{"id":1982,"date":"2009-10-14T10:00:43","date_gmt":"2009-10-14T10:00:43","guid":{"rendered":"http:\/\/blog.beliefnet.com\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html"},"modified":"2009-10-14T10:00:43","modified_gmt":"2009-10-14T10:00:43","slug":"the-fear-of-relapse-5-cognitiv","status":"publish","type":"post","link":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html","title":{"rendered":"The Fear of Relapse: 5 Cognitive Tools"},"content":{"rendered":"<p><span class=\"mt-enclosure mt-enclosure-image\"><img decoding=\"async\" alt=\"s-CRYING-IS-HEALTHY-large.jpg\" src=\"https:\/\/wp-media.beliefnet.com\/sites\/71\/import\/imgs\/s-CRYING-IS-HEALTHY-large.jpg\" width=\"260\" height=\"190\" class=\"mt-image-left\" style=\"float: left;margin: 0 20px 20px 0\" \/><\/span><br \/>\nA <a href=\"http:\/\/www.beliefnet.com\/beyondblue\">Beyond Blue<\/a> reader recently wrote to me about her overwhelming fear of relapse. She said, &#8220;I&#8217;m struggling now with it, obsessing over it, and I&#8217;m so, so scared. Do I want to crawl into the hole? I fear that. But I can&#8217;t. I can&#8217;t.&#8221;<\/p>\n<div>&nbsp;<\/p>\n<p>First of all, thank you for being honest. Because so many of us know exactly how you feel. I&#8217;m there a lot of the time myself. Less than I was the two years following my hospitalizations, but there too much of the time.<\/p>\n<p>Doctor Smith would continually remind me during those first fragile years after my big breakdown that a slight setback in my recovery didn&#8217;t mean that I was plunging into a full-fledged depressive episode again, and that it wouldn&#8217;t take another 18 months to recover, like it did after my breakdown. These hiccups are normal, she reminded me. Recovery is never static, predictable, or symmetrical. On the contrary, it&#8217;s often messy, unpredictable, and annoyingly erratic.<\/p>\n<p>I use a couple of cognitive reminders today when I&#8217;m panicking about relapsing.<\/p>\n<p><b>1.&nbsp;My past doesn&#8217;t dictate my future.<\/b><\/p>\n<p>They are totally separate. Just because I have been through an excruciating depression in my past doesn&#8217;t mean I will return to the same painful place every time my thoughts go south. Think of it this way: your brain is constantly forming. It&#8217;s part plastic. Which means, what was isn&#8217;t necessarily what is or what will be.<\/p>\n<p><b>2. All things pass. <\/b><\/p>\n<p>NOTHING is forever &#8230; which is a shame on the good days, but a lovely thing on the bad days. Moreover, <i>this too shall pass<\/i>. Everything does. Even the ice-cream truck in the summer. One minute it&#8217;s there, and then, bam! Gone to the next neighborhood. So much for the Klondike bars.<\/p>\n<\/div>\n<p><!--more--><\/p>\n<p><b>3.&nbsp;I will be okay. <\/b><\/p>\n<p>Even if I do get sucked up right back into the Black Hole, I will survive it. I have before. I can rely on the reserves of strength and wisdom that got me out of there before (that is, in addition to some medication, in my case).<\/p>\n<p><b>4.&nbsp;Have a plan. <\/b><\/p>\n<p>Sometimes it helps to jot down some specific steps to take if you&#8217;ve just cried yourself through two boxes of Kleenex. A friend of mine knows it&#8217;s time to see her shrink when she doesn&#8217;t get out of bed for three days. My kids don&#8217;t really leave me that option, so my requirements are different: by the third day of crying incessantly I make an appointment to see Dr. Smith.<\/p>\n<p><b>5. Be prepared.<\/b><\/p>\n<p>You might not ever have a relapse. I hope you don&#8217;t. But if you suffer from chronic, and especially treatment-resistant depression, you can count on a few in your future. So be ready for the hurricane. For example, I always like to have at least two weeks worth of blogs uploaded in the blogging software that I can use in the event of a relapse. Some weeks I&#8217;m simply more productive than others, so I try to be like a communist country and even things out a little bit &#8230; taking the energy from the good weeks, and using them for the &#8220;my brain is a big fart&#8221; cycles.<\/p>\n<p><strong><em>What about you? How do you keep yourself from worrying about a relapse? Do you prepare yourself for one?<\/em><\/strong><\/p>\n<p><i>*&nbsp;<a href=\"http:\/\/www.feedburner.com\/fb\/a\/emailverifySubmit?feedId=611738&amp;loc=en_US\">Click here to <\/a><b><a href=\"http:\/\/www.feedburner.com\/fb\/a\/emailverifySubmit?feedId=611738&amp;loc=en_US\">subscribe to Beyond Blue<\/a><\/b><a href=\"http:\/\/www.feedburner.com\/fb\/a\/emailverifySubmit?feedId=611738&amp;loc=en_US\">!