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I think things are overwhelming me a little. Maybe I'm just weary. I know I am sitting with more and more feelings, and even feeling my own feelings in different ways.

In the mix of it, I trying to keep practicing "new" ways of coping, or at least living life better in the midst of the pain and hertache. There is a heck of a lot of trial and error but I'm learning to pace myself much better than I did before.

We all need breaks at times. I find it really helps me keep going. Yet, I really struggle with finding the balance between healthy distraction, numbing out and/or just plain running away and escaping. Does anyone else find it is hard to even tell the difference between the two?

My T talks about how distraction tends to stay more healthy when you also acknowledge and retain some self awareness of what you are distracting from - instead of just distraction. Often, I'm not sure how this looks. Too much of the time I just am so desperate for some relief from the pain, even if it's at the cost of numbing out and not feeling much of anything... however, I have a very strong pattern that when I numb out, I eventually am flooded. In fact, when I did a intensive therapy program recently, they talked about how with PTSD (and other emotion regulation problems) there is what they called the "numb-flood cycle." The idea was that if someone numbs out their pain and emotions, generally, they are going to eventually be flooded by them. At first, I didn't think this was true for me, but I'm really seeing that it is.

So learning how to distract and take a break from things, without escaping and numbing the pain seems to really be essential for me to avoid being so flooded and overwhelmed with pain that I fall apart. But it's so confusing to even figure out - let alone carry out.

Does this even make any sense to anyone?
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JD,

Yes, it makes sense. I think that it takes time to find the right balance and pacing because this work is so hard and takes so long that you have to strike a balance somewhere. The problem is, for those of us that are dysregulated to begin with, balance doesn't exactly feel normal. In other words, we are so accustomed to living in extremes that the middle ground feels oddly unsettling. I've been in T with my current T for about 15 months and I'm just now getting to the point where I am able to regulate and find more of a balance. There are still spikes where I get flooded, but generally I am able to use new skills that I've learned to stop that train before it is completely off the tracks. Often that involves extra sessions with my T or other coping mechanisms that I can use on my own. At this point, I can maintain those methods of coping on my own, but only for a limited period of time. If left to cope on my own for too long then I will shift into numbing out or "I can do this myself and don't need anyone" mode. From there at some point I will get flooded and have an extremely hard time coping. Fortunately, I rarely get to that point anymore because I am able to use my resources and use my T as a resource as well. We both (my T and myself) work hard to keep me as much in the middle ground or therapeutic window as possible.

That was probably way long and rambling, but I wanted you to know that I do understand what you are talking about.
Hi STRM...

You describe my last two weeks perfectly. Last week I got flooded in my session and my T did not bring me down or ground me before I left. I left rather abruptly and then went through a cycle of "I'm not contacting him because I can do this myself"... but I was not so able and truly suffered through the week with no contact. When I saw him the following week I tried to explain to him how I was feeling. How I had to resort to numbing myself to survive the week and didn't use any coping techniques. We didn't resolve anything in this session and actually things just got worse and so I went into super-numbness to try to cope with the feelings of being flooded with emotions. But this time I was exhausted and could not imagine going another week so I sent him a text to call me and he did. We set up another session the following day. I was finally able to re-regulate and find some balance. It's so odd in that it's not always what he says but the limbic resonance that enables him to somehow calm my nervous system to where I can be functional again.

So I very much understand what both of you are talking about. It's definitely a common cycle with PTSD and something my T is still learning about so we do hit some bumps in the road. Luckily we are also able to mend the disruptions.

TN

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