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Using Rational Mind to Challenge the Emotional Mind Lies We Tell Ourselves That Sabotage Our Self-Confidence and Recovery: A View of Addiction Recovery from a DBT-CBT Therapy Perspective

Posted on January 18, 2010 | 2 comments

Here’s an “adapted” excerpt from the DBT-CBT “Out-of-Control” therapy workbook. It’s from Chapter 7, the Rational Mind chapter. This chapter discusses Rational Mind in detail and offers many Rational Mind challenges for the Emotional Driven Lies we tell ourselves AND WE BELIEVE…ones that often sabotage our self-esteem and our recovery.

The Self-Fulfilling Prophecy of Failure:
“I expect to fail so I don’t try very hard …so, I fail.”

SKILL BUILDER: Failing to Succeed…or Successful Failures

Consider the lies we tell ourselves about success and failure, like,

“I’ll NEVER be able to do it.”

“Everything I try gets screwed-up somehow.”

What do you say about your failures? ____________________________
________________________________________________________

The truth…we MAY HAVE failed at MANY tasks. If so, we need to rationally understand why. Quite often, we fail because we DON’T TRY to succeed. We “KNOW” we can’t do it…so we DON’T TRY, or we DON’T TRY VERY HARD.

Despite USUALLY giving things ONLY A HALF-HEARTED EFFORT, we may recall some times WHEN WE REALLY TRIED, but failed anyway. BUT, DON’T THINK we’re off the hook because of some FULL EFFORT failures.

WE DON’T GET TO STOP TRYING just because when we’ve REALLY TRIED, we’ve still failed! Rational Mind would inform us that MOST PEOPLE WHO SUCCEED HAVE FAILED MANY TIMES. There are many TRUE stories to support this TRUTH.

Which stories have you heard…about people who FINALLY SUCCEED AFTER A LONG STRING OF FAILURES? _____________________________
_____________________________________________________

Abraham Lincoln ran for MANY political positions and lost MANY TIMES before he ever WON an election. The ONE he won was THE BIG ONE…the PRESIDENTIAL election! There are MANY stories about business leaders who had MANY failed businesses before they hit it big! Henry Ford went bankrupt 5-6 times because of failed businesses before he gained success in the automotive industry. The Heinz company had the same kind of start. Have you read that Oprah was fired from a reporter’s job because she wasn’t right for TV? Somebody certainly misjudged her!

Some of our greatest leaders and wealthiest people failed many times
before they achieved great success.

When we fail, we need to SEEK AN UNDERSTANDING of WHY we failed. We need to LEARN FROM IT and CORRECT WHAT WE’RE DOING. We need to change or adjust our plan to deal with what went wrong. Successful “failures” start with PLAN A and go to PLAN B, C, D, E…and so on until things work out! Despite their failures, THEY KEEP ON KEEPING ON!

It’s also important to be Mindful of our successes and accomplishments and to note WE’VE ALL HAD SOME! We also need to realize that WHEN WE’VE TRIED…when we’ve REALLY STUCK WITH IT, we’ve overcome challenges…and WE HAVE BEEN SUCCESSFUL. Consider the 8-18 attempts at recovery that it takes people ON AVERAGE to become clean n’ sober. Through our recovery attempts, we learn about our triggers and relapse patterns. We learn we REALLY HAVE TO change the things in our life that we DON’T WANT TO CHANGE…things that we’ve refused to change, like friendships, activities, and abusive or conflict-filled relationships. Because of our repeated failures at recovery, we FINALLY SUCCEED! That’s because we’ve revised our Recovery Plan SO MANY TIMES that we FINALLY GET ENOUGH OF THE NECESSARY CHANGES made! We’re hard-headed and we’ve got to learn from OUR experiences…and in the world of recovery…these experiences ARE OFTEN RELAPSES.

Does this information change the way you think about your “failures”? If so, explain. ______________________________________________
___________________________________________________

Changing our LIFESTYLE and our LIFE IS VERY DIFFICULT.
We need to ACCEPT OUR FAILURES
and UNDERSTAND they’re a NATURAL part
of the LEARNING PROCESS…
IF we learn from them.

It’s clear that Emotion-Driven Thoughts like, “I can’t do it. Why try?” are lies we tell ourselves. What’s the truth? _______________________________
______________________________________________________

The truth is, WHEN WE KEEP TRYING, things FINALLY work out. Sometimes, we don’t succeed because we aren’t going about it the right way. Therefore, we need to get a NEW PLAN. Sometimes, we try to do more than is do-able at one time. We plunge head first when we’d be better off wading in and taking smaller steps! There are many reasons why we haven’t reached our goals. Fortunately, most of these problems can be overcome with PERSISTENCE and a REVISED GAME PLAN!

Footnote: This footnote is “margin text” from the workbook alike the dark red inserts in the text above…however, these weren’t so easily woven in! This first one relates to the 8-18 tries at recovery it takes on average to recover from substance abuse.

“Some say, ‘Been there, done 14, I’ve got to be real close to making it!’ Folks who are new to recovery are discouraged, ‘I don’t want to do this that many times.’ Be Mindful that 8-18 is an average. Some make it on the 1st try (they need to write the book!), others on the 25th. Some make it in 3 tries, others in 20. Bear in mind though…these numbers don’t mean it’s okay to relapse 17 times and then work real hard on the 18th try!”

These are “sayings” in the margin that go along with the text:

“If we don’t put forth a FULL effort,
we’ll never REALLY KNOW if we can succeed.”

“We never fail until we quit trying.
Success comes to those who are determined
to overcome obstacles in their path.”

When we understand that our failures are part of the learning process,
then we can constructively accept our failures and learn from them.

We’re so willful and hard-headed about recovery…
we won’t take someone’s advice or learn from THEIR experiences.
We have to learn from OUR personal experiences…
which is often OUR failures!

A mistake is only a mistake
if we fail to learn from it!
When we learn from our experiences,
our failures become a stepping stone toward success!
Therefore, a recovery goal is to Turn On Rational Mind to challenge our “failure” lies…
and to Turn On Wise Mind to make some adjustments to our Game Plan!
That’s because WE haven’t failed, our plan has!

Hope you enjoyed this blog entry and that it helps to challenge destructive “failure” thoughts. It took half of forever to format this…the format of the workbook doesn’t cut n’ paste very well…or at least I haven’t learned yet how to do it more efficiently! Life is one big learning curve and I guess sometimes we’ve just got to hold on…persevere…and enjoy the ride!

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Posted in Acceptance - Non-Acceptance, Emotional Mind, Rational Mind, and Wise Mind, Excerpts, Relapse - Recovery Dynamics, Self-Destructive Behavior, Thinking - Destructive, Willingness - Willfulness

Tagged acceptance, addictions, breaking habits, CBT, challenging negative thoughts, Cognitive-Behavioral Therapy, DBT, DBT-CBT, determination, Dialectical Behavior Therapy, Emotion-Driven Lies, failure, fighting for recovery, full relapse, goal-driven behavior, hope, learning from our mistakes, learning from personal experience, linkedin, mindfulness, mistakes, negative thinking, optimism, overcoming failures, overcoming mistakes, partial relapse, perseverence, Rational Mind, rational thinking, recovery, relapse, relapses, sabotaging oneself, self-destructive behavior, self-help, self-understanding, struggling through addictions, success, successful leaders, therapy, Wise Mind, working through failures

How Could Someone Try to Kill Themselves: Suicide Attempts and Doing the Unthinkable – from a DBT-CBT Therapy Perspective

Posted on December 25, 2009 | Leave a comment

When Emotional Mind drives and Rational Mind is left on the side of the road…

When folks are moderately, even severely depressed (say up to an 8 or an 8.5 on a scale of 1-10), they are “Big-Time in Emotional Mind” but they still have some Rational Mind going on (say 85% Emotional Mind and 15% Rational Mind). Through the small degree of Rational Mind, they maintain some contact with reality and have some mindfulness of the big picture of their life. For instance, they still recognize they have something to live for…they still have some holds on life…and although their grip is loosening and they may be barely holding on…with at least some Rational Mind going on, they recognize the basics…like they have kids to live for…or pets…or their dying parent (examples). However, as the depression worsens, Emotional Mind intensifies, and Rational Mind further fades…and they lose awareness of these reasons to live.

Patients in various ways have explained how this happens. They relate that when they made that final decision to kill themselves…to enact that near fatal behavior…they weren’t thinking…that previously they thought about their kids, their spouse, or other holds on life and they struggled to stay alive…but then, something happened and they no longer thought about these things.

One patient so well described this to me, I haven’t forgotten it. She said that as her depression deepened, it was like she was going further and further down a well…and the deeper she went, the less she could see out. She related that she got so far down, she was surrounded by darkness…she could no longer see nor feel…and she lost touch with the love she had for her kids and concern about what would happen to them. She cried intensely and said that when she did what she did, thoughts of her kids did not cross her mind. It was utterly heartbreaking, and yes, as a therapist and despite trying to hold my tears back, they rolled out of my eyes. I stood up and hugged her as she wept and gently rocked her to help soothe her through the pain. It was one of those heart-wrenching therapy moments when I had no words to comfort her and could only pray for her self-forgiveness and healing. She so loved her babies and could not understand how she could have tried to end her life. With Rational Mind going on, she realized she did the unthinkable.

