Eye Contact In Therapy

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Making and then maintaining eye contact with my therapist is something I find really difficult. In some sessions eye contact feels more possible than in others; usually when the session is light and I am rooted firmly in my adult. These are the days where I can look at her for a few seconds before looking away and our interactions feel more ‘normal’ – i.e real life, outside world, not massively emotionally charged. But of course there are those ‘other’ days, those painful sessions, where I will avoid eye contact for the whole 50 minutes, scanning the book shelves for the millionth time, or staring at the corner of the room. Should our eyes meet I look away almost as though I have been burnt. The meeting of our gaze can feel so exposing.

I’ve mentioned this kind of thing in passing a few times in this blog. It’s an issue that has been on my mind a lot lately and then this morning I got an email from a friend, who is also in therapy, asking me about my experiences with eye contact because it’s an issue she’s struggling with; and so I thought it might make for a good blog post – it can’t just be the two of us that have this problem!…in fact I know it isn’t!

I feel a bit woolly headed at the moment and I have noticed that my ability to formulate my thoughts in writing (and verbally, actually) is really proving tricky so bear with me here. I don’t know why, but I feel like I keep having to preface my posts with an apology at the moment. I can’t seem to get my mind clear enough to express things in the way I would like but I still feel like I need to write. I’ve been having a bit of a crisis of confidence and that was initially the topic I planned to blog about today but this is more interesting.

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So, yeah, eye contact.

Bearing in mind I have known my therapist for six years and been working with her for three of those years you’d think, by now, eye contact wouldn’t be an issue for me. Wrong! It’s funny (not funny haha more funny ironic), I’ve found the longer we’ve worked together and the more I’ve let her see of ‘me’ (whoever the fuck that is), the harder eye contact has become. It might seem counterintuitive that the closer you get to someone the harder it gets to look at them but it is how it has been for me and I think I am beginning to really understand why.

If you met me in person for the first time you’d be faced with a friendly, confident, articulate, caring person (that feels a bit ‘big headed’!) who does their best to make you feel comfortable in our interaction. I am a good listener, ask thoughtful questions, I make all the right noises and maintain just the right amount of eye contact. I am not nervous in new social situations (well, not outwardly, you’d never know what’s going on inside – quaking child ‘please don’t hate me’) and people say I am easy to talk to. But see that stuff doesn’t work in therapy does it? Because it’s not about looking after the other person (therapist) and so I can’t employ my listening skills in that way. I can’t deflect the attention away from myself.

Having said that eye contact shouldn’t be a bother, should it? …. and it wasn’t in the very beginning…

When I first met my therapist, I was far more able to look at her (I noticed this was the case when I went to see the other therapist in January following the rupture too). What’s the deal with that? Well in the beginning of the relationship I was operating from the adult persona and I wasn’t attached to her. I attended therapy as the person I have just described above. Sure, there was a reason I was coming to therapy but for all intents and purposes I was functioning and coping and together (on the surface at least!).

It took me about 9 months to properly settle into therapy with my therapist; part of that was because I knew it was a time-limited activity on the NHS (12 months) and I didn’t want to be left hanging at the end of it all if I did open up. I knew some of what was lurking in the depths and part of me knew that 12 months of therapy wasn’t going to be adequate. So for those first few months I talked and talked and talked and looked and looked and looked but I did not connect with what I was saying. It was almost as though I was recounting someone else’s story. It was easy to look at her because I wasn’t feeling anything about my story.

There’s been a lot of trauma in my past and yet for the longest time it has felt like it belongs to someone else. I would recount very matter-of-factly what had gone on but I felt like there was a concrete block between my head and my heart – a huge wall between my left and right brain. I still struggle with this. The level of disconnection from myself is massive.

Then it happened, the attachment stuff awakened in a HUGE way and I was done for. I would go to session and sit there, unable to look at my therapist knowing that soon I would lose her and I just couldn’t cope. I know she noticed the change in me because the therapy also changed. There was a different level of connection. I didn’t know how to handle my feelings and resorted to the usual well-used coping strategies. I started to lose weight and self-harm again, desperately trying to cope/run away from the impending sense of loss and abandonment.

I couldn’t name the different parts of myself at that point, that only really started to make sense to me about a year ago. Back then all I knew was that I was sinking. I desperately wanted to connect with my therapist but I was frightened to. I didn’t know that the fear was the fear of my child part. I didn’t understand that part of the reason I couldn’t talk was that she doesn’t have much vocabulary because she is so little. I didn’t know I was dissociating. I wish I knew then what I know now!

Even though my therapist succeeded in getting my therapy extended by an additional four months (because things had got so bad) I still couldn’t open up fully and eye contact was almost impossible by that point. It was tricky, I felt like I had secrets I wasn’t telling her (the anorexia/self-harm) and so couldn’t look at her. At the same time I wanted to be known by her, I wanted to share the burden of what I was carrying, but felt there wasn’t time so couldn’t look at her!

Fast forward to now and the issue hasn’t changed much…or rather it has but the eye contact is still a bit of a problem.

The issue with eye contact (in the therapeutic relationship) is that it’s all about being seen. Eye contact means vulnerability, honesty, intimacy and that generates …fear. There’s lots of other things but I think they’re the main elements for me. It’s a double edged sword. I long for that level of intimacy and connection with my therapist that making eye contact affords; I often find the times when I can look at her for more than a split second that I feel much better, more grounded, and less alone.

It seems like a simple solution really – look at her and feel closer to her, right?! Win. Unfortunately, it’s not just a case of looking at her and feeling better…my goodness I wish it was as easy as that!

