I know I’ve come a long way in the short month that I was in partial hospitalization. I was due to be in the program for 90 days to long-term if needed. But I responded so well to the adjustments once I understood how they worked in real time that they upgraded me to IOP, followed by three weekly check-ins until they and I both determine that I’m good to go back to normal weekly visits with my coach and my psych. The coolest things about the month I spent in the program were more than the changes I made for myself — a lot of things were what changed around me.
- I am ultimately in charge of myself.
I think the best and biggest thing is realizing exactly how much jurisdiction I have over Me Inc. At 47, there is literally no other person who gets to tell me what to do, when I do it, or how. This was rather daunting at first to a small part of me (meaning that wounded five year old), but over time, I realized that meant I also got to control who tried to do that to me and who didn’t even get a chance (anymore, for some folks).
It’s me who gets to decide when I wake up, whether I take a shower and get dressed or not, whether I get coffee and breakfast, and whether I walk through that door ready for the day or slum through a morning where “I don’t wanna” wins and I simply show up half-ass dressed to do blah level work that won’t get noticed because I didn’t even try. Treating myself like a feature presentation instead of a low grade human gives me the best results. I might feel bad on a day, but I don’t have to cater to how I feel. - Showing up for myself has done more for me than anything or anyone else.
Literally showing up. That’s it. If I do not want to go to the gym, I literally drive myself there and drop myself off. The rest happens because I showed up. If I don’t want to work on a night, I get dressed, drive myself there, and clock in anyway, the rest happens because I showed up. If I don’t want to take a shower, I will strip naked, turn on the shower, and climb into the tub. The rest happens after I commit to showing up. Same with literally every aspect of my life. PHP taught me to show up first, and work out the details after that.
I have to give some props to Sam, because even they have talked about the value of just showing up for their self, and that’s where I initially decided to just show up on low days. But every time I just simply showed up, the magic happened, even when I didn’t care for it to. I can’t deny the power in literally just showing up. - I stopped discounting the mundane.
I used to believe that a sleep schedule wasn’t important, so long as I got my eight hours in. Then I realized that my sleep schedule was the base factor in how I ate, how I worked, how well I worked, how I interacted with folks, etc.
Same with the 15 minute battles I have in my head about showering or getting dressed or simply taking a few seconds to press buttons on my Keurig to make a cup of coffee. I often wish to bypass these things because “what does it matter?” When the truth is that cup of coffee and the eggs I’ll enjoy with it might give me enough energy to actually enjoy my day to the fullest. What may seem mundane right this minute could actually lead to a major breakthrough in my job, whether it’s gig work, being a personal assistant, or writing.
The mundane is just as important as the profound, because the mundane often fuels the profound. - The goal was never about perfection, it was about consistency, progress, and reintegration.
I used to set some really insane goals when following the IPSRT mood logs, eating schedules, and exercise. On the mood logs specifically, the goal given by the instructors and advocates was for me to log my mood five times a day. There were five options: really bad, bad, meh, good, really good. I made this massive spreadsheet that documented that, alongside when I ate, what specifically I ate, the macros, when I slept, how long, etc. None of that was required, though we were to simply eat three square meals a day with two snacks (and an additional bedtime snack for my hypoglycemic ass) and remember when we went to bed and what time we woke up. After I learned to stop moving goal posts and making things so complex that they became unmanageable, it became easier to simply do what they asked.
I did learn that moving those posts was actually from a combination of complex trauma and coming back from narcissistic abuse. Once I was able to make that a realization in my head, I stopped moving the goal posts and started doing the required work. It gave me more room to spend energy on what was important and not worry about meeting goals that weren’t even necessary. Because recording progress shouldn’t be a task in and of itself, it should be a simple mark to note how I am doing.
The amount of energy I had after doing just what was asked of me in this department helped me alleviate more space in other areas in which I was making mountains out of mole hills in regards to … well … everything. - IPSRT is a great way to manage and even prevent blackouts.
