Month: June 2025

The BIG Rupture: What Happened Next…

rubberbandsandchewinggum7 Comments

I realised something this week – and that is, because I blog way less frequently than I used to (although my summer resolution to myself is to make time to write again), that often I post about HUGE OUCH things that happen in therapy and then don’t come back here and talk about the ‘what happened next’ for ages, if at all. For example, a couple of my more recent posts have been about ruptures in my relationship with Elle (remember the slogan t-shirt debacle and then finding myself on a therapist forum? – groan) and this is the first time I have returned to discuss the repairs Elle and I have made, and so these ruptures are sort of left hanging on the blog.

I imagine it’s starting to look like Elle and I are lurching from one terrible mishap to another without any sense of there being a resolution in between. That would be fucking terrifying, wouldn’t it?!…and it simply isn’t how it is. Thank goodness! Let’s be clear – I am not the same client I was back in the day with Em where she would say or do something to upset me, we’d be in massive rupture territory, and I’d just tough it out on my own because I was so frightened of her reaction to what I might say and the potential for abandonment and rejection that it felt safer to keep it inside (or here on the blog with you guys!) than talk to her. I didn’t dare raise my head above the parapet for years – turns out that wasn’t completely stupid given what happened when I did! #likeatick

It’s so funny – not funny haha, just funny TRAGIC looking back on that total mess (shitshow) with Em. In therapy, so much of the work is about building trust and working through/round your defences and so the main advice we generally see online for people when they are struggling about something in the therapeutic relationship is, “Take this to your therapist and try and have the difficult conversations because THEY WILL BE ABLE TO HANDLE IT. They are trained professionals, have done their own work, and see this stuff ALL THE TIME.” Only it’s not always the case, is it? How many of us have had therapists who have shit the bed the moment you challenge them, or tell them you’ve been hurt by them, or tell them you love them? How many of us know what it is to feel the walls go up, the air in the room drop to below freezing, to get the ‘boundary talk’, or worse – terminated?

So, the advice to bring the tough stuff to the therapist ‘should’ absolutely be correct – but I think really it also needs a caveat: if you think your therapist is safe enough to hear it.

The thing is how do we know if a therapist is safe?

Blimey, isn’t that a question?!

There should be that ‘felt sense’ of safety with your therapist (eventually), but sometimes that doesn’t come…and then all we are left with is a therapist saying, “You can trust me” – #Icallbullshitonthat – and a desperate hope that it’s an ‘us problem’ rather than a ‘them problem’.

Safety never came with Em – even though the really strong attachment (disorganised of course) did. The parallels between her cold, detached personality and the almost literal begging for evidence of care mirrored my relationship with my mother so perfectly that it’s little wonder I stayed for so long. Therapy felt horrible but so fucking familiar to me. This is how relationships were, right?

I was stuck in a place of paralysis waiting for my protectors to stand down, wanting to trust her, and after a few years of feeling more and more unsafe I found myself forcefully working against my protectors – hitting override again and again – making myself jump into the shark infested waters… and no doubt that might work (in a safe therapy where there are no sharks)…but it can be catastrophic in a ‘disaster therapy’. I used to laugh about getting the ‘therapy shits’ before sessions – but what a ridiculous situation to be in week in, week out – anxiety was sooooooo high that I felt physically sick before every session… and yet I wrote that off as ‘part of the process’. Fuck me. That’s never right.

I think one of the things I regret most about working with Em was that I went against my gut ALL THE TIME. I felt her frustration at how little I shared with her and how strong my protectors were (queen of dissociation!)…but I realise, now, that I must’ve had a sixth sense about how things would eventually go because when I did push myself to BRING IT ALL to her, the shit hit the fan on high speed didn’t it? My bravery and vulnerability were met with stone cold still face, topped with thinly veiled psychobabble insults “adhesive like a tick, taking whatever it wants, like you almost need a permanent breast, pushing the boundaries with no regard for what I want”  … Ouch.

So – yeah – building trust and feeling safe is so hard, especially when you’re in therapy working with core messaging from childhood about being ‘too much’ or ‘not enough’ and perhaps never having even known what safety would feel like.It’s understandable that sometimes we, as clients, are scared stiff and the idea of being vulnerable freaks the living daylights out of us. It’s hard sometimes when we hit the skids to figure out how much of what we are feeling is because, “I recognise on an emotional and somatic level that this person is not safe!!!” and how much is the wonky brain making you think past patterns are repeating when actually things are fine.

It’s all the harder when you have also experienced harm in therapy as well. My therapists ALWAYS trigger complicated mother transference in me (ugh!) – but poor Elle also bloody triggers SHITTY THERAPIST transference too!