I believe that she became 100% (or near 100%) Emotional Mind…and Rational Mind was essentially turned off. Without Rational Mind, she was not connected or in contact with the reality of her life and what really mattered to her. It was like a Rational Mind black-out. She was no longer mindful of the big picture of her life and the reasons to continue the fight. And we always ask, “God, how could she have done that, she has kids” or “How could he have done that knowing his family would find him.” They weren’t thinking…that part of their brain was turned off.

Based on the recovery workbook by Melanie Gordon Sheets, Ph.D. -<span
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Posted in Depression and Suicidality, Emotional Mind, Rational Mind, and Wise Mind, Mindfulness, Suicide and Suicidal Behavior

Tagged black-out, CBT, cognitive therapy, Cognitive-Behavioral Therapy, DBT, DBT-CBT, depression, Dialectical Behavior Therapy, Emotional Mind, emotions, fighting depression, grief, healing, hope, impulsive behavior, loss of reality, mindfulness, mindlessness, numbness, psychologist, psychotherapy, Rational Mind, recovery, self-destructive behavior, self-forgiveness, suicidal behavior, suicide, suicide attempt, therapy, therapy workbook

The DBT-CBT Recovery Workbook Focuses On Self-Destructive Behaviors

Posted on December 12, 2009 | 1 comment

DBT-CBT is a life-changing recovery program that inspires people
to make the life changes that will change their lives.
This program has turned many defeated hearts into empowered spirits
that are psychologically prepared to take on the challenges of
GETTING ON and STAYING ON the Recovery Path.
Come join us in our journey.

This is a workbook for recovery from a variety of Self-Destructive Coping Behaviors. The philosophy of DBT-CBT is that “Many of our “abnormal” behaviors are normal given our experiences. They once served as survival skills. However, their period of usefulness is long over. We’ve overused these coping behaviors…and now, they’re causing us great pain and they’re destroying our lives.”

This workbook explains why we do the things we do…and why we keep doing these things even though they cause us more pain and problems. It’s about what we do in the heat-of-the-moment…the emotional moment. It’s about what happens when EMOTIONAL MIND drives and RATIONAL MIND takes a backseat…and WISE MIND is left on the side of the road.

When we’re filled with upsetting emotions, we often do things for quick relief…like drugs and alcohol; suicide attempts; cutting and other forms of self-mutilation; aggression; temper tantrums; walking off and leaving the situation; withdrawal; overeating or not eating enough; overshopping; “sleeping around”; rebound relationships; gambling; and other risky and reckless behaviors. The Nature of the Problem is…the things we do to feel better end up multiplying and intensifying our problems. Our Destructive Coping Behaviors help us to cope in the Heat-of-the-Moment…but, they have many negative consequences. They make our current problems more severe…and they CREATE many new problems for us to struggle with. Over time, our lives spiral OUT-OF-CONTROL and into a CYCLE OF SUFFERING.

This workbook provides useful tools, attitudes, and plans for changing how we respond to life. Our goal is to GET CONTROL of our OUT-OF-CONTROL emotions, behaviors, and thinking. We do this by PARTICIPATING EFFECTIVELY in our lives and by using LIFE-ENHANCING COPING MECHANISMS to deal with our pain and problems. Our goal is to MINDFULLY PROTECT OUR PEACE AND STABILITY and the BIG PICTURE OF OUR LIFE. Our goal is to STOP the CYCLE OF SUFFERING.

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Posted in About the Workbook, Aggression - Physical - Verbal, Anger, Avoidance - Denial, Eating Disorders and Weight Issues, Emotional Mind, Rational Mind, and Wise Mind, Pain and Suffering, Relationship Dynamics, Self-Destructive Behavior, Self-Injurious Behavior - Cutting, Substance Abuse

Tagged addictions, bad habits, CBT, cbt workbook, Cognitive-Behavioral Therapy, coping mechanisms, DBT, dbt workbook, DBT-CBT, Dialectical Behavior Therapy, Emotional Mind, fighting for recovery, hope, Rational Mind, recovery, sabotaging oneself, self-defeating behavior, self-destructive behavior, self-destructive coping, self-destructive coping behaviors, self-help, self-understanding, struggling through addictions, therapy, therapy workbook, Wise Mind

Radical Acceptance – “Accepting the Unacceptable” – From a DBT-CBT Workbook Perspective

Posted on December 11, 2009 | Leave a comment

We have a choice to accept difficulties as they come our way…
To lean into them and to get a game plan for dealing with them
AND a choice to Follow Through until we can Get Through…
OR we can choose to avoid, ignore, and numb-out our pain and problems
And stagnate in our pain and suffering.

When we choose to confront things
With an attitude of acceptance
That gives us the serenity to change the things we can
And the wisdom to know our limits.

Acceptance of our life situation and what we need to do about it…is a way of turning suffering we cannot tolerate into pain we can tolerate. It’s a way of turning hopelessness into hope. Most of us have been suffering the pain of our lifestyle and choices for years…and somehow, we remain willing to experience ongoing pain and misery because of them. We’re somehow willing to suffer long-term pain, but we’re not willing to go through the temporary pain of change. We’re somehow willing to dwell in a painful past, to remain in painful situations, and to continue painful addictions and impulsive behavior. We do so because we’re unwilling to accept and undergo the changes that will bring peace and stability.

Radical Acceptance involves accepting what we’d normally consider unacceptable. When we LIVE BY Radical Acceptance, we CAN ACCEPT something whether or not we approve of it and whether or not it’s right or wrong, fair or unfair, or pleasant or unpleasant. Radical Acceptance is about CHOOSING TO ACCEPT whatever is in our best interests to accept.

We MUST ACCEPT whatever we HAVE TO accept because NON-ACCEPTANCE keeps us emotionally troubled and stuck in negativity. To have peace, we must accept many things whether or not they’re acceptable. We must accept things from the past and present. Anything in the past that’s unfixable, we need to LET IT GO. Anything in our current life that we CANNOT CHANGE, we need to accept that it MAY NOT change. Anything we CAN change, we must LEAN INTO…to MAKE THE CHANGES we CAN MAKE. Our Recovery Goal is to live a life that MAXIMIZES peace, stability, meaning, and productivity. To do that, we MUST ACCEPT what has happened HAS HAPPENED, what we’ve done, WE’VE DONE…then, we need to LET IT GO…so we can GO ON with life.

From pages 313 and 316 – Excerpt from “Out-of-Control: A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior” by Melanie Gordon Sheets, Ph.D. – 2009 – Recovery Works Publications

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Posted in Acceptance - Non-Acceptance, Avoidance - Denial, Excerpts, Pain and Suffering, Relapse - Recovery Dynamics, Willingness - Willfulness

Tagged acceptance, CBT, Cognitive-Behavioral Therapy, DBT, dbt workbook, Dialectical Behavior Therapy, distress tolerance, emotional healing, emotional pain, fighting for recovery, healing, hope, pain and suffering, peace, psychology, psychotherapy, recovery, self-help, serenity prayer, therapy, therapy workbook, tolerance

A Partial Relapse or a Full Relapse – Using Rational Mind and Wise Mind to Tame an Out-of-Control Emotional Mind (A DBT-CBT Workbook Perspective)

Posted on December 5, 2009 | Leave a comment

The following is “Pete’s Story” – an excerpt from the DBT-CBT Out-of-Control Workbook which highlights a “real life” relapse experience. This relapse is processed using principles and concepts from the DBT-CBT Recovery Program, especially the three mind states of DBT. It’s an example of DBT-CBT “In Action.” The content for this post is the opening for Chapter 7, the “Rational Mind” chapter of the workbook. As it is from Chapter 7, it refers to things discussed in Chapters 1-6. So, if you feel a little lost reading it…that’s why!

Chapter 7 – RATIONAL MIND

We’ve been working with Rational Mind (1) throughout this book, so you’re somewhat familiar with this mind state. Rational Mind is the part of us that processes life in a logical, legalistic, fact-driven, reality-oriented, and cut n’ dry manner. In other words, Rational Mind uses reasoning, it respects rules, it’s guided by truth, it deals with how things really are, and it’s the calm, cool, intellectual, and unemotional part of us!

Emotional Mind is driven by how WE SEE AND EXPERIENCE the world while Rational Mind is driven by how THE WORLD REALLY IS!

The Purpose of Rational Mind

A Recovery Goal is PREVENTION of Destructive Emotion-Driven Behavior. We need to STOP OURSELVES before we do what we really feel like doing!
Rational Mind helps us to gain control before things get Out-of-Control.

When we’re in a troubling Emotional Mind state, the first step for gaining control is Mindfulness. We need to be aware of what’s going on in Emotional Mind. We need to be Mindful of our Raw Emotions, Emotion-Driven Thoughts, and our desired Emotion-Driven Behavior. This includes awareness of our feelings, the thoughts racing through our mind, and what we’re thinking about doing! Once we become aware of what’s going on in Emotional Mind, we need to TURN ON RATIONAL MIND to look at our situation logically and realistically.

Rational Mind helps us to know what is true and factual.
It helps us to perceive the reality of our situations and our life.
The reality of Rational Mind is generally quite different from the picture Emotional Mind paints!

