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.
So, the title says it all doesn’t it?… Elle came back off her break last week and, honestly, by the time the therapy break was up, I was in a completely horrible place emotionally. It’s not really any great surprise that everything tanked. I knew this first break with my newest/latest therapist was going to dredge up all kinds of shit – and it REALLY did. It certainly hasn’t helped that my last three therapists have all ended the therapy after a therapy break and so the sense of anticipatory dread about what would happen when Elle came back (if she came back) was intense.
Because I have been in such a bad place mentally – definitely neck deep in a depressive episode (only realised this today!)- I spent a good part of the break second guessing myself, driving myself mad, going round in circles and wondering whether or not I should send Elle the link to the last post I wrote. Part of me thought it might help her understand me a bit better and another part thought it would give her ammunition to cut and run, hence the mental gymnastics!
But, as I have been massively struggling with opening up in my sessions or, rather, have been completely unable to go anywhere near the stuff about Anita (which is absolutely tearing me apart), I eventually decided that it was better to throw a grenade into the mix now and see what the outcome was (if I’m too much better to know) rather than be in hiding and the outcome be the same only a few months and several hundred pounds further down the line.
Another reason I decided to send the blog was because every time I have thought that I might be able to venture towards this really vulnerable, painful stuff in session something has happened to throw me off course and I’ve taken us off in a completely different direction. It doesn’t take much at all. I am so sensitive to feeling rejected or abandoned now that it’s going to take a lot to feel safe enough to be vulnerable with Elle and as much as I really like her, I don’t trust her – at least not with those particular fragile parts of me. I wrote this the other day – this is what I need to say, in part – but it’s too fucking scary:
Look, I really need to take off my armour and have you witness what’s hurting inside because I feel really alone, and I can’t carry on like this. The thing is, I have been encouraged to take off my armour before. Things have been ok when I have taken my helmet off and just exposed my head, but when I have taken off my breast plate the person who told me my heart was safe has run at me with a dagger and stabbed me. There’s a serious wound that needs attention but the thought of exposing that makes me very scared because I think I’ll die if it happens again. My heart just won’t survive another dagger through it.
I also thought it would be good for her to see that blog because it talked about how I had felt about how I had experienced her in the room texting and forgetting to record the last session before the break. Of course, in the ideal world, I would be able to bring that to the session because it’s not that big a deal and any therapist that’s half-way decent can surely manage that…but… I can’t believe how many steps backwards I have taken since leaving Anita and it felt too big to bring to the room. All the things that I had worked so hard at: being able to express how I felt in the moment, to talk about things that hurt or felt off, feeling safe with another person who is meant to help, it’s all just gone now. I feel so unbelievably anxious about therapy. I am absolutely terrified of being found lacking/too much and being sent on my way again.
I thought if I gave her the head’s up pre-session it would give her time to think about it and perhaps give her something to help open the session after the break because I would most certainly be in tortoise mode!
Elle sends text reminders the day before our session and when I received that I sent the link to my post. I hadn’t wanted to send it until I was sure she was back from her break…because, you know…boundaries…! The moment I hit send I immediately felt very very ill. It was like the old days with Em. Absolute terror flooded my system. I felt like I had done something wrong and that there would be ‘consequences’. I have such a lot thank Em for don’t I?! Elle has never given me any cause to think this, but as I said, I had got myself so worked up over the break that I just wasn’t functioning in a very effective way at all.
It got worse and worse as it crept closer to the session. I woke up at 1am on Tuesday morning and had a massive panic attack. Elle didn’t acknowledge my email at all on Monday and so I woke up in panic and basically catastrophised in my head until it got light thinking that she was set to have a ‘difficult conversation’ the next day. I could really have done with some kind of, ‘thanks for this, look forward to seeing you tomorrowand talking this through’ from her but it was radio silence until the session on Tuesday and, honestly, I just wanted the ground to swallow me whole when I arrived. I was absolutely bricking it. The therapy shits were back (haven’t missed those I can tell you!). So, yeah, all in all it was absolutely awful.
