Earlier in the week I had planned to transcribe Monday’s session with Em and put it in the blog but given how things are now, how the week has evolved, how my feelings have intensified, I can’t even bring myself to listen to the recording and be reminded of what’s happened. I can only summarise and paraphrase was said because I can’t even bear to hear her voice – it hurts too much.
I suppose it doesn’t really matter what was said now, because somehow or other it is now Sunday and we are no longer working together. I am beyond devastated. As the week has gone on I have gone through so many waves of this torturing grief interspersed with periods of denial and anger, and yet last night something shifted and the reality probably hit for the first time.
Suddenly, I feel like my whole life has been thrown into chaos. I feel like I am breaking in two. I am fearful of everything. Like I honestly feel like I can’t fucking cope with anything. I’m scared of what’s to come. I feel like I don’t want to be here anymore.
I know these must be the feelings of the young parts because I feel so powerless and small but my god it feels real and huge right now.
I am also feeling stupid and embarrassed and so much shame about how badly this ending has affected me. I am heartbroken and yet how am I meant to tell anyone about this because it’s clearly fucking mental to most people in the real world. She is/was just my therapist…but she was important to me. And as my therapist, if she is only someone to work out transference with, whoever she represents from my past – clearly my mother (#motherwound) – I am now feeling the full force of what it is to be rejected and abandoned by someone you love.
It’s no wonder I couldn’t withstand these feelings as a kid and dissociated them because feeling this, fully, in the here and now, is enough to make me want to die… this is annihilation.
I’m trying to keep one foot in adult but it’s hard. I need to process this. I need to write. But also, putting this down on the page must mean it’s real. I can’t try and pretend that it’s actually going to be ok, now. That it’s just a rupture and we’ll repair it and things will be better.
I guess, you’re all wondering what happened? Well, it’s been a cumulative process over months but it all sort of came to a head on Monday. Em had read the email where I had laid myself bare where I had explained how it feels to be ignored when I reach out, to have the Christmas gift rejected, and how hard it is to feel like there is a wall between us. The email ended by telling her:
It feels like we are on completely different pages right now. It feels like all the things I have worried about, about being too much is exactly right. It feels like you have taken a big step back from me when actually that’s opposite of what I needed. I can’t seem to fully explain what I mean but what seems really complex is actually really simple.
I need you to help me hold the feelings I have and normalise them and actually accept them. I need you to help me break through the shame I feel about needing connection to you and work with me to find workable solutions to the problems I have with outside contact when things get bad because it’s not going away. I need help to make breaks feel better. I need to feel like I am in a relationship with you and not in an observation tank. It just feels like we are perpetually re-enacting what happened when I was little. My mum and wider family were so emotionally and physically withholding that just being in the room with you feels traumatic because you feel so distant and even though you say that you aren’t, it’s still my experience.
I understand why you think that by trying to ‘think’ about where all this is coming from in the past might make it feel less horrendous with you in the present but so much of the time I am not able to access that ‘thinking’ brain and am caught up completely in my emotions. I can see where this stems from, I know why it gets triggered, but this doesn’t actually process the emotion in the moment. If it was about the logical, intellectual stuff I’d be fine…but it’s not.
I’ve read so much about this but it just isn’t moving because until I feel like the young parts are held safely and contained with you I think I’m going to be stuck in limbo.
I need you to know that despite how ‘much’ there is in those notebooks and here, and how intense my feelings seem I am not suddenly going to start texting you all the time, ringing you, turning up on your doorstep or whatever else it is that you think might happen because I would hope by now you would see that whilst there is a lot of trauma and the attachment stuff is massive, I’m not that crazy and I don’t want you to be anything but my therapist.
I have no idea what I am going to do on Monday and wonder if I am actually just beyond help…some reassurance would go a really long way right now because it’s a complete disaster inside.
Anyway, I walked in on Monday and I really hoped that things would be ok but I could tell that they weren’t, not really. Em had a huge clipboard and notes she had written with reference to the email. She asked me if there was anything I wanted to talk about or whether we should discuss the email. I agreed it made sense to talk about the email.
She started talking about it in a paragraph by paragraph way – well, picking out bits from the areas she thought were important. It was very factual and I felt really distant from her.
It wasn’t too bad until after about ten minutes she basically said that she feels like my young parts are ‘demanding’ and she feels like they are ‘adhesive’ (see adhesive attachment in psychoanalytical theory), that it feels like I ‘want to get inside her’, that I am ‘intruding’ when I contact her, ‘pushing the boundaries’, and that it feels like my need for her is ‘all the time’ … ‘like a tick needing a constant supply of whatever it wants’.
