The Price Of Trauma

It’s been a complicated, stressful, and emotionally messy week. ‘No change there, then’, I hear you say! To be honest, I thought I was close reaching my breaking point these last few weeks. It’s certainly felt like I was at rock bottom – but as it turns out, there was a hidden trapdoor I didn’t know anything about just waiting to spring open and give that extra little bit of depth and doom to plummet down into. I really need to stop saying, ‘how much worse can it get?’ because invariably the universe seems to think I am issuing it some kind of challenge.

My wife came home sick late last week with a fever and by early Monday morning we got the confirmation that it’s COVID – we knew anyway, the rapid deterioration and the developing symptoms were there and clear to see. This is unbelievably stressful on many levels- she’s actually very unwell with it, struggling to breathe and I can see that’s she’s scared – and nurses don’t tend to get scared with health stuff because they’ve seen so much shit in their careers that they shrug most stuff of as ‘you’re not dying so you’re fine!’ To see my wife in tears via FaceTime (because she’s isolating) is heart breaking. She is the solid rock in this household and suddenly she’s more like a jelly than a chunky bit of granite.

I’m trying not to let myself run away with what could happen but it’s hard not to – you all know what I am like. I know it won’t help anyone if I start catastrophising and so I keep on keeping on because I have to hold it together and remain calm for the kids, but there are things that are a disaster already just a week in. Like me, if my wife doesn’t work, she doesn’t get paid. She doesn’t get sick pay in her job and SSP doesn’t come anywhere close to covering what’s not coming in from her salary. So, once again, we are on a really financially precarious footing. We’re still not recovered from her losing her job last year and every day she’s not in work is another bill that becomes a challenge. Like many people in their 30’s and 40’s we have no savings and a lot of unsecured debt.

I text and cancelled my Monday session with Anita on Friday because that’s the only area where I can cut anything from our budget– everything else is already on a knife edge, every pound accounted for. It felt rubbish because, now more than ever, I really need my sessions. I am not in therapy twice a week because it’s ‘something to do’ I am there because without it I don’t function. Therapy is a huge part of my maintenance plan but also my fucking healing!

I really hate that mental healthcare is so exclusive and based on your ability to pay for it. I hate that my system is so traumatised that without that routine of my Monday and Friday sessions I swiftly fall into a place where I don’t cope. I did once-a-week sessions for years with Em and it was horrific for those young parts that just don’t have any sense of object constancy. I spent the whole time anxious and spiralling in the abyss between the appointments. Twice a week is much better but even that’s not perfect.

I know I am not the only one that feels like this. I feel angry that I am saddled with the bill for trauma that was done to me and it’s the reality for so many of us we’re left footing this enormous bill. When you exhaust your ‘quota’ of NHS therapy you’re left to manage by yourself. Discharged. ‘Goodbye and good luck!’ A lifetime of trauma doesn’t just get resolved in 12 months of once-a-week sessions with a psychologist (and that’s if you are even lucky enough to be given that and not just 6 sessions of CBT). When I start reeling off my history and the coping mechanisms I have built over the years it’s clear as day that this isn’t short-term work.

So what do you do when you hit the end of your NHS entitlement? Essentially, you’re faced with a choice – accept that this is the best it’s going to be for you or take on the equivalent of another mortgage to try and help yourself some more…and cut everything unnecessary out of life to facilitate it.

It’s insane.

If you had a broken leg that wasn’t healed the hospital wouldn’t say, ‘well, you’ve had one cast, and that’s your lot – hobble on’, they’d look again at how to try and mend you. When I had cancer they didn’t say, ‘We thought based on your initial scans that you would need 8 rounds of chemo. However, looking at your most recent scan we can see the treatment is working and the tumour is shrinking but the cancer’s still there. We now think you need another 4 rounds of chemo and radiotherapy, but tough, we don’t have the budget…’ I mean, can you even imagine? – Of course they booked me in for more chemo and the radiotherapy and because of this I am still here. And yet when it comes to mental health it’s tough shit and that withdrawal of support feels so abandoning and rejecting which again taps into a lot of the trauma for childhood – not being worthy of care and support, being too much etc.

It’s hideous, really.

It stresses me out to think about how much debt we have accrued over the years just so I can go to therapy. Sometimes it feels counterintuitive because the financial lack of safety negates the benefit of therapy. I hate feeling unsafe and financial insecurity really impacts my well-being. I panic about money a lot. I take on more and more work to try and cover the shortfall but in turn I feel exhausted and burnt out. It’s a vicious cycle but I literally don’t know what else to do.

