When you’ve been in some sort of treatment for a mental health condition for a number of years; it can be rare to be presented with a new idea that you’ve not seen before. This isn’t to sound arrogant as if I’ve had all of the treatment there ever was… not at all. But rather, there are some similar ideas and techniques that come up more often than not. Whilst a lot of these traditional, go-to ideas are great, it can feel a bit hopeless if you’re just being given the same old. I’ve always had a belief that if what you’re doing isn’t working or really helping, then you need to keep trying until you find something that works! Sometimes it feels this is a real weakness of community mental health support. There’s a limited scope for overstretched teams to provide care that’s tailored to the individual and it can feel like professionals try and shoe-horn you into their own method of working… and discharge people who don’t progress within the parameters of what’s available.
Recently, I worked with a locum practitioner who gave me some new ideas, things I’d never tried before. I was a bit dubious about some of them, as they were out of the normal CBT based ideas I’d been given in outpatient treatment. The number of times I’ve had to write a food diary, compare it to my meal plan, write down my thoughts and then counter them with alternative thoughts; is probably too many to recall now! For so long, that has been the treatment. There’s been very little creativity. I’m not criticising the professionals I’ve worked with… totally… but I am saying there could be a little more variety in the kind of work offered to outpatients regardless of the understandably challenging lack of resources. So, back to my locum practitioner. One day we were talking about the importance of having my weight monitored. It’s something I’ve always hated and battled against. Partly due to OCD rituals surrounding getting a perfectly accurate comparative weight (yes… something I know isn’t really a real thing but that’s not the focus here haha). So being a regular argument had with the team, we began for a moment to have the standard backward and forward about being weighed. I was told why I needed it done and promptly replied with all of the counter arguments I could. It wasn’t really going anywhere and it was reminiscent of conversations already had.
So she stopped us and pulled out a piece of paper, telling me we were going to think of a different way of tackling this. I was anxious and stressed and not very receptive to a new idea. She told me that we were going to write a list of thirty reasons why it was good to be weighed by someone from the team. We titled it in a positive way, not limiting ourselves to it being ‘ok’ to be weighed but going fully for it and using ‘good’ and specifying it would be done by the team. Already my brain was feeling a little frustrated that loopholes were being firmly avoided! It was a challenge, I definitely protested that there was no way I could think of one reason let alone thirty. But gradually with a little persuasion, the list began to take shape… the options could be sensible, off the wall or completely ridiculous. Here are a few we came up with:
- People will stop nagging me to get weighed
- Meg and Bert (my labradors) get weighed at the vets and enjoy it, so I can too
- I can smash my scales into a million pieces because I don’t need them now
- It’s just measuring my relationship with gravity
- Good to give my scales a break/holiday/weekend break
- Maybe I’ll enjoy it
And so on…
The list turned out to be a powerful tool. By the end of thirty reasons, I had been through fits of laughter, completely relaxed and actually if I had been weighed straight away… I probably would have been fairly relaxed about the whole situation. By finding thirty reasons that it was good for it to happen, I had a whole list of evidence to counter the negative thought processes that were going on in my head. I had a list of reasons that were quite motivating and I had something that could make me laugh and remind me that perhaps the whole process wasn’t too scary after all. I’ve realised that writing a list to counter my fears can be used in any situation that I’m worrying about or anything I’m struggling to be able to do. And the best thing… if at thirty you still feel anxious, you can always write thirty more.