holding it together as I journey through therapy – a personal account of what it's like to be in long-term psychotherapy navigating the healing of C-PTSD, childhood trauma and neglect, an eating disorder, self-harming behaviours, as well as giving grief and cancer an occasional nod.
It’s coming up to three months since I last saw Anita and I can honestly say that the feelings of grief, hurt, rejection, abandonment, anger…the list goes on…aren’t getting any better, easier, or more manageable. I remember angrily spitting “Oh shut up!! -What would you know?!” at Anita when she told me, “You’ll get through this, you know”, as she was physically and emotionally peeling herself away from me in May.
Her meaningless platitudes infuriated me at the time, and seemed to completely miss how big a deal our termination would be given where we were in the work and the nature of what we had been working on for more than three years. I mean you can’t do deep attachment work with so much focus on young child parts and trauma and then just walk the fuck away leaving all those young parts rejected and abandoned AGAIN. It’s fucking retraumatising, which in case anyone is in any doubt, that is not the aim of therapy!
I remember how I felt really upset that Anita couldn’t/wouldn’t truly acknowledge/understand just how devastating the end would be for me in that really horrible couple of weeks where we just weren’t able to find a way to resolve things. She kept repeating “I know this is hard for you.” Hard? This isn’t fucking hard. It’s been completely catastrophic…and that’s not me being hyperbolic, it’s completely floored me.
I honestly can’t find the words to describe just how utterly horrific this has been on so many levels. ‘Hard’ feels insulting, frankly. But then I think if she truly entered into the reality of what she’s done, the guilt and shame would have been overwhelming for her. She always prides herself on working ‘ethically’ but in so many ways what’s happened this last year or so has been miles away from ethical. And by the very end, she simply didn’t have the capacity to hold anything of my experience. She couldn’t even hold her own.
Still, the downplaying or avoiding the magnitude of the situation felt shit even if what she was saying was meant to appeal to the resilient part of me that refuses to give up and powers on through regardless. Of course, I’ll ‘get through it’ because I have no choice but to get through it. I have kept going, but it has come at a massive cost. What I really needed was for those young parts, the ones that have been left feeling so hurt and confused, was to be seen and held in what has been one of the most distressing emotional experiences of my life.
Instead, I was left and had to watch the person who has seen more of me than anyone else and mothered me and loved me in a way that I’ve never experienced before, walk away with what seems like not so much as a backward glance.
As a child I had to wave my mum off on a train every Sunday and wait until Friday for her to return…for six years… I seemed to spend my whole life hanging on for her to come back. And what/who came back was not the mother I needed…she’s never been able to be that from the beginning. I know that’s partly why time between sessions has always been so difficult for me, that an my dad dying suddenly out of nowhere three days into a holiday. I haven’t got a secure base. And yet now, I feel like I am standing on the platform staring down the track and Anita just isn’t coming back. It’s breaking my heart.
I just can’t get my head round it after all the promises and reassurances…the relationship…like how can this even be happening? I feel like a total idiot a lot of the time for thinking that what we had was special or important but then I look around me and see so much evidence of the relationship in a physical form in my house that I just don’t know how to make my brain make sense of it all. Like tell me I am insane – do your therapists give you things like this?
I said in my last post, I think, that Anita had text me the morning before I met Elle for the first time. That was the same day I got the pretty empty message from H too. Anita and I have had a weird kind of contact here and there since we stopped meeting. Invariably, the messages have been pictures or quotes or very short ‘I miss you’ type things and Anita has generally replied with something short and then a heart. It’s been confusing to the young parts because … well, it is confusing! The young parts don’t know what’s going on, or why A has left them. They see the hearts and think, maybe there’s still some love there…an Invisible String…but then… how can there be?
I had sent a message to A on a Monday night – midway through another of my epic convulsive crying episodes. On the Wednesday I got this message from A:
Ouch. More mention of how ‘hard’ it is. Groan. Reading between the lines she’s not coming back. She’s changed her work. She still isn’t ok. And I don’t fit her ‘criteria’ anymore… but where does that leave me? We said we’d come back to do a proper end at some point but there’s no reference to anything about that. I guess she’s still not in a place to do it. So much of it is about her experience – how things are for her and how broken she is. I’ll admit, I feel pretty sorry for her clients in couple’s work. I know it’s probably not the same as the relational depth of long-term work but even so…who needs a therapist who is hanging by a thread and emotionally checked out? Of course, there’s the rescuer in me who desperately wants to try and make things better for her…but can’t because she’s shut me out…not that it’s my role anyway, but I have been let into so much of what’s going on for her over the years that this is a really weird space to inhabit.
This message came in three weeks ago and I haven’t responded to it at all. I don’t know how to respond. I’ve never not replied to her – or had this long in radio silence…but things are so fucked that I feel like there is nothing I can say that won’t end up hurting me more in the end. I guess asking to see her to end makes it so final that part of me can’t bear it. Asking for clarification of what she means is really just asking for another sucker punch. It just feels so utterly shit. I miss her such a lot and can’t believe it’s got to this point. You can probably understand how I ended up crying in the swimming pool changing room for ten minutes after that combined with Hannah’s message.
I absolutely hate this.
Having been in similar territory with Em (well – an unexpected end – and I’m still not recovered from that) I knew that losing Anita was going to be totally disastrous for my system…for me – all of me. And it has been. I’d like to say that I’m doing better, that the pain is less intense, that I no longer find myself sobbing face down on my bed for hours at time – but that simply isn’t the case. Of course, grief, comes in waves, and there are some days that feel more doable than others, but ultimately, when I stop and feel into where I am at rather than avoiding and trying to hold myself together, the truth is, it’s really fucking bad.
I think I spend a lot of my time in denial or dissociated where this stuff is concerned. It’s simply too much, too big, too overwhelming to deal with on my own – and whilst I am not quite ‘on my own’, I am still only four sessions in to work with Elle having had it all go tits up with Hannah after eight sessions, and so I feel like I am right back at the beginning again. It’s not ideal. I feel like I am in a spin cycle in a washing machine and just don’t know which way is up…and am drowning too. Awesome.