My brain got wedged on ‘like a tick’ but there was more, about if she were to give reassurance (which she ackowledged she doesn’t) it would be like ‘feeding an addiction’… ummm it just went on and on. She said the stuff about politics before Christmas (because I had written about it in the email) was actually her talking how the election was about democracy… I have the recording…that is not how it was. She made no mention of how I felt about the rejection of the gifts even though I’d written quite a bit about it, and flat out avoided talking about the bit I have added above about trying to find strategies that work for both of us to not keep getting in this mess.
I could barely talk once she’d compared my child parts to adhesive ticks – she said as much, ‘it feels like I have talked at you and you haven’t replied’…which is when with five minutes to go I managed to say, ‘how would you feel if someone you cared about likened you to a tick?’ She apologised, sort of, but said that I am very sensitive and get defensive, and it was just a metaphor. I said that it was a ‘shit metaphor’ and she apologised and said that perhaps she should have stuck with the word ‘adhesive’ as if that’s any fucking better!!
She said she was sorry if she had offended me and that she wasn’t talking about me as a person, or who I am but it’s how she sees the young parts… which is even fucking worse. The young parts that have been so terrified to trust, to open up, to let the feelings out – and when I finally do the kick back was spectacular.
She has retreated from me in the biggest way – I have felt it and yet she’s made out like it’s me and my attachment picking up stuff that’s not there…but it is!
She said that we can concertedly work with these parts but that it’s going to take hard work and maybe I just want to act out this stuff and not work out why this is happening. I felt devastated by what she was saying. Of course I want to work on myself…but I just don’t feel safe in the room. Surely there are ways of talking about this stuff without crushing someone’s sense of self.
I was clearly not in a great place when the session came to an end and to add insult to injury as I got up to leave she said, ‘that took me about an hour to read’. When I had sent the email I had said to let me know how long it took and to bill me for the time, but to be honest her telling me at that point wasn’t great timing. It just felt, yet again, that this is all about a transaction to her. I was breaking my heart and she was telling me I owe her and extra £60.
I left that last session in a complete mess. I burst into tears the moment I got in the car and cried all the way home. When I got near to home I pulled over into a layby on the single track lane and I spoke to my friend on the phone and cried at her, broken, desperate, and the child parts wailing. Then I sat and cried some more in the layby and waited for the tears to subside before driving home. My wife was working from home and the last thing I wanted was to have to explain why I was so late back and also why I had rivers of mascara running down my face.
Just to clarify – I am not a crier; I have found it impossible to let anything out in years… but the fucking dam is broken now and I have been bursting into tears IN FRONT OF PEOPLE! IN PUBLIC PLACES! WITH NO CONTROL! I am soooooooooo upset.
On the positive side of this, if there is one, is that this rupture/ending has tapped into my core wound in the biggest way and all the grief is flooding out now. I know this is not just about Em but right now it is and right now she is not helping me process any of my feelings or grief so if feels like this loss is just going to go on the pile of other rejections…which is not really what I had wanted from this therapy!
I had really struggled to stay present during the session because all I could hear in my head repeating over and over was, ‘she thinks you’re like a tick’. It was hideous. A tick? A fucking parasite? I mean why would you ever make that analogy about anyone, let alone someone you’ve known intimately for eight years in a therapeutic relationship? At a time when I really needed to be adult in the room and fight my corner I was gone and deep in the trauma and she just kept talking. It felt like every sentence confirmed that she has had enough of me and feels like I am too needy and demanding.
I felt like I wanted to die. The child parts were reexperiencing the feelings that are so familiar and were so devastated that it was Em that had made them feel this way. I was in a relationship with her to try and rewrite the narrative and yet somehow here I was being pushed away again for being too much. I felt unseen. Or maybe I was seen but now she’d seen me, as I am, with all my need, and was disgusted by me and wanted to get away from me. Maybe I have to accept that the person I think I am (trying to believe I’m not a needy freak) is actually not what everyone else sees and maybe they are correct after all.
I think maybe if I listened back to the session it mightn’t have been as bad as it felt in the moment, but the problem is, spouting theory at me is one thing (like perhaps it is adhesive attachment) but my feelings are still involved and how this is talked about is important. Somehow Em doesn’t frame things in way that doesn’t make me feel ashamed. I do understand that so much of what happens is down to my attachment problems and the parts but there surely are ways of saying things that don’t make the client feel worthless and crap. Like, surely she must’ve known I was struggling to be there and hear what she was saying?