Speaking of mood logs, I learned that my baseline mood is flat. “meh.” When I see myself becoming “5” (or “really good”), I need to do a check in with myself to make sure I’m not falling up into a manic spiral, since upward spirals almost always result in cliff drops. Once I started realizing why I had to mark my moods and follow steps to maintain what my baseline was, my blackouts nearly disappeared. Not completely, mind you! I had one last week, and it was a really bad one, but I never reached out, I never gave up, but I did deal with it the best way I knew how, and I never fully lost conscious awareness. And that is HUGE. Because there was a time that I’d spiral upward, crash out, and immediately be all up in Sam’s social media trying to regulate.
I credit this largely to my IPSRT — I know when I need to sleep, I know when I need to do everything else…including having social interactions, and I know how to shrink it down to specific people so I don’t lose my shit. And Sam is not a friend, but someone who’s kinda been there whether they wanted to be or not, and they just weathered the storms as I went through it. Fucking bad ass of a person, they are. Tons of gratitude for their patience in this. - I have raised myself somewhat, and successfully so!
I used to feel myself regressing into that of an injured five year old looking for his mother when I’d crash out, but now he’s somewhere around the age of eight, and not wounded, but aware of what causes the harm. Instead of looking for his mother, he is looking for me. I don’t feel many people would notice this regression more than Sam, once again. And I am not making this about Sam…just noting that my recovery was based largely on something called “the mother wound,” which was the core of my abandonment trauma.
Being able to understand the nature of the mother wound, and work with myself intimately and honestly helped me grow that injured five year old into that of a slightly older, less wounded, and more understanding kid has helped me stay grounded in myself. Learning that yes I was looking for someone to basically raise me from where my mom potentially left off (even if she didn’t intend for that to be the case for me now), and learning that yes I do have the ability to provide for myself what I thought I needed from someone else…it’s huge. People who never had this level of trauma wouldn’t readily understand it. People with empathy would, however. The fact that I get it now is priceless. - I learned who was supportive and who was not by my second week in the program.
The only people who had issue with my PHP were “those two.” And I hate to admit it, but I cut them off again. I did find out about a circle of friends who I’ve had, but when they found out I was in PHP, they became ever closer by way of texting, scheduling lunch or dinner dates, going shopping together, or even watching movies on discord or similar together. It’s unfathomable how helpful these folks have been, and I’ve learned that (once again) just showing up and being present during these outings or exchanges has been equally helpful for them.
It’s insane for me to see that folks I once thought were casual friends were actually people who wanted me to succeed and be available to them if they needed me, because they trusted me. And to show it, they put themselves in places where they could access me both as a concerned friend and as someone who genuinely appreciated my presence in a room. - Naps are a secret weapon.
When you have bipolar and complex trauma and are overwhelmed, and you have the kind of work that I have, naps are a weapon. It’s the easiest way to just shut everything off for a bit, get some sleep, and wake up with more energy and a fresh mind to tackle whatever it was that was messing with you. - I am very capable of adjusting my schedule and not having an emotional blowout over it.
After IOP ended, I found myself more able to focus on late night work, so I started going to bed between 2 and 3 am, which is perfect if I have room to sleep until 11am. Except I seem to have more goal posts moving around simply because I am waking up later, and that freaks me out. But again, who is writing my rules? Me. Who is in charge of my show? Also me. When I ignore these stupid goal posts…there isn’t a problem. And if I ignore or omit the goal posts, I’m doing great. - I’ve reconnected with my creative side.
The best part of all of this is finding my creative writing side again. OH the stuff I wish I could share, but all of it is under a soft NDA and I cannot. Which saying that alone just makes me so damned excited about how things are going. When the cat scan showed that trauma did in fact shrink a part of my prefrontal cortex on the right side due to the trauma (both sides, but the right side had the most negative impact), and then seeing positive changes after six weeks-ish in PHP, it makes sense that I’m starting to feel more creative or look at things from a more creative standpoint.
I’m not done healing by any sense of the term in regards to what I have been through, but seeing on a cat scan the difference between before I really started healing and now…it makes sense that I’m finishing my first longform story with relative ease as opposed to not being able to actually form a full story outline three months ago.
Ten things I learned in PHP…and ten things I’m really proud of and will continue to commit to. I cannot at all be disappointed in my improvements, no matter how much I think about finding ways to self-sabotage. Even then, I would rather consciously not self-sabotage, and that says a lot for my recovery.