Rational Mind helps us to understand THE BIG PICTURE OF THE SITUATION and the TRUTH about what’s going on. This helps us to challenge our Emotion-Driven Thoughts and to get our emotions MORE IN LINE with the REALITY of the situation. This REDUCES our emotional distress because we FOCUS on the HERE-AND-NOW situation RATHER THAN EVERYTHING that has EVER HAPPENED to us.

Rational Mind also considers the Big Picture of Our Life and REMINDS us of the CONSEQUENCES we’ll SUFFER if we ACT ON destructive Emotion-Driven impulses. WHEN we’re USING Rational Mind to deal with what’s going on in Emotional Mind, WISE MIND TURNS ON and BRINGS US to a GAME PLAN for effectively dealing with our situation. Our Recovery Goal is to PARTICIPATE EFFECTIVELY in our life… so we’re MANAGING and DEALING WITH our problems RATHER THAN CAUSING OURSELVES MORE PROBLEMS!

APPLICATION: The Meeting of the Minds

The following story, “Pete’s Story,” is a good example of how the three Mind States work together in real life.

Pete’s Story

Pete has a lot of stress and family conflict caused by his responses to life. His family has allowed him to stay in their garage apartment “for the last time.” His probation requires him to be employed. He doesn’t have a good work history so it took a while to find a job. He just bought a used car and now has visitation with his kids because he’s paying child support. Things are pretty good in his life… though not the greatest. His boss accused him of doing something he didn’t do. He blew up and walked off the job. He went to an old hangout and started drinking again and snorted some coke. Thoughts began churning in his mind. He is very worried and is thinking the worst, “My family is going to kick me out and I’ll be homeless again. I’ll lose my car without income and I’ll lose visits with my kids. If I get called for a UA (2), it’ll be dirty and my probation will get revoked (3)…especially since I’m now unemployed. Then I won’t see my kids for a long time.” He’s very upset with himself and thinks, “I am such a failure. I screw everything up. My family will NEVER let me hear the end of this. I should just kill myself. I can’t handle all this crap again.” Thoughts are racing through his mind. His emotions intensify and he becomes more and more upset. He begins to panic. He is desperate for a way out and considers going back to live with his ex-girlfriend. He’s afraid of doing that because she still uses drugs. He panics even more and all he can think about is killing himself. He ruminates about this stuff for hours and hours. It’s now 3AM and he’s worried about going home…so late…so upset…and so messed up.

Does Pete’s story seem like Real Life or does it seem like an exaggeration to make a good story? _____________________________________________________________________________________
_____________________________________________________________________________________

Have you been in a state like this before about a lost job or some other major problem? If so, describe how your experience is similar to his. ________________________________________________________________ ______________________________________________________________________________________

The quality of our life comes down to two choices.
We can LIVE IN Emotional Mind and ALLOW our life to fall apart
OR we can TURN ON Rational Mind and Wise Mind
to get a Game Plan for dealing with our problems.
The choice is to stay on the life-enhancing Recovery Path
or to go the way of Relapse Route.

SKILL BUILDER: Pete’s State of Mind

Re-read Pete’s story and UNDERLINE the parts that describe what’s going on in his Emotional Mind. Put a BOX around the parts that are driven by Rational Mind.

You probably had no trouble identifying what was going on in Emotional Mind. You may have had some trouble deciding if his statements about getting kicked out of his apartment, being homeless…and losing his car, probation, and visits with his kids were Rational Mind or Emotional Mind.

What did you decide? Explain what you based your decision on? ________________________________________________________________________________________
________________________________________________________________________________________

When he went to the bar, he was upset.
then he began drinking and drugging,
then he became hopeless, desperate, and PANICKED.

Mindfulness of the consequences suggests he was in Rational Mind. Some think he was in Emotional Mind because it seemed like he was catastrophizing4 how bad things could get. However, given his life situation, his worries WERE based on truth and reality!

A reason to suspect he was Big-Time in Emotional Mind is…WISE MIND DIDN’T TURN ON and OFFER LIFE-ENHANCING SOLUTIONS. All he did was ruminate for hours about consequences and finding a way out…NOT A WAY THROUGH. He was panicking! All the COCAINE and ALCOHOL did was PUSH HIM DEEPER and DEEPER into Emotional Mind…and farther and farther away from Rational Mind and Wise Mind. He couldn’t think straight. The MORE he ruminated, drank, and snorted, the MORE DEPRESSED, ANXIOUS, WORRIED, and PARANOID he became.

In order to think straight,
we’ve got to be straight!

The Big Picture of Pete’s Story suggests he was Big-Time in Emotional Mind. He had SOME Rational Mind going on…but, not much. He was AWARE of the consequences of losing his job, he KNEW he should not return to his ex, and he KNEW his behavior would cause family problems. He was probably 80%-20% Emotional Mind – Rational Mind. Wise Mind flickered on and encouraged him NOT to call his ex. Not having that option…and having more time to drink and snort, he panicked even more…and came to believe that suicide was his best option.

Isn’t it odd how we can go from bad to worse…
and we begin to think the worst option is the best?

Given Pete’s story IS Real Life, how do you think this part of his story ends? _______________________________________________________________________________________
_______________________________________________________________________________________

He’ll either do something MORE DESTRUCTIVE, like a suicide attempt, driving drunk, or a full-blown relapse OR he’ll do something LIFE-ENHANCING like staying safe and sleeping it off in the car and TURNING ON Rational Mind WHEN HE COMES TO…TO GET HIS LIFE BACK IN ORDER.

Pete’s story tells about the “Something That Happens” on the Recovery Path and the two choices we have. Pete CHOSE the RELAPSE ROUTE in the Heat-of-the-Moment. HOWEVER, he DOESN’T HAVE TO stay on that path. He can call for help at 3AM or crawl into his car and sleep it off.

SKILL BUILDER: How to Get Control Once We’ve Lost Control

Let’s suppose he chose the Recovery Path at 3AM. When he comes to and is able to shake off the cobwebs later that day, what might Rational Mind say to him? ____________________________________________________________________________
____________________________________________________________________________

Rational Mind might lead him to think,

“I blew up and walked off the job and I drank and used coke last night. I was scared. I freaked out…but this DOESN’T HAVE TO BE the end of the world. It’s time for DAMAGE CONTROL. MY PRIORITY RIGHT NOW is to get a job. Whether it’s my old job back or a new one…I need to act fast! No doubt my folks know Something Happened because I didn’t come home last night and I’m home now when I’m supposed to be at work. I need a plan for dealing with them, too, so I don’t lose housing.”

At this point, Emotional Mind will probably rear up with all kinds of self-defeating thoughts and feelings. Pete MUST TURN ON Rational Mind to Fight for his peace and stability. He cannot ALLOW Emotional Mind to control the course of his life. When a destructive thought comes up, Pete needs to remind himself that HIS NUMBER ONE PRIORITY is to STAY ON the RECOVERY PATH and that HE CAN AND WILL HANDLE this situation. He needs to tell himself that he STRUCK OUT last night, but there’s still MORE INNINGS in the game. He’ll have to challenge the destructive Emotion-Driven Thoughts AS THEY COME UP and REMAIN FOCUSED on TRUTH, REALITY, DAMAGE CONTROL, and PROBLEM-SOLVING.

At this point, Wise Mind will kick in to help him with a plan of action. What might Wise Mind suggest? ______________________________________________________________________
______________________________________________________________________

Wise Mind might suggest he visit his boss to apologize for blowing up and to ask for his job back. Wise Mind might suggest he TRY to assure his boss he didn’t do what he was accused of doing. Wise Mind would likely remind him if “Plan A” doesn’t work, he could apply for dozens of other jobs until he gets one…and that IT’S NO TIME TO BE PICKY! Wise Mind might encourage him to explain the situation to his parents…to let them know HE SLIPPED…but was BACK ON the RECOVERY PATH. If needed, he could tell them he’ll have a job quickly, REGARDLESS OF WHAT HE HAD TO DO. Wise Mind would likely inform him that it’s unlikely he’ll get called for a UA over the next few days and to pray on that! If he did get called for one, Wise Mind might suggest telling his probation officer what happened and the POSITIVE WAY HE’S DEALING WITH IT. Wise Mind would have MANY DAMAGE CONTROL and PROBLEM-SOLVING IDEAS for GETTING RECOVERY BACK ON TRACK!

When we mess up, we don’t give up.
We STAY IN the game even if it’s our toughest inning ever.

If at the end of the next day, he didn’t get his job back and he didn’t get a new one, Emotional Mind could easily start the self-defeating rumination and worry process. What could he do to help himself if this starts up? ________________________________________________________________________________________
________________________________________________________________________________________

Rather than spending days worrying about a catastrophe happening, Wise Mind would inform him that he’d be BETTER OFF PREVENTING ONE by focusing on a Game Plan! Wise Mind would strongly encourage him to chill-out and focus on Damage Control, problem-solving, and the use of Life-Enhancing Coping Behaviors (5) to avoid destructive worry.

