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creative_writer
Senior Contributor

Rumination and unhelpful coping strategies. TW: Addictive tendencies

I struggle with rumination as part of Bipolar, OCD, CPTSD. I am also ND and have ADHD and ASD. I have been struggling to function and my productivity has been declining, and I'm often finding myself stuck in rumination for several hours each day. I usually struggle with focus and motivation on a good day, but I think the stress is adding to it. Not being able to do things is also creating stress. I feel like my ADHD is feeding into my mental illness and vice versa. I am finding myself wanting to turn to things that will make things harder in the long term. I know developing addictive behaviours may give me relief in the short run, it'll calm my brain, help me think clearer and make it easier to concentrate on tasks. I am also aware this will create health problems in the long run. I need something to calm my brain and help me function without having negative consequences. I find once I am able to do things, my mental illness symptoms get better. Does anyone have healthy ways to cope with rumination, mental illness and ND? I'm currently on bipolar meds (my pdoc doesn't want me on ADHD meds) which helps me stabilise my mood to a certain degree and I'm trying to work on myself in therapy, but I am still struggling a lot 

88 REPLIES 88

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

Thought I'd respond over here 💜

 

Ach so rough @creative_writer but thank you for being open and vulnerable with us about where you're at. 

I imagine one of your biggest hurdles is that a lotta coping tools are very body-focused, and I know that can end up being triggering for you, am I remembering right?

 

Hmm.... if one way we cope w physical SH is to try to swap to less harmful methods rather than stop altogether, could the same be true of the 'mental SH' we can cause ourselves when we ruminate? 

Like I don't think it's a reasonable goal to just... stop thinking! So maybe it's more about redirecting the thoughts instead, with stuff like compartmentalising, visualisation, imagination, stuff like that!

That's just my two cents. But also, maybe it would help us to know a little more about what 'coping' looks like for you at the moment. 

What have you already tried? What tends to work? Is there anything that seems to make you feel worse? All helpful to know!

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

Hello @creative_writer!

Thank you so much for sharing where you are at today. Rumination must be so exhausting for you... stress can certainly exacerbate all of our mental health symptoms. So please remember you are not alone, this is very common. 💛

ADHD and OCD can certainly feed into one another, given that they are both experiences related to challenges with self-regulation. Even so, I can see how much growing awareness you have, given that you're able to stop and reflect upon what is happening for you - that's huge! 

It sounds like these addictive behaviours that you speak of are able to help you feel more calm (and perhaps more in control)? What other strategies or activities have helped you with this so far, even slightly?

I don't know if you talked about this with your therapist or not, but something that's been helping me is saying, 'I know it feels scary, but I don't need to know right now. I will come back to this thought in 10 minutes when I am feeling more grounded.' This helps because when we are more calm in the body, our relationship to our thoughts shift. In fact, you may notice you forget about it entirely - the key thing is how safe and grounded the body feels. I think movement really helps here. I believe I have chatted with you about this before, so I apologise for any repetition, but shaking can be so beneficial for discharging anxious energy whilst we are trying not to engage with a thought. Let me know how you feel about these ideas!

Also, I am so glad you are sticking with therapy. It can often feel like we aren't making much progress right before we have a breakthrough. Progress is often slow and nuanced, remember that. 💛

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

@Jynx yeah focusing too much on my body can be triggering, even with breathing exercise, focusing on how my chest feels is too much. Body scans are also a big no. However, I’m able to use the five senses grounding, and still able to focus on breathing in and out. Focusing on how my body feels is just too scary for me right now. Even talking about it makes my body feel not right.

Maybe it is about swapping to less harmful ways. SH isn’t always as stereotyped, there are different forms. I think sometimes it is hard to recognise it. The mind can try to convince you and even justify your actions. I can’t say too much about the details. It is hard fighting cravings and it may start as small but can get out of control. I know I’ll need to find new ways.

I know they say worry time helps some people. Maybe putting some time aside to just think might help. I can’t stop thinking, the pain is still real and demands to be felt. I haven’t tried it.

I know spending time thinking and reflecting on the positives can help, instead of thinking of how broken I am, it helps to think about how the pain has shaped me. Obviously I’m not okay with the trauma that I’ve experienced, but I wouldn’t be the person I was today without it. I wouldn’t have grown this much. Finding purpose helps, but obviously doesn’t mean it won’t be painful. Life is bittersweet.

I know being physically unwell doesn’t help, I think I have germ infestation in my nose, my sinuses are so sore. I also find checking in with my body really hard, maybe it’ll take time to feel comfy, I’m just not there yet.

