When therapy hurts: part 2

So, since my last post When therapy hurts: part 1 my week has been a bit up and down but I’m in a significantly better place than I was on Monday evening, thank god! I think I might rename myself ‘Flux’! Perhaps it could be my online name. It’s got a good ring to it, don’t you think? -and slightly less of a mouthful than rubberbandsandchewinggum!

I’ve been meaning to get on and write this post all week but just haven’t been able to for some reason. I’ve not been very busy, I just can’t really think of anything to say. I’m not very motivated to write. I can’t really be bothered with it. I know there’s no one forcing me to do it. There’s no pressure. It’s daft really. I am procrastinating. It almost feels like this is a piece of ‘homework’ I have to do but am resisting doing it. I think there’s a lesson for me there, don’t put ‘parts’ to posts. Last time I did it I had exactly the same predicament and got blocked.

I think maybe there’s another element in play too: ‘What’s the point in writing about it? Saying how bad I feel about things in the therapeutic relationship isn’t going to change anything, so fuck it all’. This attitude and reluctance to write makes a lot of sense to me, now, because I have finally identified the part that has been so dominant lately both in sessions and out of them. It’s an older teen part. She’s broken and pissed off.

I guess I feel about 17 years old which was a really tricky (also read ‘fucking horrendous’) time in my life: home was hideous, my mum was incredibly abusive ALL THE TIME, my anorexia was in full swing, self-harm was the norm, and I was in so much emotional pain that I could barely function.

I know it’s a huge cliché, but I had fallen in love with an older woman (a student teacher in my school -oh but of course I had!- huge huge eye roll!) and couldn’t tell her, or anyone for that matter, about how I felt. She’d moved away when I was 15 but we were very very close for a couple of years, speaking every night on the phone but as ‘friends’. I’d visited her a few times up country, being very intimate but not in a sexual way, and then the shit hit the fan when I became so ‘intense’ and needy that she basically cut off all contact with me.

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At the time it was meant to be a ‘three month break’ from contact but it devastated me like a breakup and once I’d been hurt I couldn’t go back to that relationship in the same way. I came out the day after the ‘let’s have a break from each other’ phonecall because I literally couldn’t stop crying and was beside myself. It didn’t get much better when I did come out, though, as a large chunk of my social group stopped talking to me and silence used to fall whenever I walked into a room…. So yeah, all in all it was a fairly traumatic time in 2000!

So when I am in that teen state I trust no one and shut down but am also hugely on guard, devastated, hurt and angry inside. I won’t let anyone in because I will not be hurt again like I was back then. I won’t express my feelings, in fact I’ll try not to feel anything at all, because I don’t want to be abandoned and rejected again by someone I love.

My therapist doesn’t stand a chance when I am in this state because the parallels of the relationship I had back then and have now with her are all too clear to me. She’s another woman, ten or so years older than me, who I talk to a lot but don’t get to see in person outside of the focused time,  someone whom I am very attached to but the power in the relationship is unbalanced. I don’t want to ever feel like I did at 17 again and so I won’t make the mistake of telling my Em how I feel her when I feel like this.

Fortunately, I am not physically attracted to my therapist, I absolutely see her as a mother figure (which isn’t easy either is it?!), but it’s also more than that. It’s quite hard to define exactly what she is to me. Of course, she’s my therapist, but I’m sure you know what I mean, it’s kind of the mother/big sister/best friend/fairy godmother idealised sort of thing and sometimes it’s none of those things. It’s a strange relationship, for sure!

I always really worry that my therapist will read my feelings and behaviour from the perspective of me having erotic transference because I am gay. She may not, I don’t know. I guess it is a sensitive issue for me. I have been rejected on the basis of my sexuality so many times. I worry that she only tolerates me because she has to. Unconditional positive regard is a cornerstone of therapy and yet part of me wonders if she is repulsed by me and just can’t show it?

It’s horrible to always be doubting the quality and authenticity of the therapeutic relationship. I know it shouldn’t matter even if I did feel attracted to her and that it would form part of the work but I just feel so fragile about this, even having come out 17 years ago, I still feel really vulnerable talking about my sexuality with her and I have only once brought up that massive heartbreak I had in my teens in all the time we’ve been working together.

