an anger management course, especially if you also suffer with PTSD or personality disorder/s. How did you do the course, for example a self help course or taught? How did it help or not help you? Is there a particular kind of course that will help those of us with PTSD or PD?

Thank you in advance.

Ginny xxx


I haven’t managed any Christmas or New Year posts, at least not as I wanted to. Some wonderful things happened over Christmas so far yet I feel totally blocked when it comes to writing. After intense emotion I feel exhausted and shut down, even if the emotion has been good. Then shut down leads on to dissociation and being unable to be with anyone. That’s BPD. A lifetime of experience of Christmas and New Year as a very unstable, frightening time (abuse, rejection by family and so on, continuing well into adulthood) must add to why I find this a strange time. I need to pray and act to change this for my fiancé as well as me.

I wanted to be able to write about the immense gratitude and astonishment I felt at the wonderful parts of this Christmas and to share all the hope there is for my fiancé and me this coming year. I see that I’m going to have to take that slowly as it’s overwhelming.

So instead, I’m going to share what comes to mind now that I’m thankful for in the year just past, and how I’m resolving to make more space for gratitude in 2018.

  • I started working as an “expert by experience”, sharing my experience of my mental health conditions, my life, therapy, and getting (or not getting) help. I’ve been working with medical students, researchers and clinicians. Doing this has meant battling massive anxiety and some of my symptoms temporarily being triggered stronger in a scary way. But it has been a massive positive in the end. It’s given me the chance for my mental health not to be solely something problematic – for me to be something not solely problematic. If I can help students gain an understanding of mental health, if I can contribute to shaping research materials and methods, then my experience is working to the good.
  • This is a mixed one for me. It’s about 3 weeks short of 1 year since I was discharged from the specialist personality disorder service, because I had come to the end of the treatment course they offer. It’s mixed because of the difficult relationship I’d had with the PD service and because all mental health support abruptly ending like this was really really hard. I was left without the ongoing support that several doctors all agree I still need and with some conditions (such as my PTSD) left untreated and no prospect of getting therapy for them. Despite this, during the past year I have stayed out of hospital. I have needed crisis support on a few occasions and once this involved several days of help from the crisis team at home. However I haven’t been admitted as an inpatient. And I’m still here, somehow getting by, sometimes more than getting by. Though it’s hard to hold in mind, this is a massive change from say, 4 years ago, and I owe massive thanks for this.
  • This little fluff ball joined the household and she’s brought me abounding snuggles, purrs, laughs and love (as well as her fair share of moody or mischievous moments).
  • My greetings card making has very gradually taken off and it has been so great to see that other people enjoy and appreciate my designs.
  • I’ve discovered a relationship I never thought I could know in my fiancé’s care for me and his love that continues constant through all the things I’m ashamed of and hate about myself. Never did I imagine this kind of relationship, this kind of life together, could be.
  • Every week I look forward to the Day Centre where I go to keep elderly people company and lead art and craft activities. There I am “okay”. There I am part of the team and I am deeply thankful for that. We pray together. We are strengthened together. We share a little of how we really are that day and it’s okay. We find hope not the need to hide. We find creativity we often deny ourselves. The voices that crowd my head sometimes leave for a time as I’m engaged working for our elderly people’s happiness.
  • This year 2018, I want to really notice gratitude – preserve time each day to notice what has happened, what I’ve done, what I can give thanks for and to record this. One of the ways I do this will be keeping a handwritten daily and weekly diary, not much, just a few lines or words some days, but enough to maybe stop everything slipping by so fast, to help me to be present here and now. Too often dissociation means scary voids behind me when I try to remember the day or week just passed, whilst my physical and mental exhaustion mean overwhelmed panic at the next day and the future. Neither fosters gratitude or being present for my fiancé – or for God. I’m going to protect time each day to reflect and give thanks.

I’m praying for blessings of hope and for time to notice the good for you as we step into 2018.