As I waited for Elle to come and get me, my heart was racing, and I thought I was going to be sick. She opened the door and seemed…like Elle. I sat down…she looked like Elle. A couple of minutes went by, she grabbed the recorder and turned it on and said nothing. My brain was in a spin. Had she read the blog? Had she suddenly remembered to get the recorder because of the blog? Or had she not read it and just remembered, but forgotten that she’d forgotten to record before the break? I guess if she’d read the blog, she’d have had the recorder ready, wouldn’t she?… anyway I was trying to make sense of what was happening and where we were at. She said nothing about the blog and didn’t ask about the break…so I inferred that she hadn’t read the post because I feel like that was the map for the session and there was no mention whatsoever.
And that set off another reaction in me. Well, inside at least. My face gave nothing away.
For fuck’s sake RB!
I had been so anxious about telling Elle all that stuff, it was exposing but I really felt like she needed to see/know it…and she had chosen not to read it. Oh, good, we’re back into Em territory – just ignore me. My mum is currently in an ‘ignore me’ phase too, so it felt especially triggering alongside Anita’s ‘barely there’ replies to my messages. All in all, I just felt utterly shit, unseen, and circling the drain of ‘no one really cares’. I don’t know why it’s so hard. Like I am not a shit person and yet I feel like I really just don’t matter at all. Like I can’t even pay for someone to care.
I told Elle early on that breaks are a massive issue for me, so blog or not, I am surprised that she didn’t bring it up. I really get that lots of therapists are client led, but I really feel like in this early phase of the therapy I could use a bit of handholding. I feel like a therapy novice again and just don’t know what the fuck to do or say. Like I am doing brilliantly with False Adult and talking A LOT but inside it’s absolute carnage. I feel like I am some kind of glitching hologram. I am desperately trying to figure out ‘how’ and ‘who’ to be in the room to be deemed good enough to stay. I sometimes hear myself and just feel like I am incredibly boring and moaning. I feel like Elle must be watching the clock – because the version of me in the room is fucking tedious.
I honestly don’t know what to do. I know my advice to anyone else would be ‘try and take this to your therapist’…but I am trying to in the only way I can right now and I’m not being met where I am at.
I feel so fucking crap.
As I said, it dawned on me (finally) today that I am depressed. I have been battling with such a lot since May (and longer really) and I just feel so completely at sea now. I feel like I can’t even write properly. My brain is just a miserable fog. I’m spending hours and hours mindlessly scrolling through social media but not engaging. Anything that requires the slightest bit of attention span is a total fail. I can’t tell you how many times I have checked my phone even writing this but can’t even bring myself to proof-read it. I feel so lost. I want to sleep but can’t. I want to rest but my brain won’t stop freaking out. I have absolutely no motivation whatsoever. I need to cry but I have buried my feelings so deep right now because no one is safe enough to feel them with and I can’t manage alone anymore.
It’s crap…so crap.
I keep going to therapy. I keep trying. I keep saying how I need to connect with Elle…and we do…on a level. BUT it’s not the level I need. I’m not talking about hugs and all that stuff – although I am really feeling the ache from not being held by Anita – I feel like Elle and I need a conversation about ‘us’ like what is ‘this’ in the room.
Maybe we’ll get there eventually. I dunno. It’s all just so unbelievably exhausting. I need her now – like this week – but I don’t know her yet … and until I know her I don’t think I’ll trust her with me.
I wish someone would come and find me in the dark because it’s horrible here.
We’re no strangers to me whining on about therapy breaks here on this blog, are we? And as I find myself staring down the barrel of my first break with Elle I am anticipating a hellish experience this time around and I literally only saw her on Tuesday! Give me strength!
Before my last session I could already feel the anxiety and panic creeping in, and it’s got steadily worse as the week has gone on. My heart rate is up. I feel sick. I have a headache that I can’t seem to shift. My jaw is clenched tightly like a steel trap – it’s little wonder I have a headache! I am sooooo tired, yet I can’t switch off and sleep – mind you that’s nothing new, my sleep has been appalling since Anita and I parted ways. Anyway, all things considered, it’s not great and certainly doesn’t bode well for the next 11 days!