Through Rational Mind, he could TAKE NOTE of the PRODUCTIVE things he’s done the last two days INCLUDING his MAJOR SUCCESS with QUICKLY GETTING BACK ON THE RECOVERY PATH and preventing a full-blown relapse. He could LIST HIS GOALS for the next day and a PLAN OF ACTION for the rest of the week. Since money is tight, he could WORK OUT A PLAN for paying what HAS TO BE paid. He could DISTRACT himself with POSITIVE ACTIVITIES (support group meetings like AA, helping his family prepare a meal, visiting with a recovery friend, etc.). He could SEEK TEMPORARY WORK cleaning yards, painting his parents home, and whatever else he can come up with to earn money and to KEEP HIS MIND BUSY. He could even talk with businesses about hiring him for a day or two to do “odd jobs.”

This WORK-UP of Pete’s story shows how RATIONAL MIND helps to CONTROL the INTENSITY and NEGATIVITY of an UPSET EMOTIONAL MIND! Rational Mind DOESN’T BUY INTO a “I’m a total screw-up. This is going to ruin everything. I can’t deal with it. I should kill myself.” mentality. Rational Mind CHALLENGES panic and negativity by looking at the situation in a calm, NON-EMOTIONAL, realistic, logical, and truthful manner. In the upcoming sections, we’ll look at some common Emotional Mind experiences from the viewpoint of Rational Mind. We’ll see how Rational Mind TAKES the POWER and NEGATIVITY OUT OF a destructive emotional experience.

Rational Mind tames what comes out of Emotional Mind.
Rational Mind pulls on the reins and helps to get control
of what is going Out-of-Control.

Footnotes

1- Dr. Linehan calls this mind state “Reasonable Mind.” On page 65 of her Skills Training Manual, she states, “This is your rational, thinking, logical mind. It is the part of you that plans and evaluates things logically. It is your cool part.”
2- UA – urinalysis – a urine test to check for drugs or alcohol.
3- Probation revoked – to lose the privilege of being on probation. Folks have to serve their sentence in jail if their probation is revoked.
4- Catastrophizing – (cuh-tah-stro-fi-zing) –when we’re focusing on the very worst things that could happen. It’s a form of the word, catastrophe – (cuh-tah-stro-fee).
5- Being busy with problem-solving…and working towards the solution is a powerful coping tool. Getting a newspaper and a phone book and making a list of jobs to apply for and businesses to call and visit is solution-focused. Visiting the employment agency and ironing a decent set of clothes for job hunting is very constructive, too!

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Posted in Anger, Anxiety and Panic Attacks, Depression and Suicidality, Emotional Mind, Rational Mind, and Wise Mind, Excerpts, Mindfulness, Relapse - Recovery Dynamics, Self-Destructive Behavior, Substance Abuse, Suicide and Suicidal Behavior, Thinking - Destructive

Tagged addictions, alcoholism, bad choices, CBT, challenging negative thoughts, chemical dependency, Cognitive-Behavioral Therapy, DBT, DBT-CBT, desperation, Dialectical Behavior Therapy, Emotional Mind, fighting for recovery, full relapse, healing, hope, hopelessness, irrational thinking, mindfulness, negative thinking, partial relapse, Rational Mind, recovery, relapse, sabotaging oneself, sabotaging recovery, self-destructive behavior, self-help, self-understanding, starting over, struggling through addictions, substace abuse, substance abuse recovery, success, suicidal behavior, suicidal thinking, Wise Mind, worthlessness

How to Motivate People to Change – Some Keys to Recovery from a DBT (Dialectical Behavior Therapy) and CBT (Cognitive-Behavioral Therapy) Recovery Program

Posted on December 5, 2009 | Leave a comment

From the perspective of a psychologist in a state hospital treatment setting and a population of individuals who have struggled with recovery over time, I believe insight and understanding is a key to creating a desire to change. I believe it greatly helps people to see the big picture of their life and come to an understanding of why their life is like it is…that is, why they have lost “everything” or most everything they’ve ever loved or cherished…or why things always end up so bad…or why anything good never lasts. I believe folks need to grasp that this life outcome is a product of how they have tried to cope with upsetting life events over time…and the way their life is today…is because of the progressive and worsening consequences of their self-destructive coping mechanisms (drugs, alcohol, verbal and physical aggression, suicide threats and attempts, rebound relationships, and other emotion-driven coping choices). I believe that once they grasp that the quality of their life is based on how they attempt to cope with daily life and major life stressors…once they realize that how they cope with life is responsible for the current state of their life….once they really get this…motivation for behavioral change often follows. In the group I do, they are also taught that part of being wise (use of DBT’s Wise Mind) is not only knowing what to do (Wise Mind Game Plan), but it is about “following through with what we know to do”…because there is nothing wise about knowing what to do…and then not doing it! I believe insight and understanding is an initial part of behavioral change. I also believe that knowledge that change is possible is essential. I believe they need to really get it that other people have done it and have made it through. They have to have this knowledge…which breeds hope that the recovery process actually works…that people do recover and live satisfying and meaningful lives. I also believe personal empowerment is a key ingredient. They have to believe that they can do it…that they have the skills and understandings necessary to pull it off.

Thus, they have to understand why things are as they are..(insight and understanding), they have to recognize that change is attainable (knowledge and hope)…and they have to think they can do it (personal empowerment). Of course, they also need the knowledge, skills, and resources for getting through the tough times that are part of making and undergoing major life changes (life-enhancing coping skills, support system, hobbies and activities, busy-ness). They have to understand the concept of Distress Tolerance…that things will be hard, but they must Get Through It…that recovery is not easy…and in fact, it will be one of the hardest things they’ll ever do. They are also taught that change typically does not occur until we are sick n’ tired of being sick n’ tired…that we have to soooo hate the way things are…that we’re willing to do whatever we’ve got to do to change things…that we refuse to live like this any longer. I believe that people need to be filled with recovery attitudes…or rehab-itudes…and they need to be prepared for the fight of their life…which for many is the fight FOR a life (a decent life) and for others, it is a fight for life itself…because the severity of their consequences has escalated into things being so bad…that it comes down to “life or death”…

When the pain of living like we’re living is greater than the pain of change…that’s when most people decide to change…and the question for the rest of us is…how bad do we have to let things get before we’re willing to make changes! It’s a shame that we’re such stubborn creatures, that we have to let things get so bad…before we’re willing to make changes! If only we knew then…what we know now…how we could have spared ourselves of such long-term pain and suffering.

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Posted in Acceptance - Non-Acceptance, Aggression - Physical - Verbal, Emotional Mind, Rational Mind, and Wise Mind, Pain and Suffering, Relapse - Recovery Dynamics, Relationship Dynamics, Self-Destructive Behavior, Substance Abuse, Suicide and Suicidal Behavior, Willingness - Willfulness

Tagged addictions, breaking habits, CBT, changing bad habits, Cognitive-Behavioral Therapy, coping behaviors, DBT, DBT-CBT, destructive coping behaviors, determination, Dialectical Behavior Therapy, distress tolerance, emotional behavior, Emotional Mind, fighting for recovery, hope, insight, introspection, loss, mindfulness, motivation, motivation to change, pain, pain and suffering, recovery, recovery program, self-destructive behavior, self-understanding, struggling through addictions, willingness, wisdom, Wise Mind

Using DBT CBT Workbook Recovery Skills To Get Control Of My Out-Of-Control Eating! Losing Weight Again!

Posted on October 18, 2009 | Leave a comment

I made it through the diet crisis. What a horrible time that was…to feel so out-of-control of my eating and knowing I was very close to relapse back into an EATING DISORDER! It’s kind of sad to think back to that…I was so desperate and struggling. Writing one of the blogs in that period, it occurred to me how much drama and chaos I was experiencing and allowing myself to go through. Because the theme of my life is “Peace and Stability,” I became sick n’ tired of the chaos and drama…and I took control of my out-of-control self! It was like “Ah, hell no” and I got very serious about getting my life under control.

So, I resolved to take advantage of my Wise Mind thinking and I got a Game Plan. I Followed Through with it and packed my food for my work day (planning, decided what to eat), stopped buying fruit (managed temptation), counted the calories throughout the day (Mindfulness), kept reminding myself of my goal to get control (All Day Daily Devotional), was Mindful of the two choices I had – to eat what I wanted and gain all my weight back or to control my eating and keep my weight down (Two Choices), put up tempting food that the family left out (more temptation management), and I Talked Myself Through impulses to eat something that would increase calories too much (Self-Talk, Talking Myself Through the Moment). I practiced what I preach. I wasn’t perfect though…but kept with it (Perseverance).

Just looked and the last entry was 10 days ago. In that time, I had 3 “bad days” in a row (1380 calories or more)– I pigged out on my husband’s home cooked beans and cornbread one day, another was a bunch of M&M’s, and another was chips. However, had many good days, too. Total calories this month is 1255, so, things have averaged out pretty good. Weight went up to 131 one day…and is now back to 124. 122 is my lowest during the last 4 years of dieting. Was often in the 124-125 range before things got out of control recently.

