Friday 20 November 2015

A Lesson in Tracking Triggers and how to Make Note of Them

I know my last post months ago I said would be my last but beside this being an outlet for me if I can help even one other person who is struggling with any type of  long term chronic illness to know you are not alone in all the thoughts you have along in your journey then how can I stop. Not to mention it gives me something to do and concentrate on. It also help to give me a purpose and somewhat meaning to the life I now live.  Also quitting is not an option for me and I feel if I do than the medical system has won and I won't let them win in making me believe I am making this happen to myself or to many other stories I hear/read on our online support group (s).  

During therapy with my therapist who deals with the chronically ill yesterday (this took me two days to type) we talked about what causes our bodies to manifest stress from a mental state that use to be so easy to overcome to a physical change and why our bodies react the way they do.   Good question and one that if it  was so easy to understand and figure out then I could cure most people who have SPS or think they have it who are lost in a vortex of a condition that so few understand except for the ones that experience it as their muscles twist and turn into violent and unrelenting pain. Not to mention can quickly take a turn to be a life threatening situation and being unsure when to make that call for help.  Ask anyone who witnesses a person going into a Stiff Person Spasm and they will know what I am talking about, it is a fine line of knowing when to make that call or try and ride it out. Being rushed to the hospital having spasms and trying to explain to them what they need to do as most if not all will have never heard of this condition and do not realize how quickly it can become life threatening.  Nor are we trying to seek medications that can save our lives, that a few have made it difficult for those of us not seeking to get high from.       

Prior to my session and as I stood up to go into the Doctors office the fire alarm went off and unexpected noise like so many of us, triggers my body to go into violent tightening of my muscles and the most excruciating pain one can only begin to imagine unless you experience it first hand.   Lucky for me the worse of the spasms only lasted about 10 to 15 minutes and although throughout the session the odd muscle would tighten  by trying to relax and concentrate on the topic at hand I kept myself on an even keel during my session.    The worse part to me is unlike my medical system I know and understand because our bodies have been put into this state  that the body fights to keep you in that state and any little thing will set our bodies to go off again at any moment.  ( it's very hard to explain to someone who cannot comprehend nor will take the time to educate themselves when our medical system is so over burden with more common conditions then those of us who have SPS, sadly) I and everyone who has this condition can attest this defiantly is not a condition for the weak as it could, can and will drive you crazy if you allow it.  It also does not help when the medical field at least where I live does not understand that not everyone will be a typical case and that there are many variants and no one fix is a cure all  to curb the symptoms that will creep up at any given moment.

Under our medicare it has been determined that I will receive 10 session and then I will once again be left to my own devices or if we had the money I could pay for private session and anyone who is on a disability plan unless you live with someone who makes a higher wage (at least in our case)  or you have no debt in life cannot afford to do.  I bring this up for a few reasons if you live in a country that covers unlimited session count yourself lucky.  Another reason to educate people at least in Canada who think everything is covered once you are forced into dealing with our medical system you are sadly mistaken and this is a warning before you receive news you are not expecting.   I am also going to share today's lesson for many of my friends who I know who are not covered where they live and too I know you cannot afford the help.  I hope it helps you, writing can be as helpful as the medications we take.

So for the next two weeks until my next session (and going forward for my own personal help when I have to work on this on my own again here is how one tracks their triggers. This too would be good to take with you to your doctors' appointment and leave them a copy that they will hopefully read).  I am to pick my most stressful event of the day (keep in mind it can be a good event too as that can be a trigger for us, I can go into spasm just by laughing!) and make note of it.  Some days may be from the low end to the high end of the scale, and pick a time when you are able to reflect back on the situation and write about it. 

Make yourself a spread sheet or grab a note book and make 6 columns: 

Column 1. Mark the Date

Column 2. Event (asking yourself the 5W's Who? What? Where? When? Why?) and write down what applies

Column 3. Emotional Rating  the scale is rated 0= Not At All, 1 - 4 = A Little,  5 - 6 = Moderate, 7 - 8 = A Lot,  9 - 10 = Most I've Ever Felt

Column 4: Emotional/Feeling Reactions ( you can have more than one E.G.sad, anxious, angry,  even happy etc)

Column 5. Cognitive Reaction (thoughts- what is it that makes this event so upsetting or ask yourself  why is this bothering me?)and explain why

Column 6. Outcome (What happened after initial reaction? What did you do? ( e.g. cry, argue, stomp  off, grit your teeth and go ahead etc) or in our case Then What Happened (did it trigger a spasm and for how long? what did you do to get out of it)

Using my example above when the sound of the alarm triggered my spasm was my most stressful event of the day so that was the first example we use for my tracker as I was in the 9 - 10 range. We were able to identify the what, where, why and when.  My Cognitive Reaction was due to the high pitch scream of the alarm going off unexpectedly causing the startle responds.  The outcome was although my system was still in a hyper state I was able to control the worse of the reaction through using meditation techniques we have been working on prior to this appointment and from them closing the door so the sound was not so strong as when the door was open and getting me ear plugs to muffle the sound. 

This little exercise I think would help anyone not just those of us with Stiff Person Syndrome  but any condition you or someone you know is battling even the healthy friends I have.  It's worth the effort I think and I hope it helps you and your doctors who are not listen to you to have a better understanding of what is going on.