You might be wondering why I’ve got myself so worked up given that I’ve only been seeing Elle for a couple of months and that crazy attachment stuff hasn’t gone live yet…or at least not inside the room (it’s complex but more on that another time)! I had really hoped that I would be unfazed by the prospect of a two week break in the new therapy but my mind just isn’t wired like that – read: my brain hates me! #trauma
I mean, let’s be clear therapy breaks have, more often than not, been a challenge for me so this isn’t exactly new territory. Indeed, this horrid sense of dread and doom is all too familiar to me. There have, of course, been rare occasions (working with Anita) where I have sailed through breaks but they’ve strongly correlated with times where I have felt really settled, secure, safe, and contained in the therapeutic relationship. If I have felt there has been a solid connection and that there is a secure base it’s been great (ish) – but, honestly, I am way more familiar with feelings of disconnection that trigger intense panic and a desperate flailing about in emotional quicksand on therapy breaks.
We all know I am not in the ‘settled, secure, safe and contained’ zone right now. I literally couldn’t be further from that. It’s crap. I guess part of me feels like I am still on a therapy break with Anita, we haven’t ‘properly’ ended and so it’s left hanging open (but clearly closed); Hannah and I never returned to the room after our first break (I still can’t believe it went tits up so quickly); and let’s not forget that everything with Em fell apart after the Christmas break and the therapy ended in the most damaging and catastrophic way…well…not as catastrophic as what Anita has done but traumatising all the same #likeatick. So now that another therapist is going away I don’t exactly feel optimistic about the chance of a safe return with my track record as it is.
When I dig beneath all the awful physical sensations I am experiencing and feel down into the emotions I’ve been running from since… May… well…it’s YIKES! I mean it’s utterly utterly utterly heartbreaking stuff. Unsurprisingly, I’m met with the desperate crying of a really young part who’s been abandoned out in the cold, grey wasteland. She’s small, barely three years old. She has her back to me and as much as I want to reach out and help her. I can’t. It’s as though there is a glass wall between us, and I simply can’t get to her. Adult me feels completely powerless.
This internal landscape is so familiar to me. For soooooo long I’ve found this one of the hardest parts to make contact with. I see her so clearly and I feel the pain she feels so intensely. But I can’t get to her. I guess maybe this has, historically, been because there’s been such a lot of shame around acknowledging this vulnerable part of me. She is so needy, so starved of love and affection, so desperate for connection and a sense of safety and yet feels so unlovable and unworthy that expressing any kind of need for the ‘other’ feels chronically dangerous. If ever there was an exile she is it.
But then, this is the part that is behaving exactly as she should given that her caregivers have repeatedly upped and left. Children at this age do have a lot of need don’t they?…it’s normal… and that’s all been frozen in time because those needs were never met when they should have been by the person who was meant to do it. I’m having a really hard time with my mother wound right now for lots of reasons – it’s not only therapy triggering it, my lack of relationship with my mum has been thrown into sharp focus lately and it’s all just a lot. I might have an adult body but all the parts of me are still there inside, and this little girl especially is waiting for someone to come pick her up and hold her.
I don’t feel shame about this or these feelings anymore, but I do feel lost, and stuck, and have no idea how to begin to get the help I need to work with this now having been so badly hurt with Em, Anita, and more recently Hannah. Like what on earth am I meant to do? I do understand that I am the adult that this young part needs, I just need to find out where the sledgehammer is to be able to break through that glass and get to her…and I have been trying for a long time now!
Anita had done so much work on bringing this little girl out of the cold and into the warm. I mean she literally told me, “You don’t have to stay out in the cold anymore. I am here. You are safe with me. I love you and I am not going anywhere” all the while cuddling me into her chest, reminding me over and over that I was loved by her, reading me stories, showing me that the emotional cupboards weren’t bare anymore…and in doing this, so much of my system settled down – both the fragmented parts of me and my nervous system. I felt so much more capable of living in the world knowing that my inner children were held and contained with a safe adult, and I really felt like I was on the right track finding ways to hold these parts more and more for myself…like I was well on the way to the tool shop for that sledgehammer.
