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About sharplittlefingers

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  1. I am also in agreement with @iaawal in suggesting DBT as a therapy. It is helpful for managing emotion regulation and distress tolerance that for me have always quickly escalated to irritability and anger. In a program with phone coaching it also allows support in those times when needed outside a therapy or group session. This may provide you with a way to build a tool kit to manage irritability in day to day life. Outside of medication alterations and therapy I definitely believe that good sleep hygiene and a regular routine help manage irritability in a more general sense. When I am well rested I am far less prone to anxiety, anger and irritability.
  2. I agree with @WinterRosie making mini cards or other sorts of prompts would be of benefit. I am also at the beginning of DBT and the way these acronyms are going to get stuck in your head is through repetition and application. This is going to take some time and patience. Looking at your diary cards is actually a great idea, certainly not to be seen as a short coming of the learning process. and in time I suspect you will start to look at them less and the acronyms will easily come to mind when needed. I wish you all the best on your journey with DBT.
  3. My experience has been with DBT skills coaching over the phone. Initially I found it difficult to know what level of crisis I needed to be in that was acceptable to make that call. The hardest part was making the first contact. If you are not doing well then you could make contact. Is it possible to ask for an appointment sooner than scheduled? This may be an easier than trying to put together the words to describe what is going on at the moment. It may also help you then be able to have a discussion on the phone with your tdoc. Dont expect a phone session to last as long as, or be like a face to face session. I find the phone calls are a way to diffuse the situation I find myself in and help me find a way through it (skills coaching). Similar to you I relax a lot when in tdoc's office but surprisingly feel some of the same reassurance in a phone session also. If you feel you could make that call I suggest you do. It could help.
  4. I completely get that. Being 100% involved is going to be the biggest challenge for me.
  5. @Go Ask Alice thanks for the welcome @empty inside thank you and I like that DBT helped you, I am hopeful it will help me as well.
  6. Was told by a pdoc that 15 year old girls self harm so as men (39 at the time) we dont need to do that. Needless to say I dont see pdoc anymore. I wonder if he recognised how long that comment would stay with me and shape how I felt about pdocs.
  7. Hello to everyone on CB. I found CB in what has been one of the most tumultuous of my 43 years on this earth. I have a long history fighting the black dog and all the darkness that he/she carries with them. I continue to struggle with self harm and feel the glaring stigma that seems to so easily come when people see a 43 year old man and his scars. As a part the borderline traits I have recently been diagnosed with (not quite BPD but close if that makes any sense) I fight the emotional upheaval that seems to be occupying more of my life of late. In a concerted effort to move forward and fight the good fight I am beginning a DBT Program and working hard to find that path forward. I have never had to fight so hard to stay alive but I can say I am still fighting.
  8. I get where you are coming from, it can be hard to bring up. I was reluctant to bring it up with my tdoc because I worry it will affect how she feels I am going and possibly cause conflict. It is also such a private act for me and not one I want anyone to know about because it is for me a way to manage my distress (not a good way but...) and allow me to function in the "real world". Now that I am beginning DBT, and have a new tdoc, I know the self injury needs to be addressed and dealt with as part of the commitment to the program but I still find it confronting. I am fearful I may be asked to leave the program if I cant manage the self injury and develop better coping strategies and longer term behaviours (which are valid and a huge part of the commitment to DBT). In an effort to move my life forward I have decided to be honest with my tdoc and trust that she will support the journey I am on for all its ups and downs. As she has said she would not turn me away from therapy for the very reasons that I am at therapy for in the first place. This I trust her on. It may save my life.
  9. I have always been able to function more effectively within a structured work day. Of course things do arise that need attention however if the core of my day has a structure I can keep a lot of the triggers that cause me to struggle mentally at bay. I have always been told to do something you love (find your passion) and although this may be sage advice sometimes it is the freedom of being inside a structured day that works for me and allows me to expand outside that structure and do good work while staying well. I dont know if that makes much sense. To put it another way: Branford Marsalis (Jazz Musician) once said "there is no freedom in freedom, there is freedom in structure." Of course he was talking creative freedoms within the structure of a song but it always resonated with me. What some see as a confining schedule I see as the structure that gives me freedom to stay mentally OK.
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