The kind of holding and space I need to really deal with losing A isn’t there yet – and probably never will be simply because one session a week just isn’t enough – but it’s what I can afford. Honestly, I really feel like people like us have been dealt a massive heap of shit. It’s bad enough experiencing the debilitating trauma related stuff in the first place, but not being able to fully access what we need to heal it is total bollocks. This is another horrible side effect of ending work with Anita. We had agreed a payment that worked for both of us and enabled me to access the frequency of therapy I needed. Two sessions a week makes life feel just about doable for me and so losing that, and her, is such a massive blow on so many levels.
Elle is ‘there’ in the session, and I really like her, but she’s new to me and she’s not Anita. Of course, the outside session contact has disappeared too… and with that, another level of holding and containment has just evaporated overnight. It’s massive really how much of my emotional scaffolding has been ripped away from me. It’s so hard because I just really struggle to hold any sense of Elle being real from week to week and so I guess I feel like I am almost starting afresh every week…and we kind of are because it’s so new, but this is also the fall out of complex trauma and the whole lack of object constancy stuff. It’s utter shit. But I just don’t have the energy to broach any of it. Any ‘no’ right now is just going to feel epically rejecting and I just can’t go there.
I am struggling such a lot in the week right now and really really need to be ‘seen’ but then there’s a part of me that doesn’t want to be viewed as some pathetic blubbering mess who can’t cope with a therapeutic relationship ending (although we all know it was so much bigger than that) even if that’s exactly what the most pressing issue is. I don’t want to overwhelm Elle with my massive feelings. I don’t want her to freak out and go, “Oh shit, this is going to be a right fucking mess in a few months!” and exit stage left because, let’s face it, ‘stage left’ is getting kind of cluttered with exiting therapists now!
I guess, I don’t want to lose yet another therapeutic support by being too much, albeit in a different way to how it was with H. At least I still have my writing! What happened with H has thrown a massive spanner in the works and I feel like I have had my legs taken out from beneath me again – mind you I wasn’t standing, merely trying to get back up after what’s happened with Anita. It feels like being a contestant in that gameshow ‘Gladiators’ from the 90s. I feel like I am running the gauntlet being repeatedly pummelled…I mean I guess I should be grateful that it’s not being done by anyone in a scary Lycra number, but it’s shite all the same!
Sorry, I am really rambling today…I could have just written a sentence today:
This is killing me.
But hey, let’s keep going with too many words!
Part of me is desperate to take off my armour when I see Elle and just cry in her presence – because thirteen weeks carrying this stuff on my own is too much. Thirteen weeks without Anita is…just…soul destroying. Part of me wants to turn up to Elle’s with my soft toy, take off my shoes, and just let that stuff be there in the space because it is so fucking heavy carrying this alone. But I can’t seem to go anywhere near what’s happened with Anita when I get in the room. I outlined a bit in week one but since then I go anywhere but there. I guess there’s a part of me that is anxious and has no idea how she’d respond to my uncalibrated emotion because I don’t know her…and she doesn’t know me. I literally have no idea what her opinion of me is. Does she even like me? Who knows? Could I ask? Yes – but would I want the possible answer? Nope. Not right now.
I think there’s a part of me that worries if I am really vulnerable and exposed, she’ll be like Em and leave me stranded in agony and so right now it’s easier to suffer on my own because I can manage that pain (sort of). Showing someone the reality of just how terrible this all is and for them to sit there like they’re watching a spectator sport would make me feel even more alone and isolated than I already do. I’m not saying any of this because of anything that Elle has said or done to make me think she’d do that – it’s purely my own fear driving this. I am scared. And ultimately, who I really want to be there with me in this and to hold me through it, is gone.
There’s probably another part of me that is reluctant to get too close to Elle because she is looking to move to purely online work in December and as much as I thought I would be just about ok with that (I am actually delusional aren’t I?!) , I really won’t be if I get too used to being with her in person and feeling like that room and that space with her is my safe place. The idea of having that taken away would be too much so it’s probably best not to go there, not to get to used to it, and not be reliant on it/her – whatever. Yeah, yeah, I know I am meant to be my own safe space, place, person…but let’s be real here – I am not! Yet.
So, instead of falling apart… and letting Elle into that part of my experience…I find myself talking about stuff that, I guess, lets her get to know me (because there’s significant back catalogue of shit), or a side of me – but it’s not the broken, vulnerable, utterly desperate part/s of me. It’s not false adult, either. I think it’s my actual adult-self that’s turning up, but it’s an adult self that is now so fucking fragile that I’m using every adaptive skill and strategy I have to make sure I don’t fuck this up. I imagine I come over as competent, emotionally intelligent, and generally ‘reasonably’ together (don’t laugh!). In fact, Elle wondered in one of our first sessions why I am not doing her job. H said exactly the same thing. K says it all the time, too. But being told I’d make an excellent therapist – or that adult me would (!) – doesn’t really do much for the little parts who are just crying out to not be left alone any longer. There are so many ‘not together’ parts that need attention.
I mean, it’s tough. It takes me such a long time to build trust and feel safe in a relationship and that isn’t going to get any better after what’s just happened, is it?! As much as I need somewhere and someone to process this with, I am so fucking wary now. I obviously want to do the work. I want to build a relationship with Elle. I just also know I don’t have it in me to be hurt very much more. I know at some point I’m going to have to take a step towards her…but I actually feel a bit sick thinking about doing that. That’s the level of anxiety and fear I have around this now.
Oh, fuck me. This is beyond exhausting. And yeah, I think I am circling the next trapdoor as I fall into a deeper depression. Most excellent.
Dear New Therapist – Hello And Welcome To The Shit Show!
Given where I am currently at, staring down the barrel of three consecutive failed therapies, I thought it might be interesting to write an open letter to you, Elle, my ‘latest’ and ‘newest’ therapist (*yeah – I must be fucking insane!)…so buckle up.
To be honest, how I am feeling about your profession right now isn’t great. I feel like I have been thrown out a moving vehicle, run over, and left for dead one too many times now. How I am still here is anyone’s guess. I reckon I must have some cockroach DNA in me somewhere because I simply refuse to give up and die…are ticks and cockroaches related I wonder? Either way, it seems I’ll be here after the apocalypse because I just don’t know when to stop trying, to stop hoping that there is a way to heal this… this…devastation inside…in therapy…even if it has been exacerbated by your therapist colleagues.
