Pessimism Creates a Self-Fulfilling Prophecy

I did well until I was alone with no accountability or schedule.

I slept for 36 hours and didn’t get out of bed for almost 48. Unsurprisingly, my weight is no longer stable. However, I’m not as happy as I usually am about weight loss.

I’m not talking to friends. I worry my quietness indicates I don’t care, I’m too busy, or I’m not thinking about them now that I am far away, none of which are true. Unless, you count literally staring at the wall as too busy.

I’m lying to family about functioning and daydreaming about locked psych wards.

Passive suicidal thoughts are back.

This can’t be over before it even began. I don’t start the internship until next week.

I identified a few contributing factors. I missed meds accidentally for 2 days (now 3 as a result of sleeping). I’m afraid. While I’m sleeping a lot, I’m not sure if it is restful sleep because I’m tossing and turning all night and having unpleasant dreams.

For example, I was talking to student, who shares my past, about getting kicked out of school. I’m trying to explain that being placed in a more restrictive environment than a normal school does not reflect on your ability to succeed in a typical environment and it doesn’t make you bad. Suddenly Ginny’s daughter appears, we make eye contact, and I know she overheard. I immediately feel ashamed and wish she hadn’t heard. Then some random person enters and says, “I heard you guys are weird and into crazy stuff.”

Another dream: I’m at prom with a friend who left high school to go to residential treatment and then went to a new school. We get kicked out because former students aren’t allowed to attend prom. Then transporting, in time and place, I’m at a middle school dance for the school that kicked me out and I’m “asked” to leave the dance for the same reason my friend was asked to leave prom.

It doesn’t take a psychoanalyst to determine my dreams’ meanings. I’m scared I won’t fit in and I can’t handle this. I’m ashamed of numerous facets of myself like getting expelled from middle school and my perceived culpability in abuse. I worry I don’t deserve this internship and they’ll soon figure that out and ask me to leave.

Using behaviors ensures that outcome. Of course I won’t fit in if I’m constantly subtly self-injuring or I never talk to anyone because I’m too busy planning binges. I won’t be “smart enough” if I’m restricting and can’t think.

Part of the problem with posting all this positive stuff is I feel like I can’t post when I am struggling. On the other hand, that feeling forces me to TRY to be a little positive. I spent over an hour looking for inspirational sayings that tie into this situation. Many rang hollow because of my mood, but this one still resonated with me. 

I know I can still turn this around. What can I do to be successful?

So far, I’ve got:

1. Stick to a sleep/wake schedule (proving very, very difficult!)

2. Plan activities that get me out of the apartment and seeing other people

3. Create and use a daily schedule for studying, ADLs, and talking to loved ones.

4. Tracking positive, recovery oriented actions, instead of only focusing on “failures” Ex. Today I got out of bed at 8 am, took my medication first thing, and ate breakfast.

Advertisements

Emergency Rooms and Rehab

I am upset (worried? I have a constricting feeling in my chest that makes me feel like I can’t breathe deep enough. The pressure and tightness lead to cutting urges; SIB is like letting air out of a balloon that is about to explode) because my friend went to the ER last night and then left against medical advice.

However, I’m grateful she continues being honest with me, despite knowing I worry. I know that isn’t the case with most people.

Tara_it is ok to be worried

She lives far away now; she moved a few states away last month. We met online in high school and ended up attending the same university, even living on the same dorm floor freshman year. We’ve accompanied each other in emergency situations throughout our friendship and I worried about her having no one close by for accountability… just like I worry about myself in a month… She was doing so well!

The ER nurse wanted to commit her, but the doctor let her go with some IV fluids.

She lost 20 lbs so far this month. That is extremely fast and despite starting at a healthy weight (she did great maintaining in her ideal weight range for a few months), that speed is dangerous.

She is one of 3 friends I think won’t forget about me, even when I’m a crappy friend.

I don’t know what to do. I asked Ginny for ideas, but I think I upset her because she had a close friend die from eating disorder complications. I suggested Skype during meals and my friend agreed to that. I also suggested a G-tube and there was no comment on that idea.