But then Anita left and, with that, she discarded all the parts that had learnt to trust her and who loved her so intensely. Each of these parts are experiencing this abandonment in different ways but today it’s all about the small one. Anita left that little girl and returned her to the wasteland. Devastating doesn’t even begin to describe how fucking awful this has been. We see the word ‘retraumatising’ being banded about a lot – but that’s exactly what this is. It’s such a visceral experience. It’s like a bereavement, only it’s one that I can’t talk about. I have to suffer on my own pretending as if everything is completely fine when it absolutely isn’t. I am so fucking far away from fine. Like I said the other week, I am a million miles away from ok and not waving but drowning.
The wasteland space is so bleak. This toddler part has been out here for too long now, shivering, and sad. Time is such a weird concept for kids, isn’t it? Weeks can feel like years. It feels like she’s been on her own for so long now that she can hardly remember how it felt to feel the softness of Anita’s body, to breathe in her comforting smell, and listen to her steady heartbeat. But then when she does remember the agony of recalling what has been lost comes flooding back and is totally overwhelming. It’s difficult to find words to describe the sense of being completely annihilated but so many of you know this feeling already that maybe it doesn’t need explanation here. If you know, you know.
I totally broke on Monday thinking about Anita and how she was my rabbit that listened. I couldn’t stop crying…I reached out again…and I must stop doing it because these replies are hurting me. I don’t know what to do – we need to meet to properly end but I just can’t face it. I don’t want her to be ‘gone’ forever.
My goodness! – this post is meant to be about my therapy break with Elle and yet here I am banging on about Anita again. But it’s because Elle has gone that the void that Anita has left behind is all the more apparent. My young part doesn’t want Elle (but I think she’d like to be seen by her), she wants Anita (sooooo much), but now that Elle is gone there is literally no one there to help. And whilst the young parts have not made it into the therapy room with Elle yet (they’re hiding behind the sofa but I don’t think she has realised), Adult me at least has been getting some space to offload some of my day-to-day crap.
The other day I was texting a friend about all this and she suggested that Elle has been like a shelter from the storm, or an umbrella, she’s not Anita’s cosy snug holding place, but that time and space in the week with Elle has at least offered a window of time to stop me from completely disintegrating. I actually think it’s been like a sticking plaster on an open wound. It’s been just about enough to stop me bleeding out…only that’s been ripped off now and I am really not ok. Like sooooo not ok. I feel like I am screaming for help and yet there’s no sound coming out. I dreamt this week that I was repeatedly telling Em, Anita, Hannah, and Elle that I was suicidal and not one of them could hear me. For the record, I am not suicidal – but I would say that some parts of the system are.
Anyway, none of this feeling of discombobulation has been helped by a couple of things that happened in the last session before the break, either. It’s funny. I’ve been seeing Elle a couple of months now and yet I haven’t really spoken about what it’s been like in the room with her at all yet have I? I don’t know why. I don’t know if it’s because I feel quite protective of this new relationship. I so desperately want it to work out but I am so terrified of fucking it all up after recent events with Anita and Hannah. Although, I didn’t fuck it up…
Perhaps there’s an anxiety about writing about the therapy knowing how Hannah upped and left at the thought of making it onto the blog – and although Elle and I have discussed my blogging and she is fine with me writing in an anonymised way I do wonder how it might actually land if she ever sees posts like this where I actually talk about things that she’s said or done that have landed badly. I know I would struggle. I also think on a level I really don’t want to hurt her feelings just because I am clearly having a massive reaction to not a lot this time.
I know how my big feelings about small things can make it feel impossible for people to make mistakes and I really don’t want to create a situation where it feels like Elle is having to tread on eggshells because I’m so fucking sensitive. I keep going back and forth over whether what’s bothering me is something I just process on my own or whether it’s something that I should share with her. I don’t want to seem critical because that’s not it at all. This is all about me and how I react to things.
I know I have mentioned on repeat here about how I need to find a way to talk about Anita having avoided the topic like the plague since the first session where I outlined some of what had happened. I am obviously no further on than that. Every week I think ‘this is the week’ and then I get there and that False Adult (maybe it’s her) turns up and just rattles on about ‘stuff’ for ninety minutes. Oh yeah, that’s something new too. I asked a few weeks ago if we could do a longer session – and it’s become a thing. I find that length of session MUCH better but obviously still not enough to bring out the heartbreak. Ugh.