As I said, if I am surface level talking I make a reasonable level of eye contact in session. If I feel secure in myself and with her, I am can make some eye contact. If, however, I feel unsettled, dissociated, activated, in a child state, teen state, or the critic is present it becomes really very difficult for me. I look at her, meet her gaze, and retreat immediately. It’s too overwhelming. It’s frightening. It’s too much.

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Sometimes I really don’t want to be seen, either. I feel shy. I feel ashamed. I feel embarrassed. Usually this is comes up when I am experiencing strong loving feelings towards my therapist or have really missed her during the week. I feel like if I look at her she’ll see right down into my soul. She’ll see the longing of the child that desperately wants to be held. She’ll see the intensity of the feelings I have….and then if she sees that, then she’ll run away. She’ll terminate. That’s the fear.

The adult part of me knows that she can totally handle all my feelings. Hell, we both know these parts exist and we know what their issues are. We’ve talked about it all enough! I know she can cope with my love as well as my rage…but in the moment when I am struggling to look at her, that rational part is just not online. The trauma parts are live and active and all they can see is that if I let her see how I feel, if I let her see the real me in that moment, I will lose her. It’s not great. It’s not rational. It does, however come from somewhere.

I’ve been trying to pinpoint where it originates from; I know some (ok a lot) of it is from being little but I also think perhaps it’s a huge throwback to what happened when I came out. It’s almost like because I am letting my therapist see more of me in session and am being more vulnerable the fear of rejection and something bad happening escalates. I have experienced what it is like to have my world fall apart when I have been honest about myself and my feelings and because I really care about what she thinks, the idea of her telling me I am too much feels utterly devastating.

I am really aware that eye contact is something I really need to work on in my sessions. It’s just daunting. The part that keeps running away from being seen is so scared of rejection and abandonment but at the same time I know deep down that part absolutely longs to be seen and known by my therapist too. It’s so hard to navigate this but I guess it’s something to work on ‘bit by bit’ as they so like to say! I have a lot I want to talk about in session on Monday but I think tabling some time for eye contact would be worthwhile.

I’ll let you know how I get on.

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Anxiety and the wrong shoes

img_2559I am fluctuating wildly in my moods and behaviours at the minute. One minute I feel borderline suicidal and the next full of fight and motivation. I’d like to blame it on being hormonal – but I know it’s not just that. Sigh!

Last week I briefly spoke about how I had manically cleaned my house within an inch of its life in preparation for a therapy session via Skype (it doesn’t sound any less mental a week on does it?!) and how perhaps I was in avoidance mode; cleaning the house meant I didn’t have to focus on the ‘real issue’ at hand which was the rupture that my therapist and I had over Christmas and that we are (still) steadily trying to repair bit by bit.

I recognise that some of my behaviour recently has been a bit ‘on the edge of normal’ (whatever that is) and on reflection I realise that I have been operating from a point of high anxiety and it’s been subtly seeping into my day-to-day.

To be honest I am always slightly (a lot) anxious and/or depressed (what fun!) and am acutely sensitive to seemingly small things: changes in routine (especially my therapy) knock me for six and send me spiralling.

Apparently, I am a highly sensitive person (HSP); whilst this trait certainly has some benefits (being intuitive, empathic, feeling, with a complex inner life!) some aspects of it can be debilitating (social anxiety, noise intolerance, being overstimulated/terrified by violent movies, needing to retreat from the world when it feels overwhelming).

My anxiety escalated to an unmanageable level over the Christmas therapy break (anyone notice?) and although things are a little better now, particularly now that my therapy has resumed, I feel that the residual levels of stress and anxiety I am carrying are higher than normal and are massively impacting on my life.

Why am I anxious right now?

How long have you got?!

Clearly the usual things that bother me are still there:

  • My physical health (or lack of it) concerns me. I have been ill pretty much consistently since September and have so little energy that I have stopped exercising altogether (good for my weight but not a lot else) and am barely making it through the day even when trying to conserve my energy. My bloods suggest that I am still in remission from my Hodgkins but living on an 8 week turn around for check-ups is anxiety-inducing in itself. I live in a state of constant worry about if and when I’ll get ill again.
  • My fragile mental health – ugh! Therapy is causing me anxiety because although things are slowly getting better, my therapist and I still have a great deal of talking to do about the rupture that happened at Christmas. Whilst things feel so tentative my internal child parts are even less settled and contained than usual and so it is really hard to manage. This week all I have wanted to do is reach out to my therapist and seek some kind of reassurance. Don’t worry! I’m not stupid. I am not going to go down that route again. One rupture and sense overwhelming sense of rejection is enough to be dealing with; I don’t need to add any fuel to the fire. But it does nothing to alleviate my anxiety about feeling abandoned or rejected when I can’t reach out or even the thought of doing so reminds me of all that has recently happened.

 

Then there’s the extra shit – icing on the cake if you will:

  • My wife’s skin cancer is stressing me out. We are waiting on the results of her biopsies to know where to go from here-  but right now it’s a crazy limbo type space trying not to overthink things but underneath it gnaws away at me. I don’t have a brain that just shuts off, unfortunately. Oh my goodness I would love an ‘off’ button.
  • My best friend from primary school has been hit by the big C again and I am utterly devastated. As if it wasn’t bad enough getting diagnosed with breast cancer the day before your thirtieth birthday, going through chemo and having a mastectomy, she then relapsed eighteen months later – the breast cancer had metastasised and was now in her lymph nodes under her arm. More treatment. And now last week they’ve found it in her bones. I mean seriously. Wtf? I am so sad for her and her family. To face fighting cancer three times in less than five years with a young family is just hideous. I can’t help but become even more anxious about my own future, too.