Ginny xxx

Unenchanted April

I have wanted to post but not been able to find what to write. I’m sorry it has been nearly a month. Even this post I started nearly a week ago. I don’t know quite what’s making it so hard to express how I really am.

My friend’s health continued to deteriorate. I was fighting desperately to get him help as the danger he was in increased. Everyone in a position to keep him safe seemed oblivious to tune dangers and I could see how close he was to the edge but with no professional’s help I could not do anything more than what I can as a friend and that is not enough. It’s terrifying to be the only one knowing and believing the risk and I know that sounds like I am very arrogant thinking I know better than the doctors, but time and time again now I’ve known what’s happening or going to happen, the doctors have done nothing, refused even to listen to my concerns, and the thing I’ve known will happen, happens. The toll is greater each time. He has liver damage, blood clots, he’s starving himself, he is barely even drinking anything, there’s much more I wish I could write but it’s too personal to him for me to feel I can share here.

I don’t know how to carry this knowing.

I cannot save him alone. What someone else can give you, or trying to carry on for someone else, will not ultimately be enough to keep you safe or even alive. (I know this from my own darkest times, when I’ve been irretrievably low, hurting myself and planning to end my life, and someone close to me – who didn’t know the half of it – screamed at me, look what everyone is doing for you – why isn’t this enough for you? The answer is a post for another time but I know if he continues it must not be for me, not just for me in any case, so I alone cannot save him.

I can pray. I can try to give comfort. I can try to give compassion. I can try to show I love him and that he’s a good person not as he sees a problem, a burden, someone who frightens people, is bad, is not wanted, is no good. I can try to help him find some ways to build a safe, stable home and life. We can find short times of hope, happiness and laughter together. He has an immense capacity to love others, care for them and about them, to rejoice when they are happy, to fight to help them when they are hurting and share their pain. But none of that can he do towards himself.

He may die. He may end his life. I don’t know how to hold this knowledge and all the feelings that come with it.


I have been in crisis myself in the last few weeks and was in hospital for a couple of days. Then I had help from the crisis team at home for a week. When crises come I still flip out and instinctive reactions and thoughts take over along with the hallucinations just as much as they ever did before I had therapy. My “little child” gets out and she really isn’t very nice sometimes. It’s scary. I feel like a failure.


I’m realising that my mobility has got a lot worse in the last year. I’m particularly weak physically at the moment. I was diagnosed with POTS a little while ago (a heart, blood pressure and autonomic nervous system disorder). I’ve a lot to learn on how to manage the symptoms. Being very faint, muscle spasms, digestive problems and poor circulation have been hard to deal with this month. I’m now very fortunate to be in touch with a pain clinic at the hospital and there are some good possibilities from what they can offer, so I must be hopeful.

I really will try to post more regularly again and share happier news next time.

God bless you.

Ginny xxx


The wrong voices calling

The voices are very bad at the moment. My emotions are soaring and plummeting at the moment since my last group therapy and discharge on Friday. So it is not surprising the voices are worse. They often are when I’m emotional and stressed.

It’s as if now this stage of therapy is completed and I’m trying to hang on to the good and the real, the voices are getting louder (stronger?) trying to pull me back to the blackest darkness and terror where “reality” was my abuser’s words and threats. All morning I’ve heard her calling out to me. Sometimes just my name. Sometimes the things she’d say – mocking, detesting, making me an animal, less than human, threatening, confirming my evil and the terrible things that would happen (unless I gave in and gave her total control). I hear her. And it is terrifyingly real. It is totally outside, not an echo in my head. I turn towards the voice and dread grips me. It stays totally real to me even as I try to repeat my safety statement.

I am Ginny. I am 32 years old. Today is January 30th 2017. She is far away. I am safe now. I trust in God. …He created me for good not evil.

These aren’t the only voices I have but they are some of the most frightening and separate me most from reality. I don’t know how or if there is any way to stop or change the voices. If there is I haven’t found it in the therapy I’ve had so far. If I can’t change them can I lessen their power?

