Aphantasia and Alexithymia #AtoZChallenge

Posted on by Astrid

Hi everyone and welcome to the #AtoZChallenge for 2024, letter A. I don’t have a theme, but I thought I’d do a repeat of what I did several years ago (I think it was in 2019), sharing posts on topics relevant to myself. I might still go off on a tangent every now and again. Awareness posts are one of my strengths and I’ve covered autism more than enough, so today I thought I’d cover two subjects I’m still relatively new to myself: aphantasia and alexithymia.

Aphantasia is also known as “mental blindness”, although it can be related to any of the senses. It’s an inability to form a mental image of something (or to imagine a sound, smell, whatever). As it turns out, most people can see relatively vivid images in their mind’s eye when they think of an object or person even when said object or person isn’t with them right then. They can also picture a scene, such as a beach scene, in their mind’s eye. I, however, can only picture objects and people very vaguely if at all, even when they’re things I used to be able to see in real life when I still had some sight.

Moreover, like I said, aphantasia can affect the other senses too. This was what made me realize I probably do in fact have aphantasia and am not just a blind person who has forgotten what it’s like to be able to see. After all, when doing a meditation practice that, for instance, tells me to imagine a beach scene, including hearing the waves crashing against the beach, seagulls making their sounds in the distance, feeling the sand between my toes, etc., I can’t. And it’s not for lack of trying. I mean, I remember once, many years ago, one of the child alters creating an inner beach by writing its description out here on the blog. I’m pretty sure that wasn’t actually effective.

Aphantasia is related to a phenomenon I did hear about several years ago, called alexithymia. This is the inability to recognize, identify and describe one’s own emotions. I remember getting a questionnaire on this at my last autism assessment in 2017, but was in denial about how significantly alexithymic I am in fact, because I, unlike the stereotype of alexithymia, don’t consider deep, emotional discussions a waste of time. In other words, I am not unwilling to describe my own feelings, but merely unable.

Neither alexithymia nor aphantasia are classified as disorders in their own right. They often co-occur with autism, which of course isn’t necessarily a disorder either but is classified as such and is, in my case, certainly disabling. Then again, so is my inability to identify my own emotions.

February 2024 Reflections #WBOYC

Posted on by Astrid

Hi everyone. I’m sharing this past month’s reflections again, as it’s the last day of the month. February is often a hard month for me and this year was no exception. I honestly feel quite hopeless as I write this post, even though I probably should be feeling cautiously optimistic. Let’s dive in. As usual, I’m linking up with #WBOYC.

During the first few weeks of the month, I shared some more concretely about things I wish would change about my care here at my current care home, only to be told nothing will change until after the summer at least. This caused me quite a bit of despair, honestly.

The contrast couldn’t be greater when I did experience exactly one near-perfect day last week and saw nothing about it in the staff’s records. When telling my staff about this, I got advised that maybe reading the log notes might not be a good idea after all. WTF?

It also looks like my staff are using my current mistrust, and the fact that I’ll likely develop trust in my staff very slowly, as an excuse not to have to improve my care. After all, yesterday my assigned staff said my level of trust is currently zero so any improvement is to be celebrated when I was calling him out on ways in which he and his coworkers are expecting too much of me.

Today, I had the intake interview for therapy at my care agency’s practice. I probably portrayed myself as an attention-seeking, childish, purposefully-dependent monster. The therapist who asked me the questions (there were two in the room, plus my home’s behavior specialist), kept repeating how feeling isn’t dangerous.

At one point, I was talking about how I sometimes trigger myself by looking up idealized care situations. She was like: “But you don’t need full-time one-on-one.”. I know. Then she went on to tell me that sometimes she feels bored and lonely when she’s at home alone, but nothing bad happens so she can stay home alone. She also told me I’m an adult. This somehow majorly triggered me and now I feel bad for being triggered because doesn’t that prove my former psychologist’s point of view? You know, the one who diagnosed me with dependent personality disorder and told me I needed a good kick in the behind to live independently?

Yet things did happen. I dropped my meds. I dropped glass on the floor. I fell of a kitchen stool. The housing association came by and told me I needed to pull away the weeds out of my backdoor path. And a thousand other things. None of these are serious things, except that I had no idea how to handle them so spiraled into panic. And there’s no point teaching me how to handle every tiny little situation that could go wrong. And for the record, sitting with the feelings won’t solve the problems either. Calling for help rather than spiraling into panic might have, but that didn’t seem to be her point. Besides, I cannot do that when I’m in a panic.