After my recent experiences with Em and Anita, Elle is basically doomed because in so many ways she isn’t like them but SHE IS A THERAPIST and Brian (my brain) doesn’t really trust therapists anymore. Thankfully, enough of my system does trust Elle…wholeheartedly…and so this means I can bring ALL OF THE THINGS TO HER EVEN IF IT FEELS SCARY OR UNCOMFORTABLE.

It’s taken a while but we have built a strong foundation of trust that can withstand my wobbles. It feels like I can safely show up and work through the ruptures or miscommunications we have because every time I do it’s more evidence that I am safe to be me, bring my feelings, and that Elle is committed to working whatever it is through with me. As she said the other day, “I’m here for it all”.

Thankfully, I am not in that horrible place that I was with Em where I felt that there was no choice but to hide my feelings and hope that things would work out without my saying anything…and to be honest, that’s how it got with Anita towards the end. I was so conscious of her wheels falling off that I tried to be as little work as possible for her. Didn’t exactly work out, though, did it? That’s definitely a throwback to my early years – suffer alone and get over it – but it’s so sad when you think that I have been paying for therapy for so long and been in hiding for so much of it trying to make it so the other person can stay. UGH. I am still really mad with Anita…but that’s for another blog post as this is sure to be lengthy enough as it is.

It’s no secret that I absolutely am still ridiculously sensitive to perceived rejection and abandonment but the difference is I ALWAYS tell Elle when I feel there is something wrong between us – even if it’s just that she’s turned up in my dreams and hurt me – and even then, she’s kind and lovely about it and not weirded out! But it’s all these little moments of connection and understanding that ultimately build the trust so that when there is something bigger, I have the confidence to tackle it.

Bear with me, I’m circling back round to the point – of ‘WHAT HAPPENED NEXT?’ – slow burn…

So, as I said earlier, I think at the moment my writing here makes it look like my therapy is just one long protracted shit show/mess when actually it’s mostly just steady, consistent, safe work but also it’s not really all that interesting. I mean, it is interesting to me, but the safe, familiar, connected, conversations and sessions aren’t really exciting to read about. We talk, we connect, sometimes we read stories, we laugh, we cry, we cuddle, we do the work…mostly.

Week in week out I show up, she shows up, and we keep going deeper and deeper into the deep darkness of my psyche, but we’re holding hands and, generally speaking, there’s a candle to light the way and so it feels safe because I am not doing it alone anymore.

I think, therefore, that ruptures take me all the more by surprise these days because Elle and I have such a solid relationship and so it completely knocks me for six when things go wrong. When we lose connection it feels like our hands separate and the candle blows out for a minute and it’s fucking scary because I really don’t like it in the dark on my own.

But I guess there are ruptures in any therapeutic relationship – I mean there’s so much written on rupture/repair in therapy that it would be naïve to think that any therapy is perfect. The important thing, though, is that ruptures aren’t too frequent and that the repair is effective and fast. Just like parenting, therapy on balance needs to be ‘good enough’. Elle is really good like this. She doesn’t leave me hanging when I tell her I am in a pickle and to date, she has always received whatever I have to say with openness and curiosity.

Until recently there hasn’t really been anything ‘major’ happen outside the normal run of me getting angsty and upset around breaks, or feeling disconnected and so the rupture has been triggered by my attachment issues rather than something being properly amiss. I might be activated and upset but not because of anything that Elle has done ‘wrong’. This last couple of months, however, has seen us step up a gear in working through some big rupture content. Like it’s not “Like a tick” (Em) or “too dependent” (Anita) – but it’s felt like it was in that sort of sphere and that triggered the shit out of my system.

The good news is Elle has been so receptive to what I have to say when I bring it to her. She doesn’t run and hide. She knows how to apologise and take responsibility/accountability for her part in things. She never shames me (which is huge), and as much as we have had some really BIG conversations lately, it’s honestly really refreshing to be working with someone who is able to reflect and is always wanting to do the best by me and really invites me into bringing EVERYTHING to her even if I am swimming in shame and embarrassment.

This is especially helpful after Anita became so incredibly defensive and avoidant in the last year of our work together. Of course, I would rather not have had these ruptures with Elle but at the same time it feels like we a doing some serious rewiring of the system when I see that I can bring my big feelings to her and she will do her best to repair. She shows me again and again that I am important to her.