Does anyone else have ideas of how I could help?

 

In other news, I miss Ginny and the group of us that went to lunch Wednesday afternoons. Surprise: I haven’t eaten lunch on Wednesday since she left. I asked Iris on Ginny’s last day and she said she wasn’t interested in hanging out once Ginny left. She has been quiet lately, but that could be because I was also quiet last week when I was out of town and running around all day and evening or it could be because I was right and she is glad to not have to deal with me in real life or she is busy with the new job and I’m not a priority (which would be understandable, I’m sure I’ll be super busy once I move and have to get used to a new environment… the fear is that trend will continue once she is settled because I’m not good enough/boring/not as involved, ex. She isn’t around to tell me anecdotes about her family, so there is less to ask about).

My grandma is in rehab after hospitalization for weakness from atrial fibrillation and a glucose measurement of 500!! I didn’t know it could go that high. She has weeping edema and heart failure.

Girl Kidnapped from Pro-Ana Website

This makes me sad! I’ve seen people post on pro-ana boards as “Ana Coaches” but I didn’t realize kids had any interest in that type of thing.

http://www.charlotteobserver.com/news/local/article202568949.html

I was so, SO lucky. When I was younger than her, I tried to meet men online. In fact, I waited for one, but he never showed because he thought I was a cop. At 18, I did the same thing and narrowly missed meeting a serial killer. By 19, I was aware of the dangers, but my sense of self-preservation was lacking and I met people offline, alone, secretly, for sadomasochistic sex.

Yet, I was never kidnapped.

Poor kid! I hope she gets all the help she needs for her eating disorder, ASD, and working through the aftermath of this horrible trauma. I wish there was a way to help her. I can’t believe this guy got out after less than a year in jail and he had supporters!

 

What is Self-Control?

I restricted, then I ate a few handfuls of gummy bears after work. Now I feel sick. I was going to purge at work, but stopped because I don’t want to be out of control.

I made a deal with myself. If I was alone in the house, I’d purge when I got home. I wasn’t alone, but now I am. Therefore, I want to purge. Blah, negative reinforcement is powerful! I want this sick feeling to go away. On the other hand, if I purge 2 days in a row, what does that say about my self-control? Maybe if I repeat to myself that REAL strength is eating and not purging, I’ll believe it eventually. In the back of my mind, I still believe the pro-ana ideas… Don’t be beaten by a cookie. You’re not a dog, don’t reward yourself with food. Empty is good. Empty is strong… okay, wrong train of thought!

…I could nap. I am sleepy, but that is also avoidance of the sick feeling from only eating gummy bears and a piece of popcorn today.

I promised my mom I would eat. If I don’t, she’ll be upset and we’ll argue about whether I am capable of moving and not relapsing. I can’t handle eating right now. Maybe later. No one will be back until 9 pm. 

I don’t like change. I’m going to miss everyone! My grandparents came over last night and gave me chocolate. My grandpa said, “Try not to eat it all at once.” as they left. Ha! I haven’t eaten it, but that isn’t the point. My point is they are extremely sweet to bring me chocolate! They’re 90 and 86 years old and they drove over at night to give me candy. I’m worried if I leave for a year, they’ll die. Also, my 14 year old dog could die. I told myself I’d be better about going to lunch with my grandparents on Sundays this semester. So far, I have not been better and I don’t have much time left!

 

I knew this would happen. My behavior is predictable. I am afraid I won’t measure up; I am scared my beliefs about myself are about to be confirmed. Plus, I’m already missing everyone! So, I binge, purge, and restrict. Why? I’m not sure exactly, to have an excuse if I fail or to stop myself from taking a chance that could end in failure in the first place?

I'm afraid to leave this place_Dr. Saunders_Dollhouse - Copy - Copy

 

I’m just rambling so I don’t bother other people and trying to distract myself. Apparently, I’m channeling Whiskey/ Dr. Saunders this week!