My wife can never understand how we never have any money when we both work so hard, don’t drink, don’t eat out, don’t socialise, don’t buy presents for each other even at Christmas and birthdays. We make sure the kids have what they need but it stresses me out when their feet grow or they need new clothes (which seems to be all the time!). Our holidays (which we didn’t have any at all for 6 years) go on credit cards piling on the mountain of existing debt. It’s hard to explain to her that all this is down to the fact that she is married to a basket case whose system is so fucked that therapy is like life support.

I feel bad about it, but what’s the alternative?

Anita text me on Sunday evening to see how I was and said we could do our session if I wanted and arrange payment later. When I cancelled my session with her I told her that we just couldn’t afford it. I declined her off because it’s not like there’s a magic money tree in the garden that I can shake in a few week’s time and miraculously find another £50 hanging off a branch. It was kind of her to offer but really it just moves the problem.

We got confirmation in the early hours of Monday morning that my wife did have COVID and by Monday lunchtime she had deteriorated so much that I text A in a panic and asked if we could check in during the week. Maybe there’s a treasure chest lurking under the patio?! Suddenly, everything just felt really unsafe and out of control because the COVID diagnosis directly impacted another medical procedure and ugh…it’s just too precarious…but of course it also sent my brain on ‘we just cannot afford this’.

Anita and I fixed up a time to talk on Wednesday and I just ploughed on in survival mode – feeling increasingly ‘not ok’ and also panicky and disconnected from A. The last session we had face-to-face had been a nightmare for my system and the fallout from it has been huge. I feel like I am just fizzing with nervous energy. My nervous system is wound up like a tight spring and I feel like I am going to either explode or collapse soon.

I have been trying hard to look after myself through all this – eating properly etc (which is a fucking miracle given my ‘go to’ under stress is to starve myself) but even with self-care I was totally done in and exhausted by Tuesday evening and took myself to bed early – like 8pm. I couldn’t sleep, though. My brain was whirring and I just felt like talking to Anita online was going to make everything worse. I have been hanging it together with rubber bands and chewing gum but this is only possible because the child parts have been locked away. There was a very real possibility that an online session could trigger them, there’s no space here right now, no privacy I could end up falling down another trapdoor.

I felt incredibly unsettled – so much so – that I text Anita at 10pm to cancel our session:

A, I’m really sorry but I don’t think I can do tomorrow. I’m sorry it’s short notice to cancel. Things here are really hard and I just haven’t stopped running since Friday. I’m completely exhausted, stressed out, and drowning. Tomorrow is my crazy busy day and we’ll be up home-schooling from 7am. I can’t see how I can fit it is and talk to you – there’s no private space to speak to you either. I can’t escape to my room.

Also, I know that I am on my edge and as much as I want to talk to you, I think given how bad things feel it might actually make things worse because distance doesn’t help and I feel really far away from you already. It’s that thing where my brain doesn’t even think you exist or believes you are dead. I’ve sort of thrown all the non-coping parts in the cupboard because I can’t do my life right now. I need to be armoured.

I don’t know if you got the email I sent you last week but it’s very much in the needing to survive it by going it alone. I know that that’s not ideal but, actually, I can’t give space to the parts that are terrified and spiralling because I can do nothing for them – but what I can do is not trigger myself further by putting a screen between us. I cannot afford to fall apart. I hope you understand. X

She replied a little later with:

I am so so sorry to read your message and do totally understand. Please do let me know if there is anything I can do to help. Think of you with lots of love xx

I didn’t reply as it was 11pm and there was nothing to say anyway.

I could not sleep despite being absolutely exhausted. I tossed and turned and felt absolutely awful. My brain wasn’t consciously thinking of anything but my body just would not relax. I got cramp in my feet. I felt hot and cold. The anxiety was horrendous. That feeling of falling through the black abyss, the young stuff about being unsafe and uncontained was massively activated but it wasn’t really in regard to Anita even though I felt somewhat disconnected from her. It was 4:45am the last time that I looked at the clock and then I finally fell asleep for an hour and promptly had a plane crash dream (and have had it every night since).