I may look ok enough on the outside. I may smile and make light of my situation, but the reality is, internally at least, I am not in one piece at all. I am shattered. I have tried to patch myself back together with my trusty rubber bands and chewing gum but, in reality, I have desperately needed some plaster casts and bandages – surgery even – I really need someone to help me glue all my pieces back together and instead have been left bleeding out, alone. I honestly don’t think I have it in me to be in a hit and run again and so this is it…this is the last time I am doing ‘therapy’ and so I guess I am putting a lot of faith in the pair of us, and our ability to form a relationship, to get this right…no pressure, then!
Ultimately, there’s still a part of me that hopes, that somewhere, out there, well actually not out there – right here- there is a therapist who genuinely cares about their clients’ emotional well-being and wants to do the deep work that’s not always a walk in the park. I hope that you will be a good fit for me, and that you will want to work ethically and effectively with me and be able to go the distance without you crashing and burning at some point along the line. I know we can’t predict the future: Anita didn’t mean for what’s happened to happen but she was blind to her ‘blindspots’ – and so I hope that you are self-aware enough to know when you are on ice and to put things in place to support yourself before they spiral out of control leaving me and our therapy as collateral damage.
I’d like to think that you are a therapist who doesn’t always seek to work with the ‘easy’ clients who can be turned around in six or twelve sessions and are then out the door ready for the next one on an endless therapy conveyor belt. I would hope there’s a part of you who enjoys doing depth/long-term relational work with those of us who are so often labelled ‘complex’, and probably behind closed doors ‘difficult’, ‘needy’, and ‘attention-seeking’. I’d like to think that rather than being intimidated or scared by those of us who’ve got a lot going on in our emotional worlds that we might, instead, be seen as people who are actually a bit interesting and people who you can learn from, too.
Please know that it takes enormous amounts of courage for us, as clients, to enter into a therapeutic relationship…and especially if we have already been hurt in therapy/by a therapist (or in my case, therapists). I mean there’s a part of me standing off to one side at the minute shaking her head in disbelief that I have searched you out and want to try AGAIN. Like what the hell am I doing?! I must be nuts…which is why I need the therapy, right?!
I feel like I gave my last two therapists (A and H) a pretty good road map of ‘me’, having been body-slammed by Em and yet here I find myself, in your office, having to start over again. The good news is, so far, I think it’s going ok. I feel like you are on the same page as me and I like that you haven’t been freaked out by the fact that I write. I’m glad we got that cleared up in the initial email as it means I don’t have to second guess myself or feel like I need to keep secrets from you. I really feel like honesty is massively important and I feel like I need to be completely stripped back and authentic.
I know that, so far, I am doing the brain thing…intellectualising…but also maybe distancing a bit. That’s not being dishonest – it’s just trying not to fall apart. I’m not surprised. Whilst I really want to let my guard down, it’s going to be really hard to get close to the reality of the pain ending with Anita has caused me because it’s raw and the parts that are impacted are so very different to the person that has been sitting in front of you so far. I know I’ve told you a bit about what’s happened but what’s there is HUGE and I don’t want to frighten you away. Although I get the impression you can handle whatever I bring.
Please, please be gentle with me…and please can you not go online in December! 😉
RB
P.S- I like your shoes.
*Sometimes the universe just seems to deliver, doesn’t it? Everything went belly up with Hannah, she hadn’t replied to my email about her blog ultimatum, and so I took it that she wasn’t going to come back to me with a ‘let’s talk this through and have a proper end’ which is what I was hoping for. I knew we probably wouldn’t find a middle ground but a session to end properly would have been nice given everything that has happened with Anita and Em. Alas. It wasn’t to be.
I ended up texting her the day before the session we were due to have had to check whether she had received my email. She had. She text back and said she had and that she respected my decision and the message was much like I had thought it would be – short and to the point, but essentially washing her hands clean! I was a bit disappointed that I had had to chase her on that and that it seemed that she was potentially not going to acknowledge my email…but then I guess that’s another indication that it wasn’t quite right.
Fortunately, by the time I got her reply on the Wednesday I was already set to meet with Elle later that day and so whilst it hit hard (much harder than I had anticipated after only 8 sessions), alongside an unexpected text from Anita (more on that another time), I at least had something in place and wasn’t left in limbo. But let’s just say picking up two texts from two ex-therapists in a swimming pool changing room and ugly crying in the cubicle for ten minutes wasn’t on my bingo card for that day!
How did I come across Elle? And what made me decide to take one last leap into therapy having sworn I would NEVER go there again? Well, I was online randomly googling (as you do) and a blog post came up that I found really interesting…I liked what the writer had to say and loved their style of writing. I proceeded to read and like a few posts and saw that the writer was a therapist… IN MY CITY!
So, I thought, well, she writes so I wonder what she would think about working with someone who writes too? I mean I know it was not a problem for Em or Anita but after what’s just happened with H I thought it would be sensible to talk about it from the get-go.
I fired off an email outlining what has happened to me with therapy ending with Anita and then the impasse due to the blog with Hannah. Elle responded warmly and insisted that my blogging would not be a problem for her at all – PHEW – and she said that even if I didn’t want to meet with her, she’d be interested to have the link to my blog if I wanted to share it. It felt like a massive relief knowing that, the blog was not going to be a problem. So we agreed to meet that week.
We’ve met twice now, and I think this might actually end up being a really good therapeutic alliance! It’s going to be really different from Anita – but perhaps exactly what I need for the next stage of the journey. The only downside is that she’s contemplating going online from December…and that really doesn’t fill me with joy.
We all know how terribly I did when it was lockdown and online with Anita. But now, there is an additional issue: privacy. My wife works from home most of the time and sound travels like crazy in our house. There is literally nowhere that I could have a completely private conversation and – let’s face it – the stuff I have to talk through requires my being completely relaxed and not worrying about being overheard. I really think the in-person energy is really important and so I really hope that she changes her mind on this… but then I’d rather have someone who really gets it online than an in-person who doesn’t quite.