I appreciate that I am rambling here and not really saying anything about ‘when therapy hurts’. I think this is what happens when I am fairly buoyant or in denial or both. I’m not really sure how I feel today – disconnected from myself is probably a good way of describing it. I know all those horrible feelings are inside and that the little ones are struggling but somehow they feel completely detached from where I am right now, they’re not front and centre.

It’s not a bad thing. I am functioning and frankly there have been too many days lately where I have struggled to. The teen part doesn’t need to be on guard and ready to fight because she doesn’t need to protect the little ones quite so much.

Since Monday I’ve been yo-yoing which totally follows my usual pattern of emotion after a session. I am always distressed, doubting, and devastated the day after the session. I feel abandoned, rejected, and hopeless. Ugh. It’s crap. I feel generally pretty rubbish until Thursday. By Friday daytime I feel as though I have survived the bulk of the week and can count down to the session on Monday. Friday evenings can be tricky, though, and so can Sundays. It’s almost like hope in the relationship and its potential is rekindled towards the end of the week, but then because I feel open and hopeful doubt can creep in again because she could hurt me.

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Another blogger, who I’d like to think I can call my friend now (you know who you are), has been really helpful in giving me another perspective on things and challenging how I have perceived what’s happening in my therapy this week. She’s annoyingly perceptive and her input has certainly helped me get my head together a bit.

I complained to her on Monday about how I’d felt my session had gone. I’d basically not been able to talk for the first 15 minutes and then handed over my laptop and asked my therapist to read the blog post I’d written. I sat there crying behind my hands as she read it and yet when she’d finished we didn’t really talk about any of it. I felt frustrated that I had shared all that content and yet we weren’t talking. Or that’s how it felt at the time.

However, on reflection it is clear that I was dissociated. My therapist asked again which part had come to session. And she very gently talked with me. She commented on lots of areas but it was me that couldn’t/wouldn’t engage and she didn’t push me. We just sat with how things were. She actually did a good job. I just couldn’t see it at the time because I wanted more. When I feel like that and am pushing her away it’s almost as though I am testing her to see if she’ll stay with me.

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She can’t win, though. She cannot communicate effectively with all my parts in a session because they all need such different things and approaches. What is right for one is completely wrong for another. It’s a minefield. The little ones need holding and soothing with that soft, warm voice that feels like a virtual cuddle; the teen needs reassurance and care and to be listened to and for her feelings to be validated; the adult needs to be told everything is ok and that there’s no need to be embarrassed or ashamed about the feelings that are coming up; the critic needs to be heard and wondered at. It’s not easy for her and I know she is doing her best although sometimes doesn’t get it quite right…

Shortly after she’d read my blog post she brought up something about payment – it was crap timing but I suppose there’s never a good or easy time to talk about money in therapy. I’ve been really poorly for a few weeks and on one of the session days I had done a Skype session because my son was ill, I ended up getting sick that day too.

I have basically been floating around on autopilot with no voice and propped up on pain killers and antibiotics for the best part of three weeks. Anyway, apparently for that Skype session and the one following it ,she hadn’t received my payments and yet last week did (but for just one session not the three I’d had) so she brought it up. I had been sitting in silence,not really, and I think the conversation was meant to engage my adult but also open up a conversation about resistance in the therapy.

The thing is, I hadn’t not paid her to send her a message. Hand on heart it was just a complete accident. I know what had happened because I’ve done it before making online transfers. I hadn’t confirmed the final page of the online transaction. I always go online shortly after the session and pay but obviously on these two occasions my brain was not fully in the game. I’d gone through the process, got all the details up on screen and just not scrolled down to confirm.

My therapist commented that I always pay promptly and suggested that maybe it was some unconscious communication about not really wanting to be there with her or something. I’ve said it enough lately that I haven’t wanted to be there (teen part can be quite dismissive of her) but that wasn’t what had happened in this instance. It was just a cock up and my autopilot had malfunctioned. It kind of threw me off balance a bit.