I woke up feeling terrified and my heart was racing. And then my brain clicked. 20th January. A year since the horrible session when Em compared me to a tick, and the session that led to our termination on the 3rd February. This time last year was absolutely fucking horrific. It’s been on my radar that January was the anniversary of it all going to shit but somehow the date of ‘tick gate’ crept up on me. Of course, I am worried and stressed about the here and now but there’s also a big undercurrent of anxiety about this stuff with Em and that, I think is why I feel like everything is life and death. It’s that early annihilation stuff being tapped into.

I responded to Anita’s text when I woke up. Honestly – I’m like the tide changing all the time. I briefly outlined what I had realised when I woke up and asked if we could speak at the time we had arranged. We spoke yesterday for half and hour. It was very adult and I didn’t mention any of the stuff about Em or the attachment stuff or feeling disconnected because opening it up didn’t feel like a brilliant idea given I had a solid run of 10 hours ahead of me juggling my kids and teaching my lessons. However, it was connecting enough and I am so glad I have her in my corner.

I don’t know when I will get to see Anita face-to-face again. I have to isolate until Sunday and so far, I feel fine…so fingers crossed I don’t get sick, too. But ugh. It’s all too much stress not knowing how things are going to work out and money…fucking money man…

I know this is just a rant but actually I realised that money is such a huge thing and I know for a fact that I am not the only one struggling with the price of trauma – and therefore the price of therapy. I think what’s hard, too, is that we value our therapists so much that it’s not a case of thinking the therapy is ‘too expensive’ or ‘not worth it’ – it’s just simply unaffordable sometimes and that’s far from ideal when you REALLY NEED IT! It’s not easy to talk about this, either. I feel incredible amounts of shame around being unable to afford therapy – and this leads to all the stuff about not being worthy of it, deserving of it, good enough…it’s a vicious cycle but then £100-150 a week for years and years and years is just not realistic for lots of us is it? But like I said before, what other options are there?

I hate to be so doom and gloom but I just feel rubbish right now.

x

File Under ‘Unread’

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So after two days of barely holding it together with rubber bands and chewing gum (I had no idea this blog name would end up being so apt!) today, at 11am, I found myself lying face down in my bed holding a pillow over my head convulsively crying about… yeah…you guessed it…feeling like my therapist doesn’t care about me after a pretty rubbish Skype session on Monday and a complete failure to acknowledge a message I have sent her since.

Believe me, there is a part of me that is seriously rolling my eyes and sighing in exasperation right now as if to say ‘for goodness sake, not this AGAIN’ as I type this.  Like really, this cannot be happening again can it? But it really is. And you’ve probably noticed by now – I tell it how it is…even if ‘how it is’ is fucking ridiculous and embarrassing. I tell it how it is in the here and now, as I experience it, even if in two weeks (or possibly even two days) I feel differently and can see things through an alternative, more rational lens.

I’m very aware that right now my left brain is offline and my right brain (where all the emotions are) is lit up like Piccadilly Circus. It’s probably not a great time to write a blog post but it’s either put it on the page here or start firing off upset/angry/needy messages to my therapist and that’s not a very good idea is it?

And so here I am again, trying to find a way through the difficult feelings in order that I don’t completely fall apart over the next two weeks. Does anyone have any glue to hold all my pieces together?… I am worried that the bands and gum aren’t up to the job this time around and am in danger of smashing into a million pieces.

I wrote recently about shame having just then started reading Patricia A. DeYoung’s book ‘Understanding And Treating Chronic Shame’. I’m no stranger to shame and having now read the whole thing, I have to say, the book is fantastic. I highly recommend it.  There’s heaps of really useful and interesting stuff in it and I plan to take it to my therapist and go ‘Here! Look at this. This is what’s happening!!’  (that is, of course, if one of the other parts doesn’t go to town with the text messages!)

Young suggests that shame is essentially caused by being ‘a self disintegrating in relation to a dysregulating other’. I mentioned in that post that I was concerned that I had somehow got caught up in a dynamic where my therapist was taking on the role of ‘dysregulating other’.

And. Yep. Skype session proved that point on Monday! More on that in a bit.

Basically, when a child is in distress it looks for connection and containment from the other to help regulate the distress. If all goes well the interaction soothes the child and the distress ebbs away. However, if the interaction between the child and other in some way misses the mark, is not attuned, a child is left feeling uncontained and out of control. It tries to place meaning on what is going on.  Basically, the child ends up blaming itself for the failure of the other to contain and connect.