Work was fun. We’re trying something new with one of my kids. I always find that interesting. I trying to smile and talk to people more. I’m leaving soon, but I’m trying to practice opening up. Not enough for anyone new to know me, just enough that they think I’m not always serious… Although, I am usually serious! 😉 I want them to trust and listen to me. That means talking about non-work stuff. But NOT mental illness, oversharing is limited to people I actually trust. Once, I tried talking more to a co-worker and then he said he had feelings for me. That would be great! … If he wasn’t married. 

 

Office Supplies and Good Byes

Feeling overwhelmed.

I’m checking out apartments this week, but I also have 3 exams and 10 hours of lecture to watch between now and when I return home.

I need to create and print my students’ work for the 2 days I am out.

Ginny is leaving and that means there is no BCBA for my students until a new one is hired. In the mean time, Claire and I are trying to fill the gaps. I don’t see how that is possible!

The thought of leaving my kiddos and my co-workers makes me sad. I’ll miss them.

Jessica moved a few weeks ago and I’m worried about her because she is struggling with eating disorder symptoms.

However, here I still have Ginny and Madison. Even though we don’t hang out much, I have the opportunity to and that option makes a difference in my mind. It won’t be an option soon.

I don’t want to be that person who lets their work slide when they decide they’re leaving, but I don’t have enough hours in the day to finish everything! I guess I need a new coping skill that involves problem solving instead of avoidance. 

 

was I my best - Copy NO!!

/

I purged at work, for the first time in months or maybe even a year. However, I also took apart the tape dispenser, intending to cut, and did not. So, I suppose that is a minor win, sort of… The better option would have been asking to talk to Ginny, Ashley, or Claire again (we already talked as a group once in the morning, but I was still anxious) before getting to that point. Despite knowing that alternative was better, I didn’t want to bother anyone. They seemed annoyed or perplexed by my anxiety.

Strong enough?

I’m nervous about Ginny leaving because I don’t know if I’ll handle things as well without her. I would never have disclosed to anyone 2 weeks ago, much less asked my boss for help dealing with my student’s identical history.


people-have-a-tendency-to-go-away-miss-them_dawn-summers_buffy

Thursdays are bad news apparently because this Thursday I ended up in tears at work again! This time, one of my new students (a different one) disclosed abuse. I was “normally” upset; I felt sad and worried for him. However, I flipped out when I heard my boss’s boss called his PARENTS instead of calling the child abuse hotline.

I was furious. I abruptly turned to leave the room, but Ginny yelled at me, “Don’t storm away from me!” She knows me well enough to know I was probably about to self-injure. I stopped in my tracks and she took me to the same empty office we talked in last week. It took me some time to explain why I was upset and when she understood, she teared up. I was scared for him! He refused to get on the bus for a long time and I said I wouldn’t have gotten on that bus either! I understood what he felt, to a certain degree, because I tried to disclose my situation once and realized the school counselor would report me based on her probing questions. So, I recanted and never told anyone until last week. DFS wouldn’t get an investigator to his house that night, meaning he was alone. I remember a separate incident where I accidentally said something to a teacher, which my parents thought could get DFS involved. Their reaction was highly emotional and they’re relatively normal people. A few things were thrown at me and more than a few things were broken that night. I was imagining the worst for my student, whose story was much more straightforward. 

Thankfully, he came to school the next day and he impressed me with his control. He eloped a few times and hit, but also talked to us and vented. He had more self-control than I did.

I would have self-injured the day before if I hadn’t talked to Ginny. When I turned to leave the room, I wasn’t thinking rationally anymore, I was going to look for a blade. I would not have stopped on my own, but her yelling bought me time to talk and calm down. My boss promised she will never be a part of that again and Ginny said she is going to try to convince the administration to have everyone undergo mandatory reporter training to ensure it doesn’t happen again. I hope it works! However, I’m worried the next time I encounter something triggering at work, which seems to happen frequently lately, I won’t be able to handle it.

On another note:

I wonder why Bulimia is correlated with childhood sexual abuse more than other eating disorders. I can’t stomach anymore journal articles right now, but I wish I could find out why.