@AuntGlow add physical stress from a viral infestation in my nose, it’s a gross mess. I was so snotty crying last night, but it was a good release. Couldn’t breathe properly through my nose for a while.

Maybe I need to be patient. I’m trying out more saffron strands in my tea (obviously without overdoing it). Thought it was a more gentle alternative to meds for ADHD. Plus saffron is really good for depression and anxiety. I love when they add saffron to food. My granny loves saffron so much, she used to use it in her cooking. My mum said she was an amazing cook. I also find connecting myself spiritually helpful, like connecting to my faith, nature and creating purpose in my life. Maybe volunteer work will help me see a purpose in my life. I’m still job searching, and will wait and see what comes up.

Last therapy session was hard, my psych really challenged me and wants me to get out of my comfort bubble. The only way you can start feeling safer in the world and with people is through exposure. Obviously it has to be done at my own pace, but she thinks I need to get out more. I am a super anxious person, and I am often so hyperviligant when out. We spoke a bit about the trauma stuff too.

Delaying and doing something different can be helpful, especially with urges.

I naturally stim a lot, I’m the queen of stimming, it helps so much with anxiety. Though people in the mental health field are often able to recognise it as ND and/or anxiety. I don’t see it as problematic, however, I have to try to ensure it’s more subtle in professional settings. Not exactly appropriate to bounce your leg during an appointment with a client, but ring playing is okay

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

Lots of body conflict for you hey @creative_writer that's so rough. 

 

I'm curious if the reason you haven't tried out the 'worry time' skill is to do with feeling like you won't be able to contain the thoughts or more that you are worried about the painful feelings coming up?

 

Oh no hun you're sick again? Oof, yes very rough. I hope you are having a slow and restful one tonight hun! 🤞

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

@Jynx there is a lot of body conflict, I’m learning to navigate this, it hasn’t been an easy process. Maybe it’s about learning to feel safe within myself.

I think you’re right, I am worried about not being able to contain the thoughts and feelings. My instinct is to avoid, worry time means not running away. Sitting with distress is rough, and is an ongoing process.

I’m going to go to bed soon after I do my skincare. I think an early night would be ideal, I am feeling very drained

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

Hello @creative_writer , it's nice to see you around. 

 

Have you tried music? I have different playlists for different moods. And I use the DBT concept of opposite action: so if I'm feeling low, I listen to active music, etc.

 

I'm also a musician. If I have the concentration for it, I find that playing music is even more effective than listening to it for mindfulness and grounding. 

 

There are plenty of other mindful activities, especially things you do with your hands, like knitting, painting, drawing, origami, etc. Anything to distract from the distressing sensations and thoughts you may be having. 

 

And of course, exercise can also help. Intense exercise is one of the DBT strategies for distressing emotions. But even going for a stroll can already be helpful. I like to take photos of nice things as I walk, it's also very mindful. 

 

Do any of these sound appealing?

 

@Jynx @AuntGlow @tyme 

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

@Spirit_Healer I find more soothing music helpful for when I’m feeling really anxious. I am often in hyperarousal mode, and having something to help me activate my parasympathetic nervous system helps. I find relaxing brain wave and binaural music helpful. I haven’t played a musical instrument for years and I’m completely out of touch. It is cool that you’re a musician, music can be a healthy way of expressing emotions.

Grounding and breathing exercise can be tricky at times, especially when I’m super dsyregulated, listening to something can feel more doable in those very heightened moments.

I feel like I naturally need movement, even when I’m not exercising. I do agree exercise can be great, but I have never been good at mindful exercise. I’m not a very mindful person during my everyday life, brain is super wired. I think it’s a skill that needs to be developed.

I’m feeling a bit better today, more calm. Still sick, bugs are hard to avoid during the cooler months. Maybe the saffron is starting to work too? I think I might still need a lot of rest, my sinuses are in a lot of pain 🤧

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

My mood is going downhill, maybe it’s the sinus pain. Does anyone else find mood plummets at the end of the day? I’m wondering if it is because meds wear off

Re: Rumination and unhelpful coping strategies. TW: Addictive tendencies

Okay, so I’m sorting through my thoughts, wanted to get others perspectives. I’m feeling bit of tension. Going through trauma, struggling with mental health and chronic pain has been rough. But I do recognise that it has made me who I am today. Do you think I can be at peace and accept everything, without being okay with everything I’ve gone through. I don’t want to make it seem like it was okay that the trauma happened. Maybe that’s where the tension is coming from

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