Eye Contact In Therapy

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Making and then maintaining eye contact with my therapist is something I find really difficult. In some sessions eye contact feels more possible than in others – usually when the session is light and I am rooted firmly in my adult. These are the days where I can look at her for a few seconds before looking away and our interactions feel more ‘normal’ – i.e real life, outside world topics, not massively emotionally charged. But of course there are those ‘other’ days, those painful sessions, where I will avoid eye contact for the whole 50 minutes, scanning the book shelves for the millionth time, or staring at the corner of the room. Should our eyes meet, I look away almost as though I have been burnt. The meeting of our gaze can feel so exposing.

It reminds me of some R.E.M lyrics from a song called Electrolite:

“Your eyes are burning holes through me, I’m gasoline, I’m burning clean”

Only I think, in this case, I’m burning like a stack of old tyres and giving off some kind of thick, black, toxic smoke that chokes the life out of things. It’s like a thick fog of burning shame. Ugh. I hate it.

I’ve mentioned this kind of thing in passing a few times in the blog. It’s something that has been on my mind a lot lately, and then this morning I got an email from a friend, who is also in therapy, asking me about my experiences with eye contact because it’s an issue she’s struggling with and so I thought it might make for a good blog post – it can’t just be the two of us that have this problem!…in fact I know it isn’t!

I feel a bit woolly headed/dissociated at the moment and I have noticed that my ability to formulate my thoughts in writing (and verbally, actually) is really proving tricky so bear with me here. I don’t know why, but I feel like I keep having to preface my posts with an apology at the moment. I can’t seem to get my mind clear enough to express things in the way I would like but I still feel like I need to write because I feel like I am going slowly insane. No one ever tells you what a lonely experience being in therapy and doing *this kind of work* can be- and honestly I am so glad to have found this community of like-minded souls online because otherwise I think I would still feel like the biggest weirdo on the planet!

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So, yeah, eye contact…or lack of it.

Bearing in mind I have known my therapist for six years and been working with her for three of those years you’d think, by now, eye contact wouldn’t be an issue for me. Wrong! It’s funny (not funny haha more funny ironic), I’ve found the longer we’ve worked together and the more I’ve let her see of ‘me’ (whoever the fuck that is), the harder eye contact has become. It might seem counterintuitive that the closer you get to someone the harder it gets to look at them but it is how it has been for me and I think I am beginning to really understand why.

If you met me in person for the first time you’d be faced with a friendly, confident (ish!), articulate, caring person who does their best to make you feel comfortable in our interaction. I am a good listener, ask thoughtful questions, I make all the right noises and maintain just the right amount of eye contact. I am not nervous in new social situations (well, not outwardly- you’d never know what’s really going on inside- cue heart racing and quaking child whimpering, ‘Please don’t hate me!’) and people say I am easy to talk to. But that stuff doesn’t work in therapy does it? Because it’s not about looking after the other person (therapist) and so I can’t employ my listening skills in the way I might usually. I can’t deflect the attention away from myself…well, I give it a very good go, but eventually it will always come back round to me and OMG it’s hard.

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Having said that eye contact shouldn’t be a bother, should it? …. and it wasn’t in the very beginning…

When I first met my therapist, I was far more able to look at her (I noticed this was the case when I went to see the other therapist in January following the rupture too). What’s the deal with that? Well in the beginning I was operating from the adult persona and I wasn’t attached to Em in the least. I really didn’t care what she thought of me – which was unbelievably freeing!

I attended therapy as the person I have just described above and was probably really easy to work with. Sure, there was a reason I was coming to sessions but for all intents and purposes I was functioning and coping and together (on the surface at least!) and probably just a bit fucking whiny but not difficult, or demanding, or needy.

I think I wasn’t especially aware that what I was really looking for was a relational experience…I don’t think I really knew what I was meant to do in therapy other than go and talk about the shit that had happened to me. My therapist could have been any human sitting in a chair and I wouldn’t have cared all that much. I never for one minute expected to feel any of the range of emotions I do now towards to the person sitting opposite me. Crikey…what a revelation and what a fucking nightmare!

