Obsessed doesn't begin to describe it

Hello all, this is my first post on here, and my first post on any sort of mental health forum, and I would like to say that I am very excited to connect with others, and talk about myself like the self-absorbed individual that i am :)
To start off, I am diagnosed with BDD, generalized anxiety disorder, and dysthymia. My BDD has been 'present,' since I was very young. I remember laying in bed crying over my realization that I was in fact stuck in this physical body for the rest of my life. I don't want to go into too many personal details of events, but basically, I am pretty sure I have been dissociating ever since being a young child, as my memories are very very limited. Additionally, I discovered alcohol at 18, whoops, and that lead to many many blackouts and unwanted projectile vomiting LOL yikes. I am mostly past the binge drinking phase of my life thank god, but the damage is definitely permanent.

Fast forward to the present, and as far as seeking help goes, I am seeing a therapist that I have been with for over a year and a half. Unfortunately, what started out as a very solid relationship, one where i wanted it to be a room of complete honesty and truth has crumbled into me sitting there giving short answers and him blabbing on in a caffeinated rambling state. Our first session, a year and a half ago, consisted of me handing him a piece of paper of some of my dark secrets, that i thought I would take to the grave with me. While I have had moments of great clarity and happiness, it has seemed quite unuseful over many of the last few months, and I don't see improvement, and in fact see digression. I admit, I have not done the CBT he has asked me to do, but that mostly consists of him saying my percption of others reactions to others is wrong. Should I leave him? Or just tell him what i just said? Every time im driving there, i tell myself 'I'm gonna confront him this time, yeah!' And then....nothing happens.

Ok this is kinda getting long but i just wanna share a bit about my first few days of my new job and how awful it has been. I got hired to work at a hospital on the child and adolescent mental health unit as a psych associate. This is my first ever 'real' job as I am just one year out of college, and is by far the most responsibility and pay I have ever received. My biggest anxiety stems from my face. It is leathery, (most likely due to a combo of stress, a former tanning addiction, lots of exposure to outdoor weather, as I am a runner, and acne), I was and still am a huge pimple popper as well, kinda gross but I love it. Like after i popped one, I'll sit there thinking about the sound, how the puss looked coming out, etc. yeah I am gross! Anyway, this anxiety from my face is all consuming, I think about it CONSTANTLY. Additionally it has been noted that I have blunted affect by therapists i have seen and knkwing that has increased my self consciousness about it. Today for example, as i was sitting there watching a powerpoint, i kept thinking ok how should my face be now? I dont want it too limp cuz then it looks like im spacing out, and I'll lose muscleature in my face, I dont want it too strained cuz that looks weird and my face gets red. So, I'll go back and forth about it, which, I think, leads to me twitching my face around, making me look, I would think, as very anxious, and disturbed. As i was walking to lunch, i got stopped by a security guard and asked where my visitor badge was. I automatically assumed, as Im guessing most with BDD do, that he stopped me cuz I looked mentally disturbed, and he wanted to make sure i was supposed to be there. Ugh, im sorry this is so long. I could go on and on:kickingmyself: I don't know what i'm looking for here really, i'm so confused. Not even my parents can look me in the eye, people avoid me, and look at me strangely, i feel like I am a monster. How I got hired at a job as good as this is beyond me, i think I was having a good day. I don't know if i am gonna make it and tomorrow is only my third day:crying: I will be shadowing someone on my ward, and meeting the patients and other staff, ugh I need help so badly. Even when i'm by myself, I obssess over this godawful face of mine. Please help, any kind words would be so wonderful, as i am so alone in all this.

P.S. I am not on any meds currently but am considering starting tomorrow back up on my 20 mg doseage of citalopram
 
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ImNotMyIllness

Well-known member
Sorry, as I'm not offering advice. But, I read your thread. I'm curious. What was your major in college-Psychology?
 
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jaim38

Well-known member
Hi and welcome to the forum!

That was brave of you to work at the mental health unit. I remember several years back, I applied to volunteer at a hospital and they assigned me to the Psychiatric unit. I was really looking forward to it because I wanted to enter the nursing field and thought this might be a good opportunity to understand and connect with other people. So on my first day, I went there for my 4 hours shift. The office assistant was nice enough to introduce me to the other nurses and staff members. Then they put me behind a glass window, where I sat directly across from the psych patients. They gave me some paperwork to do.

At first, it was ok. I was talking with the office assistant. But after she left, the patients across from me started talking about me. Especially the man at the end of the table, who looked like the "ringleader" of the group. I could feel him staring at me and telling the other patients that I was a "spy". They started making noises at me, trying to throw me off. I just ignored them and continued to do my work. I pretended not to notice. Then they called me "stupid". I was angry and hurt inside, but I tried very hard not to show my emotions. What's even worse is that the family of one of the patients came over for a visit. The patient started talking about me to her family, and they were looking at me like I'm a bad person or something. I feel sick.