She did say that she doesn’t make decisions about my independence, but I feel very strongly like I am being asked to be the strong, independent, intellectual part of myself again.

The therapists ended up recommending a form of play therapy, but the play therapist who comes to the main institution is male and I’ll be alone with him. That’s not an option for me, honestly. They are going to look into finding me a female therapist. I hope they will, as the rest of what they recommended, though I did agree to go forward with it and have my first appt on April 3, seems a bit off. They recommended psychoeducation on emotions, which seemed to me a bit like dialectical behavior therapy light (I’d mentioned I’d done DBT unsuccessfully). They’ll also help me identify my triggers and make a timeline of significant life events or something. I’m not sure what relevance that would have, but oh well.

Currently, I’m trying to talk myself into being positive. This care home clearly won’t improve, so either I improve or my life stays the same. Which is mediocre. I do have my good days, but I’m pretty sure the staff are going to agree at the next team meeting that the staff’s less optimal care approach should be the default.

On my good days this past month, I did craft some earrings, a polymer clay unicorn and bird’s nest, as well as make delicious homemade chocolate fudge. This was awesome!

Creating Glimmers

Posted on by Astrid

Today’s prompt for Friday Writings is “Glimmers”. A glimmer is the exact opposite of a trigger, something that brings you a sense of safety or joy.

Let me say that I often struggle with the fear of experiencing positive emotions, so even glimmers could be triggers in a way. I have yet to figure out why this is and what to do about it.

That is, one thing I do about it is to create positive experiences for my inner child parts that aren’t connected to the past. An example of this would be reading stories about unicorns. I don’t think my mother ever read me stories about unicorns as a young child, so unicorns bring out the playful inner child in me without the memories of my childhood attached. I can probably safely say that unicorns are a glimmer for me.

Another glimmer are my stuffed animals, but I honestly think the same applies that is the reason I love unicorns: they can’t be connected to my childhood. I currently have five stuffed animals on my bed, but the oldest one I’ve had for about four years.

I wonder why this is, honestly, given that my childhood, though not stellar, wasn’t horrifying either. Ah, who cares as long as I have my unicorn stories, unicorn polymer clay cutters, stuffed anymals, including several unicorns, etc.? Let me just live love laugh in unicorn land. If only it were this easy…

The Wednesday HodgePodge (March 22, 2023)

Posted on by Astrid

Hi everyone. I’m joining in with the Wednesday HodgePodge once again. Here goes.

1. Did you celebrate St. Patrick’s Day in some way? If so tell us how. Are you a fan of corned beef? Cabbage? The color green?
No, I didn’t celebrate St. Patrick’s Day. I am not a big fan of cabbage or corned beef, but it’s not like I hate them either. I do love the color green.

2. March 22nd is National Goof Off Day…will you celebrate? Your favorite way to goof off? Last time you had a whole day to spend “goofing off”?
I don’t work and can officially choose my own activities within my day schedule, although a lot of staff will suggest them for me. In this sense, I can “goof off” as much as I like, although it doesn’t often feel like it. My favorite ways to “goof off” would be reading, watching YouTube videos and chilling out with an essential oil diffuser on. By the way, crafting is also a favorite way to spend my time, but since I need support with that, I often don’t feel as playful about it as the expression “goofing off” reminds me of.

3. Something on your to-do list that has been there more than a month? Will this be the month you finally cross it off?
I don’t have a to-do list, honestly.

4. In your opinion, what emotion is the most beneficial? Which one is the least useful?
The most beneficial emotion, to me, is joy. Okay, yes, I copied that from Joyce but I completely agree. I had it as my word of the year last year. The least useful emotion, to me, is bitterness.

5. What was your favorite thing to do as a kid? Elaborate.
Many different things. I enjoyed playing with PlayMobil® until I was at least thirteen. I also loved sitting on the swings in my garden. However, I was also quite nerdy, enjoying geography and drawing maps by hand (obviously not detailed at all due to my severe visual impairment and my poor spatial awareness). My favorite map to draw was that of Italy.