When I met Em for round one of therapy in 2012, it took me about 9 months to get anywhere near the stuff that now causes me such trouble. Part of that was because I knew it was a time-limited activity on the NHS (12 months) and I didn’t want to be left hanging at the end of it all if I did open up, so there was certainly an element of self-preservation going on. I knew some of what was lurking, buried. If I really looked into the depths it would be like poking a partially healed wound, even if it was a bit infected, and then just as it started to bleed out I’d find myself on my own without any bandages.

So for those first few months I talked and talked and talked and looked and looked and looked but I did not connect with what I was saying. It was almost as though I was recounting someone else’s story. It was easy to make eye contact with Em because I wasn’t feeling anything about my story or, more importantly, her.

There’s been a lot of trauma in my past and yet for the longest time it has felt like it belongs to someone else. I would recount very matter-of-factly what had gone on for me but felt like there was a concrete block between my head and my heart – a huge wall between my left and right brain. I still struggle with this. The level of disconnection from myself is massive although at least, I suppose, this is something I am actually aware of now.

Then it happened, TA DAH! cue jazz hands – the attachment stuff awakened in a HUGE way and I was done for. I would go to session and sit there, unable to look at my therapist knowing that soon I would lose her and I just couldn’t cope. I know she noticed the change in me because the therapy also changed. There was a different level of connection but still so much that went unsaid on my part. I didn’t know how to handle my feelings AT ALL and resorted to the usual familiar coping strategies. I started to lose weight quickly becoming dangerously anorexic, and began to self-harm again. It was a desperate effort to try to cope/run away from the impending sense of loss and abandonment which I now know is the BIG issue for me.

It was an incredibly lonely time. It felt like I was losing my mind. I had no idea that actually it was pretty common to develop these sorts of feelings for your therapist – especially with a history like mine – and so felt incredibly ashamed and embarrassed. There was no way I was going to tell my therapist any of this for fear of ridicule, or disgust or [insert any other nasty reactions here].

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I couldn’t name the different parts of myself at that point, although I was regularly derailed by the inner mini-bus of traumatised kids. The conscious awareness of this fragmented system only really started to make sense to me about a year ago. Back then all I knew was that I was sinking. I desperately wanted to connect with my therapist but I was frightened to. I didn’t know that the fear was the fear of my child parts. I didn’t understand that part of the reason I couldn’t talk sometimes was because several of the littles are pre-verbal or don’t have much vocabulary because they are so little. I didn’t know I was dissociating. I certainly wish I knew then what I know now but I guess this is all part of the process.

Even though my therapist succeeded in getting my therapy extended by an additional four months (because things had got so bad) I still couldn’t open up fully and eye contact was almost impossible by that point. It was tricky, I felt like I had secrets I wasn’t telling her (the anorexia/self-harm) and so couldn’t look at her because I felt like I was at least on some level deliberately deceiving her. At the same time I wanted to be known by her, I wanted to share the burden of what I was carrying, but felt there wasn’t time.

Fast forward to now, we’ve had a three year break and are now working together privately – and the issue with the attachment stuff hasn’t changed much and the eye contact is still a bit (lot) of a problem. It’s exhausting, actually.

Why is eye contact (in the therapeutic relationship) so scary for me? I guess it’s that it’s all about being seen. Eye contact requires a level of vulnerability, honesty, intimacy and that generates …fear.  It’s a double-edged sword. I long for that level of intimacy and connection with my therapist that making eye contact affords. I often find the times when I can look at her for more than a split second that I feel much better, more grounded, and less alone.

It seems like a simple solution really – like come on RB, look at her and feel closer to her, right?! Win. Unfortunately, it’s not just a case of looking at her and feeling better…my goodness I wish it was as easy as that!