I guess we’ll just have to see what the universe delivers but keep your fingers crossed for me x
Rejection. Let’s be honest, here, it’s one of the more shit things that we, as humans, encounter. I would hazard to say that it’s a pretty much a universally experienced phenomenon- although, obviously, feelings of rejection might be felt to varying degrees and at varying frequencies by different people over their lifetimes.
Like I say, the chances are that most of us have probably all been rejected at some point in our lives. I reckon it would be pretty hard to navigate the world of relationships without encountering some form of rejection at one time or other. When we are young, we can come across so many rejecting experiences: maybe we didn’t get invited to a birthday party, or someone didn’t want to be our friend at school, or perhaps someone we had feelings for didn’t reciprocate them (we all remember those early heartaches!).
I mean there are literally tonnes of rejections that we can experience over the course of our lives, and they will hurt, but most will only sting for a little while. For example, someone not ‘liking’ your holiday pics on social media won’t be the end of the world, and not succeeding at a job interview will probably be a bit harder – but essentially, we get over these ‘little’ rejections and move on… but there are other rejections and, crikey…they can feel like physical wounding and are much harder to move through and past.
Clearly, I am not here today to talk about a time when I didn’t get to go a to a party when I was five…I’m here for those other BIGGER rejections (and abandonments). The ones that really really hurt us. You know, the ones that cause us such intense pain that it feels almost physical. You know where I am going with this, right?
As you might have realised by now, I’m one of those really unfortunate, sensitive types, who feels rejection acutely – and sadly, seem to have been rejected enough by significant enough people over my lifetime that I have what now feels like an unhealable wound. Every time I think I’m getting somewhere with it, and the blood flow is temporarily stemmed, the person that I trusted to help me mend and heal, rams a fucking great rusty dagger into the heart of it, twists it, and walks away without so much as a backward glance… and I am left haemorrhaging again, bleeding out in agony.
This is the problem with relationships. Anytime we put ourselves out there we are opening ourselves up to possible rejection. Most of us crave connection. We are human after all; we’re built for connection and relationship; we want to belong. But my goodness it’s risky, isn’t it? Being vulnerable and unguarded is what is required to connect and most of us, who have been hurt and rejected in the past, take a long time to let others in. We fear rejection so acutely, and understandably so, because it is soooooo frigging painful. As I’ve said so many times before, healing takes place in relationship but so does wounding…and sometimes it feels like you’re playing Russian Roulette with you heart entering into what’s meant to be a ‘healing’ relationship.
Ultimately, I think rejection has to be seen as a relational injury. I think sometimes, too, and it’s important to acknowledge this, we can feel rejected and it’s not the intention of the other person to reject us – and that makes it all the more complex. However, intentional or not, the person that experiences feelings of rejection is the one that is hurt and left to try and navigate it. The real kicker comes in when we feel rejected but there is no repair… we’re just left holding a world of pain.
It’s no secret, here, that the main reason I am in therapy is because of the #motherwound. I guess this early, and ongoing, rejection is the one I can never get away from and it’s the one that is tapped into each time something goes wrong with a therapist. I let someone in, expose that hideous wounding, and my most vulnerable parts, trust and attach to someone who promises that they won’t hurt me, that they’re not like the last one…and then… when it comes down to it the same pattern keeps repeating in slightly different ways and it’s left me feeling broken and bruised. It’s soul destroying.
I’ve definitely been feeling my teen part a lot this last couple of weeks who always turns to Counting Crows lyrics in her despair and self-loathing, “So much rejection in every connection I make”…and I hear her. Fortunately, Adult me knows it’s not EVERY connection…but it’s enough!
Feeling rejected is horrible. As I say it feels literally, physically painful. It’s not just emotional, is it? It evokes a massive somatic response in the body. Or at least it does for me. I’ve never given the physicality of it much thought – all I know is that I am too fucking familiar with the pain of it and, when I am sobbing face down on my bed, that the only way out is through! The antidote to rejection is connection and yet that, so often, is impossible. As I say, frequently, (in a therapeutic context at least) the person that has done the rejecting has no interest in repair or reconnection. They wash their hands clean, sever the connection, you’re no longer their ‘work’ and you’re left wondering what the hell happened?
Interestingly, I was reading something the other day about rejection… because obviously it’s quite a dominant feeling for me right now (AGAIN) after what’s happened with Em, Anita, and now Hannah. And it turns out that researchers and neurobiologists have discovered that we actually do experience rejection in the same way as physical pain. Apparently, rejection triggers a response that travels down the same neuro pathways as physical pain…so that’s why it hurts so fucking much! We’re not all nutters who are too sensitive, then!
That’s something at least!
Another thing about rejection that I find so thoroughly soul destroying is what it does to our relationship with ourselves. What do I mean by that? Well, I don’t know about you, but every time I get hurt/rejected my default response is not to be gentle with myself and give myself the ‘it’s not me’ self-talk, far from it! Rejection triggers my Inner Critic who goes on a mission to further destroy my self-esteem. When someone I love or care about rejects me, I automatically run the internal narrative (on repeat and high volume) that I am unlovable, unworthy, too much/not enough… and it’s really hard. We berate ourselves endlessly and sink further and further into isolation believing we are not good enough and better off alone.
The shame we feel is suffocating. We feel ashamed for having cared, for letting people in…and mostly for having a need. I’m not sure there’s anything much worse than having a need not met and then feeling like you have been rejected for being too needy.
We all know by now (I think!) that the Inner Critic, whilst seeming like a grade A sadist is actually our number one protector. When that voice starts calling you all the names, “you fucking pathetic moron!” it’s really only trying to protect you from getting hurt again. If you believe the narrative that you are unworthy of love and care, then you are unlikely to go and seek it out again. And if you don’t seek it out again then you’re safe from rejection, aren’t you? I mean it makes perfect sense. Only, feeling isolated, alone, and uncared for is not really a place you want to be stuck in either. It’s like being broken down in Weston-super-Mare… when you really want to be in the Maldives!