I won’t lie. The most recent rupture when I found reference to my work with Elle on a therapist forum (albeit anonymous on both sides) really floored me and it was a right fucking mess. I truly believed that the person I thought I know and loved was someone other than she had presented herself to be – and that felt so upsetting and dangerous to my system. To think that Elle was feeling like I was some kind of pathetic client who refused to see that we were in a therapeutic relationship was so painful…even though that isn’t what it was at all.

My ability to take really small snippets of info and join a handful of dots and turn them into a spectacular constellation of horror is nothing if not impressive. I wish that I could see the 99% of brilliant alongside the 1% of terror – but when I am in the scary zone I can’t remember anything good at all. My fear takes over and all my stories about being too much, and being unlovable, and that I can’t trust anyone get really loud…but mostly I feel my system collapsing internally because this is how we get left isn’t it? This is the start of the abandonment playbook.

Elle being away on holiday and it all tying in with the anniversary of the end of seeing A was just the icing on the cake really, like if I was ever going to be primed for being sensitive to perceived abandonment and rejection – this was it.

So, what happened after I posted the blog?

OMG RB are you actually going to cut to the fucking chase? – after 2000 words?!

Well, I sat on my hands for a few days, tried to keep myself busy, and basically got more and more upset at the idea that I had misread the relationship that I have with Elle. I know I am client but I had never imagined that she felt that I was a problem, or that I didn’t understand the boundaries of the relationship, or that she saw me very much in a black and white way as a ‘client’ that needs to understand I am just paying for her time.

Seeing that online post title (but not being able to see the actual post as it was deleted) and the replies from other therapists hit me so hard because…well, it sounded so much like something Em would have said…and nothing at all like how I have experienced Elle in the room. It confused me, but mainly it devastated me, because in that week I was completely unable to reference any of the last nearly two years of work with Elle where she has demonstrated care and that she is a safe person…and instead my Inner Critic went, “See, this is it, behind the mask, it’s all just a façade to get you to part with money each week and make you keep coming back. The reality is you’re a fucking loser and here’s another therapist that can’t tolerate you.”

As we all know, part of complex trauma means it takes me a very long time to trust people and yet I really and truly believed that I could trust Elle…and now here I was…once again falling face first into the reality that there’s something wrong with me. I felt like my barometer for safety had royally let me down. Like, given EVERYTHING that has happened with Em and Anita, you’d think I’d spot inauthentic communication and relationship a mile off…and yet I hadn’t. In fact, I’d completely missed it. If anything, all I have found with Elle is someone who seems to be really honest and real.

So yeah.

It stung.

Then I started down the spiral. Maybe I’d just let my guard down too much. Maybe I was hurting so badly after what happened with Anita that I would overlook anything to feel safe and held. Maybe my search for ‘mother’ meant I’d latched onto Elle’s care that simply wasn’t there and created a version of her that simply wasn’t real – it was all just wishful thinking that maybe, just maybe this time someone would see me as I am and love me for it.

But that simply isn’t the case because she is real and I feel her care. If anything, Elle has had to work three times as hard to earn my trust BECAUSE of the damage that has been done by others that have come before her. My protectors are elite level royal marine commandos at this point, not sleepy security guards.

I wrote that post about what I’d found on the Saturday and by Thursday night I was … down in the depths of the spiral. I was swimming in shame. I was so hurt. I was so badly disconnected that I had no idea how I would come back from it…and my runners were ready to run.

So, thinking Elle would be more or less back from her time away because the thing that her and my friend do together was happening that evening, I sent the blog by email because I just couldn’t wait another five days to see her or start to try and fix it.

And then I heard nothing.

Fuck.

This was not like Elle AT ALL.

(Of course, I didn’t know she was still away with patchy signal up a mountain…)

Twenty-four hours after I sent the email I got a long email in my inbox. It spooked me a bit because well, there was a lot and my scared little heart was scanning for rejection and also I know that that post was A LOT. I can see now that she was really trying to reassure me and explain as best she could what had gone on whilst also being aware we were not in the room and that this wasn’t going to be an easy fix via messages…

The end of the message said:

I feel sorry you don’t believe that I love you and that my care for you is anything other than a real human emotion grown from knowing everything about you that I do, but I think I really do understand why.

And just because you don’t believe me, and even try to find evidence that I don’t, that doesn’t mean I’ll stop, or punish you for it. I am a person who loves you and wants to support you, that’s all I’ll ever be, and every decision I’ll ever make is based on that.

And you can ask me anything you want about any of this on Tuesday, and I promise I’ll answer you carefully and honestly from that same place.

And I can see that this, and the paragraphs that came before it all come from a really caring place. But because my system and runner ducks had had almost a week’s head start on her, my protectors, my teen, all the hurt parts simply replied:

I don’t want to see you anymore.