It makes sense that when we need something really badly from an important person and they fail to meet that need often enough that we start to feel like there’s something wrong with us. Instead of blaming them we find fault in ourselves. It must be something we are doing wrong. Our need is too much. Feelings are bad. And so the shame cycle begins.  We see need as ‘bad’ and try and hide it.

So, we amble through life pretty successfully – well, you know, smoke and mirrors and all that! To most people I seem like a highly self-sufficient, high achiever, who ‘doesn’t need anyone or anything’  and if you’d asked me before therapy ‘I can do everything on my own and by myself. In fact other people are a pain and I prefer to be alone’. But now I see that actually I am not made of Teflon so far as emotions go and scarily: I have needs.

Who knew?!

Unfortunately, I seem hard-wired to feel bad about having feelings or needs and so in therapy it’s become a complete disaster zone because I have some very strong feelings towards my therapist and needs that I wish she could (although frustratingly know she can’t/won’t) meet.

I’ve noticed for a while now that I can go from ‘fairly normal’ to ‘away with the dissociative fairies’ in a matter of seconds in my therapy sessions. My therapist keeps asking for us to think about the process and notice what happens to make me dissociate and hide. For a long time I haven’t been really conscious of it, all I know is someone young comes online and then I am gone.

It’s like a switch gets flipped.

Because it’s been happening more and more lately I have been consciously trying to pay attention to the feelings that crop up and then what happens when I retreat inside myself. It probably won’t come as any surprise to you when I say it has its roots in shame. It happens so quickly and I am trying to work out how to stop it happening or how to get back from that dissociated, lonely space when it does.

Monday’s session was a complete shit pile but it kind of gave me some answers.

I am not stupid, I know that sessions after breaks are often hard. It takes time to reconnect (I’ve been here before. I know what I’m like!). We’d not seen each other for three weeks. It wasn’t face to face it was Skype. And following the virtual stepping stone in the river crossing (therapy break) there is now another two weeks until a face to face. It was always going to be a challenge to connect with my therapist. Don’t get me wrong, I wanted to but I have so many defences… ugh.

I know that I was certainly trying to keep buoyant and surface level because I knew I would be on my own again for two more weeks the moment the call was over and I couldn’t face the possibility of falling headfirst in the pit of attachment pain for the next few weeks if I let her see the vulnerable stuff and it not go well. Ironically, yet again I failed to notice that if I don’t let her in I feel shit too!!!

Part of me didn’t want her to know how much I have missed her and wanted to shut her out a bit. But of course it didn’t last because as the session went on, surface level chatting, I could feel things stirring. I could feel that time was ticking away and I desperately wanted to connect, or at least part of me did.

I asked my therapist what the time was and it was 11am. I thought ‘oh that’s ok time to talk  and then the moment the thought went through my mind I realised I didn’t know how to get what I needed from her. It didn’t feel like she was receptive or attuned to me. I desperately wanted her to come closer to me, to hold my hand, hug me, and tell me that it’s all ok…but that will never happen.

The need feels huge.

The young parts screamed inside, burst into tears, realising that she was there but couldn’t see them and that we were going to be left until September…

…and then I was gone…

The shame of having those needy feelings and the pain that shame generates is utterly unbearable and that’s when I dissociate. I can’t cope with the overwhelming sense of longing and need for connection and feeling like I can’t get it, that I am not worthy of it, that she doesn’t want to connect. I feel like there is something wrong with me.

Like I say this whole process happens in a matter of seconds.

The rest of the session was hard. I think I just sat there making the odd ‘uh huh’ ‘yeah’ ‘no’ as she continued to talk to me about what I had initially started talking about (filler!). I felt like we were on completely different pages and was kind of glad when I hung up the call – not because I wanted to be in the throes of a further two week break- because it was so fucking excruciating feeling the minutes tick away and feeling like I didn’t know the person sitting opposite me. She probably felt the same way.

I felt awful the moment the screen went black and took myself straight into the kitchen to cut myself. That’s how bad it felt in that moment. Sheer desperation. I didn’t self-harm, though. I took a minute and thought about why I wanted to hurt myself. It was the need, the shame, the feeling unseen…and also very clearly having a sense of ‘what’s going on’ when it goes to shit in a session.

So instead of cutting I made this:

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and then sent it to my therapist as a text along with a note to ‘File under ‘unread’.  The teen part was feeling sarcastic. Like, ‘fuck it, I’m sending you stuff to try and help me and you won’t read it just like everything else, so shove it why don’t you?!’

