Tag Archives: Pseudo hallucinations

You Want To Know What It’s Like? (BPD)

Please be aware that some of the content may be triggering. Please take care when reading.

People always want to know what it’s like to have Borderline Personality Disorder (BPD). They want to know how I live with it and what’s going on in my head. They want to know what is me and what’s the illness. So I thought I’d try to put into words some of these things and few other bits. It may not be succinct or always easy to follow but that probably says as much about this disorder than anything else.

I hate being in my head. Life is exhausting. I second guess myself all the time. I know there is something wrong with me. For years now people have officially known that doctors see my personality as screwed up. Thanks!

The thing is I’ve thought I’m screwed up for a long time. I’ve always felt on the outside. I’ve never felt a part of the group and for years it’s bothered me. I couldn’t work out how people made friends so easily and even more how they kept friendships without coming across as totally needy and to be called “a sheep”. Believe me it’s happened.

To begin with I tried my best to fit in. I rejected things I liked in favour of what others liked. This included music and television shows. It included the way I behaved with others. I just wanted to be “cool”. It didn’t work. I was seriously unhappy and it was totally unnatural. I hated myself. And I lost myself.

That’s part of BPD, lack of a sense of self. Knowing what I like and who I am is hard. Do I like something or is it just because someone else says they like it? Obsessions come and go often depending on other people’s feelings towards them. With age there has been a bit more stability in this area but it can still fall apart. I will allow myself to like things that others close to me don’t now. It’s quite freeing but hard as I fear my likes will make others dislike me.

The fear of being disliked is strong. The fear people will hate you and leave you very much in evidence. This can lead to desperate behaviour. This is where the term “manipulative” comes out. We can appear manipulative because we are desperate to hold on to people so can make what appear as threats of harming ourselves. But we don’t use it in a manipulative manner. We are scared. We don’t know how to keep our fear under control (and this fear is strong and terrifying) so we want to hurt ourselves as we can’t imagine being without the other person and we are hurting so much. We don’t want to hurt you really. We want to stop the pain. However we can learn to deal with this better but it takes time. And the fear doesn’t seem to ever leave. At least that’s my experience.

I talked about overwhelming fear above. All our emotions though can be overwhelming. I can feel physically sick with fear over something others would feel vaguely scared about. If something apparently trivial goes wrong that can lead to suicidal thoughts taking over. It may seem silly and overdramatic to you but to me these are my real feelings. Saying they’re silly and overdramatic to me just invalidates me. I already do this to myself. I know it sounds silly to you. I know I sound overdramatic. But it’s how I feel and it takes me time to work out if that’s justified and change the feeling. For most people this is an automatic process. For me and others with BPD it takes using therapy skills and many checks. We may even have to get notes or a book out to help us deal with it.

Self harm and suicidal thoughts can be a daily occurrence. For me they definitely are. I wake up wanting to die and go to bed wanting to die. I can be smiling but planning my suicide inside. I can be making plans for the future while wondering if I’ll be alive for them. Self harm feels like my main coping mechanism. It’s been there most of my life now. Losing it in favour of other skills is hard work. Self harm works for me in a way they don’t. It’s easier than going through multiple skills or sitting with the feelings. And when feelings are overwhelming it can feel like you want to be rid of them as fast as possible. I’d rather feel the pain physically than sit with an emotion that is painful.

Another reason sitting with emotions or dealing with emotions is hard for me is that I struggle to identify my emotions. I can maybe go as far as good or bad emotion but finding other words is more challenging. It’s frustrating not being able to express yourself and how you feel. To only be able to guess at an emotion. I want to tell you how I really feel but how? What. Words do I use? Will you truly understand how I feel? What if you don’t and it all gets confused and taken out of context? How do I sort this mess? Easier to keep it inside and deal with it how I normally do. It’s nothing personal. I promise.

There’s a lot of things from the past I’ve expressed here. The thing is they all build on each other until it becomes a complicated web. Untangling it by using different skills takes an awful lot of time. I want to make it so these skills are second nature and I don’t have to sit up with a big manual so I can discuss and deal with emotions, or interact with others, or stop myself trying to kill myself. I feel an idiot.

The thing is I feel a screw up but it is an illness. It’s the illness that makes me feel that way all the time. That’s the main thing that’s hard living with it. The self hatred. The constant need to apologise. It’s hard to break down these walls.

So that’s a small insight into what is going through my head a lot of the time. It can all be in there. There is also probably a lot more that adds in too. It won’t make you feel like I feel. No one can do that for anyone else fully. Even others with BPD will have different experiences. But this is me.

I’d love to hear your views. Feel free to use the comments or share on Twitter, Facebook or Instagram.

