Oh lordy! I honestly feel like I am navigating a fucking gator-infested swamp of Complex Trauma Doom right now…Seriously, it’s like running through a minefield of endless triggers at the moment, and I seem to be setting them off with nearly every step I take. It’s starting to do my head in, frankly – and my entire system is taking a lot of hits! Wouldn’t it be wonderful if there was an off switch for all our sensitivities?…or a reset for trauma brain…

What’s the problem today you ask? – I mean there are several ongoing issues and upsets #breakdown but today’s bit of bollocks is that I have been once again upended by a seemingly innocuous email communication from my therapist Elle.

Oh, but of course this would happen today! –  the first day in a really long time where I have been able to carve out some space and time for myself in a place that I love- and then rather than be able to sink into safe and calm I have spent the day ruminating on the message! – let’s be clear, group mail outs trigger the shit out of me. FFS.

This is not the first time I have had a reaction to an impersonal email or communication from a therapist. Years ago I remember Anita handing me a printed sheet of paper at the end of a session with her holiday dates on and it signing off with something like ‘sorry for the inconvenience it may cause…best wishes…’ and it sent me into outer space because how could it possibly be that one minute I was snuggled into her body with her telling me that she loved me and the next minute I was being presented with cold admin related paperwork and sent on my merry way? This kind of thing jars my system so badly… because, yay for relational trauma and the fear of people turning cold and leaving.

Early on in my work with Elle a similar situation to today happened (a group email to all clients) and I went belly up then, too. It was the first time that my mask of coping slipped with Elle. I had read her message that began with, ‘Dear All, My apologies for the impersonal nature of this group email…’ and it landed really hard. At the time I felt like the group email was a backhanded way of her addressing something with me and feeling like I was getting rejected for something I didn’t know about – basically WhatsApp communication being a ‘no’. I absolutely crumbled. I was able to tell her in an email:

The email you sent on Friday made me cry. Like I actually fell apart. I felt like I’d pissed you off, and rather than tell me directly you’d done it in a ‘send to all’. The feeling of needing to run away and self-protect was massive and really highlights to me what a fucking massive mess I am in. Literally everything feels like a rejection or an abandonment or like I have done something wrong or that I’m fucking things up and my system just can’t cope.

Elle replied with a really holding/caring message to that and I think it was probably the start of me moving into trusting her a bit with ‘messy me’. At that point I wasn’t especially triggered by the fact I was receiving a mail out to all clients because I was still getting to know her and wasn’t all in – but that has certainly shifted today because crikey…it’s been a lot.

I just REALLY DON’T EVER want to be receiving a ‘Notice to all clients’.

When I feel attached to a therapist the last very fucking thing I want is the reminder that I am one of many clients that my therapist sees on her conveyor belt of losers each week, or that the carefully constructed relationship we have only exists in the room for the time I am there and is nothing more than an elaborate paid for pantomime full of smoke and mirrors. Elle is running a business (ugh she said that today in the email ‘rising costs of running a business’) and that is therapy. Anything beyond that is just wishful thinking on my part.

Being just a ‘client’ is hard enough but being reminded of the ‘others’ that I have to share Elle with triggers all kinds of sibling jealousy…I don’t want to be conscious of the fact that there will be other people Elle likes better than me, others who she would choose to see over me if there was a choice to make… it’s all just too painful. I do understand that this is ‘the work’ but sometimes when you have had a childhood of never being put first, never feeling important, never having someone’s undivided attention…then it’s not surprising that we might just want that in therapy (even though it can’t really ever happen – the fantasy of that is important).

Some of you might remember when I, idiotically, asked Anita about a box on the shelf in her room one day and she told me that a client who had anxiety and trust issues had given it to her and that inside there was a stone with the word ‘trust’ on it and I wanted to curl up and die and for the floor to open up and swallow me whole.

Recently, I wrote about what a perfect therapy room would look like and shared it with Elle. She emailed back to say she really liked it, that she’d like to share it with supervisees, and then commented that the soft toy I had seen in the room (that I had mentioned in the post) belonged to another client… Oh holy fucking hell. Like no. Please no. Just no. I can’t explain how having that confirmed triggered the shit out of me. Of course I know that there’ll be loads of people working on their inner child in therapy with Elle- like I’m not stupid…but I don’t need reminding that there are other people that Elle might cuddle, read stories to…basically, I don’t want to know that she’s probably replicating what she’s doing with me with others.

I didn’t tell Elle this because honestly, I don’t want to come over as a needy, selfish brat… but it is how it is.

So, umm what else can I say about all this stuff?? It’s not just group emails that are problematic, generic communications aren’t great for me – full stop. Recently the ‘automated session reminder texts’ stopped because I let Elle know that they trigger me and I find them upsetting – like, the day before a session when I have drifted off into panic and doom because it’s been soooo long since I have seen her the last thing I want is stone cold admin… and so Elle has been sending me personalised messages that are far more in keeping with how we communicate both inside and outside the sessions and I have found them so much better.