Anyway, let’s cut to the chase shall we? – 1600 words in! Concise as ever RB! So, I have been super conscious of wanting to find a way to really connect with Elle. I feel like we get on really well as adults (although tbh I don’t trust anything I think or feel now after what happened with A). I really like spending time with her. She is absolutely someone who if I had met them under different circumstances I would want as a friend (ha – that’s just fucking typical!) and I feel like she’s someone I really respect. That sounds so daft doesn’t it and a bit gushy? But I feel for the first time in a really long time that this might be someone who will be able to cut through my avoidant bullshittery once she gets to know me a bit better. At least I hope so … that is, of course, if I don’t frighten her away with the crazy first!
So, yeah, this last session I was so determined to go in and say, “Look, I really need to take off my armour and have you witness what’s hurting inside because I feel really alone and I can’t carry on like this. The thing is, I have been encouraged to take off my armour before. Things have been ok when I have taken my helmet off and just exposed my head, but when I have taken off my breast plate the person who told me my heart was safe has run at me with a dagger and stabbed me. There’s a serious wound that needs attention but the thought of exposing that makes me very scared because I think I’ll die if it happens again. My heart just won’t survive another dagger through it.”
I wanted to tell her that I was nervous about the break and a bit embarrassed that I didn’t want her to go away. I wanted to ask her if it was still her plan to go to working online in December and talk about how that might feel (bad!). I wanted to talk about the dreams I’d had and what I thought they meant (eek!). Like I had such a lot to say and had psyched myself up for it. It was going to be a massive exercise in the vulnerable parts of me taking a step towards her and seeing how it played out but I was hopeful nonetheless.
I think up to now our sessions have been all about what I have bringing from outside the room (obviously useful) but I think I’m needing to feel into what is going on in the room between us too. Like what is this relationship (aside from the obvious)?- How do we connect? – What is going on? – How is it all going to work? And I guess, really importantly, does it feel safe? Basically, it’s the relational stuff… the fucking scary bit!
Right, back to what spooked me…
Whilst I was waiting for the session I buried my head in a book I’d just started that I have totally loved called, ‘Enchantment’ by Katherine May (big recommendation from me – it’s lovely and all about reconnecting with the world around us). Elle came out, noticed I was reading and asked me what it was. I walked into the room, sat down and began to tell her – meanwhile, she had picked up her phone as she sat down and then started texting.
Ummmmm.
She apologised immediately for this and explained that she had made a mistake and had sent one of her clients the wrong time for their session (she sends out text reminders). She told me that she works with a lot of neurodiverse clients and was really aware that this fuck up would send this particular client into a spiral so she needed to quickly sort it out. She was also pretty vulnerable and told me how she experiences it when she makes mistakes with this client group and part of me was glad to see she really does care about the environment and container she creates for her clients BUT in that moment it felt like we were talking like peers and I feel like this is a trap we could easily fall into. Like it’s good. I don’t want there to be a massive power imbalance but equally I need her to realise that I am not maybe as together as I seem (like really not together at all, actually)!
Adult me really gets why she needed to send that text. Teacher me TOTALLY gets it as about half my work is with neurodivergent students. Parent me gets it – both my kids are neurodiverse.
But do you know who doesn’t get it?
Complex trauma client me.
The traumatised child parts DO NOT GET IT at all.
Because whilst it’s really marvellous that Elle is super concerned about her neurodiverse client’s needs what about the complex trauma one sitting right there in the room in her actual session?
And look I really know how much ‘brat’ teen is coming out here, but I need to say it because it really fucked how I thought the session would go because I immediately switched into ‘super competent adult client’ and I closed down all the parts that wanted to reach out and put some trust in her. Because in that moment when she was texting, the message that was being sent to my parts was I was less important than this ‘other’ client, my need was less, and oh my god it just triggered all the stuff about being unworthy of care and attention which are so live after what’s happened with Anita. The little girl suffering out on the wasteland’s hope of being seen was dashed again and I felt that intense tension in my stomach take root.