<\/a><\/i><i> And <\/i><a href=\"http:\/\/twitter.com\/thereseborchard\"><i>c<\/i><\/a><a href=\"http:\/\/twitter.com\/thereseborchard\"><i>lick here to follow Therese on <b>Twitter<\/b><\/i><\/a><i>. And <\/i><a href=\"http:\/\/community.beliefnet.com\/beyond_blue\"><i>click here to join <b>Group Beyond Blue<\/b><\/i><\/a><i>, a depression support group. Now stop clicking.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What do you do if your obsessing about relapsing?<\/p>\n","protected":false},"author":17,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1982","post","type-post","status-publish","format-standard","hentry","category-mental-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Fear of Relapse: 5 Cognitive Tools - Beyond Blue<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Fear of Relapse: 5 Cognitive Tools - Beyond Blue\" \/>\n<meta property=\"og:description\" content=\"What do you do if your obsessing about relapsing?\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html\" \/>\n<meta property=\"og:site_name\" content=\"Beyond Blue\" \/>\n<meta property=\"article:published_time\" content=\"2009-10-14T10:00:43+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/blog.beliefnet.com\/beyondblue\/files\/import\/imgs\/s-CRYING-IS-HEALTHY-large.jpg\" \/>\n<meta name=\"author\" content=\"Beyond Blue\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"The Fear of Relapse: 5 Cognitive Tools - Beyond Blue","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html","og_locale":"en_US","og_type":"article","og_title":"The Fear of Relapse: 5 Cognitive Tools - Beyond Blue","og_description":"What do you do if your obsessing about relapsing?","og_url":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html","og_site_name":"Beyond Blue","article_published_time":"2009-10-14T10:00:43+00:00","og_image":[{"url":"http:\/\/blog.beliefnet.com\/beyondblue\/files\/import\/imgs\/s-CRYING-IS-HEALTHY-large.jpg"}],"author":"Beyond Blue","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html","url":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html","name":"The Fear of Relapse: 5 Cognitive Tools - Beyond Blue","isPartOf":{"@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html#primaryimage"},"image":{"@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html#primaryimage"},"thumbnailUrl":"http:\/\/blog.beliefnet.com\/beyondblue\/files\/import\/imgs\/s-CRYING-IS-HEALTHY-large.jpg","datePublished":"2009-10-14T10:00:43+00:00","dateModified":"2009-10-14T10:00:43+00:00","author":{"@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/#\/schema\/person\/47318cdf8063cc052eccff0c99db4e75"},"breadcrumb":{"@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html#primaryimage","url":"http:\/\/blog.beliefnet.com\/beyondblue\/files\/import\/imgs\/s-CRYING-IS-HEALTHY-large.jpg","contentUrl":"http:\/\/blog.beliefnet.com\/beyondblue\/files\/import\/imgs\/s-CRYING-IS-HEALTHY-large.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2009\/10\/the-fear-of-relapse-5-cognitiv.html#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.beliefnet.com\/columnists\/beyondblue"},{"@type":"ListItem","position":2,"name":"The Fear of Relapse: 5 Cognitive Tools"}]},{"@type":"WebSite","@id":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/#website","url":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/","name":"Beyond Blue","description":"Beliefnet Voices - Therese J. 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Borchard writes the daily blog, Beyond Blue, on Beliefnet.com. She is the author of Beyond Blue: Surviving Depression &amp; Anxiety and Making the Most of Bad Genes and The Pocket Therapist. You may find her at her personal blog, her website, or you may follow her on Twitter @thereseborchard.","sameAs":["http:\/\/thereseborchard.com"],"url":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/author\/tborchard"}]}},"_links":{"self":[{"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/posts\/1982","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/comments?post=1982"}],"version-history":[{"count":0,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/posts\/1982\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/media?parent=1982"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/categories?post=1982"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/tags?post=1982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}