 

Then there’s the minging glace cherry on top of the cake:

  • My neighbours. Ugh. It’s too long and dull a story to recount here but suffice to say I am not a crier (I struggle to hit those buried emotions) and yet found myself in tears on Friday due to an incident that happened. The ‘thing’ itself is not a big deal and yet because I am so on a knife edge with my ‘everyday life’ what happened last week sent me over the edge. My brain has run wild and my anxiety has spiked horrendously. When you don’t feel secure or safe in your home it’s horrid. I really struggle with conflict and even when I know I have done nothing wrong I struggle to not find fault or blame myself. I need to get better at managing stress!

Anyway. It’s been a bit tentative this week for sure. One minute I am desperately sad and frightened hiding in my bed, the next I am driving my car with the stereo on full blast belting out something from Pink’s new album (I think my teen part is quite lively at the moment – perhaps after the letter I wrote to her).

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Today Pink’s ‘Secrets’ was on loop in my car… the lyrics really resonate with me/the teen right now – it’s kind of how I feel about therapy like there’s a few things I need to let out the bag. It’s a right belter of a track too:

Secrets

What do we conceal? What do we reveal?
Make that decision every day
What is wrong with me, it’s what’s wrong with you
There’s just so much I wanna say

I like to make-believe with you
Da, da, da, da, do, do, do
That we always speak the truth…ish
I like how we pretend the same
Da, da, da, da, do, do, do
Play this silly little game, hey!

I’ve got some things to say
‘Cause there’s a lot that you don’t know
It’s written on my face, it’s gonna be hard to swallow
(Everybody’s got a secret)
I got some things to say
(Everybody’s got a secret)
‘Cause there’s a lot that you don’t know
(Everybody’s got a secret)
It’s written on my face
(Everybody’s got a secret)

I let the walls come down
I let the monster out, and it’s coming after me
Do you feel exposed where it hurts the most?
Can you wear it on your sleeve

Put it in the closet, lock the doors
Wondering which one is worse
Is it mine or is it yours
Put it in the closet, lock the doors
Wondering which one is worse
I’ll show mine if you show yours
I’ll show mine if you show yours, hey, hey, hey!

*

So, yeah, it’s been very up and down emotionally for me lately…To Monday morning, though. Get to the point eh?!

Usually I am pretty particular about what I wear to therapy. I try and dress well – not smart or anything like that, I just want to feel good in what I am wearing. I’m generally in some kind of jeans or dungarees (don’t judge me! I am a lesbian after all!) but I am fairly well put together – everything is clean and I make an effort with my appearance. Legs are shaved, eye brows are shaped, socks and pants are good! (like it even fucking matters! ha!)

I don’t usually wear makeup day-to-day but I generally slap on some foundation to cover the greyness and a bit of mascara to make my eyes look less tired on a Monday. I don’t think it achieves much but it is the mask I put on to go pour my heart out.

I’d describe how I dress for therapy as one of those casual no one would know you’ve made any effort looks – surf style. However, if I don’t blow dry and straighten my hair there’s an issue! I look like my granddad with his crazy bouffant hairdo. Oh man I miss my long hair that I could just whack in a tucked under pony tail. Damn you fucking cancer!

Sometimes I really cover up – even in the summer I can sit in a jumper with my arms concealed not wanting to draw attention to my scars or bony/skinny body. Other times I might choose to be more revealing – it’s a weird one. Sometimes I want to hide everything from my therapist and other times I want her to see me – I want her to know how things are. I’ve read a few posts about what people wear to therapy and I think it does tell you a lot about what might be going on both consciously and unconsciously.

Anyway. I felt pretty vulnerable on Monday (what with the rupture and having had the Skype session rather than a face-to-face) and wanted to snuggle up into something cosy and comfy (a onesie would’ve totally been perfect – but not ever going to happen!) and so I ended up in a pair of jeans I haven’t worn in a year or two (I have 25+ pairs – a bonus of having had the same frame since 17 years old) and a jumper I found when I cleared the loft out the other weekend… that come to think of it I had when I was in college too (hmmm maybe the teen part is more present than I thought!).

I was happy enough with the outfit but as it came time to leave home I had a problem. Shoes. Shoes? Yes. Shoes. I couldn’t find a pair that went with the outfit. Granted jeans and a jumper is pretty much all I wear and so really ALL my shoes go with this. But not on Monday. I couldn’t find a pair that felt ‘right’. I have 8 different pairs of Rocket Dog sneakers in various colours, trainers galore, and loads of other shoes…and yet for some reason nothing I put on my feet felt ok with what I was wearing. I don’t know what was wrong but I felt self-conscious about my feet…

The outcome? I changed my entire outfit to accommodate the shoes. I opted for my current favourite pair of shoes and dressed around them. I know. I think, maybe I need A LOT MORE help.

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All of the recent crazy has alerted me to the fact that I need to be very gentle with myself for the next few weeks – when possible. I know I am walking a fine line here and I absolutely cannot afford to crash and burn like I did at Christmas.

Positively, the session, once I arrived went well. My therapist and I really talked and I once I had got through moaning on about my current life annoyances/worries the conversation changed tack and went to a place that I am usually wary of going to for fear of judgement and feeling ashamed.

My therapist asked me outright about my eating disorder and self-harm. Yikes! Usually I recoil a bit from that kind of thing but I tried to stay present and open with her. Little by little we got onto talking about the therapy and our relationship. I told her how I have been feeling when I dissociate and how we need to find a way of working more effectively with the traumatised attach parts.