6. Insert your own random thought here.
Just a thought: for those of you who don’t need care, can you imagine what it’d feel like if, each day, five or so different support people, often random strangers, showed up in your home claiming to want to do an activity with you? How about if they felt entitled to ask you personal questions to “get to know you” without disclosing much about themselves (after all, they’re “professionals”). What if, after six months, you’d seen literally over a hundred of them, if not several hundreds? How would it make you feel? I just asked a staff, who is a temp worker here but has supported me about ten times now so I’m supposed to “know” him, this question, after I got very irritated with another temp worker (who’s supported me about five times). The more familiar temp worker seriously replied that he wouldn’t mind who got into his home as long as they’d do the activity with him. I guess this means needing care is too far out of his realm of experience to understand the question.

#WeekendCoffeeShare (April 24, 2022)

Posted on by Astrid

Hi everyone on this last Sunday afternoon of April. Can you believe that we’ll be in May this time next week already? I certainly can’t. The weather’s okay: sunny and about 16°C. I can’t wait for higher temperatures though. Anyway, I’m joining #WeekendCoffeeShare today. I haven’t had my afternoon coffee yet, but am likely going to take a break while writing this post to have it. You can have a cup as well. The staff are also trying to get me to try some type of drink that sounds much like what Americans call Kool-Aid: a powdered substance (sugar-free or so I’m told) that you add to cold water and that then creates the flavor of juice. I’m pretty sure I’d prefer plain water though. Anyway, we have this stuff in the apple-flavored variety, so if you’d like a drink of that, get yourself one. Let’s have a drink and let’s catch up.

If we were having coffee, I’d tell you that this week, I’ve been experiencing quite the rollercoaster ride of emotions. Due to a number of triggers, I got to doubt once again whether I want to stay in my current care home forever and, on Thursday, I more or less decided that I at least want to discuss the possibility of looking for another place. I have no idea whether a voluntary move is even possible and it’s certainly not something I’m looking to decide on quickly. My assigned home staff E-mailed the behavior specialist and manager to see if they can discuss the possibilities and process with me.

If we were having coffee, I’d share that I also experienced quite a bit of emotional dysregulation recently. I am having some major flashbacks and identity confusion. It looks like a new factive alter (an alter based on a real, outside person) may have formed recently.

If we were having coffee, I’d tell you that tomorrow, I’ll finally be discussing lowering my antipsychotic dosage with my nurse practitioner. I’ll most likely take the first step sometime in early May. Even though I’m not feeling at my best right now, I want to move forward with it.

If we were having coffee, I would share that I did enjoy doing some polymer clay work recently. Mostly, I just mixed colors. Like I said before, last week, I got the Fimo Professional true colors six-pack, which comes with a mixing chart, from the day center. I love it! My mother has her birthday on Thursday and I’m fully intending on making her a tulip out of polymer clay with all colors I mixed myself.

If we were having coffee, lastly I’d share that I went to Lobith yesterday. It was good being with my husband once again. We got Domino’s pizza and had orange tompouces (a Dutch-specific pastry) in honor of King’s Day on Wednesday. This morning, my husband went out to the local bakery to buy us croissants. Yum!

How have you been?

How I Deal With Anger

Posted on by Astrid

In today’s Sunday Poser, Sadje asks us what we do when we get angry. She seems to mean this question in two ways: firstly, how we express our anger and secondly, how we cope with it and calm down again.

I have always been relatively quick to anger. Particularly, my tolerance for frustration and distress is very low and I tend to express this as anger. During such episodes of distress, I may scream, yell, slam doors, etc. Over the past year, I’ve even occasionally shown slight physical aggression towards people.

To cope with this type of anger, my best strategy is to enlist the help of others to get me to think through whatever was causing me frustration or distress and/or to help me solve the problem. Usually, temporarily removing myself from the situation might help a tiny bit, but it will not help in the long run, as it will not get rid of the source of frustration.

Then there are these situations in which I’m angry because someone is being unjust towards me. When I am angry at being treated unjustly, similarly, removing myself will help for a while, but not in the long run. Assertiveness can help in that it allows me to properly voice my needs, wants and rights. I am still working on this, in that I tend too often to avoid properly advocating for myself and instead resort to less helpful ways of making it clear that I’m struggling.