Self Harm: A Decision?

Please be aware this post will be discussing self harm so some content may be triggering.

There is a lot of thought about whether self harm is a decision or not. I know it’s a highly controversial topic and it’s something I’ve been thinking about for a while. As someone who self harms it can be a difficult thing to consider.

The definition of self harm is deliberately hurting yourself. This suggests that self harm is a choice but how much is that true? When we consider self harm as a symptom of a mental illness is it really a choice?

If you had an illness like cancer would you consider your symptoms your choice? Quite obviously the answer would be no. So is self harm any different? If you ask anyone with self harm about what happens when they need to harm most will say its an uncontrollable urge. It is something they feel forced to do. This is especially common as you go deeper down the self harm hole.

The urge to self harm, for many, is intense. It takes over. It’s hard to think clearly. The urge is made stronger by the fact that many who self harm have low self esteem and don’t feel deserving of care. Whatever has been a trigger will bring up all sorts of feelings that are hard to deal with. Everything can feel overwhelming. Sometimes we are not totally there, maybe dissociated. Then it’s not really a choice is it?

But in some ways it can be a choice. We decide to inflict the harm, don’t we? I honestly don’t know. This is where I’m hugely torn. And why I’m torn is based on how I see others and how I see myself. For others, and this is probably the most important part, I don’t think it is a true choice. There is a lot leading or pushing you in that direction. It is a symptom of an illness so is never a true choice. Then I look at myself and berate myself for choosing to hurt myself in the first place.

I don’t give myself a break on the decision making idea. I blame myself for self harming every time. I blame myself for making that “choice”. I see myself as truly being the reason I’m hurting myself. Even the name makes it seem like that. Especially when medical staff call it deliberate self harm.

And this is where the issue becomes more apparent. We are treated by medical staff, including in mental health teams, who see it as a choice rather than a symptom. Yes I may pick up the blade etc but there is something pushing me to that. I am unwell. My choices are not truly my own always. It’s not an excuse but an explanation. I’ve been told I’ve made the choice to hurt myself. This in a time when I was so distressed I couldn’t see any other choice. So surely it isn’t a true choice?

There is hope with this though and this is where it gets more into the dodgy area of being a choice. Learning through therapy of other ways to cope instead of self harming means we do start to have a choice between self harm or using our new coping methods. I start to see why they say its a choice. They’ve given us other options and we’ve gone for self harm. What they don’t seem to realise is we probably chose their new methods first but it takes time for them to be an effective choice for us. It’s all about time.

So these are just my views on self harm as a choice, I’d love to hear yours. Feel free to connect in the comments or on Twitter, Facebook or Instagram.

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Shutting Down

This is a personal piece. Please be aware some of the content may be triggering.

I’m starting to shut myself down. I’m pushing away my emotions. I’m pushing away people. I’m pushing away the question about how I am. It’s easier than you think. I’m putting on the mask of coping. I’m filling up my days. I’m doing everything I should and more. I’m not asking for help. This feels like a safety mechanism.

If you met me in my teens I would appear a misfit. I didn’t like what others did. I didn’t have that special friend. I had people I hung out with but I felt different. But the one major thing was I never told people how I was. Not truly. I might say I was good or fine. I might pretend to like a boy or be excited to find out a piece of gossip. I wasn’t. My brain was occupied by other things. By an emptiness. By a feeling of not being normal. But I shut it all down for years telling no one how I felt.

After my second suicide attempt I was referred to a psychiatrist in the CAMHs young person service that existed at the time for those aged 16-25. She noticed how shut down I was. How expressing myself was hard. That I couldn’t identify feelings or explain what I felt. I was diagnosed with “emotional developmental delay”. To this day that’s all I know about it. It wasn’t explained. I was rushed to start art therapy. Its aim was to get me talking and communicating. It was to get me to explore feelings. It was to make me feel. Issues with social skills were identified and worked on. It was the most useful therapy for me.

The problem though was that, that outlet was ripped away. I only had my friend’s to express all these new feelings to, that I still didn’t fully understand. I splurged on people not understanding the social cues. I got needy. I feared people leaving. Relationships went haywire. Crying became the norm. Every feeling was now released and overwhelming. Welcome to the world of BPD.

I was in the opposite of what I was comfortable with. I tried to put it all back in the box they’d made me open but it didn’t want to go back in, like when you take a duvet out of a bag and it never wants to go back in the same space. The emotions were released and wild. They were in control not me anymore. I hated it.