I don’t know where I am going with this, really – just thinking out loud, I suppose. I am really struggling at the moment (I know, broken record). It’s been two months since I last saw Anita and honestly, it just isn’t getting any better. The acute pain of her rejection is just beyond words. And whilst I know what’s happened with H is not intended to feel rejecting and I think she’d be horrified if she knew how her ultimatum has impacted me the last couple of weeks, it does feel rejecting. I feel like I am notching up therapist rejections at a rate of knots. The whole point of therapy was to go and undo a narrative put there by my mum and reinforced by some others over the years…and instead what I am learning is, it’s a ME problem.
Part of me knows this is all just bad luck but I honestly don’t know how much more being open, honest, and vulnerable I can do – because all I seem to do is get hurt…and rejected.
Nothing quite screams depression like zombie-ing it through the day feeling like you’re about to collapse, then the moment the kids are safely in bed taking yourself off to bed and then sobbing your heart out, huge tears, snot, literally wailing, face down on your bed well into the early hours, then texting your ex-therapist that you love her (groan), and then finally when the tears subside, raiding the fridge for a mini pork pie at 2am… and I don’t even really like pork pies, but turns out I’d ‘forgotten’ that eating was a thing yesterday until I’d had my breakdown. It’s been that bad. The young parts have had a collective meltdown and I just don’t know where to start with strapping them all back in the bus because I think it freewheeled off over the cliff edge and exploded.
I’m trying to make light of all this, but actually it’s really not funny. I feel awful. Some of it is hormonal – but that’s only a really small part. PMS is just exacerbating an already intolerable situation. I feel completely and utterly broken now. It’s weird. I hadn’t realised just how much having Hannah (new therapist) on board was creating just about enough of a dam so that things didn’t flood out. I mean it’s been really really hard in the last couple of months. One therapy session is certainly not enough to hold how I feel, and a new therapeutic relationship is harder work, but at least it was something, a bit of a scaffold if you like – and certainly better than nothing at all.
It would have been a break from therapy for this next couple of weeks anyway, which would have been tough enough – I knew I was going to have to dig deep because alongside no H I wouldn’t be able to see K or have a massage with N – basically I was on my own for the first time since Anita and I ended – yikes. However, knowing that I actually have no therapy at all now to hang on for, or return to is… hard. And I simply don’t have the emotional energy to go through the process of searching for someone else, sending the emails, doing all the communications, and then having to start over AGAIN.
You might be wondering what the hell happened. How have I broken a therapy in only eight sessions? I mean, crikey, that’s impressive, isn’t it? Well, it’s complicated…or maybe it isn’t. I don’t know. It’s a mess, that’s for sure. I don’t even know how to write this because as much as think I protect mine, and my therapist’s privacy, ultimately the thing that’s thrown a spanner in the works is this blog.
Groan.
There’ve been eight sessions and this is the first I have got to it – when it is over!
When I met H I immediately liked her. A few things struck me about her – she seemed to have a good sense of humour, she seemed to actually be interested in what I was bringing (well, that’s the job right?!), and she seemed to be my intellectual match (actually, I think if I’d come across her in the real world she’s the sort of person who I would be friends with). I know that sounds like a really weird thing to say (the brain stuff!), but actually I really need someone to meet me where I am at to do this work because I have the capacity to run rings round therapists. It’s not deliberate. It’s a defensive/protective thing that means I can hide my vulnerable parts – but this time I really needed someone to get through my walls because, understandably I am in a cold war bunker right now after my most recent experiences in therapy.
I found that I felt reasonably at ease with H even though parts of me hated everything about being in a new room with someone that wasn’t Anita and wanted to run away. I was able to outline quite a bit of what had happened with A and how I felt as well as some other things that have happened in my life. It was coming from the False Adult self’s perspective but that’s fine – she gets stuff done and protects my little parts. Those small ones are so hidden around others right now that it was never going to be a go in and fall apart and collapse in a puddle on the floor situation – even if part of me felt like that’s what was happening inside and could have done with it!
It was always going to take time to build trust, but I thought that it would be a good enough fit for now and eventually the relationship would develop. I knew that I could never cry (even if it’s screaming inside) in that room because the parts that needed to feel safe just didn’t – and that’s not H’s fault – it’s a time thing and a lack of relationship, but it was fine for now, because I have been crying plenty outside of it so it’s not like I am not releasing emotions…and it would come eventually…maybe.
I realised early on that I was intellectualising my experience, and whilst that’s fine, it doesn’t really get beneath the armour and into the agony that I am feeling. And it is agony. It’s annihilation for the youngest parts. However, I also knew that I needed to lay the groundwork and I would never just go to someone new and let my guard down and I knew the process can’t be rushed so I knew it would take time ESPECIALLY because I’ve just been hurt so badly in therapy. Because I was so stuck in my brain and doing the articulate, ‘this is how it is’ stuff I think it created a dynamic where H probably thought I was looking for solutions and to problem solve the situation which sometimes felt like I wasn’t being seen…but then that’s because I wasn’t letting her see me! I think she wanted to dig down but also knew I was resisting.
Sometimes she’d suggest things, and whilst adult me probably would quite like to go on a retreat one day, right now that isn’t what I need. I am not in need of a journey of self-discovery. I know who I am…I know all the parts of me, their fears, triggers, and what makes things better. The issue I have is the person that helped make it all better has gone before the work was done – it’s been like learning to ride a bike and suddenly whipping the stabilisers off when I was nowhere near ready for that – and I was confidently pedalling along and whoosh -it has floored me.
There are grazed knees, bruises, broken bones even, and what’s worse, no one to help. The little ones are crying on the floor…hurt and abandoned again.
What I really need is someone to sit with me in the grief and make space for all those small parts to feel safe enough to talk about how bad it feels to have Anita gone. I don’t need anything more than that. Of course, that’s where the issue of intellect comes in because whilst I know what I need, I am defending against it and any time H would tentatively edge towards the vulnerable stuff I’d literally tell her no. And so, we’d go back to trying to think of ways to make my day-to-day better.
I would always take my shoes off and curl up on the couch at Anita’s but my shoes remained on and firmly rooted to the floor in the new room with the new therapist – I wasn’t wholly relaxed, and whilst part of me would have loved to have been able to go and sink into the space and perhaps take a soft toy with me to help soothe the parts that are never going to be held again, I just wasn’t there yet. I think, now, I actually probably need an invitation to do these things because I am so scared of being too much. I am so terrified of being vulnerable because I just can’t be hurt and rejected AGAIN.
