Because I have been underdoing Dialectical Behavior Therapy, I have a reassuring sense of awareness about the reality of what I am experiencing (perhaps “reasonable” or “wise” mind?), and then I have the intense emotional responses of the illness at the very same time.
In fact , I am able to identify three of the criteria from BPD, according to the Diagnostical Statistical Manual of Psychiatric Criteria for diagnosing BPD:
- Identity disturbance: Markedly or persistently unstable self-image or sense of self:
I don’t have a close circle of friends right now. I have pushed them all away. I have reached out to try to reconnect, and one person has responded. I’ll see her in a week. I also have my workgroup, who I connect with part time during the week. Other than that, I only have a strong relationship with a couple of relatives long distance by phone, and my significant other.
My significant other has taken off to visit his family abroad. I will be without him for 24 days. Every time he leaves, I mark my calendar so I can watch his return date getting closer – a countdown of sorts.
I miss him so much, it’s hard to bear. I know who I am when he is around – his bubbly, friendly, sometimes sarcastic girlfriend who cooks him a nice piece of steak or chicken with dinner even though I despise it as a vegetarian.
If I’m honest, throughout the day, I seek his approval and reassurance. I look to him for cues to figure out if things are “normal” – if they smell, look, and feel “right.” I have a hard time figuring out things like that on my own and search outwardly. When he “disappears,” I feel rather lost and frightened and strange.
I just put my feet in his slippers to try to feel connected to him. (Sometimes people with BPD will sleep with an article of clothing from the missed person, spray their cologne on their pillow, or snuggle up with a stuffed animal given to them by the person). It doesn’t work.
Instead, I look at the clock and notice it’s been exactly 4 hours since I last kissed him and had him close by. It’ll be 24 nights before I’ll get to do that again. I cry. I pull myself back together and have glass of ice cold water.
- Frantic efforts to avoid real or imagined abandonment
Like many people who have Borderline Personality Disorder, I do have what has been clichéd as “abandonment issues.” Most specifically, I have an incident when I was around 8 years old when I became very ill, and no one checked on me or knew that I was ill for days. I don’t want to trigger myself further by getting into the details (though I’m sure I wrote about the incident in more detail in other posts when I was feeling a bit stronger, if you’re curious to look), but this wound seems to open up each time he goes away.
I used to really “act up” like a little girl and even make myself sick, all in a desperate attempt to convince him that he simply must not leave. This time, I noticed all of the impulses to do this but made an active choice not to spoil his trip and to use this very challenging situation as an opportunity for continued growth and application of my DBT skills.
I have to purposefully remind myself of the simplest things, like:
- I am 35 years old – a grown person who can take care of herself, and I will be ok.
- Even if I am anxious, I will make sure that I eat enough, sleep enough, drink enough, etc. When I feel as if I’ve regressed to a younger state where I remember looking for an adult to help me meet those needs, but there were none around, I have to remind myself that this incident was long ago, and that I am now the adult who can and will be sure that I am ok. I literally talk my inner child through it in order to self-soothe.
- Most importantly, I reassure myself that: This too, shall pass!
- Transient, stress-related paranoid ideation or severe dissociative symptoms
I’ve noticed moments where it has gotten to be too much to feel today, and I’ve disconnected and spaced out. I’ve grounded by bringing myself back to my senses, including by running my hands under cold water, petting my cats, and noticing what I see and hear around me.
Here is how I plan to get through this situation:
- Writing. I will write about my experience, paying close attention to the facts of the matter (shifting to “Wise Mind” as often as possible), and focusing on solutions to feeling well using DBT Skills.
- Attend my DBT groups on Tuesday afternoons to check in and get support around implementing skills.
- I have an appointment with my hypnotherapist tomorrow to address the issues around lack of appetite and muscle tension. This treatment is consistently helpful for me, and I usually visit my hypnotherapist whenever my boyfriend goes away.
- Focus on things outside of myself. For example, I will give extra attention to my cats, especially the one that just had surgery last week. I will also be as helpful as I can to others during the week at work and will continue to support my readers via Twitter and Facebook.
- I will take care of my body. Each day, I will eat even if I don’t feel like it, drink plenty of water, natural soda, and decaffeinated coffee and tea, get a good amount of rest each night. I will make time to walk or do something else active at least 3 times during the week.
- I will focus on my online class.
- I will keep my plans with my one friend and will continue to reach out to at least one or two others for something mellow – tea, a walk.
- I will ask for support when needed, including from my circle on Twitter.
- Practice, practice, practice my DBT skills.
Having just written this – especially the last section on my plan for coping – and looking forward to my hypnosis appointment tomorrow, I am feeling a little bit better. My reaction today is quite typical of the first 1-3 days that my boyfriend or other close person goes away for a while.
I suspect that by Tuesday, I’ll be telling you how I’m starting to come into a place of feeling more relaxed about the whole thing. That’s the typical pattern. The hypnosis, I think, really helps to jumpstart things.
Does any of this ring true for you? Can you relate to reacting intensely to a loved one going away?
What do you do to self-soothe, distract, or otherwise cope?
Thank you for reading.