Clearly, she hasn’t replied…and I feel rubbish about it. Not just because she hasn’t replied but because I feel so utterly overwhelmed by where I am in therapy and the therapeutic relationship and the break.

It just all feels kind of futile right now.

I don’t feel like I am moving forward. I just feel like I am stuck in trauma.

The teen parts are definitely wounded and feel like texting my therapist to tell her ‘we’re done, because what’s the fucking point in all this if almost every time we interact I am left feeling inadequate and like what I want/need from you is too much. I feel physically sick when I think about how much I care for you and contrast that with how easy it is for you to leave me/ignore me when I am struggling’.

[Ok. So that’s the work isn’t? it]

I have no idea how the next couple of weeks is going to go. I know I will cycle through heaps of emotional states. I expect I will go to my session on the 3rd because the young parts are so desperate and attached that they’d have me swim through shark-infested waters to see her. But, ugh, I don’t know. I don’t know how much longer I can keep putting myself through this.

x

Limbo

I’m feeling a bit bleurgh at the moment (a technical term I’ll have you know!). It’s not a full-on depressive episode yet (I don’t think) but it’s feeling like a huge struggle just to remain in a relative coping place…but then when is mental health ever a walk in the park, really? It pretty much always feels like I am struggling in one way or other.

For now, at least, I feel like I have done with sliding down the hill towards rock bottom, which was what happened at the start of the therapy break, and have finally got a fingertip hold on something semi-solid that has allowed me to stop and take stock. I daren’t move though, rock bottom is still a long way off, thank god, but I feel like adjusting my position may result in me losing my precarious grip and careering at speed downwards again. I can’t risk that so I am staying here stuck in a kind of uncomfortable limbo.

Put it this way, I am not where I would like to be at this point in the holidays!

I don’t feel especially solid.

I’m certainly not grounded.

I can feel anxiety creeping around the edges.

I’ve woken up feeling queasy for the last four days.

The attachment pain is really there just before bed and any time I let my mind drift towards therapy.

It’s all a bit shit really.

Moan. Moan. Moan!

I daren’t look too far ahead because 3rd September feels like a very long time in the future and it makes me even more aware that I’m not even half way through the break yet – it’s still three weeks until I see my therapist in person – nooooooooooo! Having said that, I am meant to have a Skype on the 20th so I shouldn’t complain. I am just massively aware that it could go belly up next week.

I am experiencing the usual conflicting feelings:

I love you/I hate you

Please come back/Fuck off I never want to see you again

and what I really don’t want to happen is to have a Skype session that semi opens up stuff, doesn’t really do the job, isn’t especially connecting, and then be left for a further two weeks for phase two of the therapy break.

I think I just about have a handle on things right now but I’m not stupid, I’ve been here enough times to know that there is a real possibility of me trying to sabotage my therapy before September is here. The teen part of me that wants to give up is never far from the surface and on breaks, especially long ones, she gets quite vocal. She’s still angry about the last session before the break. Seriously, ‘imagine something you like doing’….FFS!

Feeling stuck in this limbo state/place is pants. My last session seems a long time ago (eve though it was actually only two weeks ago) and all the good things I feel about my therapy/therapist seem to have evaporated now…. and yet the crap parts haven’t, they remain there! It’s not ideal. I’m beginning to put my therapist in the bracket of people that reject and abandon me rather than who do their best to help me. (I do know how crazy it is – but it is how it is!).

You can probably tell from this post that my mind is all over the shop. In addition to this, I seem to have no energy at all. My motivation has gone on holiday (along with my therapist – grr!), and all I really want to do is lie in bed and sleep for hours on end or, failing that, sprawl out on the sofa and eat biscuits and chocolate. Essentially once the kids get to bed at 6pm that is exactly what I have been doing- filling my face with sugary things in some mindless stupor state in front of the TV and then crawling into bed and sleeping for as long as I can reasonably get away with (which, to be fair, with two young kids never extends much beyond 6:45am).

Put it this way, I’m not scoring big on the mindfulness and self-care scales right now! Although I am not over-exercising or under-eating (clearly!) so I suppose generally vegetating and resting shouldn’t be seen as a criminal activity. The critical voice in my head is starting to give me a hard time, though:

Lazy.

Fat.

Sloth-like creature.