Other dynamics that have helped me over the past week have included…being overbusy and working long hours at work and having less time for food at home (I have been packing an insulated bag with food for work) , my husband hasn’t cooked since the beans and cornbread episode, I have been playing Zuma a lot when I’m home (pleasure and de-stressing time from overworking at work), and the kids have been VERY busy with school stuff in the evening and they haven’t been cooking much either!! So, the planets have lined up well…and all is well. Praise God. How can I forget…I also prayed and asked God to help me Get Control…because I was doing a horrible job of it on my own.

For some reason, I forgot that it was the 10 days after my period that my weight went up (like to 131 recently). Falling to 124 so fast caught my attention and I looked over my Excel spreadsheet and remembered that. So, I’m at a good time now when my weight should stay lower…for a few weeks. Would be fun to lose a new pound and get to 121.

It’s really unbelievable. I once thought that it would be impossible to hit 135…and that if I ever got to 165 it would be an amazing thing. I started out at 260 on my scale…(did I just put that in print) so, it is pretty unbelievable to be in the 120’s…or even under 200!

My goal is 112. I spent many years of my life in the teens…usually 115-118. If it’s do-able, I would like to hit 112 so I have a little room to move up and down and still stay below 118.

My kid was just reading this and asked why I wrote that I’ve lost 145 pounds if it’s only 136. I reminded her that I got pregnant during the last 4 years…gained weight during the pregnancy and when all was said and done after I lost the baby, I was 13 pounds higher. So, when I went back to my diet, I had to lose those 13 pounds again. So, in reality, I’ve lost 136 pounds + 13…so, I’m really at 149. I count those 13 because I had to lose them again…and regaining them wasn’t my fault…like going back up to 131!

Anyways, all’s well…for now. I guess that’s “for now in the diet world” because my life is entirely Out-of-Control at work…and I can’t stand the feeling. It’s not a wonder why I entitled the DBT-CBT Workbook, “Out-of-Control”!!! The way I’m dealing with that is by busting my butt to get caught up…or at least to get things well enough in control that I don’t feel so overwhelmed and desperately Out-of-Control! I’ll focus on that…work hard now…play later!

Balance is a big thing in the DBT-CBT recovery program and I noticed that I was achieving some semblance of balance by allowing myself to play Zuma for hours instead of working at home and making myself do things I didn’t feel like doing at home. I had to notice that because I felt guilty about playing so much Zuma!

I tell my Group folks that “normal” life isn’t a cakewalk…and “normal” folks aren’t so normal (ain’t I a good example! ) I tell them that “normal” life is stressful and it’s not easy…that “normal” people have many things to struggle with, too….and that’s it’s always something. Things are always “Coming At Us” that we have to struggle through and deal with…that the skills taught in the workbook not only apply to recovery from drugs and alcohol, or cutting and suicide attempts, or depression or Bipolar Disorder…that they are about how to deal with life in general.

I share with them glimpses of my struggles as examples now and then…and I let them know that even though I am years into recovery from my history of seriously self-destructive coping behaviors…I still have to deal with myself on a daily basis…and that I live, eat, and breathe the recovery principles in the workbook…and that I, too, get tired of having to deal with stuff ALL THE TIME!

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Posted in Eating Disorders and Weight Issues, I've Lost 100 Pounds!, Mindfulness, Normal People, Relapse - Recovery Dynamics

Tagged breaking habits, CBT, Cognitive-Behavioral Therapy, compulsive overeating, Counting Calories, DBT, DBT-CBT, desperation, determination, Dialectical Behavior Therapy, diet, diet tips, dieting, fighting for recovery, God, hope, Impulsive Eating, introspection, Losing Weight, mindfulness, recovery, recovery workbook, relapse, self-help, self-understanding, struggling through addictions, success, weight gain, weight loss, willfulness, Wise Mind

On Losing 145 Pounds and Using Dialectical Behavior Therapy (DBT) and Cognitive-Behavioral Therapy (CBT) to Regain Control Over My Over-Eating Eating Disorder!

Posted on October 7, 2009 | Leave a comment

Well, here’s another day of my recent fight to regain control of my eating and to continue to lose weight…and to prevent a full relapse into my over-eating Eating Disorder!

Felt great to weigh in at 127. One less than yesterday and a common weight for me over the past few months…and going in the right direction!

Started my day with Mindfulness of recovery being my #1 priority today. I thought about how I wanted to eat this day and I took note of what was coming at me today that could challenge my recovery. I thought about the Service Awards Celebration that would be held today at work. They’d serve cake, cookies, and other goodies. I wasn’t sure I wouldn’t eat anything there, so I was aware I needed to plan my food day to allow for that!

Started my work day by buying some time and drinking coffee first thing rather than settling into my 1-1/2 sandwiches of fat-free turkey and double fiber bread (230 cals!). Had that at about 11:30. That held me just fine until the Awards Celebration…I got a 20-year with the state of Texas award. Cool. I did good until the end when folks were chatting by the food tables…and I did it! I had a small piece of cake and would have had a chocolate chip cookie, but no chocolate cookies left of any sort and I wouldn’t waste calories on non-chocolate! Got out of there with only about 50 cals worth of cake! Oh yea! Awesome!

Well, just like I am…I get back to my work area…and there’s candy bars on the counter for sale for Relay For Life…and seeing them brings on the sweet munchies that were brought on by not getting the chocolate chip cookie! Mentioned to my friend that I had the sweet munchies now and she told me about all the treats she had stored in her desk! Oh boy! So had a Reese’s candy bar (270 cals), about a dozen M&M’s….and a good handful of cashews. Can’t imagine that to be more than about 130 calories. Delighted because 400 more calories satiated my sweet craving. Did so well that I skipped my afternoon black bean soup.

Worked late, came home at about 7 and enjoyed three yogurts (240 cals) and started on sunflower seeds. Betcha I won’t need to have the Snicker’s chocolate protein bar tonight after sweets earlier today. Really not craving anything except I’m enjoying the seeds! Think I’ll play Zuma for a while and then package up the books which have sold today. I feel so much better that my eating is better under control. Just need to continue what I’m doing and work through this “near disaster” in my recovery!

I kept track of calories all day…grand total of 1030. That’s a bit low (Rational Mind)…though I really like the number! (Emotional Mind) However, I want to re-experience peace and stability in my eating…and not the roller coaster of late. (Rational Mind) Too few calories for one to two days leads me into out-of-control eating while my body tries to replenish itself! (Rational Mind) I’m just not in the mood for more diet drama. Had my fill of that! (Rational Mind) May snack on something to bring it closer to about 1250 (Wise Mind)…but I really like the 1030 number! (Emotional Mind)

Oh boy, hubby just got home bearing Walmart grocery bags…and I get to put them up! My recovery supportive husband brought home three bags of chips…one of which I happen to really like…but, also a bag of apples. So, I was mindful of my recovery and my recovery goals and realized that if I cracked the bag of chips it would be 200 calories in seconds flat! (Rational Mind) Made a decision to put them up and out of my sight. (Wise Mind) Then, I found the bag of apples…ahhhhhh…had two. So, total calories now about 1160…and now he’s grilling hamburgers outside. Hopefully, I’ll just tear one in half and have that! (Wise Mind) That puts me right at that 1250 number! Boy, sure I love the food he cooks out there on the propane grill. Oh…man!

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Posted in Eating Disorders and Weight Issues, Emotional Mind, Rational Mind, and Wise Mind, I've Lost 100 Pounds!, Mindfulness, Relapse - Recovery Dynamics

Tagged addictions, anxiety, binge eating, binging, Borderline Personality Disorder, breaking habits, CBT, Cognitive-Behavioral Therapy, compulsive behavior, compulsive eating, compulsive overeating, coping skills, DBT, DBT-CBT, desperation, determination, Dialectical Behavior Therapy, diet tips, dieting, eating disorder, Emotion Mind, fighting for recovery, hope, mindfulness, out-of-control behavior, overcoming adversity, overeating, Rational Mind, recovery, recovery skills, relapse, relapse prevention, self-help, struggling through addictions, success, therapy, weight, weight control, weight loss, Wise Mind

Willfulness and Willingness…Fighting for Recovery…From My Overeating Disorder!

Posted on October 6, 2009 | Leave a comment

“You get skinnier every time I see you.” That’s what my friend said to me today…and I thought, “Fat chance of that!”

Weighed this morning – 128. Not horrible, better than 129 the other day…but lots worse than my monthly average the last few months (125 range) with lows at 122-123.

Getting dressed, I put on my size 10’s…my larger pants since I’m not in the 125 range. Oh my God, they were tight. I am not doing tight first thing in the morning, else by mid-afternoon seams will be a-bursting! Went up a half size bigger…ahhhhhh…and to think I was going to put those in storage just in case I started to get fat again. I shouldn’t need to wear those. I wore those at 135. But…if the pants fit, wear them!

I was feeling despondent, helpless, out-of-control…desperate…hopeless. Then, anxiety hit. I realized this could easily be a relapse point. Eating out-of-control…felt discouraged…was bloated…and having to wear “fat pants”…everything was just right for an Emotional Mind recovery sabotage.

My first panic thought was to strictly reduce my calories to 1100…to punish myself. (Emotional Mind thinking).

Rational Mind said, “That’s too low…and punishing yourself will backfire..it’s not a good thing for you.”

Wise Mind said, “Chill out Mel…work to maintain calories in the 1200 range…that’s very do-able for you…you can tighten up a bit.”