Fuck.

And then there was more silence from Elle’s end which freaked the absolute living shit out of me because what if she took that at face value and was so hacked off with me that she would let me go.

When she finally did reply, it didn’t sound enough like the Elle that the littles needed – and it panicked me. I realise now what was going on but in the moment the fear was massive on my part. She didn’t do an Em on me, by any means, and she did tell me that she felt sad and heavy and that she understood that it felt too much for me but that she was there and would always want to see me if I wanted to and that she very much would want to see me on Tuesday if I felt able to… it didn’t land how I needed it to, but I was able to see enough that she was trying and not giving up but I could also read that she was struggling too.  

Fortunately, her message was enough of a way in for me just do the vulnerable and tell her what I needed in no uncertain terms – that I was scared, that I needed a hug, for her to hold my hand and to hear her voice – and then she replied with exactly what I needed and it sounded like her:

I’m super conscious that – halfway up a mountain with shitty reception, broken glasses, and just my phone – I’m in the worst place to be reassuring you that I’m close to you right now, but I am, and yes, very very definitely holding your hand.

I’ve had lots of feelings about this, but not one of them has been to let go of it. I also wish I could be there for an all-encompassing hour-long hug, but I absolutely promise from the side of a windswept mountain that I will be again very very soon. xxx

It wasn’t until this point that I realised that she wasn’t actually home yet and had been communicating with me as best she could from a tricky location. I felt bad because the one thing I had wanted to avoid was encroaching into her holiday time with this mess…and it turns out I had.

On the Monday morning, I got my personalised session reminder telling me that she was just home and looking forward to seeing me the next day. I felt way more settled even though we were still going to have to talk it all through…and repair…and it wasn’t going to be an easy session by any means.

As I said earlier, this whole thing was made so much worse because we were on a break and the break also coincided with the anniversary of Anita telling me she had to end therapy…I was looking for danger and seeing it EVERYWHERE. If we could have sorted it out immediately when it was happening it would have been so much better, but that’s the sod’s law of therapy (and my world) the shit rarely hits the fan at a point where it can be contained and not cause much damage! It ALWAYS comes about when I am a million miles away from a shower.

I braved up when I had seen Elle’s morning text and sent her a message which alluded to something she wrote in her original email response to me where she has said something about how it was her job to always think carefully about what she shares of her process and only telling me what she thinks is beneficial for me to hear:

Glad you’re back safe. I feel really anxious and like I have inadvertently thrown a grenade in between us that’s just about to explode. I need you to be honest with me tomorrow. Not ‘honest but couched with a “this is beneficial for you to hear”’ like the actual truth even if I might not like what you have to say because I’d rather that and know exactly what’s going on rather than some half-truth and also it’s absolutely fine to walk away if that’s easier.

At the exact moment I sent the text I got a notification came up on my phone that Elle had sent me an email.

And talk about synchronicity – what she sent me couldn’t have been more real and honest if it had tried. I knew from that email that we were going to be fine, and actually will continue to be fine as we bump along down this road together.

By the time it got to Tuesday I was just desperate to reconnect and sort things out.

And we did.

It was a proper digging in deep, honest, raw session that felt really connecting. We talked about such a lot of stuff. Elle apologised for the post and explained where she had been coming from. And of course, her intentions and my version of her intentions couldn’t have been further away from each other.

I won’t go into lots of detail about the ins and outs of what was said but what I will say is that it is incredibly refreshing to be able to bring the biggest scariest fears and hurt to someone and for them to own their part in it, and be completely present and willing to talk about ALL of what has happened. No blaming, no shaming, no putting it squarely back on me, no clipboards, no withdrawal or freezing me out – just getting in the tough stuff together and forging a deeper understanding of how we impact one another and what that means for us going forward – and how to manage things in the future.

I don’t like ruptures… but I am confident in Elle’s ability to make repairs. And this is a lot of my work having grown up in an environment where I could never speak up about how hurt I was, or if I did so much as show hurt or dissatisfaction it would bring on another barrage of abuse.

One of the things that Elle and I have committed to is trying to bring stuff up in closer connection to each other. I write a lot, and it is helpful, but I think we both find it hard reading about ourselves in the third person… I mean, she’ll never write about me again and has shut down that social media account altogether now, but I know she doesn’t find it especially easy reading what I have to say without my being there either… because just like I focus in on the scary 1% rather than being able to hold in mind the 99% she’s human and does the same sometimes especially if it looks like she’s really hurt me and HASN’T MEANT TO.