I managed, somehow, to stay in my adult but was able to be open and vulnerable with her for the remainder of the session and it paid off. I might be imagining it but things felt different. The session had a different quality to it and my therapist who almost NEVER self-discloses shared something with me and that made me feel much closer to her.

Anyway, the real challenge now is to keep on this path. I need to try and keep letting her know how things are and work through everything that has come up as a result of Christmas and before. I know she doesn’t deliberately do things to hurt me but because I am so frigging sensitive even the hint of a wrong word or tone can send me out into orbit. It’s really tricky.

My young ones are beginning to really struggle and it seems a very long time until Monday. I hate that it makes no difference to those vulnerable parts of me whether I have a good therapy session or a not so good one. I can leave the room feeling connected and cared for and yet I can’t hold onto any of it and still find myself feeling desperately alone and lost and abandoned by Wednesday. It’s devastating really. My stomach actually aches knowing that it is still four more sleeps until Monday. Adult me needs to try and soothe the upset little ones but unfortunately it is much easier said than done.

I don’t have a lot else to say really, so I’ll leave it there for now.

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Skype Session #2

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I wonder if I am just really rubbish at managing my time or if life is just taking the piss out of me right now? Finding time in my week to write is proving really difficult and so I’m not doing very well with keeping up to date with my blog at the moment. I know it’s not exactly a priority task, it can wait (of course it can), but actually this page has proven a very useful outlet and so I resent not being able to write. I have loads I want to say – but who knows when I will actually get round to writing it all down?

More often than not, I don’t even get to the ‘sitting down to write’ stage. This week has just been unrelenting. The level of stress and anxiety I have been under has been hideous and whilst I have longed for an hour to myself to be able to sit, splurge, and get it all out (the therapy stuff), the opportunity hasn’t presented itself until now.  Having said that, I am glad that I spent a bit of time writing to my teen midweek as things were/are pretty dire inside.

Frankly, it’ll be some kind of miracle if this post gets finished before I leave for my session tomorrow. I am so tired and overwrought that my brain just won’t work quite as it usually does.

Tomorrow is Monday and whilst I don’t necessarily want to write a blog post about every session I have – frankly that’d be dull as shit most of the time:

It started off fine; something happened and I got upset; my body reacted –numb/shaking; I dissociated; I couldn’t talk; child/teen felt distressed, critic dropped by; managed to talk a bit in last ten minutes; did/did not feel connected at end of session! Went home and brooded all week…attachment pain hell.

(Honestly, I really don’t need to any write new posts after that, do I? I can just keep posting that paragraph over and over! Time problems and blog writing issue solved – yay!)

Seriously though, I do want to keep myself in some kind of sensible chronology with these posts. i.e if there’s a session I want to talk about then I did ought to try and write about it before the next session comes along and shunts it into the half-remembered place in my brain where everything gets even more scrambled.

Right so, onwards to the ‘post’ – 400 words in and I’ve not said a thing yet. Is this procrastination or just an over-tired semi-manic state? Both probably.

This time last week I was stuck here writing about what to do about my session, knowing I couldn’t make it in person because my kids had been sick. In fact I was still stuck at 8:30am on Monday morning – the last moment I had to cancel or ask for a Skype session. The internal conflict was still going strong but in the end I did ask to do a session by Skype because I felt that I’d probably have a meltdown midweek if I passed up the opportunity to talk….turns out I had a spectacular meltdown even with the session, though. Ugh!

Once I decided that Skype was what I wanted to do I ….prepared for my session by thinking about what I wanted to say cleaned the house! (I’m not sure strike through always shows up on the WordPress reader so for those of you who are on it I DID NOT SPEND TIME thinking about my session until two minutes before I dialled in but blitzed my house instead!)

So yeah, by 10:28am the house was lovely and tidy: I’d hoovered, steam mopped the floors, cleaned the kitchen and bathrooms, dusted, cleaned mirrors, watered the plants, etc. I know. That’s fucking mental isn’t it?! Like seriously, the camera on the laptop probably gives a square metre of visibility and the place that I sat on the sofa in my dining room had received no special attention at all- but for some reason it seemed completely sensible to run round the house like a headless chicken/possessed domestic goddess/Cinderella creature and clean, clean, clean!

I don’t know if it was avoidance or what. I left myself just enough time to get showered and dressed before plonking myself on the couch and scribbling some very last minute prompts on some post it notes…something I had been meaning to all week (the notes, not the shower!)

Things have been a bit (a lot) difficult since coming back after the Christmas therapy break. The rupture that happened over the exchange of a couple of texts which led to me feel even more abandoned and rejected than usual hasn’t been repaired yet. We’ve made inroads into discussing what happened and, had I have had a face-to-face session last Monday, I knew there were things I absolutely needed to bring up and work though – even though it would be excruciating.

Sitting staring at the screen I wasn’t sure whether I would be able to bring those things up via Skype. Part of me thought that knowing that I tend to remain in a more adult headspace via Skype might allow me to speak more freely and tackle the difficult stuff because it would be unlikely that I’d switch into a young trauma part. On the other hand, not being in the room with my therapist might make it feel even more difficult to bring up some of the stuff that was hurting me still because the sense of connection would feel more stretched.