Thank God I’m into this DBT-CBT thing…and I live, eat, and breathe it. And thank God I caught myself in the middle of this serious Emotional Mind game. I thought, “You know, I’m not going there.” Then I thought, “I think I’ve just entered a fight for my recovery. It’s at that point now.”

I then recognized I felt a bit angry about this eating thing…frustrated, just tired of it. Then another thought flew through my mind, “I don’t get mad, I get even.” This is usually a negative, revenge type of Emotion-Driven thought, a self-destructive thought. However, for me…today…it was more like, “It’s time to kick this in the ass…I’m tired of it.” “It” being…”I’m tired of my crap”…it’s like “Shit or get off the pot”…or…”If you’re serious about this diet thing, then make it happen already…Get control or lose control. Game’s over. It’s time to get serious.”

I thought about DBT and “Willfulness vs. Willingness.” Well, one is usually bad – the stubborn, willfulness one…and willingness is usually good – the “I’ll do whatever I need to do to be okay”…it’s the “I surrender,” “I accept,”…the, ”I’m ready and willing” one.

Well, for me today, Willfulness was a positive thing. It was the stubborn and determined part of me…that fight from deep inside…being willful in a survivalist type of way…the, “I’ll be damned if this kicks my ass” type of fire from within!

Willingness was there, too. They stood side by side. I was willing to do what I needed to do to get this eating thing going on. I surrender my will to eat whatever I want to eat. I surrender to setting limits for my eating.

Well, I’ve done very well today with just a minimum of distress. Ended the food day at 6:30pm with 1185 cals. For breakfast I had 1-1/2 fat free turkey sandwiches (double fiber whole wheat bread) and drank coffee with about 25 calories of flavored coffee creamer. I had a can of green beans for lunch. That held me over until my mid-afternoon can of black bean soup which kept me from leaving work starving to death and ready to eat everything in sight when I got home from work. Upon arriving home, I had 3 black cherry yogurts (80 cals each and quite a treat) and a Snickers 290 calorie chocolate protein bar (quite a treat…like a candy bar!) I picked at leftovers and had a couple bites of chicken with green peppers. SUCCESS. Had to forego fruit and sunflower seeds today, but I’m fine. Started the sunflower seeds in the evening when I quit cigarettes a few months ago…and also added a lot of fruit then to deal with the nicotine withdrawal CONSTIPATION! Did just fine though without them tonight.

Now…today I went back to some of the dieting basics like I resolved to do a few days ago…yesterday…whenever it was. I kept a running tally of my calories through the day…and emailed them to my home! I was mindful of what I would eat (for the most part), planned my food day (for the most part) and I did the “think through before you do” thing. Now, tomorrow is a new day and I sure hope I experience that fire from within…and fight for my recovery all over again! I hope my battles help you in your fight.

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Posted in Eating Disorders and Weight Issues, Emotional Mind, Rational Mind, and Wise Mind, I've Lost 100 Pounds!, Mindfulness, Relapse - Recovery Dynamics, Willingness - Willfulness

Tagged acceptance, addictions, bloating, Borderline Personality Disorder, CBT, Cognitive-Behavioral Therapy, DBT, DBT-CBT, determination, Dialectical Behavior Therapy, diet, diet tips, dieting, eating disorder, Emotional Mind, fighting for recovery, hope, introspection, overeating, recovery, relapse, sabotaging oneself, self-help, self-understanding, struggling through addictions, success, weight gain, weight loss, willfulness, willingness, Wise Mind

DBT – CBT and dieting: Counting Calories…and They’re Adding Up!

Posted on October 5, 2009 | Leave a comment

I did good with my eating ALL day…until the bowl of Stouffer’s lasagna just a little while ago. Boy, it sure was good! Enjoyed every cheesy bite! Didn’t need it, just chose to have it. Put me about 200 calories higher than desirable for the day…makes for a “bad” day. Total calories today – 1465. Month average is now 1265 which is perfect for me…just where I want to be. Allows me to lose about a pound or two a month.

I’m bothered by eating more than desirable today. Did well with mindful eating ALL day…until the lasagna! However, I haven’t given up on me…yet. I’m determined to figure this out. A part of me says, “Maybe your body is just ready for maintenance eating” rather than losing weight. That’s probably Rational Mind! Emotional Mind says, “Well, I’m not ready for that. I still want to lose about 10-15 pounds” (Yes, I’ll still be within ideal body weight and more where I was most of my life before I got heavy in my late 20’s.)

The Wise Mind thought crossed my mind, “Just exercise some each day, that’ll take care of those extra calories.” My stubborn, Emotional Mind responded, “Nah, I’d just rather try to eat less.” In other words, I’m too lazy to exercise…I have other interests and things to do…I want to do the diet my way…not the way I know is best. So, I’ll persist in my stubborn ways and see how it goes.

Rational Mind says, “You can continue to try it your way, but if it isn’t working, you’ll have to try something else.” And, Wise Mind says…”See that bowflex and stepping machine behind you…” I think I’d rather give up that chocolate Snickers protein bar (290 cals) rather than exercise an hour! I’d much rather do that!

Touchdown Minnesota…Can’t help to favor Favre!

Tomorrow I’ll eat like I did today, but not allow myself to have the Snicker’s protein bar.

My God, what an awesome play by Green Bay…major pass from Rodgers…touchdown Green Bay. Score is tied. Exciting game!

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Posted in Eating Disorders and Weight Issues, Emotional Mind, Rational Mind, and Wise Mind, I've Lost 100 Pounds!, Relapse - Recovery Dynamics

Tagged acceptance, addictions, breaking habits, CBT, Cognitive-Behavioral Therapy, constipation, DBT, DBT-CBT, determination, Dialectical Behavior Therapy, dieting, Emotional Mind, fighting for recovery, hope, Rational Mind, recovery, self-help, struggling through addictions, weight gain, weight loss, Wise Mind

Using DBT and CBT to lose weight

Posted on October 4, 2009 | Leave a comment

I’ve lost 145 pounds and now I have to go on a diet! That’s where I’m at right now. I have steadily lost a ton of weight in 4 years and I find myself in need of going on a diet! September was a VERY bad month for me. I had many more bad days with very high calories than usual (in the 1800-2100 range with one day even higher!) Such high calorie days typically happen just a couple times a month…not many times! Last month (September), I ended up with almost 200 more calories per day than typical. May sound like nothing…but, that adds about 1-1/2 pounds to me over the month…and it kept me from losing any weight.

That may not sound bad…but, the problem is…I really struggled this past month. I was “out-of-control” with eating. I’d pig out some days…and then work hard other days to get my overall monthly calorie count lower…only to have more pig-out days…followed by major attempts to control my eating…which still very often resulted in more calories for me than usual. Overall, I did not have a natural eating pattern this month…it was a time of out-of-control eating.

I recognized that I was in a period of early relapse with my eating disorder (over-eating)…and that if I didn’t gain control, I would lose control, and end up “out-of-control” and back in a cycle of weight gain. I was mindful that I could end up gaining a bunch of weight and perhaps end up fatter than when I started. Scary. Don’t want to go there on purpose.

Because I live, eat, and breathe the teachings of the DBT-CBT “Out-of-Control” Therapy Workbook, I began dealing with this early relapse and my neurotic self. Towards the end of the month when I thought,

“Oh my God, I’m going to gain all my weight back”

and various other statements of an Emotional Mind panic, Rational Mind came to my rescue.

“If I don’t gain control, I will lose control, and gaining weight is certainly likely. I’ve done well with this diet thing for 4 years. I’ve been within ideal body weight for a year now. I’ve been losing weight up until this month. I’ve got the skills, willpower, and know-how to get control of myself. I’ve just gotta tighten up and get a Game Plan for getting through this.”

Wise Mind clicked on and I thought, “I’ll just go back to the early days of my diet and start over. I’ll do things like I did back then. I’ll just start from scratch.”

Emotional Mind clicked on, “I can just not eat much tomorrow and the next day, that’ll cut my calories down a lot for the month…and more in line with a normal month.”

Rational Mind and Wise Mind jumped me, “That’s a bad idea. You know better. You’ll just end up pigging out again. You can’t do that. It’s certainly tempting, but not the way to go. I just need to tighten up and do things like I did in the early days of my dieting.”

Emotional Mind reared up again, “Well, I can just starve myself tomorrow and the next day so my calories won’t be bad for the month and THEN I can start over. I don’t want to have such a bad month…and show a 4-pound weight gain this month. That’s awful”

Rational Mind said, “What’s done is done. It’s just numbers. You’ll show a gain this month, and then next month, you’ll go down again. It’s not real weight, well, just a pound or so. You don’t gain 4 pounds eating an extra 5000 calories a month, that’s just a pound and a half or so…and really instead of losing a pound n’ a half this month, you’re just breaking even. You’re on your period so the extra weight is probably just water.”
Wise Mind said, “Chill, you’ll be okay. This is just temporary. Let’s just get a plan.”

So, I began thinking of how I used to do things. It’s been a long time since I’ve had to be on a diet! I had developed such good eating habits that it became a natural part of living, more a lifestyle than a diet! I actually eat a very healthy diet…I’m just eating more…more yogurt, more fruit, more chocolate protein bars!