I try to remember,although the world created by my abuser was my reality – the only reality for 11 years and the most of it for another 14 or so – it is not the truth. The voice is not trying to do anything, or pulling me anywhere. It is a hallucination. It is a memory. It is not a person (now). A hallucination does not have a will or an aim. A hallucination is not physical so cannot pull or drag me. So why does it have power to cause me terror, to return me into the frightened child, to make it impossible to believe in my freedom or any goodness in me?

Several other people I’ve met who have personality disorders have shared having experiences of voices. In my 18 month MBT therapy, we talked about hearing voices in the group sessions. Sometimes for example, I’d share that I was struggling to stay present in the room because the voices were loud and scary and I was constantly being pulled away from reality. But in therapy we didn’t get to explore the experience of voices or how to cope with them, how they may interact with what you’re feeling and what is happening in reality, how they affect interactions… in therapy the focus was on using grounding techniques to move away from them and be present in the group and able to focus on others. Sometimes we talked a little about how the voices may affect our thoughts about ourselves and about others, for instance when we’re interacting with someone, leading to assumptions (they think I’m evil, the know I’m bad, that’s what the voices are saying) rather than curiosity about the other person’s thoughts.

However we didn’t talk about how to cope with them. We didn’t talk about their emotional effect on us, the way they pull us with them, the control they have even though it makes no sense, how they bring traumas right back, how what they tell us and make us feel is more gripping than our current experiences, if there is any way we can respond to lessen their power…

There is a place for using grounding techniques to cope and this is valuable. There is great worth in learning to be able to stay present for others here and now. Probably a value to staying present in the moment for ourselves. Yet I wish there were more than grounding techniques because there’s always next time the voices come. Their apparent power stays the same.

Perhaps I’ll look to see if there are any books that explore voices and how to cope. I’ve pretty much been told that the voices won’t go away but if I keep taking my medication, I won’t lose my grip on understanding they aren’t real. I feel I need to find more than that.

I would be very interested to hear about experiences of voices that anyone would like to share.

Ginny xxx

Update long overdue!

It is a really hectic, up and down time at the moment and I’m much overdue posting. It has been hard to gather my words. I don’t make a habit of 2am posts – certainly not the best time of day for coherent writing – but I did not get to finish this earlier and it felt important to write before a big change coming up for me in the morning.

Belatedly, wishing you good things this New Year. I think I can just about say this since it’s still January! I’m praying that positive times and opportunities come for you and God’s blessings are shown to you to encourage you each day.

January is always a strange time, cold and empty in a way, after Christmas. Right now, so much seems unsettled, in the world, for my loved ones and in my personal life. I’ve written that before not long ago and of course it has not magically changed with the new year; if anything it seems all the more apparent. I’m trying to give generously of time and resources and friendship, for example to friends in need, and that’s how we encounter Christ in every day. But I’m feeling twisted apart inside because I come up against my limitations, what I cannot give and cannot resolve.  The family in my block, both of the partners seriously ill, whose Benefits have been suspended unresolved for weeks so they have no food, heating or electricity. My friend who has already suffered terribly and now faces more surgical procedures, my friend who has been homeless for almost a year and whose life may be in danger… to the thousands on thousands of people seeking asylum, the fear taking hold giving weight to insular policies that seem to offer protection but perhaps already spiral out of control. (The Mexico border “wall” seems to me to teetering somewhere between bizarre Divergent- trilogy-esque images and more than echoes of the Cold War era eastern block policies.)

I steer away from political issues in this blog but I think this turmoil hits ever closer to home. We hope that in times of hardship we come together and hold onto what matters most but I’m starting to think a certain level of hardship and fear brings only divisions. Then again, in my faith I believe somehow this must not be true because Jesus became Man to suffer and experience everything we suffer and go through. And He is all Love. Love came here, into the darkness and despair. Nothing changes Jesus. The despair and dark and hurt didn’t change Him, didn’t change love. So Love is here, Love suffers and struggles, but isn’t extinguished, so even in the hardest times, it’s love that remains – not division and conflict . I mustn’t lose sight of that.