I am just not particularly good at stopping and doing nothing. I always feel like I ought to be doing something, keeping busy, achieving things. I’m not working again for a couple more weeks as it’s the school holidays. I need to keep reminding myself that it’s A HOLIDAY – not just other people’s (my T, the kids I teach, my own children) mine too and that means a break from the usual drudgery of school runs, work, having to be in a specific place at a particular time etc.

As much as I moan about it when I am in it, I think routine does me good to an extent. I’m not great at this long drawn out time off. I do wonder, though, how much of this is because in the back of my mind (ok quite close to the front!) is the fact that I am on a therapy break and frankly I am not someone who does especially well without regular therapy. Ha! I mean I am not exactly willing the clock forward to September to re-enter the world of ‘Please put your shoes on! I’ve asked you four times already. We are going to be late.’

Having said that, I think with young kids, time off is rarely ‘time off’. Since my son’s birthday last Monday we’ve been busyish: swimming lessons, cinema, ice cream parlour, farm park, a couple of playdates, baking, making pizzas from scratch, a visit to a soft play centre as well as a fair bit of playing in the garden, oh, and we/the dog delivered a litter of puppies yesterday. It’s not exactly been a dull existence!

I don’t know what’s wrong with me really. I just feel a bit stuck. Whilst, clearly, elements of my life are carrying on as normal and I would say I’m doing a good enough job at parenting at the minute- the kids are happy- underneath the exterior of ‘with it and together mum’ the other stuff is bubbling away. I guess that’s the problem. Usually I have somewhere to let ‘the other stuff’ out and right now I don’t. I’m very much aware of operating of multiple levels. I find it tiring at the best of times and perhaps without my release valve I’m finding it all a bit more exhausting?

Who knows?

Maybe I am just getting depressed. Or maybe I am about to get sick. Or perhaps it’s just that my period is on its way… whatever it is I want to feel a bit more energised and less like I am going through the motions. I want to feel present in my life rather than as though I am spectating from the sidelines. The only saving grace is that no one would know I feel this way. It is not evident that I am struggling. I would hate for my kids to feel like ‘mummy is checked out’….and I guess they don’t know because it’s only parts of me that are. I guess maybe it’s part of the beauty of being fragmented – the bits that can’t cope aren’t really seen and the ‘carrying on with everyday life self’ is a damn good autopilot.

Errr what else? I’m scraping the barrel a bit with this post – no therapy to talk about!! haha.

I’ve been without internet for the last few days due to a cock up with changing provider. Seamless transition it was not! And so the one positive was that I haven’t been in this ‘bleurgh’ state and additionally whiling away the hours mindlessly on my phone flicking between WhatsApp, Facebook, WordPress, Instagram. Even NetFlix hasn’t been a possibility!

A social media blackout is not necessarily a bad thing every now and again. I do it at Christmas and always feel quite good having gone screen-free for a bit. You might be thinking, why not use your phone for the internet…well, I live in a signal/data blackspot and so have to go in the garden and stand in a specific place to get anything at all and it’s so intermittent that it’s not even worth it. It’s so circa 1995!

Everything went live again yesterday evening and actually it felt like a bit of an attack to the system. I have been off radar with a few friends this last week due to feeling so crappy and so I’ve been trying to be a bit present again. I just find it really hard.

I really have nothing at all to say today!… but having already gone more than a week between posts I wanted to write something. This, post, shall hereby be filed under ‘bleurgh’ and sink to the depths of unread trash!

Actually. I posted this on my Twitter feed the other day…and it says it all x

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“I don’t want you to go away”

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With just ten minutes of Monday’s therapy session remaining I finally said it. In words. In the room. To her face. Not written down. Not kind of implied and hoping she might read my mind. I actually said the sentence that has been persistently in my head for the last month (well, it’s always there) aloud. It may not have been very loud, it may have come from a young part, but it was loud enough for her to hear:

‘I don’t want you to go away’. 

OMG what just happened?! Did I actually directly tell my therapist how I was feeling about the summer therapy break and show vulnerability and need even when several parts were screaming at me to keep my mouth shut? Looks like it, doesn’t it?

We all know by now that these feelings are always there in one way or another. Every time I have to leave my therapy I feel like my therapist is ‘gone’ and it’s a huge struggle for the youngest parts to just make it through the week…but therapy breaks, well, crikey, they are the absolute pits and no matter what I do, or how I try and prepare for them I always end up on my arse, in a heap, sooner or later.