It made me think about a recent post by Life In A Bind – BPD And Me:  How do you pay your therapist? The answer could be part of your therapeutic work.  about payments and what they can reveal about the therapeutic relationship. I honestly don’t think I was unconsciously trying to send her a message by messing up the payments. I think, no , I know I was ill and just not functioning very well. In fact I am usually so quick in making payment to her when I get home or sometimes even before a session, despite the fact that she says she is happy to bill me monthly, because I value her so much. So meh, it was a bit of a weird conversation to have in the middle of the session.

What else has happened this week? Well another ‘interesting’ thing I’ve done is started looking around and researching other therapists. Uh huh. Yes. I know!

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Of course it’s all a reaction to feeling so completely lost in the relationship and like things are disintegrating between us. Googling therapists came from a place of sheer desperation. That was Wednesday. After a bit of research and contacting a therapist I realised that I really don’t want to work with anyone else. I don’t want to chuck three years of therapy away. I just want to get things sorted in the relationship I have….if I can. I just don’t know if it’s possible.

I certainly know what it is that I need to feel more secure between sessions and in the relationship more generally. Essentially, I need to ask for some boundaried contact outside the sessions, whether it be a midweek text just to ‘check in’, or a quick phonecall later in the week just to maintain the connection. Basically I need some form of confirmation that we are still connected in the relationship so that the sessions don’t bomb on a Monday because I have lost all sense of her in the week and don’t trust her to be there and not abandon me.

Monday is going to be hard because I am completely rubbish at expressing my needs. I don’t like feeling so dependent and needy. But mostly I am massively fearful of her refusing to do either of those things when it will take a serious amount courage to ask in the first place. I asked for a double session just after Christmas and she said no and I basically ended up self-harming because I feel so stupid for expressing a need and not getting it met. I know that I will feel so rejected and uncared for again even if there is a good reason for not engaging in either of those activities, from her perspective.

I guess looking for another therapist was about rejecting my therapist before she has chance to reject me. This therapy business really isn’t easy is it?…particularly when your attachment style is disorganised and your cumulative life experiences/relationships have only heightened your fear of abandonment and rejection. Looking back over some of my close relationships, it’s almost as though my attachment style acts as a map to create these issues time and again. I either push people away, shutting them out so they end up leaving or I cling on so tightly that they feel smothered, or yo-yo back and forth between the two. I hope my therapist can handle my volatility. I think she can.

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So back to the title, which I really haven’t stuck to at all – therapy hurts sometimes, a lot of the time actually, and sometimes it doesn’t. Right now I feel ok about how things are, like I might have turned a bit of a corner as I head into the weekend. I really hope that I am able to go to session and talk it out with her on Monday. The problem is, I have no idea who will arrive in session, how long they’ll stay for, or who else may show up along the way.

I guess we’ll wait and see!

 

 

Author: rubberbandsandchewinggum

Mid-thirties. Mum of two. Procrastinator. Therapy and mental health blogger.

7 thoughts on “When therapy hurts: part 2”

  1. Asking for what you need and risking rejection is really hard. I think that’s what stops most of us from asking. That somehow if the person says No, then it’s a value statement about us.
    Fingers crossed you’re able to ask on Monday. X

    Liked by 1 person

  2. “I always really worry that my therapist will read my feelings and behaviour from the perspective of me having erotic transference because I am gay. She may not, I don’t know. I guess it is a sensitive issue for me. I have been rejected on the basis of my sexuality so many times. I worry that she only tolerates me because she has to. Unconditional positive regard is a cornerstone of therapy and yet part of me wonders if she is repulsed by me and just can’t show it?”

    I REALLY, REALLY think you should share this worry with your therapist. I can totally understand your concern from your history and your perspective and I really think if you shared this with her that she could offer you enough reassurance that you may relax into things a little more? I felt for you as i read that as I can imagine I would feel the same way.

    I am really glad I’ve found your blog, you talk a lot of sense and I can relate to a lot of what you say. xx

    Liked by 1 person

  3. Oh ps, I read yesterday that us forgetting to pay can be a sign of unconscious anger. I have done this a few times and I am sure that my T thinks the same and I’ve sat there thinking, no, I just forgot.. but who knows. x

    Like

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