This has gone on a long time now. The extreme emotions. And now I’m finding the strength to get that duvet back in the bag. I’m shutting down my emotions, firstly to others, and then hopefully to myself. Yes self harm is part of the deal but it feels necessary as professional help is starting to be withdrawn. As I feel people have got saturated by having me in their lives. I don’t want to feel anymore so they don’t have to feel me too. It may be unhealthy but it’s what I feel I’m being forced to do to cope.

How do you deal with emotions? Feel free to share in the comments or on Twitter, Facebook or Instagram.

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Sunday Night

Please be aware this a personal piece and therefore some of the content may be triggering.

It’s Sunday night. Many people dread it as its the symbol that the working week is ahead. To me that’s not currently an issue but tonight my mood is extremely low. The suicidal thoughts are strong in my mind (I am safe). The voice is loud and I feel isolated. So I’m writing. If you’re reading this good luck as I’ve no idea where this may go. Also sorry as it may get self pitying.

The last few weeks have been hard. Many difficult things have happened and are ongoing. The future is uncertain. As it is for everyone I know. But this makes things hard with my desperate need for control. This makes my mental illness go wild. It sees it as an opportunity to take over even more of my life. It makes me isolate myself. It makes me hurt myself more. It makes me want to no longer exist. The symptoms of depression such as loss of appetite and concentration and difficulty sleeping are back. In my head it is an obvious depressive episode.

I’m also though pushing my way backwards in some ways. I’m trying hard to hide my emotions again which means turning them forever inwards. I’m pushing away the question of how I am and getting others to answer it and forget I never answered. I’m punishing myself in these ways. I’m going back into relationships that are unhealthy. I have no self respect. I have no self worth.

The voice is helping me along with all this. Its a constant torrent of how I should be dead and how much people hate me. It puts doubts in my mind and increases my paranoia. I know people are out to get me or pretending to like me. I understand. I’m unlikeable but they don’t want my death on them and that’s fair. They are lovely people who deserve better than that. They deserve better than me. I’m a burden to them but they are too polite to say it. I’m needy. I’m a pain. I’m selfish.

I’m currently convinced I’m going to be arrested. I’m scared about going outside. I’m forcing myself to do it but I’m terrified. I think Lorazepam is going to be my friend. The anxiety is high. I’m sure I’ve done something wrong and it will soon be discovered. I’m watching out on the local police force’s Facebook page for my picture to appear – without liking the page so they cant find me. Every siren makes my heart beat faster. I’m resorting to pulling out my eyebrows to help me cope with the anxiety.

Also I feel I’m not allowed to feel how I do. That people are trying to take the feelings away and rubbish them. To rubbish me for feeling them. I know they seem irrational. I’m not stupid. But I need to work through them myself to see it. I need to be allowed to feel if I can. I don’t want people to ask if it’s logical or question it. I do that myself. Twitter is my place that I allow myself to currently express myself and I really don’t want people pointing out it’s not logical. I just need to express it.

Physically my body feels like its giving up on me. I feel very unwell all the time. I’m waiting on hospital appointments for different things. I think the current count is five different hospital teams aside from the mental health team. I’m pushing my body all the time. I’m walking about 4k a day. I’m doing things around the house. All on little sleep and feeling pretty awful. I want to give up and stay in bed. It’s just not an option. Other forms of self care are falling by the wayside as well.

I’m also finding the thought of asking for help from my mental health team hard as well. I know I’m a drain on services. I’ve been made very aware of this lately with my care coordinator complaining about her high workload and not wanting me as part of that anymore. It doesn’t matter that a month ago I tried to end my life. Or that in September/October I was with the crisis team. Nope. I’m just a burden and what I feel doesn’t matter. And they’ve lied to me as well.

So there are my current thoughts and feelings. My rant. My Sunday night. Hope yours is better.

To stay in contact you can follow me on Twitter, Facebook or Instagram.

Control

This is a personal piece. Please be aware some of the content may be triggering.

Control is the thing I crave most in my life. I’ve known it for a while but it’s taken a while to admit it. A lot of what I do is about trying to retain some control in a life that constantly feels out of control. It’s also about managing the feelings of being out of control. The problem is I’ve gone down what people would call negative routes to deal with this.

The reason I think I need the control is that so many people have taken away any control I should have had. People have taken away control of my body and my life. Little decisions don’t feel like mine to make. My life doesn’t feel like mine.

The things I use to feel in control include self harm and hair pulling. They are not the only things I have used or do use. These are just the most regular. Food has been something I’ve used to feel in control (I do not have an eating disorder nor been diagnosed with one, this was just a period of restriction). Alcohol was another thing until it took control of me. I also feel some of my suicide attempts have been an attempt to be in control of when my life ends among other reasons.