With a couple of minutes remaining before the session I wrote some questions/prompts (I’ve since tidied them up as the initial ones were barely legible and non-sensical) and stuck them round the edge of my laptop screen:

  • Last week I started crying when you moved and sat closer to me to do the migraine exercise. Can we talk about what happened and think about our proximity to one another?
  • You said in the first session back that you felt that my texts at Christmas were me trying to script you to say something, and that you wouldn’t do that because it wouldn’t have helped if you’d have said exactly what I’d have wanted – why then have you asked me so many times about what I might want you to write on the pebbles?
  • In September it was you that suggested writing me a note for on breaks. It/the pebbles haven’t happened and the break was dire. Can we work on this please?
  • You said something about not colluding with the child part that wants to be held because we can’t recreate what that part needs and the time has passed for that. I understand that but it felt like you were saying that working with the child parts explicitly is a no go – is this what you were saying?
  • When I dissociate I often end up stuck in a very young child part and it is really traumatised. When you sit and wait for me to say something I can’t, the adult part is offline, but your stillness makes it feel like the still face exercise* and it is agony. How can we work round this?

Anyway, I was all prepped and ready to go… and those post-it notes did not get a look in! Sigh! It’s almost comical isn’t it?!

Actually, the session was good despite my not bring up ANY of that stuff. To be honest just talking about how ill my kids and I had been; how exhausted and drained I have felt; how worried I am about my wife’s skin cancer; and a bunch of other things about my mum was what I needed. I just needed someone to listen to me about my life in the here and now – the hard stuff that is going on for me the adult and how some of it is triggering stuff for the young parts.

My therapist asked how I felt about Skype. I said that it felt different and like the session was really bad timing given where we were at right now, and that I felt like all the stuff that was bothering me was on hold. She acknowledged that it felt different, that there had been a lot that had come up recently in the therapy, how difficult breaks are, and that she hoped we could come back to that material and work through it together when I am ready.

So yeah, it wasn’t like we completely ignored the ‘therapeutic relationship’ stuff. We just didn’t dive right in. My therapist said she thought that given everything that was going on in my life right now it might be a good thing to have the lighter sort of session. I agree.

I spoke a lot about my mum – which actually doesn’t happen all that often. She’d gone off on holiday and hadn’t told me when she was going or where she was going. This is unusual. I usually get some kind of text as they are in the airport departure lounge and so it stuck me a couple of weeks ago that perhaps she was gone but hadn’t contacted me to let me know. This triggered all sorts of panic in me. No joke.

Firstly, I like to know when she is gone/due back and a brief itinerary of her whereabouts, travel insurance details because my dad died abroad whilst on holiday and it fell to me to liaise with the travel insurance company to get his body moved from a remote Thai island to Bangkok, to arrange his cremation, and then for his ashes and belongings to be flown home to the UK. I literally have panic attacks thinking about that month in 2008 and whilst I doubt very much my mum is going to die abroad, I’d at least like to know where she was if that did happen.

Anyway, then I started to get into an anxious spiral. Why did she leave without telling me? Had something happened and she’s in a mood with me? Cue all the young parts in terror. ‘What could I have done to annoy her? Why is she mad? Why is she withholding? What if she’s stumbled across this blog?’ And other totally irrational thoughts. The parallels between this and how things have been in therapy with my therapist are not lost on me!

I sent a couple of emails to my mum but knew she wouldn’t have her phone set up where she was going. Eventually on Wednesday she text me and then we spoke on the phone. NOTHING WRONG AT ALL. She’d had a great holiday and had been back a few days…

Panic over.

The thing is, she has no idea that a change in the pattern of our communications basically sent me over the edge into full blown anxiety. Whilst I clearly am not massively close to my mum our relationship has come on a very long way since my teens. I am processing a lot in therapy. I am both angry and disappointed that what I had growing up was lacking and has, in part, caused me such relational difficulties.

I wish I felt loved by mum, or the little girl part longs for that still – hence the mess in therapy with my therapist. That part so desperately wants to feel loved and is attached to my therapist now. My adult understands that my mum did her best, it just wasn’t quite enough. I understand that how she demonstrates care and love is not through the more regular channels of affirmations and holding.

The thought of what we have built up now being eroded because of her finding this blog was horrendous. I don’t want to hurt her. It’s not like anything I write isn’t true. It’s just that the adult part of me is learning to settle for what I do have now, and I appreciate the relationship that I have with her as her adult child. This blog, and my therapy, are about processing the pain of my childhood. So it’s tricky. I couldn’t bear to lose what I have now even though it is not quite enough for the young parts.

Anyway, I’ve gone off on tangent there. What a surprise! Ha.

So, yeah, the therapy session via Skype was good. It felt connecting. I think, in part, this is also down to the sense of proximity. That might sounds bonkers given that we were clearly 30 miles apart and communicating through a screen. But what is different in Skype is how much closer to me my therapist feels – i.e her face is closer to the screen and so she appears closer to me than when she is in her chair.

This is what I had sort of discovered with her moving closer to me in the previous session and why I really want to work on getting the chairs right now. It seems like such a small thing, but I think it could make a huge difference. I just need to pluck up the courage to talk about it ‘please sit closer to me!’ Knowing me I’ll just hand over the post-its and go from there! Lol.

Just before the end of the session I took my laptop into my living room and showed my therapist my, now, nearly six year old daughter and they had a little chat together. It was lovely. The last time my therapist saw my daughter she was 15 months old. She used to come to my therapy sessions as I started psychotherapy on the NHS when she was a month old and I was breastfeeding and didn’t have childcare.

My therapist said some lovely things about my daughter and how I was doing a really good job with her (of course I rebuffed that with a sarcastic comment – but I did feel happy inside!) then it was time to go.

It was a good session.

Sadly the rest of the week since then has been complete shit. I won’t go into it now…it’s a whole other post….when I get round to it! Just suffice to say, I thought I was at bottom a couple of weeks ago. Turns out there was a trap door. Ffs.