As I said, if I am surface level talking I make a reasonable level of eye contact in session. If I feel secure in myself and with her, I can make some eye contact. If, however, I feel unsettled, dissociated, activated, dysregulated, in a child state, teen state, or the critic is present it becomes really very difficult for me. I look at her, meet her gaze, and retreat immediately. It’s too overwhelming. It’s frightening. It’s too much.

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Sometimes I really don’t want to be seen, either. I feel shy. I feel ashamed. I feel embarrassed. Usually this is comes up when I am experiencing strong loving feelings towards my therapist or have really missed her during the week. I feel like if I look at her she’ll see right down into my soul. She’ll see the longing of the child that desperately wants to be held. She’ll see the intensity of the feelings I have….and then if she sees that, she’ll run away. She’ll terminate. That’s the fear.

Sitting opposite someone and having nowhere to hide is scary…and I really understand why I dissociate as much as I do. If I can’t physically leave the room then my mind takes me out of it. Of course, this is not a good solution long-term because it leaves me feeling awful. My young parts get so upset when I leave a session and feel like it’s been a shit game of hide and seek.

I think I want proximity perhaps more than eye contact. I think I would prefer it if my therapist sat beside me rather than opposite me. It would certainly take away the pressure to make eye contact but also be proof, somehow, that she isn’t disgusted by me and deliberately keeping her distance. I don’t know if I’ve mentioned it before, but she has a footstool placed about a foot in front of her chair and honestly it feels to some part of me like she is deliberately barricading herself in and putting barriers between us. I know this is my stuff and she wouldn’t have the slightest clue that a simple bit of furniture can feel distancing, but it does…and it’s another thing that makes it hard to look at her, because what if I’m joining the dots correctly and I see what I think I’ll see in her eyes?

I suspect I’d open up more readily if I wasn’t constantly aware of feeling like I was under the spotlight. I don’t know about you, but I spend a lot of time battling with the voice inside that tells me she must be getting fucked off at how avoidant I am which makes it even harder to look at her. Like we all know the ‘rules’ about eye contact and frankly not looking at someone for an entire session whilst isn’t me being intentionally rude, it’s not ideal. I know we ought to be able to drop societal convention in therapy and just be how it is for us in the moment, but I can’t help but panic when I know I am not behaving how an adult ‘should’. I get flooded with shame and embarrassment and it’s really fucking uncomfortable.

What would help when I get trapped in this place? I guess, something like, “I can see you are really struggling to connect with me today. I am still here with you. I haven’t changed from last week. I know how scary it feels for you to feel disconnected from me but I also know you are really frightened of my rejection and so are probably trying to protect yourself. All of you is welcome here. Who is here with me right now and what do they need to come out of hiding?” I dunno – something like that, maybe! I imagine my therapist thinks I am just sifting through my thoughts when I sitting frozen in silence but in actual fact I am drowning in shame and feel sick and scared and the young parts are in meltdown.

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The adult part of me knows that my therapist can totally handle all my feelings. Hell, we both know these parts exist and we know what their issues are. We’ve talked about it all enough! I know she can cope with my love as well as my rage…but in the moment when I am struggling to look at her, that rational part is just not online. The trauma parts are live and active and all they can see is that if I let her see how I feel, if I let her see the real me in that moment, I will lose her. It’s not great. It’s not rational. It does, however come from somewhere.

I’ve been trying to pinpoint where it originates from; I know some…ok, let’s be real here, most of it stems from being little and my relationship- or lack thereof- with my mum. I guess my system remembers the times where I was small and vulnerable and had a need for comfort or reassurance -actually proximity is a basic survival requirement for a baby – and the times where I would have been met with a look of disdain or disgust – or perhaps even simply disinterest.

I was either too much’ or ‘not enough’ to generate any kind of positive response from my mother. What can be more painful for a child than to need their caregiver and be viewed negatively or rejected for that? I feel the pain of that so viscerally – it’s feels like being forcefully pushed away – and I simply don’t want to replay that with a therapist. I’d like to think we could rewrite the script but my system feels like the fire alarm is going off most of the time so I just don’t know what’s possible tbh.