I also can see my need to be in control in other situations. When I sit in a room with others I try to be first in to choose a seat that I feel safe in. I’m constantly early. I plan things meticulously. If I’m creating things I find others input hard to deal with. Relinquishing control on things and allowing others in is hard. I’d much rather do things myself. It’s things I’m trying to work on.

So what are your tips to deal with the need for control? Feel free to share in the comments or on Twitter, Facebook or Instagram.

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We Need To Talk About… Psychosis

Psychosis! What do you think it means? Does it mean schizophrenia? Does it mean being locked up? Does it mean there is no hope? These things are things I thought before I experienced psychosis and I know many still think this way. This is why we need to talk about psychosis.

So what is psychosis?

Psychosis is made up of many different symptoms. Some people will have many, some only one. They include:

  • Hallucinations (these may be visual, auditory, tactile or related to smell and taste)
  • Delusions (having strong beliefs not shared by others, for example, people are going to hurt you)

Does everyone with psychosis have schizophrenia?

It’s a common assumption that the only people that experience psychosis are those with schizophrenia. This simply isn’t the case. Many mental illnesses may cause a person to experience psychosis. These include bipolar, depression and BPD (Borderline Personality Disorder). Psychosis can also be a result of physical illness or trauma.

Will someone with psychosis recover?

There is hope for those with psychosis. Many people will only have one episode of psychosis. Psychosis can also be managed with medication. There is a variety of antipsychotics. Of course as with any medication there can be side effects but these often are often outweighed by the benefits. It can also be a process of finding what works for you. Sometimes, when the psychosis is caused by trauma, psychosis can be helped by therapy.

What does someone with psychosis look like?

There is no specific way that someone who experiences psychosis looks. The term “psychotic look” which is often used to describe a way someone is looking is a work of fiction. Those with psychosis look like everyone else. The signs are more likely to be in their behaviour.

A last thought

People with psychosis experience extreme stigma. We are made out to be “crazy” and someone to be feared. In fact we are more likely to be a danger to ourselves or be at risk from others. It can be scary to see someone dealing with psychosis but remember they are probably scared too.

For more information about psychosis click here.

To share your experience feel free to use the comments or Twitter, Facebook or Instagram.

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New Year, New You?

So it’s that time of year: New Year. Ugh. I hate it. There is so much out there about New Year, New You, and I hate it. Why must the new year signal a major change? Why must we put pressure on everyone to do more and change who they are?

The thing is I do get why people choose a new year to make a change to their lifestyle. It’s a good marker. And actually I have no problem with that part. My issue is with the advertising companies and the social media influencers. We should not be pushing people to make a change. If they want to that’s fine but putting pressure on makes people feel inadequate. It may also have a backwards effect as if they’re not ready to change it will be forgotten within a couple of weeks.

Another reason I think it’s a bad thing to push people to change is that it can make people feel like a failure. If you’re bombarded with all these things you should change you start to think you’re not good enough. That somehow you’ve failed as a person and the only way people will like you is if you change everything. This is just not true. Yes there may be small things you might want to do to feel better about yourself but that’s it, you should only be doing it for you, not because some advert has told you to.

A major part of the New Year, New You dynamic is based on losing weight. It’s the time of year when adverts for gyms and dieting are prominent. You’re made to feel fat and bad for enjoying food over Christmas. This can really effect people with distorted views around the way they look and food. They see it as a sign they need to lose weight even though they may already be under weight. It can retrigger eating disorder behaviours. Or start them off. It lowers people’s self esteem.

A lot of this New Year, New You malarkey is just there to make people feel bad. To put pressure on to be someone society sees as acceptable. To quash individuality. It’s not about your happiness in the eyes of the companies pushing it. It’s about making you spend money.

I also want to tackle here another part that is linked to the New Year, New You philosophy. This is the fact that we are encouraged to look back and reminisce over the last 12 months (and in 2019 it seems the last decade as well). I know I’m not alone in hating this. I don’t want to look back at all my failures. Yes it could help me change things but it also is likely to make me depressed and feel awful. I know many people are looking at achievements but when I’ve had a year where I have been very ill mentally it is hard. I feel like a failure and end up comparing myself to others. It feels like a minefield.

So what can we do?

My advice is to just treat New Year as any other time of the year. It is just a date. Just a marking of time. It is no more significant than any other if we don’t want it to be. If you want to make a change then do, but don’t feel you have to. It’s not a necessity. Block the diet and “lifestyle” ads. Treat yourself with kindness. You are amazing to get to this point. What will be, will be. There is no pressure to put goals in place for the long term if all you can manage is the next hour or even five minutes.

If you have tips to help with dealing with the New Year pressures then feel free to share in the comments or on Twitter, Facebook or Instagram.

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