Ok, so I did kind of have to throw myself over the metaphorical ledge to get the words out and take a forty minute running jump at it: sliding through dissociation, silence, and shaking just to reach the drop off, but I did it- and you know what? It was ok. She didn’t freak out (of course she didn’t) and it opened up a really useful conversation about breaks and the difficulties I have with maintaining connection with her.

It’s fair to say that therapy has been a bit weird lately. It’s my fault. I do want to kick myself sometimes. I’ve been struggling to really connect with my therapist/hiding from her for a variety of reasons. Some of it is definitely a hangover from last Easter break and how she reacted when I finally properly let her in and told her about the eating disorder stuff. I have struggled to trust her with the big things since then because I am worried that if I so much as allude to issues with my body or food she’s going to overreact and write to my GP or threaten to ‘work towards an ending’  again (shudder).

My rational adult knows that I can trust her and that we now have an agreement (that we worked out together) in place around what we do if I end up struggling with eating and she is concerned that things are bad but even so, the teen parts are still hurting after how things were handled and most of what I need to say to my therapist comes from these younger parts. As I have said many times my adult knows what she’s doing and has it together…it’s the others that let the side down! They’re the ones that need the therapy and if they don’t feel like they can trust Em then we’re all screwed.

In addition to stuff around the ED I have been struggling to reach out or let her in because I’ve felt pushed away – and that bombshell about needing ‘to work towards an ending’ if I didn’t go to my GP has just got stuck on loop. Fucking soundbite from hell. I feel wobbly at the best of times and parts of me are certain that she wants to get rid of me… Disorganised Attachment 101. I do know this is really very much about my skewed perception of things rather than it being the reality but I don’t require a lot of evidence of her supposed lack of care in order to shutdown and hide. It is a nightmare.

For example when I asked for a regular check in around the time when the ED was off the chart bad and she essentially said she had no time I couldn’t help but feel like the whole therapeutic relationship was just a huge pile of shite and that she did not care at all. It takes a lot for me to express any kind of need and so to do it and then get a no was just hideous. Add to that the hell that was the beginning of July (cancer follow up at the hospital neatly coinciding with the anniversary of my dad’s death) wanting to reach out to my therapist and knowing I couldn’t, or could but she wouldn’t reply sent me into a complicated rage and devastation cycle:

 Why the fuck do I bother? She clearly doesn’t give a shit about me.

I wish she was there and could give me some reassurance. I miss her.

I’m done with this. I hate her.

What is wrong with me? Why doesn’t she care?

I hate myself.

It’s so hard constantly trying to juggle and manage utterly conflicting but intense emotions. I get that this is where the work is. On a good day I can completely see how my therapist is just a therapist and is doing her best to help me but other days it is so much more complicated than that. It drives me insane.

When the five week summer break started flashing persistently on the radar it added in another level of internal struggle. I absolutely want and need to be able to connect with Em before the break but the moment any kind of vulnerability or need starts to creep in the room I have dissociated. I am gone and it takes ages to try and get back to her. It’s been horrendous feeling like she is behind glass and I’m stuck in a long dark tunnel. This week was even worse than usual. There wasn’t even the ten minutes of adult small talk at the beginning before a plunge into young parts’ chaos and dissociation. Nope. I sat down, looked at her, and went numb.

AAAAAHHHHH FOR FUCK’S SAKE!!!!

It’s so annoying. I spend all week wanting so badly to be in that room in order to try and work on this stuff and yet my mind plays tricks on me. I can’t even really remember what we talked about in the session, now. I know that she was trying really hard to draw me out and connect. I really wanted to talk and yet there was a part inside freaking out ‘if I tell you how I feel you’re going to leave’ which is hilarious, really, because of course there is a therapy break coming up next week anyway, and she is leaving, so what’s the difference? I guess a therapy break isn’t forever, though, and yet to some of the young parts there is a real and genuine fear that I will get terminated for being too needy if I tell her how I really feel.

It’s that old chestnut: I am too much.

No matter how many times she tells me I am not too much and that she wants to hear everything I am feeling I still can’t trust in it fully. I really want to, though. I am trying. And I do get there eventually.