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I think another reason I fear being seen and known is a huge throwback to what happened when I came out. It’s almost like because I am letting my therapist see more of me in session and am being more vulnerable the fear of rejection and something bad happening escalates. I have experienced what it is like to have my world fall apart when I have been honest about myself and my feelings, and because I really care about what she thinks, the idea of her telling me I am too much feels utterly devastating. It’s one thing to be rejected for being a needy child, it’s another thing entirely to be rejected for being your true emerging self – and it was bad enough first time around, I’m not up for a repeat experience.

I am really aware that eye contact – or just connection full stop – is something I really need to work on in my sessions. It’s just daunting. The part that keeps running away from being seen is so scared of rejection and abandonment but at the same time I know deep down that part absolutely longs to be seen and known by my therapist too. It’s so hard to navigate this but I guess it’s something to work on ‘bit by bit’ as they so like to say! I have a lot I want to talk about in session on Monday but I think tabling some time for eye contact would be worthwhile.

I’ll let you know how I get on.

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32 thoughts on “Eye Contact In Therapy

  1. La Quemada February 23, 2018 / 5:50 pm

    Um… did you just crawl inside my head and write about me?!?

    No, wait, you can’t have, because I’m in the U.S., and we don’t have such a thing as NHS, with either its good or bad sides.

    So that must mean that you have just done a beautiful, rich description of something that resonates deeply for me as well. I recognize so much… the easy eye contact for a long time, when it stayed adult… the talking about it as if it belonged to someone else… the scanning her bookshelves for the umpteenth time… and the difficulty looking at directly at her when we are talking about my deep vulnerabilities.

    I have to add that I have tried it a few times in recent months, allowing myself to meet her eyes after we discuss something that touches my aching inner child. It is hard to stay with her steady gaze. But when I go home, I am comforted that she didn’t look away, that she met my vulnerability seriously and kindly, without a shred of judgment. I can conjure up those brief moments even now, and they make me feel better.

    Liked by 3 people

    • rubberbandsandchewinggum February 24, 2018 / 7:30 am

      I’m so glad this post resonated with you. I do think it’s a big issue for a lot of us; it’s something we are aware of but not really sure how to solve or manage. Like you, I have consciously been trying to look up more and hold my therapist’s gaze – might be like a second and a half rather than a split second!!! Sometimes it’s ok and sometimes it is just sooooo hard. I battle so much with this because, as I said, in the moment it feels excruciating and exposing to risk being seen when the little part inside is screaming out to be loved and held. I know that part that needs to be seen, needs to connect, needs to move on from what is holding me back but there is a huge protector that is saying ‘no way, you’re not doing that again, look what happened last time’. Ah relational trauma is hard eh? Not to mention when you throw all the other stuff in the mix! Take care and thanks so much for your comment.

      Liked by 2 people

  2. Karen February 23, 2018 / 6:01 pm

    I totally get what you’re saying. Eye contact in therapy, or any MH appointment is so hard. I do the same, quick glances then look away. I think it has something to do with shame or self blame, even if you are not responsible for whatever difficulty you are talking about, its hard to believe the professional is not going to make judgements about you as a person.
    It’s tough.

    Liked by 2 people

    • rubberbandsandchewinggum February 24, 2018 / 7:34 am

      It’s certainly not easy making eye contact. Strangely I have no problem at all with it when I am talking about events/trauma – in fact I am so disconnected from my story that it doesn’t really touch me….which is a problem. I started to struggle with eye contact the moment the attachment stuff got triggered. Basically, the moment my heart got involved it became a problem. I totally agree with you about the shame and self-blame thing. My therapy enemies are shame and embarrassment. Ugh! Thanks for your comment.

      Liked by 2 people

  3. ashleyleia February 23, 2018 / 6:22 pm

    When I’m talking about something difficult that’s going on inside me, I look up at the ceiling. It’s not even a conscious thing most of the time. Part of it is that it’s easier to pull my thoughts together if I’m not stuck in eye contact, and part of it is that I don’t want the doctor or whoever looking at me and somehow by looking at the ceiling I can pretend they’re not.