So, it’s hardly surprising that today’s email landed so painfully. It’s been a bit of a week with one thing and another, anyway, but I just about got to the weekend in one piece with a bit of slipping and sliding. The irony in all this is, Elle and I had a really lovely reconnecting session this week after my holiday – like it was just so great to see her, we laughed a lot, and she surprised me with a really beautiful, thoughtful, handmade present that was so personal to our work I just wanted to cry – like my heart was fit to burst and I just can’t even begin to explain how much it meant to me. We’ve remained in close touch most of the week and it’s felt so nice…until today and this email.

But this is Complex Trauma brain for you, isn’t it? One minute things are going great, are doable and the next moment everything feels like it’s complete shit, and not real, and basically the protectors go wild trying to stop us from getting hurt. Adult me can see that today’s email is just a fucking admin email – but try explaining that to the minibus inside who wonder where ‘our Elle’ is. Like where’s the Elle that calls us ‘sweetpea’ and ‘lambkin’ and ‘flower’…now we are ‘client’.

Ugh. It’s just ugh.

So, what was it all about then? Well, Elle is putting her fees up from April – which is…fine. I mean, I get it, this is how things are. I know that money in therapy can be a minefield in itself for some of the reasons I have listed above – i.e it making the relationship seem fake. Like it’s very clearly a transactional relationship and without that exchange of money the therapy ceases to exist but over the years I have managed, just about, to see that actually just because I pay for my therapist’s time it doesn’t necessarily follow that the care and love I experience from her isn’t real…at least I feel that’s the case most of the time!

However, seeing things today like:

I appreciate that, for some of you, this will mean you will have to consider whether to continue working with me, or perhaps decrease the number of sessions you attend per month. If this is the case, please let me know as soon as you can so we can discuss the best way forward.

Are a reminder/warning that maybe things aren’t as solid as I think. I would like to think that if I couldn’t manage the increased fee that Elle wouldn’t just ditch me, or I’d have to see her less… but who knows from that email? Fortunately, I can absorb this increase – well, right now I can…June-September is always tricky as my work pretty much disappears.

I think the hardest thing about therapy in general is that for me therapy isn’t a six month or year-long financial commitment that I am investing in but will end soon and so it’s a stretch now but fundamentally worth it…but there is an end point.

For me therapy is going to be long-term and so it’s literally like having taken on a mortgage term and equates to about 25% of my income over the course of a year. That’s a lot, isn’t it? Elle and I have a 90-minute session each week – and I’d love to say I could go down to an hour, but we all know that that wouldn’t work, that it takes me so long to ground and feel safe in the first place that an hour just isn’t enough – and that even as things are now I am in a state of perpetual struggle because there actually isn’t enough contact. I miss having two sessions a week like I did with Em and A and how containing that felt.

I am really aware of the need to have some kind of regular, agreed upon contact on a Friday with Elle– even if it’s just a fifteen-minute call … but it’s all money isn’t it? Especially now. And don’t get me wrong, my time with Elle is worth every penny and then some! I really really get that she gives me WAY MORE than she has to – she is so available to me outside the sessions … and I am so grateful to her. She demonstrates in so many ways that I matter to her – but my belief in that is so fucking fragile and today has left me feeling like I need some serious reassurance.

I feel like a fucking fool getting so upset about this that I will go hide in my hole until Tuesday and in the meantime the littles will get more and more worked up because how embarrassing is it to say, “I have been completely derailed by your group email today and the little parts of me wonder if all of what I think our relationship is is a lie – am I delusional?”

Sometimes it feels so unfair that those of us with Complex Trauma who badly need therapy to keep afloat are always having to juggle finances to make it possible to do the therapy just to help us recover from things that weren’t even our fault to begin with. Childhood and life trauma are bad enough, but it’s especially galling to think about this when you’ve also experienced harm in therapy – all those years with Em and Anita for what? Debt and more trauma lumped on top!

I already work more hours than I want to/feel able to in order that I can keep going to my sessions but that’s a choice I have made because the therapy is so necessary. My last evening teaching session of the day (7pm) wipes me out and by Friday I am dying, but what other option is there? In the ideal world I would reduce my hours and this would stop me feeling so fucking burnt out all the time… but if I don’t see Elle my emotional world unravels.

So yeah…bleurgh..! Receiving this message on a Saturday has totally bummed me out. I wish Elle had have joined some dots and realised that this kind of generic communication might not land brilliantly well. Even, if she’d just sent a quick message with it at the top – ‘hey sweetpea, I hope you’re having a good weekend. I know this is a formal looking email below, but please know it’s just admin and doesn’t change us but I do understand how the mechanics of money in therapy can feel triggering sometimes and  I really don’t want for you to feel like I am pushing you away’. I dunno – anything really but she clearly has no idea how this has landed and is probably having a wonderful weekend enjoying the sun and blue skies we’re finally getting here in the UK.

In true RB style I’ve been stuck in a ruminating brain loop all day and just feel really far away from Elle…let me just say this one last time: impersonal group emails are not for me! – ugh. I feel like they are a pushback… and adult me knows it’s just life…

But right now, just fuck my life! And fuck CPTSD.

x

I could really use a hug right now – and a new brain!