I know at the end she tried to apologise but the thing is, the damage was already done. I was so far out of my window of tolerance that I couldn’t hear her…
Having spoken to my friend after the session and feeling so unbelievably hurt, I had resolved to take a break from therapy with Em for a while because it’s just getting worse and worse with every session. Something big is playing out and I don’t seem to have the capacity to side step it and look at it objectively when I am in the room with her. I basically walk in, look at her, and bam it’s trauma time.
As I pulled up on my drive I looked at my phone and an email from Anita had come in replying to the email I had sent her before the weekend:
Recap of my message:
Thanks for getting back to me and thinking about this. I suspected this is what your supervisor might say and do understand. It’s a complex dynamic.
I need time to think about what to do next. There are so many competing parts inside right now and it feels overwhelming. I really want to move forward and away from this horrible place of feeling rubbish all the time but the fear of the vulnerable parts losing Em is enormous – like annihilation and it’s not going to be a simple transition to another therapist after eight years with all that’s been triggered in the relationship.
The reality is that I don’t trust people easily and so it is a real barrier to leaving. I guess it’s something about better the devil you know and whilst I sense that you would be a good fit for me from what you have said there is definitely a voice that is saying, ‘what if she’s just the same and you get hurt again – at least Em knows you’.
I know, ultimately, it’s going to take a leap of faith now but any change is unsettling for me. I understand, too, that there’s a possibility that by the time I have managed to leave Em you mightn’t actually have availability or capacity to see me…which makes the whole process feel daunting. I guess I’ll just have to trust the universe on this one.
I don’t really know what else to say but I am grateful to you for trying to help find a way forward.
I’ll be in touch…soon… I hope.
I really do understand RBCG and feel you need to look after the vulnerable parts of you.
My sense is you have done some really valuable & positive work with your current therapist and now ready for the next part of your journey and it’s hard to let go of one and to continue with someone else you don’t yet know.
I can also hear your concern regarding my availability which is also a valid concern but I will add Mondays & Fridays are usually my quietest days so I should be able to fit you in as and when you feel ready.
With very best wishes,
It felt a bit like the universe was aligning in that moment. On the Friday session with Em I had driven home and driven past Anita driving the other way. I would never usually notice oncoming vehicles or cars and yet I looked up and there she was and now, on Monday after the shit had hit the fan in came a message from her again. I jumped on the opportunity and emailed her immediately to see if I could arrange a second session:
Thanks for this. It couldn’t have been better timed, actually, as I have left therapy today in tears – the last two sessions have been hell (on top of the stuff that happened before) but even my really damaged, vulnerable parts that will tolerate almost anything can’t cope with my child parts being called ‘intrusive’, ‘adhesive’, and… ‘tick like’. Needless to say I feel like I want crawl into a hole and die right now but it’s given me the push I needed.
So, when can we arrange to meet?…and I honestly don’t think I am any of those things Em said.
She responded and we scheduled an appointment for Friday.
I spent a lot of the day crying and speaking with my wife, which is unheard of, but I couldn’t hide how bad I was feeling. And even, she, as an unfeeling ‘man brain’ could see how the ‘tick’ reference would hurt.
Later that day (Monday) I drafted and email to Em, typing through my tears knowing that this was looking very much like the end of the road. I was in such a state.
I need a break from therapy with you for a while. Whilst I understand some of what you have been saying lately from an intellectual perspective – I get the theory – my feelings are still wrapped up in all this. I am not just some kind of case study to be analysed and hypothesised about. I can’t just absorb the stuff you’re saying and it not have an impact on me. To hear, today, that you feel that I am ‘intruding’, ‘demanding’, ‘trying to get inside you’, ‘pushing boundaries’ and that my wanting to be close to you or asking for occasional reassurance is me behaving like I have an unhealthy ‘addiction’ that shouldn’t be encouraged, and that I am ‘like a tick’ well, it really, really hurts.
I don’t ever really cry and yet today I spent an hour crying in a layby after the session because what you said hurt me so much. Saying that it’s not about me as a person but how you see the young parts doesn’t really make it feel any better because it’s the youngest most vulnerable parts that are tied up in this, it’s them that need to feel like they aren’t too much. I get how uncomfortable I have been making you feel and I am sorry that it’s feels so negative. Being thought of as adhesive is bad enough but parasitic is a whole other level of pain for me. I feel so stupid for letting you in and allowing myself to be vulnerable with you…to love you.