    Liked by 2 people

    • rubberbandsandchewinggum February 24, 2018 / 7:39 am

      I used to count the individual bits of woodchip in the wallpaper when I was in the NHS therapy room! It’s not funny but it is how it was. I can understand looking up at the ceiling. And yes, I think not looking at someone directly when you’re sharing something tough or thinking is easier. Being seen when you’re vulnerable is really difficult. Sometimes I’d really benefit from a Harry Potter invisibility cloak!

      Liked by 1 person

  4. Kerry February 23, 2018 / 7:28 pm

    With my T, once he asked me to look at him because it was really important what he had to say and maybe one or two other times I took a quick look at him, but in general it doesn’t happen. And it’s been that for three years–since day one.

    His socks on the other hand? He has a fabulous collection!

    Liked by 3 people

    • rubberbandsandchewinggum February 24, 2018 / 7:43 am

      I’m delighted your therapist has great socks. I wonder if it’s a deliberate thing? ie they are used to having people looking down at the floor? 😉 I’m very familiar with my therapist’s shoes! Do you think eye contact is something you want to work on or does it just feel too much still? I’m so aware of wanting to feel more connected to my therapist and I think eye contact is the easiest (ha – not easy at all) way to achieve that.

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      • Kerry February 25, 2018 / 2:51 am

        I’m not good with eye contact in general. I’d like to be better at it, but it’s high on the anxiety-inducing scale. T actually mentioned it on Friday (how much I avoid looking at him or moving overall), so I think it’s something he would like us to work on (my theory is that if he mentions something I better pay attention). Just thinking about it makes me ill!

        I hope it gets easier for you.

        I agree with the connection. I think it would make it so much easier to connect if I could look him in the eye.

        One day when I’m feeling brave, I’ll ask him about his socks and see what he says. 🙂

        Like

  5. Skye February 23, 2018 / 8:27 pm

    I’ve always felt like when you truly look into someone’s eyes, you can see their soul. Every part of them makes sense in those seconds. You can see their thoughts and aspirations. Then when you look away, it’s all gone. I never make eye contact because it scares me. What will I see in their eyes? What will they see in mine? I’d like to make a post about my theory, but is that okay with you? I don’t want to steal your idea.

    Liked by 2 people

    • rubberbandsandchewinggum February 24, 2018 / 7:48 am

      Hey Skye. I don’t have the monopoly on writing about eye contact in therapy 😉 I think lots of us have feelings about eye contact in the therapeutic relationship which is why I wrote this. I’m sure your take on things would be interesting too. I think we (therapy bloggers) have a lot of similar concerns but also very personal ones too.

      Liked by 1 person

      • Skye February 24, 2018 / 7:49 am

        I agree 🙂

        Liked by 1 person

  6. A Beautiful Mess February 23, 2018 / 9:29 pm

    Wow. Just wow. So happy you are able to articulate what so many of us are feeling. I never realized it until I read this post. I love what you have to say about your child, teen, and adult selves. It’s so simple yet so complex. It makes total sense. Dealing with some issues right now and my teen self is reacting. Going to have a discussion with my adult self – and my therapist – and try to figure out how to how to handle this. Again, GREAT job!

    Liked by 1 person

    • rubberbandsandchewinggum February 24, 2018 / 7:52 am

      Ah thanks so much for your comment. Pleased it made sense to you. Sometimes I wonder if I am in my own bubble of crazy (affectionately meant) but I realise more and more that there’s so many of us in this boat. I feel a lot more able to express and identify my feelings since becoming familiar with, and naming, the different parts of myself. The issues I experience in therapy make more sense now that I realise I get triggered at some many different levels. I hope your teen part isn’t too angry and or pissed off. Mine is a great protector but she really does want to tell my therapist to fuck off sometimes and then run away…. nice! Take care.