Part of my diet basics is to let the people I’m around know about my struggles and to solicit their help. So, I told the family I had a very bad September, that I need to tighten up…and that I don’t want to start the weight gain cycle. I asked them not to offer me food and to put their food up when they’re done. Of course, they’re not perfect in my recovery, so when I notice they’ve left something out that could be tempting to me, I put it up!

I’m also walking past temptation telling myself, “I can’t just eat that, I’m on a diet” instead of having a couple bites, a bowl, or a handful. I’m setting limits because my wants now are much greater than they’ve been for a long time…and I guess I’ve slacked off too much. I find myself eating because I feel like it, rather than eating when I’m hungry.

I’m also setting limits and making choices about when I’m going to eat…not just allowing myself to graze.
I also decided that I would count calories through the day instead of just doing it at night. This will increase my mindfulness of calorie intake throughout the day.

This morning as I was waking up and thinking about my day, I decided what I would eat. Since I slept late, I’d eat two meals and an evening snack.

I’ve also thought about the work week because my calories are higher during the week than on the weekends. I will bring a limited amount of food to work. For instance, instead of a huge bag of grapes that should last a few days, I’ll bring about 100 calories worth. I’m in the process of figuring out what my food day will be like at work and what I’ll have at home in the evening.

So, I’ve gone back to some of the basics, but, I’m not perfect in recovery. I’ve had one “bad day” this first four days of October, but three very good days. My overall calorie count is lower than desirable, but I have faith in myself, I’ll be able to get it up without any problem!

FYI: DBT-CBT (Dialectical Behavior Therapy – Cognitive-Behavioral Therapy)

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Posted in Eating Disorders and Weight Issues, Emotional Mind, Rational Mind, and Wise Mind, I've Lost 100 Pounds!, Relapse - Recovery Dynamics, Thinking - Destructive

Tagged addictions, breaking habits, CBT, Cognitive-Behavioral Therapy, DBT, DBT-CBT, determination, Dialectical Behavior Therapy, diet tips, dieting, Emotional Mind, fighting for recovery, hope, lose weight, Rational Mind, recovery, relapse, self-help, struggling through addictions, weight gain, weight loss, Wise Mind

I Quit Smoking and Got Around the Bloating, the Constipation, and the Weight Gain

Posted on July 12, 2009 | 3 comments

I FINALLY quit smoking. I FINALLY DID IT on attempt #6 or #7 this year! I found a way to get past the bloating, the constipation, and the weight gain. Granted, kicking the habit kicked my butt for 6 months…I persevered through the process and made it through! I have almost three weeks under my belt…and for me, that means I’m done. All’s going well…my weight is excellent…no bloating issues…and no constipation!!!! YEA! I’ve fought through this…and finally won. It’s been a tremendous struggle. I’ve always had an easy time quitting in the past and staying quit for long periods of time (years)…however, things are obviously different now…perhaps it is part of the aging process. I’m not sure I will ever take up smoking again…because it is not “easy come, easy go” anymore. I don’t want to have to fight this battle again.

It was awful to “have to smoke again” to get control of the bloating, the weight gain, and the constipation…however, each time I did so, I was aware I’d get soon and try again…as soon as everything went back to normal. I have lost about 140 pounds in the last four years and I was not willing to start the weight gain cycle…and gaining 7-10 pounds in 7-10 days was not okay…and it happened each time I quit smoking this year. I did not believe that my weight was dependent on smoking because I lost the first 100 pounds without smoking…and I’ve been thin before in my life without smoking. I knew I could have one without the other…I knew I could manage my weight without having to smoke. I knew something was wrong because of the tremendous gain in weight so quickly…I knew it was not REAL weight…because you can’t gain 7 – 10 pounds of fat that quickly…eating 1500 calories or less per day. I knew it was something else…but I didn’t understand it. I blamed it on a high nut diet, birth control pills…and various other things…until I finally learned that people bloat and get constipated when they quit smoking…and that it was an effect of nicotine withdrawal. Talking with friends clued me in…so I began to read about it on the net…and then started to do things to address this. What I did is described in the other “Trying to quit smoking” entries in this blog. Read the most recent ones to find out what the last things were that helped…or read them all to learn about what I experienced throughout this 6-month process! What an ordeal this has been. It’s been such a struggle…and now, it’s a burden relieved!

I’m in the process of writing “Ten Tips for Quitting Smoking” to show how I used DBT-CBT therapy principles , skills, and understandings to recover from this addiction. So, that is yet to come…I wish you success as you make it through the process to quit smoking…just don’t stop trying. Recovery from drugs and alcohol takes 8-18 attempts on average…and it’s very likely that breaking the smoking and nicotine addiction is little different.

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Posted in I Finally Quit Smoking!, I've Lost 100 Pounds!

Tagged addictions, bloating, cigarettes, constipation, DBT-CBT, determination, dieting, fighting for recovery, healing, hope, quit smoking, quitting smoking, recovery, self-help, smoking, smoking cessation, struggling through addictions, success, weight gain, weight loss

An Intro to Recovery from the Out-of-Control DBT-CBT Therapy Workbook

Posted on July 1, 2009 | Leave a comment

Welcome to DBT-CBT! This is an exciting time! You’re about to embark on a journey that CAN change your life! The original DBT program developed by Marsha M. Linehan, Ph.D. was designed to treat some of the MOST DIFFICULT to treat individuals…and the results have been ASTOUNDING! This program, DBT-CBT, is based on Dr. Linehan’s work, but it has been GREATLY modified! It includes many original concepts, principles, and techniques developed during 24 years of patient care. MANY PEOPLE have described DBT-CBT to be LIFE-CHANGING, so HAVE GREAT HOPE! Applying the principles of DBT-CBT to your life CAN BE LIFE-CHANGING…but only if you’re WILLING TO MAKE CHANGES in your life. I assume you have great interest in changing your life…in feeling better, in responding to the world better, and having better life outcomes and experiences… else, you wouldn’t be reading this book…especially an Intro!! You’ve already taken the first step on this journey…and the Road to Recovery! WELCOME ABOARD!

This workbook is written for people who are hurting and suffering the pain of life. It’s about bringing hope and peace and the life-changing gift of healing and recovery. I hope you heal and recover. I hope this workbook leads you there. Even if it’s just about “planting seeds” or watering the seeds of recovery that were planted before, then, IT IS GOOD. This workbook CAN BE life-changing…AND HOW I HOPE…it is YOUR LIFE that is changed!

Think about this…if we do not make positive changes in our life, our life will NOT change for the positive. Please remember this. Repeat it over and over…”IF I DO NOT MAKE POSITIVE CHANGES IN MY LIFE…MY LIFE WILL NOT CHANGE FOR THE POSITIVE.” Let that penetrate your soul. Making major life changes is hard to do, BUT with effort, support, and the grace of God, MANY people RECOVER! We all know these people or we’ve heard their stories. They’re RECOVERED drug addicts, alcoholics, career criminals, “treatment failures,” and “hopeless cases.” They’re people with long histories of depression, anger, anxiety, suicide attempts, self-mutilation, abusive relationships, aggression, eating disorders, Bipolar Disorder, codependency, Borderline Personality Disorder, and other major life issues. Something Happened and they became disgusted enough or slowed down long enough to Think Things Through. They set their heart, mind, soul, and spirit on recovery…and THEY RECOVERED.

Think about people you know who have recovered…or recovery stories you’ve heard. How did they do it? What changes did they make in their life?

Recovery Requires Us…

…to turn away from old ways and respond to life in new ways.

…to use Life-Enhancing Coping Skills to deal with tough and trying times rather than our preferred Self-Destructive Coping Behaviors.

…to make changes in what we allow in our life and what we allow ourselves to be involved in.

…to remove toxic people and situations from our life…and add life-enhancing, recovery-supporting people and situations.

…to fill our life with meaningful activities and relationships…things that give life meaning and value.

…to have hope and faith that things will get better as we get better.

…to accept that life isn’t easy or always enjoyable.

…to accept and deal with the difficult things that Come Our Way.

…to give ourselves time to grow into and be…more and more the person we were designed to be.

People who recover make many changes in their life. They realize recovery is a process…a lifestyle…and NOT a one-time event! Recovery requires work. It’s work worth doing…because we’re worth the work and the people who love us and depend on us are worth our work and sacrifices! Recovery requires dedication and perseverance to live, eat, and breathe the principles, concepts, and skills for living a Recovery Lifestyle. This workbook also requires dedication and perseverance to work through. It’ll teach many principles, concepts, and skills for living a Recovery Lifestyle.

Our Humanity
It’s important to accept we’re human…and because of our humanity, we’ve made many errors and bad decisions. Most of us have done some pretty stupid and shameful things…and many self-defeating things over and over! We’re human and we have a record of our life to prove it! If you find yourself wearing these shoes, realize you’re not the trailblazer. Many have come before you…and many are walking the same path right now. You might say, “Yeah, some more than others!”…and you’re right!