I know you can’t keep my session times free and until I can step outside my relationship with you and look at things without feeling anything there’s no point in doing this week in week out. So I guess we’ll just have to see what your schedule looks like in the future.
I am so sad that it’s got to this point.
On Tuesday evening at 7pm I received this reply:
Thank you for letting me know about your decision and I am sorry that I was not able to help you. I wish you well for the future.
And just like that my world fell apart. I had been crying on and off since the session but stupidly still held out some hope that she might read that email, see how hurt I was (even if she didn’t mean to hurt me) and meet me where I was at, in all the messy, confused, young, hurt feelings. But instead I got this. I’ve known this woman eight years and worked together with her for five of those…and this is how she ends it?? Two sentences? I was pretty much hysterical all night. Sobbing my heart out. I fell asleep crying and woke the next day with the sorest head. My body was killing me…and all I wanted to do was hurt myself.
Clearly, I was right. She really doesn’t care about me and there never was a relationship. I mean…wtaf? What should I be thinking here? That’s it? No termination sessions, no goodbye? She knows me. She knows how big a deal rejection and abandonment are and yet how could I possibly see that email as anything else but rejecting and abandoning?
I managed to formulate some thoughts in an email even though internally I was freaking out and again sat at my laptop crying my eyes out as I typed. I sent this on Wednesday evening:
I’m really confused and panicked by your email. Am I meant to read it as we’re actually done forever and not having a break/leaving door open so I can regroup and get myself together? And if this is the case (this is termination) that we are not going to have any time to create a reasonable ending to this therapy? I really wasn’t expecting to terminate via a two sentence email after all this time – it’s not what I want. I’m shit at endings anyway but this is not how I would choose to mark the ending of a significant relationship….which is what it is to me.
I know things are in a complete mess, hence wanting to take some breathing space but it seems like you’re finis hed. I know there’s a lot of negative countertransference here but I don’t think it’s ideal if this is how this ends.
Of course, only you can make a decision for you and if you’ve had enough you’ve had enough.
As for not being able to help me – that just isn’t the case at all. You’ve helped me with so much in the time that I’ve been seeing you. I am not the same person as I was when I saw you in the NHS or even a few years ago. I actually feel things now when I never could access my emotions at all before. I am actually making choices in my life that work for me rather running myself into the ground (ok this is new for 2020). I am still so grateful to you for being alongside me on my journey so far and whilst things are really hard right now I don’t think that the whole therapy has been useless or unhelpful.
Getting this email last night felt like I had suffered another bereavement – I can’t just have you gone with no chance to say goodbye.
By this point I wasn’t even sure if she would respond or not…I mean that last email felt pretty final.
But she did reply with this on Friday (talk about dragging this agony out all week!):
Having thought a lot about the therapy with you, I have sadly come to the conclusion that we need to end the therapy, because, in my clinical view, I have come to the limit of my competence in my work with you. I would very much prefer to end in person and, would therefore suggest that we meet for between one and six weekly sessions at your old Monday time and starting at your earliest convenience. Please let me know whether you would like to have these sessions.
More tears came. All I have fucking done this week is cried. And this just felt cold again…and perhaps like she was covering her back since it’s kind of protocol to offer termination sessions with clients to try and have a decent enough ending. Had I not emailed her querying what was going on, whether we had terminated, and if so what was happening, I think I would never have heard from her again. I had always hoped that my therapy would end positively and it would be a relationship that I would be able to return to periodically in the future.
I suspect I will always dip in and out of personal therapy throughout my life – almost like a car needs servicing. It might not be regular, and it might not be many sessions, but I had hoped that if any significant life events happened that caught me off guard or I had the occasional wobble in the future I would always have that door open to be able to return to Em. This is how I imagined I would get and exercise that earned secure attachment we are all seeking. The relationship can still exist years later even if we don’t see each other much at all.
But here I am staring down the barrel of another shut door.
I literally do not know what to do.
Should I go back and have a termination session or a few sessions? Or is it likely just to be more of the same?
Any ideas would be great because I have no fucking idea.
I don’t want to go in, cry like a baby and have her sit there and watch me in all my pain and go, broken again but equally if I don’t go and say goodbye will this just be another ending where I am left holding all the feelings and never getting any closure.
Thank you everyone for your support through this. It’s funny, I was reading my year ahead horoscope at the beginning of January and it said something about internet friends being massively important in the coming year… looks like that’s right! x