This post has diverged somewhat from the update I originally planned. Probably to do with the fact that it’s 2am. I’m going to try to get back on track.

Since Christmas, I feel I have not been able to catch up at all. Usually, I have a big clear out, going through cupboards and drawers and so on and decluttering. I haven’t managed this at all. I’m frustrated with myself that I can’t keep on top of the housework at all. My emotions are bubbling over and have been for some time and I feel I have no resilience to cope with straightforward things. Saying that, maybe a lot is happening at the moment. I’m about to be discharged from the personality disorders community service I’ve had therapy in for the past 2 years. I’ve been trying to find support and things I can get in place for after my discharge. This has not been easy and actually it has been quite distressing because I have been promised a lot of treatment I haven’t had and I’m left with major mental health issues unadressed. On the positive side, I have made contact with a peer support worker and Recovery Coach who are going to help me short term and I think this will be really valuable. I have also signed up for some courses at a Recovery College, which I’ll post about (and explain) next week.

My physical health is not going through a great patch just now. The cold always makes the pain worse so that’s part of the reason. I have had to give in to the fact I need a wheelchair sometimes now and I’m looking at getting a mobility scooter. At least this will help me be less isolated and take a little stress away perhaps, because I’ll be more able to take part in things outside my home, like my volunteer work.

Practically at home, I am going rapidly up the wall at the company who should be repairing my boiler. I have had problem upon problem since November and now have no heating or hot water. I feel they have handled the whole thing terribly (7 canceled appointments for a start, having to phone 6 times to arrange a very simple thing, and so on, then them accusing me falsely of missing appointments). Ggrrr!! I know this is just part of life but in the state I’m in at the moment, I can’t cope with this, and feel very frustrated with myself for that. My emotions explode out of all control. Then I get angry with myself because so many people are going through so much worse.

A close friend has serious housing issues as well as a huge number of health problems. I’m trying to be there and do what I can. Cook hot food and support him with form filling and trying to get him a support worker who could help. It is a little way I can try to help and use the knowledge I’ve gathered from my own housing issues in the past.

I’m going to stop here. Later this morning is my last group therapy session and this will be a really really hard lot of goodbyes. I’ve been writing thank-yous and goodbyes, some of the hardest cards I’ve ever had to write. I’m sure I’ll write more about this last session and ending therapy, in the coming days. At the moment I’m struggling to find the words. I’ve cried so much today.

Ginny xxx



An evening of baking

What a week it’s been. I feel frazzled. Every day my anxiety has been hitting hard and every challenge exhausting, needing rest and feeling every chance for it is snatched away by the next problem. Therapy was really hard today and I’m very worried for someone else in my group. I told the PD Service and I don’t think they heard or recognise the danger I can see so clear and imminent for the person.

It’s Advent. It’s a precious time. It’s slipping away from me so fast. I really need stillness, to acknowledge what I’m feeling and to draw close to God in prayer. Every day passes and I have the same weaknesses and struggles.

Tonight part of me wants to curl up and escape – but I’m baking because some friends from my old job are coming for coffee tomorrow morning. I put some Christmas carols on and feel a little bit of peace creeping into my heart in the simple repetitive tasks.


Ginny xxx


In the cold

I hate how sporadic I am posting and reading at the moment. Again I’m sorry though I’ve already said that so many times I know.

I’m having a really low time. I’ve too many horrible feelings about the abuse and about the PD service that’s meant to be helping me. I have never felt so far from my dad in what I experienced as a child being abused and what he did not know, that I thought he did know; what he thought was actually going on. It is not his fault, it wasn’t then and isn’t now, but I can’t stand the distance – which means more doubt and fear and was it all because of me and have I invented everything through my madness. I have never felt so trapped by repeating patterns with the service -that I thought would help me and thought I could trust – of being misled, let down, tricked, brought to the very edge then when I’m in crisis they reject me, do nothing to help, say it’s nothing to do with them, send me away so I cope the only way I can at that point of utter pain, which at the moment, means overdose or knock myself out with sleeping tablets. It’s too much like how my abuser made me believe I needed her and she’d protect me but I never received her care, which paradoxically I did need, only her total control and the terror of her threats and certainty of my evil, so I believed. Now the cycle repeats with those I should be able to trust and ends in the same desperate pain.