She’s really good at doing her own internal work but we’ve figured out that we have similar stories around being too much/not enough. So, my ‘too much’ can often trigger her own countertransference about being ‘not enough’ or being ‘misunderstood’. And so sometimes sending things in written format can make it so we don’t see the entirety of what’s really happening. The good thing is we are now both really conscious of this and so can work with that explicitly.

And this week, yet again, this stuff was tapped into.

It’s been a month since we repaired the rupture, but we haven’t returned to it explicitly and I think sometimes I need to keep doubling back and checking in on this kind of thing. So, after my session last Tuesday (which was lovely and holding and connecting) part of my system piped up and started wondering where we were at now. Was everything really ok, or was anything festering on Elle’s side. So, I decided to ask Elle where we were at and what would happen if we found ourselves in that place again in an email.

I’ll write about that next post because this is insanely long already. But one good thing to come out of the haze was that rather than continuing down a road of trying to find her in the fog, I just asked for a phone call to check in…and that was gold. So, that’s my next plan – try and build in a regular check in at the end of the week regardless of where we are at.

I’m sure this post is vague…and frustratingly lacking in detail about the rupture… but mainly I wanted to come back and say that it’s all ok. I wanted to write this sooner, but I have been really struggling with going anywhere near the laptop to write about it even though it’s fine. It’s weird. Sometimes I can just write and it comes freely and other times my brain just won’t allow it.

Anyway, if you got through this, well done!

Some Real (Unfiltered!) Therapist Testimonials

rubberbandsandchewinggum23 Comments

Have you ever wished there was a space where you could see the real experiences that other clients have had with your next/potential therapist rather than relying solely on unverified ‘glowing’ testimonials that therapists place on their own websites to help you decide whether they’re the ‘one’?

Shopping for a new therapist isn’t easy. You can do all the due diligence in the world: research, ask questions about their practice, their modality, how they view the therapeutic relationship etc… but you’re rarely going to get a therapist admit to their previous mistakes, difficulties, or lack of competence in the early days (although it would be really great if they did!!).

Not very many therapists open themselves to Google reviews (unsurprisingly!) as they have no control over what’s posted and it’s almost impossible to get a Google review removed. The thing is, you’d think on balance if these ‘professionals’ are even half of what they promote themselves to be online then their ratings would even out over time. The odd unfavourable review pitted against a stream (tsunami) of gushing five star ones wouldn’t be enough to paint a wholly negative picture would it?

There surely can’t be all that many of us out there that have been so harmed in therapy that we want to give our honest zero star reviews and warn other clients off can there?

I think we know the answer to this question 😆.

So, given that ‘Trust Pilot For Therapists’ doesn’t actually exist, we’re left with no option but to try and trust and put faith in what we see online. Most unwitting clients take therapists at face value from the glossy bios on the BACP website, or other therapy advertising page, or a therapist’s own personal website (cue soft lighting, benevolent smile, a nice cardigan, or some outdoor woodland scene) and the likelihood of us ever finding out what might have happened in the past that might be – how shall I put it? – less than optimal remains concealed in the shadows.

I think it’s tricky, too, when we do take steps to book a session and go and meet someone new because although we might get a ‘gut feeling’ about someone from the off it can take a while to get a sense of whether someone might be a good fit or not. This is especially the case if we’ve been hurt in therapy before. Our antennas are looking for it feeling ‘wrong’ but there’s also a part where we think we should override doubts because it’s probably our defences.

Meeting with Elle for first time was hard. I’d just come out the long-term therapeutic relationship with Anita and then done eight sessions with Hannah that crashed and burned. Therapy wasn’t ever going to feel safe and part of me hated Elle because she wasn’t Anita and she didn’t know me.

Still. We made it through to where we are now- almost two years in.

Last night I decided I’d write my own therapist reviews for some of the ex-therapists I’ve had and let my claws out – it was more Wolverine than cute kitty. Can’t see these ever making it onto their testimonial pages, can you?!!

Enjoy. 😉

P.S – If anyone feels like they’d like to write their own (positive or negative) and ping them into the comments, I’d love to see them! You’ve got to laugh otherwise you’d cry…and man, I’m all too familiar with the crying.