      Liked by 1 person

  7. summerSHINES February 24, 2018 / 1:47 pm

    This is a brilliant post and as the other commenters have said, you’ve articulated this so well. I was exactly the same with my therapist. I’ve quit therapy recently though and I’m now having the horrible broken attachment missing her thing 😔 My husband asks me why I miss therapy when it’s so uncomfortable and upsetting, but I miss that deep connection, no matter how uncomfortable it felt. Good luck chatting this over with your therapist 😚

    Liked by 1 person

    • rubberbandsandchewinggum February 24, 2018 / 8:09 pm

      Thanks Hun. Was quitting your therapy part of the plan? Sorry you’re in the throes of attachment pain. Ugh. It’s all hard isn’t it? Take good care of yourself ☺️

      Like

      • summerSHINES February 24, 2018 / 9:42 pm

        It wasn’t a plan no…it was impulsive, after a horrible care plan review meeting where it turns out after 6 years I’m still not deemed ready for trauma work 😩 I give up! I’m going it alone. I feel like I have no other option. Anyway sorry to moan on your post 💛

        Like

  8. skinnyhobbit February 26, 2018 / 2:54 am

    I hear you so very much, ESPECIALLY on eye contact being so vulnerable!. I freak out at the thought of time limited therapy in my country’s public health care system too…I need assurance from.my therapist that there’s no max number of sessions because it depends on the various hospital outpatient clinic policies.

    Liked by 1 person

  9. skinnyhobbit February 26, 2018 / 3:42 am

    I came out to my therapist too and because of internalised LGBTQphobia, I periodically need to ask if she accepts me. Especially as she’s Christian and I was abused by fundamentalist Christian parents who are vehemently LGBTQphobic.

    Liked by 1 person

    • rubberbandsandchewinggum February 27, 2018 / 4:19 pm

      It sounds really hard having to grow up in that environment and I’m not surprised you need reassurance from your therapist sometimes. I was out with my therapist from the very beginning and it’s a non issue … but occasionally I worry even despite this! It’s hard breaking patterns isn’t it?!

      Like

      • skinnyhobbit February 28, 2018 / 12:28 am

        It’s definitely hard! Pretty much most of us, no matter how liberal our home area, grow up internalising some LGBTQphobia I feel.

        Like

  10. thebutterflylion May 5, 2018 / 11:35 pm

    First of all…wow. This. All this. Yes.
    Eye contact in therapy (or lack of ) is something I too struggle with. For me it’s all about being “seen” , to be so vulnerable… if I don’t look at my therapist, I can’t see the reaction. I can’t see the compassion or empathy-seeing this would be too overwhelming (personally)

    Secondly-how In earth did you manage to get 12months of therapy on the nhs?! I’ve been under mental health services for 5years and the most I’ve been able to get is 8-12 weeks once a year after a 6 month waiting list! (Even when I was under care coordinator I couldn’t get it!)

    Liked by 1 person

    • rubberbandsandchewinggum May 6, 2018 / 8:07 am

      Yeah it’s certainly a tricky area. Being seen is not easy for me: sometimes I want to hide under a Harry Potter-style invisibility cloak and other times I want to be seen and understood!

      As for the NHS therapy- it took a long time to get it! I had a mega breakdown. Went from functioning to total incapacity. I had the crisis team in my house, psychiatrists visiting me, ED referrals, you name it I saw them all EXCEPT a therapist (they offered CBT early on, I went, the therapist said CBT don’t be right for you). I saw a counsellor privately as was falling apart. After 7 months of horrid intrusion and useless interventions on the NHS (pills that sent me even more nuts) they realised I might not actually be insane and had PTSD amongst other things. I got put on a waiting list for therapy and (I shit you not) two and half year later I got an appointment! So I was three years from the start of my breakdown! It’s so sad it’s almost funny. Tbh I’m just incredibly lucky to have come across my therapist as it’s totally luck of the draw. The woman that did my intake assessments a few months previously was hideous and if I’d have got her I wouldn’t have been able to work with her. Not her fault I just didn’t like her.

      So yeah, that’s me! I’m sorry things have been equally as unhelpful for you regarding the therapy options on nhs.

      Like

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