We’re a product of our past experiences and the environments we were raised in. It’s RARE that a kid with a stable home environment, emotionally healthy parents, positive role models, and good self-esteem begins to live a troubled life. Something generally happened that led the kid off course. RARELY do kids with “good enough upbringings” just “go bad.” This isn’t meant to minimize OUR RESPONSIBILITY for our behavior and choices, but it’s important to understand “why we are the way we are” is because Something Happened in our life, be it one very difficult situation or many.

On Acceptance
Recovery requires us to accept what has happened…has happened…and what we’ve done, we’ve done. These things are of the past. They’re over and they’re done. Nothing we can do now will change the past. It’s history. It’s our history. Today is the present…and the things we do today CAN CHANGE our life…our today and our tomorrows. Focus on today and plan for tomorrow…and live the wisdom of “The Serenity Prayer” – “God, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.”

This workbook will help us develop skills to manage our life in the here-and-now. We’ll learn skills to cope effectively with our problems, to set boundaries to prevent and minimize emotional distress and problems, to gain peace and acceptance, and to make lifestyle changes which will gradually lead to relief, peace, then satisfaction, and finally, joy. Some people recover on the first try; however, recovery usually takes many attempts over many years. Some days may be easy…and some more difficult. Recovery hinges on minute-to-minute and hour-to-hour decisions to remain on the Recovery Path. We can help ourselves along the way by seeking people who will support and encourage us along the path of recovery…AND BY AVOIDING people who are critical or negative BECAUSE THESE PEOPLE ARE TOXIC TO OUR RECOVERY.

On Recovery
We can be “straight A” therapy students. We can earn extra credit on every assignment. We can have all the answers and understandings possible. However, to recover, WE’VE GOT TO BE WILLING TO APPLY THE PRINCIPLES OF RECOVERY TO OUR LIFE! Knowing what to do is one thing…actually doing it is another! We must DO recovery things and LIVE a Recovery Lifestyle. This often requires us to STEP OUT OF OUR COMFORT ZONE AND TAKE THE STEPS NECESSARY TO CHANGE OUR LIFE. The question is…“WHAT ARE YOU WILLING TO GIVE UP OR CHANGE IN ORDER FOR YOUR LIFE TO CHANGE…FOR THE BETTER?!!”

That’s a difficult question. Honestly reflect on it a minute. What are you WILLING to give up or change in order for your life to change?

No doubt you have some things in mind…and heart…that YOU KNOW MUST CHANGE…in order for YOUR LIFE to CHANGE and your LIFE SITUATIONS to IMPROVE. There are many things we need to give up and change. These are often things we have NO DESIRE to give up or change. That’s where we run into problems. We have the gut wisdom TO KNOW what these things are…they’re just hard to look at and deal with! What do you NEED TO CHANGE? This question will come up many times during this study. The answer you write today may be very different from your answer later. That’s because this study will help you gain insight and learn more about the things that mess up our lives and keep our lives messed up.

Take a few moments and reflect on your thoughts and feelings about this opening reading. Does it make you excited? Uneasy? Anxious? Does it bring a sense of hope and peace…and light at the end of the tunnel…or does it bring a sense of dread…or some of both?

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Posted in Acceptance - Non-Acceptance, Excerpts, Relapse - Recovery Dynamics, Self-Destructive Behavior, Willingness - Willfulness

Tagged acceptance, addictions, CBT, Cognitive-Behavioral Therapy, DBT, DBT-CBT, determination, Dialectical Behavior Therapy, emotional healing, fighting for recovery, healing, hope, humanity, life changes, recovery, self-help, self-understanding

I’ve Quit Smoking…and I Think I’ve Stopped the Bloating, Weight Gain, and Constipation!

Posted on July 1, 2009 | 3 comments

Well, good things are happening! I’m so excited! I think the latest revisions to my non-smoking DBT-CBT Game Plan are going to be successful. I stopped smoking 9 days ago…and this time, my weight is stable, no bloating, no constipation…life is good! I think cutting down on the soda and the protein bars has helped as well as chewing a few pieces of Nicorette’s type gum per day. Haven’t rode horses in a week, so exercise hasn’t changed much! But, so far, so good. Hope this major blessing continues. I feel so fortunate that something is finally working…given how I’ve struggled with quitting for 6 months. I’m not “out of the woods” yet, so I am going to have to continue to be Mindful of my goal to remain smoke-free…and I’m going to have to keep on keeping on.

Honestly, I’ve quit smoking successfully about a dozen times since I’ve been in my early teens…and I’ve always quit knowing I’d smoke again someday. But, this time, I’m not sure that I will ever smoke again…because I’ve had hell this past 6 months trying to quit. I’ve never had trouble quitting…once I decided to quit. This time around has been very different. I guess it’s the effects of aging or something…but this bloating, constipation, weight gain thing has kicked my butt. I’ve stopped smoking and have restarted smoking about 6 times this year… because of MAJOR weight gain, bloating, and constipation! There’s about 5 or 6 other blog entries documenting this struggle! I hope when I write this weekend, I will have about 12-13 smoke-free days under my belt!

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Posted in I Finally Quit Smoking!

Tagged addictions, bloating, breaking habits, cigarettes, constipation, determination, fighting for recovery, hope, quit smoking, quitting smoking, recovery, relapse, self-help, smoking, smoking cessation, struggling through addictions, success, weight gain, weight loss

Quit Smoking and Bloating, Constipation, Reduced Metabolism, and Weight Gain!

Posted on May 29, 2009 | 1 comment

The same thing happened again…I got bloated, constipated, and my weight went up. I gained 6 pounds and 2 pant sizes. Not a happy moment. Good-bye slim fit Wrangler size 9 and hello size 11 regular fit! That’s going from a size 7 to a size 11 with just 6 pounds…6 pounds in my stomach and waist area that is! If you read the other blog post I wrote recently about my struggles to quit smoking, you’ll know that I’ve quit smoking 5-6 times this year…and each time I got bloated, gained a bunch of weight REAL FAST…returned to smoking…and lost it all real fast.

One time I was eating a lot of nuts and blamed it on the nuts. Another time I blamed it on starting birth control pills. This time, I didn’t change anything in my life…but, the same thing happened. As is typical, I talk to my friends when I’m in distress. Today, I spoke with a friend…and he said the same thing happens to him…the bloat, the constipation, and the weight gain when he quits smoking. I told him another friend told me that smoking increases metabolism…so I assumed not smoking results in decreased metabolism. Well, knowing he’s had the same experience, I googled and read about what happens when you quit smoking. This pattern is typical. It’s not just about eating more, it’s about the GI tract slowing down, constipation and bloating! So, I learned something new today.

Well, I started smoking again this morning…because now I have gained 6 pounds and I went up two pant sizes. My plan…get a Game Plan, just like I teach in the DBT-CBT class. Obviously, recovery from smoking is more than just stopping smoking…it’s going to involve some major life changes…some of which I have no interest in changing. I have to decide what to do. I already drink quite a bit of water and I eat a LOT of fiber each day. I guess I have to add regular exercise…URGH! I am also going to visit with the doctor and see if there is a magic pill or patch that will help me transition from smoking to non-smoking without all this bloating, constipation, and weight gain. I can deal with a little weight gain…but not something that makes me feel totally Out-of-Control.

So, my plan for now is to smoke for a couple weeks, let my body readjust to all the toxins and poisons in the cigarettes, and…enjoy it as my weight goes back down and I get to smoke again. Then, with increased knowledge and a different plan, I will try again…and I will keep trying until I make it. I sure hope cigarettes don’t kill me in the meantime.

One thing I have to think about is that when I stop smoking, my caloric needs will go down by about 150 calories a day because my heart won’t be pumping so fast. My metabolism will go down because I won’t be smoking and causing my heart rate to unnaturally increase. If I’m eating 300-400 extra calories per day because I’m not smoking…then that’s about 500 extra per day…and one extra pound of true fat per week. I am going to have to do something to offset that! It will be hard to reduce caloric intake by 150 calories a day because I normally eat about 1200 calories per day! So, I have a definite problem.

Another thing I have to keep in mind is that I lost the first 100 pounds without smoking and I have been slender before without smoking. Somehow I did it then, and I have to do it again.

Copyright Statement: Material contained within this blog is copyrighted protected with all rights reserved © Melanie Gordon Sheets commencing in 2009 and through the present age. Please request permission to quote or otherwise use material obtained from this blog by emailing: service@dbt-cbt-workbook.com

Please visit the website http://www.dbt-cbt-workbook.com for more information about the DBT-CBT Workbook – full title “Out-of-Control: A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior.

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Posted in I Finally Quit Smoking!, I've Lost 100 Pounds!

Tagged addictions, bloating, Cognitive-Behavioral Therapy, constipation, DBT, DBT-CBT, Dialectical Behavior Therapy, hope, quit smoking, quitting smoking, recovery, self-destructive behavior, self-help, weight gain

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DBT-CBT Workbook Facebook Page

The DBT-CBT “Out-of-Control” Therapy Workbook

BUY IT NOW – Purchase Options for the DBT-CBT Workbook

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Chapter 7 – RATIONAL MIND

The Purpose of Rational Mind

APPLICATION: The Meeting of the Minds

Pete’s Story

SKILL BUILDER: Pete’s State of Mind

SKILL BUILDER: How to Get Control Once We’ve Lost Control

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The DBT-CBT “Out-of-Control” Therapy Workbook

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