*

EM:

As a highly trained and experienced clinical psychologist, I had high hopes for my therapy with Em. She said she specialised in trauma as well as many other of my presenting issues. It turned out that Em is frightened of entering into relationship with her clients and thinks that any move on the client’s part to try and discuss the therapeutic relationship or feelings that arise in the relationship is getting away from the therapy and is in fact ‘pushing the boundaries’. Em is unwilling to meet the client where they are at and operates from a one size fits all model (although she would call herself ‘integrative’). As a therapist, Em says that she is able to handle all the feelings a client might feel and welcomes them – only I wouldn’t recommend expressions of love or anger should you enter into therapy with her as these may trigger her into calling you an adhesive parasite as well as suggesting that you may secretly want to fuck her. If you have any feelings of compassion for those with mental health issues – she is not the therapist for you, as she believes that the majority of her NHS clients are ‘playing the system to get their PIP’ and if this isn’t enough to put you off- I found out much too late that she is a tory (as well as a class A cunt). 0/10

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ANITA:

Anita presents herself as an ‘ethical’ therapist who takes great care and pride in her work. This could not be further from the truth. She is, in fact, more damaged than the clients she professes to help. Indeed, she is the equivalent of an emotional wrecking ball. Her avoidant personality means she is unable to take accountability for her actions and behaves very much like an ostrich. Anita is neither emotionally intelligent or competent enough to be working as a therapist and it is laughable that she believes her services are worth £60 an hour. My advice would be take your money and set fire to it. It’ll do less damage to you in the long run. Don’t be fooled by her website and the extensive list of glowing testimonials. The truth of the matter is that Anita has left a trail of devastation in her wake and justifies her serious failings by repeatedly citing her ill health and ‘situation’. Her situation is of her own making, and her health has been steady enough to get married as well as sustain her counselling business. If you are seeking a therapist with integrity and honesty – Anita is not the therapist for you. Steer well clear. 0/10

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HANNAH:


Hannah is an inexperienced therapist who really should only focus on light work – she is certainly not equipped to deal with trauma. As with many therapists, her ego is far larger than her capability and she is prone to bite off more than she can chew. As much as suggestions of practising ‘yoga’ and going on a ‘retreat’ would maybe be welcome from a friend when sharing your struggles, it is hardly helpful advice from a therapist talking with a client who has been in therapy for many years who has a complex trauma history and recent trauma from therapy harm. This is straight out the playbook of CMHT suggesting a warm bath and cup of tea to people suffering suicidal ideation and self-harm. Chat GPT would dish out more helpful strategies than this at no cost and from the comfort of your own home and phone. Hannah does, however, have a nice set of colouring books and pens. 2/10 Give her five years and she might be worth a visit.

If (When) I Run Away – Please Come And Find Me.

rubberbandsandchewinggum4 Comments

Last year Elle and I were talking about when things have gone wrong in my therapies (there’s plenty of content there and we visit it regularly!) and situations where a client might choose to ‘end’ and not come back to therapy but it feels somehow unexpected or not the ‘natural end’. I was in one of those sensible adult places, not activated (!), and so able to express some of what goes on for me when the wheels feel like they are falling off in the therapeutic relationship and how panicked I get. I recognise that sometimes the reasons I bolt for the door (sometimes literally) are often not what appears to be happening on the surface in the moment.

What can seem like a very small trigger can send me totally spiralling…but then that’s hardly surprising when we look at this through a Complex Trauma lens, or the fact that I have tonne of parts who are all processing stuff in their own ways – many of which are not particularly sophisticated! Of course, my four-year-old self and teen parts don’t see things the same way my adult self does, nor have they the skills to manage things in the way that my adult does. You’d think I’d be ok, though, seeing as I have a really fucking competent adult self. The problem is, my system is complicated, has the capacity to hijack me, and I am really really good at dissociating. Adult self is rarely there when I need her when I am freaking out.

Let’s face it – what scares me (all of me) more than anything is broken connection, feeling like the attachment is severed, and that I am on the verge of being abandoned. This is not at all surprising given my history because there was a time when disconnection really was a life-or-death situation. My mother’s PND did nothing for my little baby self or my developing nervous system and I have spent so much of my life in survival because my caregivers have never been reliable.

It’s hardly surprising that when I feel like the relationship with Elle (or A or Em…) is headed towards a cliff edge I am the first to run away. I am the absolute queen of ‘leave before I get left’ which is why I absolutely need my therapist to know this pattern and make sure I don’t bolt and disappear when there is a rupture (even if from their side it might seem small, repairable, or can wait). Ruptures can feel catastrophic to my system these days because … well… there have been ruptures where I have been hurt really badly and basically been abandoned and rejected because of my responses. Think of Em. My reaction to being called a tick, calling her out on it, and running scared didn’t see her try hard to meet me in it, to apologise, to understand why I was terrified, she just saw it as a perfect opportunity to let me go.  