I realised I had a way to short circuit some of this errr resistance, protectiveness, or whatever it is a few sessions in. But how? Well, I mean I have this blog, don’t I? This is me. Vulnerable and unarmoured. I took a leap of faith and emailed H and asked her to read some posts I’d written because I was struggling with feelings of shame and didn’t know how to break through it. I thought maybe seeing stuff would allow H to know what it’s been like for me and to really see the level of attachment work I’ve been doing…I mean it’s basically been reparenting.
I had mentioned that A had read me stories, hugged me, and given me gifts in session and I felt H bristle a bit even though she hid it well. And I’d felt this a couple of times round other things I had mentioned about how Anita and I had worked. I know how it’s not really in the therapy training modules to work how Anita and I have – but actually it’s not uncommon especially with C-PTSD. H is a relatively new therapist and I think that coming across someone like me and this kind of situation with two therapies that have left me reeling is new territory for her. Or at least I’d hope so because frankly, it seems all too bloody common for those of us here, doesn’t it?
Anyway, she agreed to read my posts over a few weeks, and I think it helped her see what things have been like for me even if I couldn’t tell her completely how it felt in sessions. As I say, I suddenly felt a lot of shame for having had the kind of relationship I have had with A because being in the room with H was such a stark reminder of what normal talking therapy is like. Part of me felt like maybe it was wrong how Anita and I were because I felt like H probably felt it was. And yet in my heart and for those little ones I really refuse to let that take root because how we worked, and that relationship did me such a lot of good for such a long time and it was through that closeness, I was able to get down into the trauma and for the first time in my life feel held and safe. It was Anita’s willingness to meet me exactly how I needed that moved such a lot on. And despite everything that’s happened – the love was so there and it was real…
It’s just an absolute killer that that therapy has been cut short when it has because it’s now so traumatic losing A and the work wasn’t done. It hasn’t reached its natural conclusion, the individuating and moving to independence, and an end because the client was ready…I just wasn’t there yet and so it’s now just another abandonment and rejection to deal with.
Anyway, if I felt shame in the room with H and it stopped me talking then I could at least circumnavigate that via the blog posts and keep things moving forward. I felt like allowing H to see the blog was giving her the map and things seemed to be going ok. It was also a massive exercise in trust.
I had been really guarded for the first seven sessions, then last week something shifted a bit. I don’t know if it was just that I felt like I was getting to know H or what, but we had a more real and vulnerable conversation. Somehow, WordPress had refreshed when H was reading a post I’d sent and taken her to the most recent one I had written about how I had gone about selecting a new therapist. It didn’t talk about the new therapy or her, but it mentioned her. She told me she’d read it and asked if she was Hannah. Initially it shocked me that she’d read it because it wasn’t something I had directed her to. I mentally had to track what I had written as we started talking – but actually there was nothing there other than more reference to Anita and the messages I had sent since we’d finished.
H explained that she’d had a bit of a reaction to realising that she might be in a blog and that it had made parts of her feel vulnerable, and probably tapped into some insecurities but that she’d take it to supervision. I said I understood that, and we talked a bit around it all. It felt like a connecting conversation and I left feeling that for the first time probably we had actually met each other on a deeper level. On the way home from the session I did a lot of thinking and I realised that that I really didn’t want H to feel awkward or for this to get in the way of the therapy and so I sent her an email explaining a bit about the blog and the anonymity etc. That evening I started to get a bit of a sick feeling – anticipating a reply. I had hoped that the blog wouldn’t turn out to be a problem but deep down I could feel that it was going to be.
She replied at length the next day. I won’t copy it here because, ultimately, what came out of it is that she is not comfortable being included on a blog and so I don’t want to disrespect that by putting her words/email here. Essentially, boiling it down, she said that whilst she thinks my writing is a great way to process, she won’t work with me if my experiences of therapy are on a public blog even if it is anonymous because she feels it will affect our developing relationship. She would, instead, want me to write privately and only share it with her.
Basically, I think she feels vulnerable and as if her practice is being scrutinised and no amount of me trying to explain that that’s not how it is will change that which is a massive shame.
She tried to make it land as softly as she could and said she hoped it didn’t feel rejecting, or patronising, or attacking … but, it kind of does – the timing is just crap and it feels like the rug has been pulled out from under my feet. I know I had a choice, I could have stopped writing the blog and kept seeing her…and I do get it from her side. She doesn’t know me and how does she know I would never expose her… but I just wouldn’t. I never have with Em or Anita despite what they’ve done to me.
The world is changing such a lot in regard to social media and it’s not uncommon now for clients and even therapists to have TikTok accounts or Instagram accounts with videos detailing therapy. Obviously, therapists can’t speak about clients directly, but lots anonymise interactions in books and articles or talk about general experiences online…some are in ‘therapist’ Facebook groups and aren’t even discreet at all asking about issues in their current practice. ‘I have a client who does x… what should I do?’
So whilst I get it – I also don’t. I feel like I trusted her with a massive part of me and it’s backfired.
Em was Mrs Boundaries (wasn’t she?!) with years and years of experience in the NHS and privately, and Anita has twenty under her belt and neither one of them ever once told me that my blog was a problem or that they wouldn’t work with me because of it. In fact, both of them encouraged me to write it – even if Em once really struggled to read one of the posts after we’d had a massive rupture and were trying to process what had happened together. My blog has never been a huge part of my therapies, my therapists don’t read all my posts, but there have been times when I have written and shared it with my therapists, and it’s been so helpful. But mostly – it is my space to process and my support network.
We all know how useful this space can be for us – and so ultimately, I had to make a horrible decision. And as much as I don’t write as much as I used to, or in the way that I used to (there is no session-by-session accounts anymore and it’s more general or after the event), and the blog sees much less engagement than when I would write regularly, I decided that I couldn’t drop the blog in order to keep the therapy and I wrote an email to outline why:
Hi Hannah,
I’ve tried to formulate my thoughts on this, but there’s a lot of conflict inside and so it’s been really hard to try and listen to all that and give it space. Firstly, though, I just want to say that I am really grateful to you for having seen me when things have so spectacularly disintegrated with Anita. I had hoped that we would, over time, build a good enough relationship to do some of this work, and felt that Thursday had been a shift into something more real and less guarded, but I did also get the sense that this was what you were going to come back at me with after I emailed you so had been preparing for this.
