There
is the famous quote that ‘Knowledge is Power’. When I used to hear that, I used
to find it a frightening, almost threatening statement – someone knowing
something about you made you vulnerable; telling people things made you weak.
(As with most other negative thoughts I had, this only ever applied to me. I
didn’t think anyone else was weak, or use my knowledge of others to control or
manipulate them).
Now
I think of that phrase entirely differently: the words haven’t changed a bit,
but my perspective has shifted completely. I hear the words ‘Knowledge is Power’ and it reminds me
of my own strength and my responsibility to learn how best to take care of
myself.
The
more you know about your eating disorder (or anxiety disorder, or depression,
etc etc), the better equipped you will be to handle it. It can be complicated
at first. I remember my therapist asking me every week how I felt about this or
that, what I thought my triggers might be, how I could avoid repeating
mistakes, and I would always reply, disconsolately, I don’t know – not to be deliberately awkward, but because I
genuinely had no clue. I didn’t know what my problem was, I didn’t know why my
issues had started and I definitely didn’t know how to fix them.
You
might need to try different therapies or therapists until you find the one that
works for you, but in my opinion, therapy is the best thing you can do in terms
of arming yourself with the knowledge you need to be able to truly
recover. Good therapists know how to
work with you to help you uncover the answers you need. They also know that
this may take a lot of time and a lot of patience and can reassure you of this
when you feel like you’re not making progress or backpedalling. Good therapists know when to push and when to
back off. What questions to ask and when to ask them. They can make suggestions
you’d never have thought of, lead you to conclusions you may never have
otherwise found.
I
tried Interpersonal Therapy, and twice went through a 20 session Cognitive
Behavioural Therapy course. Both types of therapy helped, but ultimately, after
each, I relapsed. This last time, I worked with a therapist who specialised in
Dialectical Behaviour Therapy, so we focused largely on that, with sprinklings
of CBT and interpersonal therapies as and when needed.
DBT
isn’t the kind of therapy where you talk a lot about your past. It’s about
finding effective ways to cope with your present. How to challenge thoughts,
how to nurture and self-soothe, how to tolerate distress, how to create a life
that you want to live. Which sounds like every self-help book ever written, I
know, but it’s actually very practical – and it works. For the first time, I felt like I could actually learn to
live with myself: I wasn’t doing homework exercises just because my therapist
had asked me to. I actually looked forward to doing them, and learning from
them, and their lessons have been lasting.
DBT
also introduced me to the concept of Mindfulness. I’d heard the word before but
only had the vaguest notion of what it was – something to do with meditation, I
thought; sitting cross-legged on a purple cushion, chanting OM.
It isn’t. It’s about learning to be in the moment rather than worrying about
the past or fretting about the future. And that sounds incredibly broad, and
when my therapist first explained it to me, I thought, oh it’s one of those blanket-statements they use to make you feel
better – ‘live in the moment’, that kind of thing. It’s not like it’s something
that will ever be of any practical use; it doesn’t really MEAN anything.
I
couldn’t have been more wrong…hence the mention in practically every blog post
I’ve ever written about some aspect of Mindfulness. I’ve become a Mindfulness bore. But it’s astounding how, when you
are making the conscious effort to be conscious,
you realise how preoccupied and blinkered and consumed you are most of the
time.
As
well as learning as much as you can from your therapist, I think it helps to
help yourself as much as possible, too. Read around the things that interest
you. It might be your particular kind of therapy, it might be about eating
disorders or depression in general. You might find that something comes up that
just seems immediately right for you, as Mindfulness did for me, and read as
much as you can about that. You might just like learning and decide to use it
as a distraction technique in itself. Learning a new language, for example,
gives you something to do, something to achieve, and something to occupy your
time with that doesn’t involve food.
As
with everything in your recovery, it’s your own personal path, your own
personal choice. Everyone’s path will be different. The important thing is to
keep building on what you know. Keep educating yourself. Keep learning. The
more knowledge you have, the more power you have to help yourself, and the more
power you have, the less likely you are to feel helpless and lapse back into
old, unhelpful behaviours to give you a false sense of control.
I've always wondered about DBT therapy. Thanks for the info. I do have trouble with mindfulness, especially with eating. I tend to tune out because it is so difficult. Great post :-)
ReplyDeleteI second what Angela said - both about DBT and mindfulness challenges.
ReplyDeleteOn an aside... Knowledge is power makes me think of this:
http://my-purple-dreams.blogspot.com/2012/06/hfc-word-of-day-power.html
:)