When there is nothing I can do about the anger or its source at a given moment, what helps me is to safely express it, such as by hitting a pillow. I also used to sing certain songs that spoke to me. For example, there is a Dutch song called “Laat me” (“Leave me”) that I would always sing at music club when I was irritated at my treatment team in the mental hospital back in the early years. Now, hitting a pillow and screaming has the same effect.

After I recover from my anger outbursts, I do like to talk through what was causing them, whether I can solve the problem at hand or not. I, after all, find that other emotions are often masked as anger, such as shame, sadness or fear. By talking through my anger after safely having expressed it, I can often get to the bottom of what is troubling me.

How do you cope with anger?

Not the End

Posted on by Astrid

My mind is exploding with chaos. So many thoughts, feelings, wishes, voices, dreams and visions float through it. It is so overloaded I am tempted to give up. Through the chaos, I can hear the monster speak. “Give in,” it lures, “go to the clouds.” I can almost picture the heavenly realm, the place the monster is trying to get me to go to, in my mind’s eye. I cry out: “No!” I am bombarded yet I stand. I won’t give up. This is not the end.

This piece was written for yesterday’s Prosery. The idea of this challenge is to use a given line of poetry in a piece of prose. The line we were asked to use is: “I am bombarded yet I stand.”

In the above piece, I try to capture what it is like to be overloaded with depressive and suicidal thoughts. Yet, I also aim to make it clear that I am fighting back. After all, this is not the end.

Ways of Finding Inner Peace #31Days2021 #Blogtober21

Posted on by Astrid

Yay, another post today in honor of #31Days2021 and #Blogtober21! The optional day 3 prompt in the 31-day writing challenge is “Peace”. I have been very much on edge over the past couple of days, so I really could be using a sense of inner peace right now. I am not too inspired to write, especially about finding peace. To get some ideas, I reread my list of activities that give me inner peace, which I wrote about three years ago.

The activities could be divided into several categories. Some are spiritual in nature, such as meditation. I wasn’t a Christian at the time, so I’d put prayer and Bible reading in this place now.

Others are physical, such as walking or exercise. I honestly didn’t think of exercise as an activity to give me inner peace right now.

Then there are the sensory activities. I have a lot more of those available to me right now than I had back in 2018. For example, now that I have a music pillow, I can not just listen to soothing music with headphones on or through speakers in my room, but through speakers integrated into my pillow. In addition, I obviously have my essential oil diffuser and my weighted blanket now, as well as still having my sensory cat soft toy and several other stuffed animals. I can almost create a sensory room in my own bedroom.

Writing is an activity that still helps me. So does talking to my staff. When I struggle with worries, writing them out just for myself, will not usually be enough, but sending an E-mail to my staff is.

Lastly, there are of course mental strategies for dealing with distress, such as radical acceptance, opposite-acting or “worry time”. Unfortunately, I haven’t found many cognitive approaches to finding inner peace helpful at all.

What strategies or activities help you find inner peace?

Starting to Explore the Enneagram

Posted on by Astrid

A few days ago, I read on another blogger’s post about the enneagram and suddenly got interested in exploring it. At first, I thought it may be against Christian values, so I shouldn’t be exploring it if I’m serious about being a Christian. Then I checked out some books on it anyway and discovered that several actually look at the enneagram from a traditional Christian perspective.

I first got Helen Palmer’s book The Enneagram, which explained the basics of how the enneagram works. I honestly had no idea at first. I mean, I saw it as just another personality typology just like the MBTI and had little idea that the points are actually connected in several mathematical ways.

I took an enneagram test and it showed I’m a Four with a strong Five wing. I’m still undecided whether that’s correct or I’m really a Five with a strong Four wing. After all, I really do feel deeply (which is consistent with type Four), but I don’t easily verbalize my emotions.

I got a book off Bookshare called The Enneagram Type 4 by Beth McCord. This book is rooted in the Christian faith and the enneagram alike. The first chapter explores faith and the enneagram from a type Four perspective. It starts out by giving an overview of the type.

In the first part, Fours are described as having a deep and rich emotional life. My gut response was: that may be me, but is it truly me or is it what I want to be? Then the explanation goes on to talk about how Fours see themselves as somehow apart from the rest of humanity. They often feel that they’re missing something that everyone else has. Wowah, that’s so me! When I read on, I got a flashback of my father telling my psychiatrist shortly after my admission to the psych hospital, that I just want to be different. Maybe he’s right in some way.