Anita was way better at handling ruptures… until her life collapsed around her ears and she couldn’t hold herself let alone anyone else. The damage from that ending is ongoing and painful. I feel so sad that in the two years since I last saw her, she hasn’t been able to step outside of her struggles and meet to end but that’s not what I am here to talk about today… although it definitely fed into the intensity of the panic I have felt with Elle during our recent rupture. 

So, what’s this post all about?

This is a pre-curser post to help understand a bit of what happened in the most recent rupture with Elle (i.e when I brought it to her attention). Because yes. I got myself in a mess. A big one. And I ended up sending her this message:

I don’t want to see you anymore.

You can only imagine what sort of a state I had got myself into to send that. Eek. Like, I am the person will ALL THE WORDS… not none!

I’m almost done writing that post – and it’ll be up soon. But suffice to say it’s been a wild ride.

I am glad, then, that over the time I have been working with Elle, I have given her pieces of the map of me so that she has been able to understand me better and figure out what I need.

Most of the time I probably appear pretty together when I see her despite the crap that keeps hitting my day-to-day life. I probably seem a bit wounded and in need of support for my little parts but also seem generally functional. Sometimes I am a bit closed off but I am present in the room rather than off in space dissociated. The completely derailed, panicked, reactive, scared stiff self hasn’t really made it to the room (she’s done some emailing though!) – or if she has, she’s not been triggered BY ELLE. Elle has been a witness to the struggle and in support role in the room, not the trigger. It’s only this last month that Elle has had to misfortune of meeting that part of me in person.

Anyway, back to last year. I was testing the water with Elle knowing that it was only ever going to be a matter of time before something triggered my runners and protectors and I needed to know how she would respond if I unexpectedly disappeared. We all know that there are those diehard therapists who will say “I respect client autonomy, and if they choose to leave that’s their choice and I will not contact them thereafter. It’s up to them to contact me should they want to resume therapy.”

Puke.

Honestly, this kind of therapist really annoys me more than anything. If that’s your stance as a therapist then you absolutely should not be working with C-PTSD or people with multi-part systems. This ‘in the service of the client’s autonomy’ is bullshit. I’m not for one minute saying to beg and plead for a client to come back, that’s not realistic. But so often when we start running and slamming doors behind us, it’s not because we want to leave – it’s because we are scared! And we need for the adult, regulated nervous system (therapist) to remind us that we can come back, that we are wanted (even if we are having a tantrum and full of shame), and that they are committed to working through EVERYTHING with us even if it is HARD. Letting a triggered client disappear out the door is abandonment… it’s not kind.

And so, that day I asked Elle if she had ever made a mistake with a client that led to termination and what she did, or what she would do differently. Elle told me the about the biggest regret of her career was a time when she wasn’t as sensitive as she could have been with a client who kept cancelling last minute. She reached the point where she enacted her cancellation policy after several missed sessions – i.e charging for the session by sending an email, and the client left as a result – never came back in. Elle said she had failed to recognise potential wounding around money and still feels terrible to this day.

Mistakes and missteps happen, but what I wanted to know was what she did when the client said they were not coming back. Was she a ‘respect client’s autonomy and let them go’ therapist, or did she do something different?

Elle assured me that she had reached out and suggested that they meet in person but that the client didn’t want to come back, that there were some back and forth communications but that the client ended.

[For the record there was nothing identifying or specific – merely Elle’s feeling that she fucked up and had learnt a lot from that.]

I told her that I would always want her to reach out to me because it made me think about all the times I ran out of Anita’s and how when I am upset I can pull the plug (or parts of me can) and how it is really important to me that my therapist recognises when I am truly wanting to end and when I feel backed into a corner and feel like I need to leave because I can’t tolerate the feelings of disconnect etc.

Even though Elle was clear that she would always contact me in a rupture situation – my brain was whirring after the session and so I wrote her this letter at the time:

I was thinking about what you said yesterday, about the client that never came back – because of course that’s what my brain does at 3am when I can’t sleep and the anxiety is doing its thing. I actually had a lot of thoughts, like I can think of hundreds of reasons of why that all happened, but I am sure there’s nothing you haven’t thought about over the years so it’s not relevant.

However, what it did make me really think about was what would happen if something similar happened with us. You’ve probably figured out by now that I am not someone who cancels last minute and, generally speaking, if I did it would be because something was out of my control with the kids or something. But, actually, there are times when I get completely hijacked by my system and the “I don’t want to go” (it’s much bigger and more complicated than that) is really hard to get around.