After my volunteer shift was over, I immediately drove home and never came back to the psych ward again. I told my volunteer coordinator that I would like to volunteer in a different area, so she placed me in another area, no questions asked.

Whew, sorry for the long post. I had a horrible experience at the psych ward, but maybe you can do better than me. My social anxiety was pretty high at that time.
 

Fin

Active member
Hi there. I think its great that you have a job looking after poorly kids. I think its great that you have gotten out there and are making a life for yourself. I do not have a lot of experience with bdd but will educate myself so I can help and offer advice in the future. Please don't give up you have a lot going for you.
 

IntheLabyrinth

Well-known member
I am not sure I have anything to say that will make you feel better, but I can empathize. I too have BDD. I am like Robin William's slightly less hairy nephew. I am not sure how far along the continuum it would be but it does affect my behavior. For instance, I don't go to the beach even though I love the ocean. Add to that, the hyperhidrosis from my armpits, and you have a perfect combo of worry and obsession. I know a lot of it just my distorted perception of myself due to the low self esteem but I can't seem to change it... The only thing I can say in response to your post is that it's probably the case that you come off better than you believe. I don't think it was a fluke of having a good day that the hospital hired you. Don't minimize that. Be proud that you interviewed well, and that the interviewee liked you and chose you over other candidates. I am sorry that I don't have more advice to offer but I wish you luck on the job... p.s. I too would love to land a job like that.
 
My UglyFace23 said:
While I have had moments of great clarity and happiness, it has seemed quite unuseful over many of the last few months, and I don't see improvement, and in fact see digression. I admit, I have not done the CBT he has asked me to do, but that mostly consists of him saying my percption of others reactions to others is wrong. Should I leave him? Or just tell him what i just said? Every time im driving there, i tell myself 'I'm gonna confront him this time, yeah!' And then....nothing happens.

I suggest you talk to him about the fact you haven't done the CBT and explain your reservations.

Welcome to the forum btw :)
 

jaim38

Well-known member
Then they put me behind a glass window, where I sat directly across from the psych patients. They gave me some paperwork to do.

Upon further reflection, I realized something. The nurses all sat at the back while I sat at the front with a nurse aide. Hmmm...that was weird...And the nurse aide didn't sit directly across from the patients at all - she sat far away and didn't make eye contact with them. I wonder why they even put me in the "front seat" in the first place.
 
Thank you for the kind words everyone it was nice to see that this morning before I went into work :) As far as how the day went, well, at one point, after hearing a patient call me weird several times, tell me to stop smiling (I think i tend to smirk when I am extra anxious, which I am sure makes me look like a total creep), and then to top it off, i overheard her saying to my co-worker, "There's something wrong with him," which, has some truth to it :sad:. I went into the bathroom to escape, looked at my leather red face, the sagging muscles, the perma-red eyes caused by drug and eye drop addiction, and wanted to high tail it outta there. Fortunately, i didn't, and I was rewarded with a wonderful conversation with a patient, lasting some 20 minutes as we delved into LOTR, anime, and The Phillipines. Ending on a good note like that helped a lot, and carried over to my therapy session where i made it clear that I wanted to intensely focus once again on CBT. HE told me to read the first 7 chapters of "Mind Over Mood." Anyone have any experience with CBT, and if so what was the method of your therapist? Also, has anyone read "MInd over Mood"?
 

jaim38

Well-known member
I'm glad it went well for you.
Wish I could help you but I have no experience with CBT nor read Mind over Mood.
 
MyUglyFace said:
Fortunately, i didn't, and I was rewarded with a wonderful conversation with a patient, lasting some 20 minutes as we delved into LOTR, anime, and The Phillipines. Ending on a good note like that helped a lot, and carried over to my therapy session where i made it clear that I wanted to intensely focus once again on CBT. HE told me to read the first 7 chapters of "Mind Over Mood." Anyone have any experience with CBT, and if so what was the method of your therapist? Also, has anyone read "MInd over Mood"?

Thats great! Fair play to you for turning the day around! Yes I have read this, or most of this. Everytime I saw my psyche last year she gave me a chapter to read. It's definitely worth reading. I have actually even given one of these chapters to someone else since. It definitely had a big effect on me. Highly recommend. Youve actually just reminded me that I need to go out and buy this book, my photocopied chapters need replacing from wear and tear.
 

ImNotMyIllness

Well-known member
Congratulations! I hate putting myself out there too, but when I do, I am handsomely rewarded. Although, I come out of it with more scars.
 
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