Fours also long for the ideal life and are constantly seeking to change their circumstances and themselves to try to find that “missing piece”. Wow. I read somewhere that most Fours keep the door even in a committed relationship ajar, always keeping the possibility open that their truer love will come by at some point. I don’t do this with my marriage, but I certainly do this with my living situation.

At the end of the chapter, there are some questions for reflection. One of them is about rescuing yourself or bringing about change on your own. How have you attempted to rescue yourself?

Well, for me, I’ve constantly been on the lookout for a better living situation. Even just yesterday, for no apparent reason, I started looking at another care agency’s website to see if I might fit better into one of their homes.

I feel constantly insecure because of my childhood trauma. Then again, maybe I’m also hopelessly looking for an ideal that doesn’t exist.

A thought that has been on my mind for a while now, is what one of my fellow patients at the locked unit told me back in 2007: I need to work on me, not on circumstances. This ran totally counter to my admission’s objective, which was to find a suitable living facility for me. However, now, over thirteen years later, it’s truer than ever. I am in the best possible living situation already and there’s no perfect place. Besides, I always take me to whatever place I go.

The last question for reflection is how realizing you belong to Christ helps you? It is still hard for me to truly surrender to belonging in Christ, so I’m not 100% sure how to respond. However, when I can get myself to understand that I truly am God’s beloved child and belong to Christ, it will radically transform my life. I no longer need to be on the lookout for the perfect life, since I’m made whole through Jesus.

An Intense Monday

Posted on by Astrid

I’m not really sure what I want to write today. I started writing this blog post several times, only to delete it again halfway through. I intended on doing a food diary, then realized I wasn’t intending on sharing it here. (I did write a food log in Day One, my diary app, for today.) I then tried to do a more general health and wellness log, only to realize these don’t make sense if I don’t do them regularly. Then I started writing a post about today.

Today was, indeed, rather intense. Not really because of the food journal. I did okay on that one and it helped me make some healthy choices without becoming obsessive about it.

In the morning, a staff made a phone call to the assistive tech company. Yeah, my Braille display is once again broken, for the fifth or so time in eighteen months. I can still work around all the stuck dots, but I really want it repaired.

Then in the afternoon, I had an appt with my nurse practitioner. I can’t remember exactly what we talked about. I mean, yes, he shared about the bus metaphor. This is a metaphor in which a person is like a bus driver and all their thoughts etc. are passengers on the bus. I had already commented last time that my bus has multiple drivers, in that, if I hear a voice commanding me to do something, that voice (ie. alter) can take over the wheel too. Now I am hesitant to use words like “alter”, because I know my nurse practitioner doesn’t believe I have a dissociative disorder. This is my blog though so I can do with it what I want.

Today we somehow got talking about this metaphor in relation to emotions. Sometimes, you see, I get an emotion or urge or whatever and have no clue why. Honestly I can’t remember how this relates to the bus metaphor, but oh well. Oh yes, I told my nurse practitioner that Astrid is the bus with all its passengers and drivers. The body, then, is the bus.

Later, in the evening, we had an emotional reaction to a minor situation. After I calmed down, I talked it over with the staff who’d seen me have the reaction and it turned out I had no memory of it. I can now sort of see how I probably had that reaction, but I still can’t remember it as my own reaction.

This makes me feel kind of freaked out. I know that amnesia is part of dissociation, but didn’t we agree that I don’t have a dissociative disorder? Besides, whenever I do claim to have an undiagnosed dissociative disorder, it’s OSDD1B, which means having alters without significant amnesia.

I knew from previous experiences that I do experience what’s called emotional amnesia, where I can remember something but not the feels that go with it. The incident of amnesia that got my former psychologist, back in 2010, to suspect DID, was, in fact, emotional amnesia only. I know this because I claimed that I’d not remembered what went on in our session, but I clearly must’ve remembered something as otherwise I wouldn’t have known to tell her.

I know I don’t need a diagnosis right now. I can function okay’ish most of the time. Or can I? After all, when I’m functioning, I can’t remember that sometimes I am not and when I’m in severe distress, I can’t remember what it’s like to function normally. Or maybe I can, on some level. This is all so confusing.