Tbh it’s rarely an “I don’t want to go” because there is lots of me that absolutely does but it’s sometimes more of a “things feel very wrong, something is up, I’m scared that it’s all going to blow up, I don’t feel safe, I feel hurt, abandoned, rejected, maybe even angry… [on and on and on]…and so I need to protect myself from that and stay away – and she doesn’t care anyway so what’s the point?! It’s better to leave before I get left…”

I mean I totally get what happens, where it comes from, what parts of me are involved, and yet when it’s happening it is not always easy to sidestep it. It would be funny if it wasn’t so tragic but I guess at least there’s a really clear trajectory on how it all runs which I guess at least I am aware of now. And I see it a lot. Clients, for whatever reason, find it difficult to go to their therapy, maybe don’t show up, and might seem to be ghosting but actually it’s not because they don’t want to be there it’s because there is some kind of a rupture (that maybe the therapist has absolutely no clue about) and they, for whatever reason, can’t bring it to the room.

So many of us are conflict avoidant and even though bringing ‘big feelings’ shouldn’t be a problem, I guess most of our experiences have been that when we have, we’ve been mocked, or shamed, or abandoned, or gaslit…you know the deal… and so we’d rather not risk that repeating. I think sometimes, too, part of us knows that our reaction to whatever has been triggered is MUCH BIGGER than it ‘should’ be and so there’s shame and embarrassment there too because we feel completely derailed and it’s not even that big a deal (only it is a massive deal!).

I think it can be all the more unsettling for people that don’t really spend much time contemplating the therapeutic relationship and so when something between the therapist and client happens it’s hard to know what to do with it. Like it’s much easier to say, “I’m sorry, I’m sick” rather than, “I feel really anxious and something you said has really upset me” when they thought they were there to talk about their work stress and all of a sudden all this other shit is stirred up.

Sometimes it feels like a toddler or a teenager having a tantrum but actually I think that’s exactly what is happening – whatever is being triggered isn’t necessarily conscious and, in that moment, the adult self isn’t available enough to navigate the situation and all we know is that it just feels huge and insurmountable and overwhelming and completely in our bodies – and so the instinct is to run away and hide.

In some ways I think this can be really hard to manage because whatever is happening to stop a person turning up to therapy feels massive to them, and acting out can bring on all the massive feelings of shame and embarrassment afterwards and basically like you just want to crawl into a hole and die. It takes a lot to feel brave enough to come back and talk it through, and there has to be a strong enough sense that the person opposite you isn’t going to confirm everything that you fear is happening. It really is like with toddlers and teens. They need an adult to help them out of their meltdowns sometimes and an invitation back to work things out.

It is really complicated (but also not). I think when people don’t show up, rather than being flaky or disrespectful (I mean I guess there must be some people like that), is about testing whether the therapeutic relationship is strong or not. Like do you care enough to come find me if I disappear or will you just let me go? And I really get that this is complicated because all the training is like, ‘therapists should respect client autonomy’ and all the shit about not creating a dynamic that encourages ‘game playing’… only that is really pathologising and really makes it seem like everything that happens is down to us. It’s not game playing, it’s trying to protect ourselves.

As I said, lots of us have been hurt over the years and haven’t had the experience of managing conflict in a way that doesn’t somehow burn the house down and so rather than face a situation that potentially will hurt us more on top of whatever hurt feelings we are already feeling, we disappear. I think, for me at least, if I experience something as being abandoning or rejecting then it absolutely triggers the need to run away.

I’m not explaining this brilliantly well, and this is looooonnnggg, but I guess what I am trying to say is, if I cancelled last minute, or didn’t show up it’s not because I am rude, or don’t respect boundaries or whatever else – it’s because something is really wrong (from my side) and it feels too hard to come. If you just let me go and never contacted me to find out what was up or didn’t reach out and invite me to come and try and figure out what’s going on with you in person, actually what it confirms to me is probably everything I was running away from in the first place which is the feeling that you don’t care…

I’d like to think that a situation like this would never happen – but I also live in my head and experience often enough my runner ducks bolting. Just usually I have enough time to gather them back together before I see you.

Having a therapy go south in this way is sooooo common and causes such a lot of hurt to those involved. I have way too many stories – not just my own! – and I was wondering whether after the event a therapist reaching out would make any difference. And I think it would. An opportunity to talk through what happened when it’s not live would probably be really helpful because I think we tend to carry this shit around for a long time. 

Anyway, that’s… a lot. I’ll try not to run away, but if I do, please come and find me. X

And so… I guess it was helpful that I sent that last year, because Elle did come and find me…and the session when we did get to meet was HUGE. I’ll get the ‘what happened next’ post up asap.