DBT- Depressed Bitch therapy

Turns out the knife was cursed

So I found this and sent it to her. Because this is what they want to know: how badly is this pain affecting you? Not on a scale of “nothing” to “how I’d imagine it’d feel if bears were eating my still-living guts while I was on fire”. 

10 - I am in bed and I can’t move due to my pain. I need someone to take me to the emergency room because of my pain.

9 - My pain is all that I can think about. I can barely move or talk because of my pain.

8 - My pain is so severe that it is difficult to think of anything else. Talking and listening are difficult.

7 - I am in pain all the time. It keeps me from doing most activities.

6 - I think about my pain all of the time. I give up many activities because of my pain.

5 - I think about my pain most of the time. I cannot do some of the activities I need to do each day because of the pain.

4 - I am constantly aware of my pain but can continue most activities.

3 - My pain bothers me but I can ignore it most of the time.

2 - I have a low level of pain. I am aware of my pain only when I pay attention to it.

1 - My pain is hardly noticeable.

For example, if someone asked me how much pain I’m in at any given time, I’d say hardly any, and yet I’m apparently at a chronic 2.5, and it only goes up from there depending on the day. 

10: can barely move; can’t talk

9: can barely move; can talk

8: can move, but can’t do much more than watch TV

7: can watch TV and play a game on my phone simultaneously

6: can do work on my computer lying in bed

5: can get around the house, but definitely couldn’t go out

4: can run a light errand

3: can get in my 10,000 steps, making my fitbit happy

2: can do three or more activities in a single day

Mental Health Pain Scale transcription:

MILD

1 - Everything is a-okay! There is absolutely nothing wrong. You’re probably cuddling a fluffy kitten right now. Enjoy!

2 - You’re a bit frustrated or disappointed, but you’re easily distracted and cheered up with a little effort.

3 - Things are bothering you, but you’re coping. You might be overtired or hungry. The emotional equivalent of a headache.

MODERATE

4 - Today is a bad day (or a few bad days). You still have the skills to get through it, but be gentle with yourself. Use self-care strategies.

5 - Your mental health is starting to impact on your everyday life. Easy things are becoming difficult. You should talk to your doctor.

6 - You can’t do things the way you usually do them due to your mental health. Impulsive and compulsive thoughts may be hard to cope with.

SEVERE

7 - You’re avoiding things that make you more distressed, but that will make it worse. You should definitely seek help. This is serious.

8 - You can’t hide your struggles any more. You may have issues sleeping, eating, having fun, socialising, and work/study. Your mental health is affecting almost all parts of your life.

9 - You’re at a critical point. You aren’t functioning any more. You need urgent help. You may be a risk to yourself or others if left untreated.

~~~~

🌸Dry shampoo will make your hair look and feel cleaner

🌸Shake our your bed sheets and blankets to get out any crumbs or dirt

🌸And just flip your pillows to a clean side

🌸Set an alarm for a few hours ahead and answer all of your important messages then

🌸Let people know you won’t be in school/work

🌸Maybe have a default message to mass send to everyone

🌸Use some mouthwash or gum if you can’t brush your teeth

Just thinking about people making year-end summaries of their accomplishments and also about reasons to keep yourself alive through the next year. Sorry, it’s a bit of a sappy comic.

“You’re excited to go to the park!”

“Oh, it makes you mad that we can’t go outside.”

And then when the babies get a little bit older the parents can say

“You seem upset. Are you sad?”

“Are you excited that gramma is coming over today?”

Which lets the kid (who is learning to utilize speech) respond with yes or no, which may prompt more questions, like

“So you aren’t sad, are you angry?”

“Yes, does it make you happy when gramma is here?”

And then, finally, when the child is learning to use language in a more complex way, the parents can say,

“How does it make you feel?”

“Why are you feeling like that?”

And it’s all about teaching emotional awareness. I really reccomend using the process on yourself. Learn to ask, “am I happy?” “Am I sad?” “Am I anxious?”

Then practice identifying, out loud or on paper if you can, “I’m happy.” “I’m upset.” “I’m sad.” “I’m anxious.”

Final step: “Why am I feeling anxious? I’m still thinking about that awkward conversation earlier.” “Why am I happy? It’s such a beautiful day outside.” “Why am I sad? None of my friends are responding to my messages.”

1. Become aware of how and when you tearing yourself down.

2. Now that you can catch yourself doing it. Offer counters to the negative self talk. A really useful thing I read was to talk to yourself almost the way you would child. Gentle and patient. Even when they fuck up.

3. Take time to celebrate your small accomplishments. You’ve been attacking yourself for every little mistake. Apply that same fervor to the positive things in your life. Did the dishes even though you didn’t want to? Fuck yeah! Got up and took shower? YES!!! You are taking positive steps to feeling better. Celebrate it.

4. Make lists of things you’re good at/ like about yourself. The first time I did this the only two things in my list we’re that I liked my hair and I had good friends. It was start.

5. Don’t beat yourself up if you screw up steps 1-4. It’s counter productive. When I catch myself calling my self stupid for some mistake or other my response now is,“We don’t talk to ourselves like that anymore. What’s something constructive that could actually help solve the problem.”

Most of the time that seems to work. Not always. But more and more Everytime.