On reflection, letting you see the blog was clearly a mistake – if I hadn’t have shown you, you’d never have known about it, and I guess we would have continued on. As it’s not identifying, had you have ever come across it by chance you’d never have known it was mine. As you said, lots of clients journal, some might bring that to sessions, but actually lots blog, too, now – especially younger people (not that I am young now!). The thing is, I’m not a liar and don’t deliberately conceal things in therapy because I actually think it’s useful for you, or whoever I work with, to know about it and see it here and there when it’s relevant.
I let you into this place in my world because actually it’s my most vulnerable stuff. I could really easily have hidden from you for months and months in the room and never have got beneath what’s really going on. I’m good at running rings round people and looking like I am talking about something important when it’s really just a screen for what’s underneath. The blog might feel exposing to you, but it completely exposes me – hence the fact that it’s anonymous but I wanted you to see it because ultimately that’s me…or the part of me that’s hurting and needs the therapy.
You might wonder why on earth I would bother writing and posting this stuff if it is so vulnerable and exposing? What purpose does it serve? I do it partly because it’s a creative process that allows me to process my feelings. It’s a kind of journal. It’s safely out on the platform and not sitting in my computer possibly being read by someone at home – that happened years ago when I would keep a journal on my laptop and it caused no end of friction. The blog is about me and my experiences and feelings – it’s not a spotlight on the therapist, although I can understand how it might feel that way from your side.
Another reason I write publicly is because it was finding someone else’s therapy blog when I was seeing Em that completely changed things for me. I was in such a bad place. I was constantly dissociated, swimming in shame, and feeling like there was something very wrong with me. I was chronically anorexic and basically just a fucking mess but I was in therapy once a week so surely what I was experiencing was normal…nope. It was finding this person’s blog, that made me feel like there was someone else in the world like me, that I wasn’t somehow defective for feeling how I felt, and it went a long way to dispelling the shame and embarrassment I felt in the therapy…and in my general existence. It was this blog that first introduced me to the idea of structural dissociation and parts.
It also allowed me to see that therapy doesn’t all look the same way and doesn’t have to be a horrible experience of feeling inadequate and defective. It also highlighted to me that big feelings happen in therapy, it’s not always plain sailing, that ruptures happen and can be navigated effectively and you shouldn’t fear being ‘too much’ all the time, or at least if you feel that, that it can be worked with rather than being reinforced. I was always so concerned about not being viewed negatively that I ‘behaved’ – basically spent my time hiding in the room until this point when I realised that actually you ‘should’ be able to bring all of yourself to therapy, not just the bits that seem palatable. The thing is the bits I felt were unpalatable weren’t the angry parts or the teen – it was the youngest, most needy ones. It’s horrific feeling so many feelings but also feeling so embarrassed and ashamed that you dissociate all the time. I mean it doesn’t help when the therapist confirms that narrative of being too much… but there we are.
Clients have no idea what to expect when they enter therapy – TV doesn’t really depict it and books…well, like I say, they’re written from therapists’ and academics’ perspectives. Perhaps the closest we get to something is work by Carolyn Spring but even she doesn’t really delve into the depths of the relationship. Clients just don’t get a voice. The reality of therapy and how it can be is a big void, the unknown. You just go in and give it a go, not knowing what is possible or what to expect but honestly, face planting into attachment injuries is no fucking fun and is actually terrifying.
There’s a lot of good therapists out there, I am sure (maybe!), but there’s also a LOT of bad, and it’s all hidden behind closed doors. The power is so unbalanced from the get-go in therapy and clients, are out on a limb, we’re pretty isolated because most of us don’t talk about our therapy with people in our day-to-day lives. I totally get that lots of clients are ‘easier’ than me, or the people I come across, but Complex Trauma is really a minefield in therapy, and we need all the help we can get both inside and outside the room…but that’s not easy.
My wife knows nothing of my therapies, or what’s happened in them. She doesn’t even know your name. I haven’t said a word about any of it to anyone. I don’t talk to my friends in my everyday world about it because – well – can you even imagine? I felt you bristle when I told you about Anita and how it had been with her, and you’re a therapist, so imagine having a coffee with a friend and trying to explain to them that you feel suicidal because someone who you’ve seen for years, who has read you stories and held you for hours without words just so you can hear their heartbeat, and worked extensively with your young parts, and essentially been a mother figure to you, has dumped you!
If I said that my young selves were totally broken and feel like self-harming – they just wouldn’t get it. If I said that I miss her and cry most days – most people would think I was a fucking lunatic because how could anyone understand? Most of my friends are lucky enough to have had good enough childhoods so they don’t understand the mother wound at all. I mean I guess you don’t either [for x reason]. And yet it is breaking me inside. I have this great coping exterior, but I am so tired of trying to hold it together with my rubber bands and chewing gum. All I want to do when it’s like this is be back in that familiar space, with Anita who knows me inside out, and put the weight of the world down and fall asleep. My nervous system is … fucked.
Only she’s gone and no one knows or gets it…except these merry band of bloggers.
It was so helpful to me to alight on a community of people who experience similar things to me because there are a lot of us out there with significant trauma and attachment injuries and we speak a language that most people just don’t understand. In fact, lots of therapists don’t understand it either. When I talk about what feels like a black hole in my chest that has edges that are ulcerated and there’s just a sense of falling through an endless abyss because there has never been any containment or holding for parts of me… they get it. Therapists don’t. If you haven’t felt it, you just cannot begin to truly know how fucking debilitating it is. It’s beyond words. It’s trauma so deeply locked in the body from a pre-verbal time and it’s impossible to understand…but these people do.