Anyway, that’s that. Wish me luck tomorrow!

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Don’t worry about it until it happens…

Don’t worry about it until it happens.

I am frequently on the receiving end of this nugget of advice. Clearly it’s well-intended and generally comes from an oracle who is extremely blessed not to struggle with anxiety or, indeed, any form of mental health difficulty (my wife)! Maybe she’s right. There is little point in getting wound up about things that are completely beyond my control and worrying about an eventuality that may actually may never happen- but just going on my experience, quite a lot of what I worry about seems to end up happening somewhere down the line!

I saw this on Pinterest earlier:

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And whilst I completely get the sentiment, my reaction to it was, ‘well it always rains sooner or later so surely that’s just being prepared!’

I can’t tell you how much I’d love to be able to live in the moment and not have every one of my internal cogs working double time, under huge strain, formulating ‘what ifs’ but that’s just not how I am built. I stress about the past. I stress about the here and now. I stress (a lot) about the future.

Anxiety is exhausting.

I fret a lot. I know that I think about things too much. My sprouting grey hairs are telling me that if I needed evidence! I sometimes wonder if the saying ‘ignorance is bliss’ is really true. I never really switch off and find it almost impossible to relax… it’s hard work being me. That’s not a cry for sympathy, it’s just an acknowledgement that running on turbo charge takes its toll after a while. It’s not sustainable.

I keep myself very busy (avoidance tactics) and then periodically end up burning out and drowning in whatever it is I am running from. The problem with the ‘busy’ tactic is that the stuff that I am avoiding is still draining energy somewhere in the background. If I were a smart meter there’d be a level of energy drain that is persistent and continual. It’d be a really good idea to unplug those energy guzzling elements but I have no idea what is plugged in or where in the house those items are located (that’s what therapy is about). So instead of conserving energy, knowing that there is this continual drain, in my frustration I just overload the system and plug in some bigger items so that the underlying stuff is just a buzz in the background.

I’m not sure about that analogy. It made sense to me when I thought of it!

Over the years I have tried all sorts to switch off, calm down, relax…and not much has been effective. I can be in a really tranquil spot alone and still my brain whirrs. I have repeatedly tried guided meditations and my brain fights against it and starts compiling shopping lists or suchlike midway through. I’ve tried visualisations in therapy and whilst my brain can take me to snow capped mountains or gorgeous beaches my body has other ideas. It’s always on edge. I’ve tried body based therapies such as craniosacral therapy (love this but more the therapist than the process!) and reflexology. I’ve been for massages. Done deep breathing. I’ve exercised. You name it, over the years I have tried all sorts.

The hypervigilant, anxious, part of me so far has proven stronger than whatever I have thrown at it…. and I am beginning to wonder if it’s because somewhere deep down I know that those bits are still needed as somewhat unlikely protectors. If I dare to relax too much then when something bad happens I won’t cope because I won’t be ready for it.

Since my dad died I have been especially on guard and that was heightened even more after my cancer diagnosis. I’ve been stressing out for the last month (have you noticed?!) and whilst a lot of it is clearly based in the attachment stuff that gets thrown into sharper focus on therapy breaks (and subsequent ruptures with my therapist – sigh), none of this has been helped by the continual worry about hospital check ups and never being able to rest easy with my health.

I see my consultant every three months for a follow up to check I’m still in remission. For about half of that three months I feel passable, i.e I just about hang tight to the knowledge that my body is on my side at the moment – but as the appointment draws nearer the sense of panic sets in, sleep deteriorates, and I am cranky as hell. What if I’m not ok? What if my bloods show something? What the hell would I do if I get bad news? What about the kids?

It all starts to swirl in my head. The memories of undergoing treatment edge towards the front of my mind and I get increasingly worked up. Again, logically there’s no point in worrying about something that might not happen…but then at the same time I know there is a fairly strong possibility of things going wrong within the next few years for me. It’s just how it is. My original treatment was ‘kill or cure’ and because I know that, I am almost unbearable to live with the week leading into my appointment.

It’s been especially bad this time round because I have been ill with a cough/cold/flu thing on and off since September and I just can’t shift it. I have no energy at all. I wiped the kitchen surfaces down today and it totally wiped me out. I wish that was a joke. It makes me nervous because I was heavily radiated to my chest following chemo and I know that a potential problem in the future is lung damage and possible cancer. Great.

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Anyway, I went to hospital with my game face on and the appointment was ok. I got a really good prod and poke and there’s no need to worry right now. The doctor was satisfied with me…apart from my weight…but that’s nothing to do with cancer is it?

My wife was right (on this occasion). My bloods are as they were – no change. They’re still not perfect, i.e infection fighting capacity is rubbish, but there were no markers for cancer. Good. I went and had a chest x-ray done to check there’s nothing untoward going on in my chest and I’ll hear back about that next week.

So that’s all good. Last night I slept a little easier.

Perhaps that should be a lesson in not worrying. But I do worry. Because as I said, there usually is something lying in wait round the corner ready to shit on you. My friend getting myeloma and dying when her treatment failed was heart breaking. How is that even real???? And today, my wife has been fast-track referred on the two week cancer pathway to dermatology as she has several confirmed skin cancer lesions by the GP. So, there we go.

I was right to ‘worry’ about the ‘dry skin’ patches and nag and nag for her to go to the doctor after months of her saying it was fine. Fucking healthcare professionals are the absolute worst at looking after themselves.

She’ll be ok. She is brave. She might have to have her face dug out and/or radiated but she’ll be ok….won’t she? She has to be.