I had been so ready to connect, needed to connect, and the cues that it was safe to do that weren’t there. I know how massively explicit a therapist needs to be to coax these parts out and that’s part of the battle – Elle doesn’t know any of this, yet. I sometimes feel like Monica in Friends – externally she is super organised and together (if not a little neurotic!) but then there’s the cupboard that’s full years of clutter and tat and she is absolutely mortified when Chandler discovers it. That’s kind of where I am. Only I don’t just have a small closet full of emotional shit it’s a massive great warehouse!
To add insult to injury I quickly noticed that the recorder wasn’t out to record our session. Elle had suggested early on that we could record our sessions when I had shared a blog post with her about the problems I have with object constancy. She has been sending these to me so I can listen to them afterwards as a way of connecting. It’s been good. Only she forgot this time, probably because her mind was elsewhere trying to sort of this other client, or maybe she was heading into holiday mode – and of course that stung too because if ever there was a time to need to feel connected it was now – on a break.
Perhaps I should have said something when I noticed, but I was already lost when she text the client…which by the way was literally only seconds. I know I am making a massive deal over something really small but this is the nature of Complex Trauma isn’t it? We are so quickly triggered into painful states when there is so much of a whiff of feeling abandoned or rejected. It’s extreme. It happens in a split second and we are gone. The smallest misstep can feel like the vinegar being poured on third degree burns and unfortunately for Elle and I, there’s not much of me left that isn’t burnt after recent events with Anita and Hannah…and then, Em. In lots of ways she doesn’t stand a chance.
All I can say, is in that moment I felt painfully unseen. The young parts felt so fucking alone it was awful. Elle would never have known because I talked at her solidly for the entire 90 minutes because I’m so good at hiding in the room and taking us off somewhere else and allowing a capable, competent part to front. I hate that. I am not a massive fan of being plunged into a dissociative silence but I think this might sometimes be easier for the person opposite me to figure out something is amiss. Anyway, the session was ‘fine’ for Adult me but not at all for the parts that needed to be seen that day…or now as the break becomes more of a problem.
Of course, I haven’t been sent a recording – because there isn’t one to send but I don’t think Elle has realised that it’s even a thing. Or if she has, she hasn’t got in touch to say, “Hey RB, I’m sorry, I dropped the ball here”. This hurts because when she’s dropped the ball with a more established client she makes the effort to rectify it in MY session. And I do get it’s different – scheduling is different to this.
If she has realised what’s happened then maybe she’s not wanting to open that up over an email when we are on a break. The thing is, ignoring it doesn’t mean it’s gone away. I am still here holding it and that vulnerable part is upset. I think there’s a part of me that worries that it won’t even have hit her radar and that shows me just how far away we are from really getting into ‘me’. I so miss having a therapist who knows ‘me’ intimately. I miss the things that Anita and I would do to make breaks as easy as possible for these parts. My elephant is sat in my wardrobe now. It no longer smells like Anita’s washing powder and I have had to put it out if sight because the reminder of what I had is just too much. It’s such a huge loss. As I keep saying, it’s like my emotional scaffold has been taken away and I am trying not to crumble.
I so want this relationship to work out because I really like Elle – like I really like her. I really don’t want to be ‘this’ client again. Adult me is really ok about this but those others, the ones who especially need the therapy aren’t. I am just so bloody exhausted by all this now. I hate that this situation feels so much worse than it should because of the state things have been left by Anita. I hate that I have to start over again. I hate that I feel so ungrounded and unsafe inside. It’s massively shit and feels too much…or I feel too much.
I don’t really know what to do. I guess though, this isn’t going to work out unless I find the courage to be brave and vulnerable – like I really am going to have to start talking to Elle about this because … she needs to know. And as much as this is, on the surface, a tiny rupture – it has all the key ingredients of what causes me difficulty. It’s not a big deal but to parts of me it really is…and it’s not just this – I have to address the elephant in the room (A) before it makes its home there like all the others before.
I hate that I know that returning to therapy is going to feel really hard because by the time it’s time to go back I won’t be just be dealing with the young one out on the wasteland – I will have the depressed teen and the sadistic critic to contend with, too. I’ll have gone through the wringer and then end up just about normal by Tuesday. Honestly, I am so over it.
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.
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