I know that my blog has really helped other people and whilst I don’t feel like I have to write because of this, I do it for me first and foremost, it feels like it would be a shame to stop that when it has done such a lot of good not just for me but for others, too. I’ve been blogging for seven years now. It’s been massive in my processing and growth but at times it’s also literally been a lifeline. The handful of people that I know via the blog that have become friends have got me through some really tough times. When everything went south with Em it was that group of people that assured me that I was not a tick, that I wasn’t all the things that she made me believe and the Inner Critic was screaming at me. People that had followed my journey had seen how things had developed and were there to help me when I was completely alone in my ‘day-to-day’ life. Same goes with what’s happened with Anita. It’s a peer support network. And there’s no guarantee it would work out with you and then I’d be left totally stranded…again.
Clients are usually really discreet in their day-to-day lives about their therapy. Noone in my [county] world knows who Em is or Anita is or what they’ve done to me. I could have spoken to people in this area, used their names, slammed them, made public comments on their social media… but I haven’t. I haven’t done that on the blog, either. As I said, I never would because I’m just not that type of person. None of what I write is about wanting criticise practice…it’s about what’s happening to me. How what has happened has impacted me – good and bad. But it is sooooooo private. And I know that seems absolutely bonkers to say when it’s online, but it is.
Therapists get supervision and peer supervision…and personal therapy, and clients get absolutely nothing – and yet it is us who often suffer harm at the hands of therapists. As I say, it is rife. You wouldn’t believe it, or perhaps you might be beginning to. I don’t follow many blogs but five of my online friends have been terminated since October alone and are left to pick up the pieces. If it wasn’t for this network online, it would be really crap. I can honestly say that it’s been a couple of these people checking in with me on a daily basis that has got me through this recent shit show because it is pretty bleak inside.
Like last night, I dreamt about my daughter when she was a tiny baby, not old enough to support her own head. She was locked inside a car. I couldn’t get in to get her out. Someone had put her in a car seat but not strapped her in properly and she was slumped forward screaming and stuck. It doesn’t take a genius to see what that’s about…but I am literally stuck in this kind of loop. And I need help to reach into that stuff. But I see you an hour a week – and there one hundred and sixty seven others I need to get through.
You say you’d like me to continue to write in some kind of capacity and maybe process that together. I don’t know how I feel about that. I wanted to share stuff with you and that’s why I let you into that part of my world. My writing a blog doesn’t mean that part of the process gets skipped, it’s not like because I blog, I then withhold important stuff in sessions, and I can understand how that might be seen as a problem. As I said the other day, so much of a client’s experience never makes it into the room anyway and this is for lots of reasons – so sharing writing helps. I get you would prefer me to write like this, to you, and not online… I just don’t know how I feel about it.
Part of me thinks it’s not a huge deal because I don’t write like I used to anyway. I don’t write session by session accounts. But I think the biggest kick back I am getting is the fact I feel like my blog and whether I have it should be my choice.
I get that you’ve issued this ultimatum and I get that it’s where you are at. I understand how from your side you feel like me writing would potentially jeopardise the relationship because you would feel exposed. From my side, I know that if I stopped writing because you’ve told me I have to or that’s the end of things, and I agree to stop writing to try and keep the relationship, then I think there’d be parts of me that would really resent that. Here, yet again, is someone with power dangling the relationship over me and making it conditional. And that’s fine. I really do get it. And to be honest it’s such early days that I can just chuck this on the pile with Anita and process it all at once… but on my own.
I feel like I am done with therapy now. I can’t do this to myself again…which ironically kind of means the end of the blog doesn’t it? So why am I having such a strong reaction to your request? Don’t blog and keep the new therapist. Or have a dead blog and no therapist. Great.
I was trying to think of a work around – what would happen if I made the blog private accessed with a password, and it was there only for a handful of people that I actually have contact with… but then that doesn’t work because they can still see it and I don’t think given what you’re saying that would be any better. Then I thought I could try and write like I sometimes do about particular issues, like eye contact in therapy, or shame, or the mother wound…but then that all is through a lens of my experience so that doesn’t really work. I thought about not writing at all for a while – because I really have been AWOL on the blog for the last year – and seeing where things got with us but then I wouldn’t want to develop a relationship and then have the same ultimatum when I actually care more.
So, I don’t think I have a solution that works for either of us and so that just leaves it that I’ll have to say goodbye. It’s not that I value the blog more than I do spending time with you working together but it is/has been a really important part of my journey and I just don’t think I can cut off that support network in the hope that things, this time, work out…because things just don’t seem to work out where I am concerned with therapy.
Thank you for your time. I don’t see any point in coming in on the 10th because that won’t change anything. I don’t need help finding someone else. I thought I had done a good job this time around, but I’m just not interested in doing this again. I’m sorry that this has happened but to be honest I think you’ve probably dodged a bullet anyway. I know you haven’t meant for any of this to feel rejecting or attacking or patronising…I do get where you are coming from. This has to be a new record even for me, though, I usually manage three years before it goes to shit!
Take care,
RB
So, there we are. I haven’t heard back from her – I don’t really expect to as she’s on a break until the 10th. I imagine when she does eventually read it, I’ll get something back like:
Hi RB,
Thank you for your email. I understand your decision and I am sorry that we can’t agree on this aspect of the therapy together. I wish you well for the future.
Best wishes,
H
And that’s fine. That’s what they do isn’t it? It’s about the best I can expect from someone who’s seen me for eight weeks and doesn’t really care about me or know me. So, I’m ready for that. But there’s a part of me that feels massively disappointed about all this. I hate that I have had to choose between two sources of support because they are both important in different ways. It’s just awful timing, and whilst this is not anything like what Em or Anita have done, it is yet another example of me not fitting with a therapist, and my need being shelved as ultimately, we don’t have much power in our own therapies and the therapist holds all the cards.
Musing on counselling-related issues in the UK. I am a counsellor/psychotherapist and a client too. As the blog title suggests, my counselling journey began in the client's seat. For information about my counselling and psychotherapy practice see my website: www.erinstevens.co.uk
holding it together as I journey through therapy - a personal account of what it's like to be in long-term psychotherapy navigating the healing of C-PTSD, childhood trauma and neglect, an eating disorder, self-harming behaviours, as well as giving grief and cancer an occasional nod.
Rubber Bands and Chewing Gum 
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