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So yeah, that’s some what’s going on here.

I’ve also got a therapy post to write at some point having seen both my therapist and the other one again last week – but right now I feel a bit overwhelmed and can’t even deal with thinking about what last week’s sessions were like or, indeed, what therapy will be like this coming Monday.

It’s unlikely to be anything near to what I need (holding, proximity, emotional attunement and containment) because I won’t tell my therapist what I need because my inner child is so scared right now since the rupture that it’s gone into hiding and I have quickly entered a dissociated state once I’m there… and so there’s a part of me that feels like cancelling….but another part that won’t because there’s that tiny flicker of hope that that 50 minute session will help turn off some of the plugs just for moment and help me recharge my batteries.

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I haven’t listened to Travis since I was about 17…and yet today this song came into my head. Says it all!

 

 

 

Rupture. The cold, hard truth: my therapist doesn’t care.

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I really didn’t expect to be blogging about a rupture in therapy here today. I thought I’d be saying something about almost surviving the therapy break and being nervous about my session on Monday, but also being amazingly glad I’d be seeing my therapist in person soon. That was the plan, anyway. But that isn’t going to happen because, as things stand right now, I will not be going to therapy on Monday, or possibly to my current therapist ever again.

I know. Spare the drama, right? I’m sure some people read that and think ‘put your toys back in the pram and get over it’ but I also know that there a few of you, especially those that have issues with attachment and feelings about abandonment and rejection, who will read this post and wince.

This isn’t going to be a neat, well-constructed post because right now my brain is scrambled and the various younger parts of me are in meltdown…actually, the adult part is devastated too.  I literally feel like I have been annihilated and that’s not an exaggeration. God I wish it was!

In fairness now is probably not a good time to write, I haven’t had chance to process what’s happened yet, I feel raw and activated, but actually right now my options are: sit here and type or do something horrible to myself – and so this surely has to be the better option.

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My last post talked a lot about how I had been feeling depressed and generally not quite right. I have been struggling really hard this week to keep my head above water. I’ve been plagued by therapy dreams where my therapist has rejected me in one way or another, or simply not cared about me and I have woken up feeling heartbroken.

Yes, I know. They are dreams not reality, but the dreams I’m having tap into the insecurities I feel in the therapeutic relationship and end up intensifying the worry and anxiety I feel when I am awake.

I can’t count how many times I have said this now, but I really struggle when I am away from my therapist. No matter how I try I can’t maintain a sense of connection with her when I can’t see her it seems almost impossible. It is bad managing from week to week but it is always really very challenging during breaks.

All the fears I have about being left or abandoned come up, but equally there is a real anxiety that something bad has happened to her. I can’t seem to get my head to a place that can accept that she is out there, safe, and that the connection is still there. It is weird because this isn’t a problem that I experience in other relationships.

I don’t freak out if I don’t see or hear from my friends for months at a time…but then I guess this might be because I don’t have this kind of complicated attachment to other people in my life and therefore the triggers that I have from being a child don’t play out anywhere else because the child parts of me aren’t active with friends. I don’t know.

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Those of you that follow this blog will know that we’ve talked about trying to create some kind of transitional object (pebbles/note) but not got anywhere with it…and now I understand why. I know, too, that I ought to trust my intuition. I see now that my reluctance to engage getting a message written on the pebbles because I was scared that she actually wouldn’t be willing to write anything that would soothe me is right. She isn’t willing to say anything to confirm that there is a connection in the relationship or that it is any way important.

These last few days my anxiety about the therapeutic relationship reached a whole new level of hell. I felt so ill that I couldn’t function. When I say it took me three hours to load and reload the dishwasher and that I didn’t shower or get dressed until two in the afternoon on Tuesday (and that was only because I had to run an errand) because I just couldn’t face doing anything it might give an impression of just how debilitated I felt. I felt utterly crippled with anxiety.

I felt sick to my core, at times was physically shaking, and felt like a little boat of a very choppy sea. No matter what I did to try and ground myself or channel myself into a place where things felt better I just couldn’t succeed. I knew on Tuesday when I was standing in the kitchen with a massive knife against my wrist that something had to give. I knew that not eating wasn’t doing me any good and that I needed to get out of this headspace. I needed to try and get the adult back online, settle the child parts, and power down the critic.

So after three days of debating with myself what I should do: reach out to my therapist or continue down the path of self-destruction, I thought the most sensible option was to simply tell her how it was, ask for reassurance and then hopefully just settle this sick feeling down and then go discuss it all on Monday and try and work out why it has felt so terrible this break.

I know that we don’t text or email generally unless there is something about scheduling. Most of the time that feels ok-ish but sometimes it feels really persecutory. When I feel like I have reached crisis point (which actually isn’t very often) the no between session contact thing is really difficult for me. Because there is this boundary in place, it means that I can’t just reach out when I need to and ask to get a need met, instead I spend a great deal of time beating myself up for having the need for reassurance which makes it all much worse. I’ve always struggled to ask for help when I need it and so this feels impossible.

I beat myself up for breaking her rules. I beat myself up for not being able to manage on my own. I beat myself up because I know that it’s annoying her. I basically drive myself mad and all the while the anxieties I have about making contact exacerbate the concerns and worries I already have: i.e she really doesn’t care or want to know when things are bad and that I am an inconvenience, and whist she can’t openly say it that frankly she wishes I would just go away.

So, if I do pluck up the courage to reach out I end up feeling sick and guilty that I have done it. It feels utterly impossible no matter what I do. I don’t know why it should feel so bad to express a need for someone but it does.

