Wellllll,
For me I only get that when I'm depressed, and maybe it's weird, but have you tried sort of setting some sort of reward/incentive for yourself? My thing was food (okay, when I was depressed it wasn't the best idea, but it somehow worked). Forcing myself out into the wild for a little treat somehow works for me. I sort of treated myself like a dog in training, but eventually it got easier? It made me think more about the end result rather than the current experience. I was still present and exposed, but had that in my mind.
No matter what my mood is, stable or not, I still can't do groups, but that's a different issue... I will be getting emdr for that. Maybe that will help me (I know, not related), but it's really baked in there.
So yeah, maybe introduce some sort of incentive + exposure?
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Diagnosis:
Bipolar Disorder II
Anxiety Disorder
OCD
Meds:
Lithium
Lamictal
Seroquel
Zaprexa
Oxazepam
Lots of misc that I wont list, but feel free to ask about above
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