Even in therapy group today I felt so so far from everyone else. An intruder. Something wrong with me. Disconnected. Just watching. Deeply hurting for everyone else and guilty for causing them hurt and anger too, but at the same time totally out in the cold; so much needing to be heard, but everything and everyone showing how at odds my experience is with theirs and what it should be.

Ginny xxx

A very hard goodbye

This morning, one of the members of my MBT therapy group left, as it is the end of her time in therapy. It was her last group today. The MBT group is a “rolling group”. The group runs weekly, continously; members join (usually at least 2 people at a time) and are in the programme for 18 months, then leave. Usually, new members join to take their place and the group carries on. Sometimes new members join at other times. This means members start and leave at different times rather than a whole group doing a course together for 18 months and everyone finishing at the same time. Usually, at least 2 people would finish at the same time. It was a bit unusual that one person left alone today (someone else who would have left with them had to switch therapy groups earlier in the year).

It was a really emotional goodbye. I cried so much. A lot of us did. The depth of feeling at the point of saying goodbye was intense and in the group time passed much too quickly. At the start of therapy I would not have understood the depth of feeling for and attachment to another person that grows in group. She is a hugely kind person who has given so much more than I think she knows and I hope she does continue to know more of that good that’s in her.

I’ll write more later. Right now it feels very raw and surges of emotion are welling up out of the blue. It has been that way all week.

I need to get things done this afternoon because tomorrow I’m having a little fundraising coffee morning. It’s probably a good thing I have to be busy but I need to not push down my feelings totally either.

Ginny xxx

I’m sorry – I haven’t forgotten you

I’m sorry I haven’t posted here or visited your blogs in quite a while. I haven’t forgotten you. I know it’s not obligatory but I feel guilty being inconsistent ams not being there for others.

It’s been a few weeks of pretty big changes in my home life, family, friendships, work (or temporary absence of!), finances, therapy – not all the changes are negative however they are all demanding and not necessarily unsettling but all taking energy to work through. Physical pain is still having a big impact on me at the moment and I’ve needed to take things much more slowly than I’d choose. It used to be something I could deal with but now I’m not coping well. I feel as if I’m constantly saying this. It’s not am excuse but it is a big part of my life right now.

There is another event I’ve been struggling with, which has held me back from blogging. I had a really upsetting experience in an internet based support group and blog, in which I had previously trusted, thinking I was finding a reliable source of information, understanding and solidarity with other members as well as being able to offer support to others. I don’t think it is the right time to go into detail here about what happened although I will explain a little more in a future post. Please don’t worry – I’m okay and safe; I was never in any physical danger and I have ceased contact that was proving damaging. Fortunately, I had never divulged personal information like my full name or contact details. Also, just to be clear, this experience was absolutely nothing to do with this blog or any of the lovely people who visit it. It happened somewhere completely different.

The experience has had a big impact on me. I was very distressed. I felt a huge loss although also a huge betrayal. I got very scared of writing anything online, including in my own blog and in messages to anyone, although that is not necessarily rational. My obsessional thoughts were very triggered and the voices got loud. A whole range of feelings and thoughts spiralled out of control about how I trust other people, how I feel about getting support or not and being believed or not; perhaps most scarily, whether I’m harmful to other people without knowing…

On the positive side, the events have brought up lots of issues I need to discuss in therapy. They’ve led me to think about how therapy is changing the way I think. They’ve shown me ways I’ve started to react differently (for example, I did not follow through the compulsion to self-harm).

Most of all, it made me all the more thankful for the genuine and compassionate support everyone who visits this blog has shown me. It’s a rare and precious thing. THANK YOU.

I’m trying to get back into writing, gradually.

Ginny xxx