When I was writing my text yesterday, I had debated sending the link to my post Why do I always dream about my therapist when we are on a therapy break? in my message as this is where the spiralling into anxiety began, but in the end I decided against that in favour of taking it in and talking about it on Monday. I didn’t want to do a big mind dump on her, I simply wanted to check in and re-establish the sense of connection in order to settle myself down until Monday’s session.

Simple.

Or at least I thought it would be.

Only things don’t seem to work like that.

In the past if have reached out I haven’t always been clear about what my need is and so when she doesn’t respond part of me feels upset but part of me thinks that maybe I am expecting too much of her to read between the lines of something fairly innocuous. So I endeavoured to be straightforward this time. Tell it like it is but don’t drone on!

I didn’t want to go on about the self-harm, or the slip into anorexia, how much I missed her, or how very bad it has felt recently because I didn’t want to make the text about trying to do the therapy outside the room. I get why it’s important to do the work in the room. I just wanted a sticking plaster in order that the wound didn’t get any deeper or infected before our face-to-face session next week.

So at 11am I sent this:

‘I started having vivid dreams about therapy on Boxing Day. I wrote about it when it started happening because I thought it would help, but the dreams are happening every time I sleep and I just feel completely overwhelmed now. No amount of deep breathing, visualisation, distraction, or sitting with it is helping. It’s escalated to a crippling level of anxiety now and it’s making me not even want to come back on Monday. The critical part of me is delighting in how bad it feels. It’s taken three days of battling with myself to send this:

Please can you tell me that things are still ok.’

*

I forwarded the message to a friend,  because having sent the text I immediately felt sick and started shaking. I was worrying about whether it was too much and too needy, and she assured me that it was fine and that she’d sent similar messages in the past to her therapist and all that would probably happen would be that she’d reply to say, ‘she’s there and you’re both ok and it will feel better’, which is exactly what I had hoped for.

So after anxiously checking my phone for an hour I left it upstairs and went and tried to get on with the things I needed to do. In that time I was thinking about what it might feel like if she didn’t reply to me, which is what I expected, and how that feeling of rejection would probably make me rage. I went upstairs at 2pm and there was a message from my therapist:

‘From my understanding of what you are saying, I think that it is very common for people to have dreams about therapy and for people to have strong feelings about such dreams and I hope that you will be able to continue with the therapy and come to your session on Monday.’

*

I won’t lie. I was a bit taken aback by the message. Perhaps it’s just me but it felt so distant and cold. I sat with it for an hour because I thought maybe on rereading it later my feelings would change I’d be able to find some kind of sense of connection in there and sense that she actually cared…

I didn’t.

I messaged my friend this because I was still trying to look on the bright side:

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I wondered then whether what I had sent was too much about the dreams and not enough about stating that I needed a sense of her being there and things being ok. Perhaps it’d got lost in text? So after some thought I sent this at 3:15pm:

Yeah. I get therapy dreams are normal and can evoke strong feelings. What I’m trying to say is I feel like you are gone and that there is no connection, and now this is being reinforced every time I sleep which is just horrendous. What I wanted was for you to tell me that it is just anxiety, not based in reality, and that actually things are ok still and that you’re still there.

*

I felt a bit eeeeeeek sending it but thought, if  I don’t clearly communicate my needs then there’s no chance of getting them met. I thought she probably wouldn’t reply to the text but a message did come in:

Thanks for clarifying. See you on Monday.’

*

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And that’s where I felt like I had been annihilated. Even just typing that I feel a kind of shock in my body and utter confusion in my brain.

I mean what the hell am I meant to feel about that response?

Well. First was utter devastation and then that was quickly followed by:

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My gut reaction was to fire off something like ‘Seriously? Fuck it. I’m done’ but  I didn’t. Again I waited for a while to see if my initial feelings would settle down or whether I’d go back to the message and read it differently.

Nope.

At 5:15pm I sent this:

Honestly don’t know whether to laugh or cry about that message. I’ll let you know about Monday but right now it just isn’t going to happen. I know you need 48 hours so I’ll let you know by Friday.’

*

And that’s where it’s been left.

I don’t even really know what to say to her now. I mean where do I go from here? I want to feel like I am overreacting or something because that in some way makes those messages seem less, err, what? Abandoning? I dunno. But I am not entirely sure that I can convince myself that I am making more of it than there is.

It’s not like my therapist isn’t acutely aware of my issues with disorganised attachment, being unable to maintain a sense connection, and the problems that therapy breaks cause especially for the most vulnerable child parts of me- and to not be willing to offer up the most basic amount of reassurance when I reach out feels pretty cruel actually.

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I don’t know if I can come back from this.

I’ve spoken to a couple of friends about what’s happened, both are staggered by the exchange, and one suggested that maybe now is the time to find another therapist because repeatedly not getting my needs met or even validated is hurting me A LOT.

The rigid nature of the therapeutic frame doesn’t seem to be helping and there appears to be no flexibility in it. I had just about come to terms with the fact that touch was out of bounds but actually not even getting the most basic level of reassurance when things are about as bad as they get…well, what do I do with that?

I don’t know.

I feel like I was trying to find a better way of coping with difficult feelings. I was trying to get help. It backfired and now I am back to square one. Maybe there’s a reason that blades and starving myself have been so long part of my existence. Maybe deep down what I have always felt to be true is true: I am not worthy of care and I do not matter. On the plus side, I don’t have to worry about the Christmas weight gain now. Stress of the last two days and 2kg has just dropped away. I shouldn’t be pleased about it, but fuck it. I am done.

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