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So often what happens is that as we creep towards the eleventh hour in therapy I am able to talk a bit. I guess I build up enough trust, or perhaps enough desperation to let some stuff out the bag. I sense the clock ticking down and I get a ‘now or never’ sort of motivation but also an ‘oh she is still a safe person’. This is a pattern I have noticed in my sessions – the last ten or fifteen minutes is where the work is really done. But this is also true as we head into a break. I conceal how I feel for at least a month leading into a holiday (‘what’s the point in telling her anything, it won’t change anything’) and then suddenly the break is almost here and I let it all out. I don’t know why exactly. Perhaps it’s about feeling like I can’t contain it on my own during a break, or maybe it’s about safety. If I let all the really vulnerable stuff out just as a break starts then I have time to recover from it, let the dust settle a bit, we can pretend like it never happened if it is totally mortifying… I dunno.

So anyway, when I said ‘I don’t want you to go away’ I felt like I’d had some kind of out of body experience. Who the fuck said that? It was a young part for sure but I have never allowed that stuff out in this way before. Sure some of you might be thinking, ‘seriously, you’re getting wound up about this??’ but it was huge. Em handled it really really well. She asked me what I was scared of and I said ‘that you won’t come back’ and we talked a lot about how massively traumatising this all felt especially in relation to my dad having gone away and died on holiday.

I always feel silly getting stressed about her going on her summer holiday. It certainly is the hardest therapy break in the year and not just because of its length. It just falls so soon after the annual sucker punch of my dad’s anniversary. I have experienced someone I love not coming back from a holiday, and I have had it front of mind for the whole of July, and then off she goes on holiday for a month in August. The timing sucks.

I wish I didn’t get so scared and anxious that she would respond negatively to something that is fairly normal and understandable. Like surely it would be more weird if I was completely unaffected by her going away for 5 weeks especially given the timing. But I do fear her rejecting me. It is a huge stumbling block for me. I wish that I could retain all these positive therapeutic experiences where she responds to me as I need her to. If I could hold onto her and her kindness and care I know it would enable to be more open and vulnerable but unfortunately I just cannot hang onto these connecting moments and file them away in my memory banks to give me some courage the next time I have stuff to let out (which is basically every session).

I know it’s a process…but god…it’s long isn’t it?!

Anyway, that’s kind of where I am at now. I have one more session on Monday and so that revelation in the last ten minutes of the session might have been the start of the emotional flood gates opening. I kind of hope so. I don’t really want to sit on all this attachment stuff over the holiday and feel alone, unseen, and unheard. I want to tell my therapist how it feels so that she can help me put things in place so that everything doesn’t disintegrate the moment I walk out the door.

She said we are going to work on building on the felt sense of connection between us in session next week…..god only knows what that’s going to entail but I’m telling you now if she gets me to imagine fucking angels or a sodding box to hold positive feelings in I will throw my pebble through her window!!

X

 

 

 

Anonymity Blown?

So I was planning to come home from my holiday (yeah, I haven’t just dropped off the face of the earth this last couple of weeks – I’ve just been on a different part of the face of the earth!) and write about how lovely it has been to go abroad for the first time in four years, to have a proper relaxing break with my kids and wife, and to say how amazing it’s been to recharge my batteries… and I will get to that at some point in the coming week along with writing up the session where I gave my therapist the letter I had written her. But something happened last night when I was at the airport and about to fly home that sent me into a bit of a tailspin.

I was ten minutes from boarding my flight when I received a notification on my phone about my rubberbandsandchewinggum Instagram account that SOMEONE I KNOW IN REAL LIFE (a mum from preschool/school) had become a follower. My heart skipped a beat and then I panicked and then I literally started sweating…and I am not a sweaty person! Basically my brain was screaming ‘FUUCCCCCCCCCKKKKKKKKKKKKKKKK!!!!!!!!’

How on earth did this happen? Like really? All my privacy settings are set not to sync with any of my contacts on my personal email or phone. I don’t even list my mobile number on the accounts I set up with Instagram or WordPress. I use only my blog Gmail email to set up anything like this – not my actual name or anything. In theory there is absolutely no way that account should have been found other than by complete chance.

So I don’t know what’s happened. I went over all my settings with a fine-toothed comb a couple of months back when I wondered (got paranoid about) whether I was identifiable on one of those ‘you might like this’ suggestion type things but I asked a friend to try and locate me with my details ‘ie my phone, email, facebook etc’ and she couldn’t find me.

I guess it could be complete chance. This woman has an interest in similar things to me, from what I can tell on Facebook and having spoken in real life. She doesn’t deny she suffers from anxiety and depression and always ‘likes’ anything I post on Facebook that relates to MH awareness etc. I just feel like it’s a bit of an unlikely massive coincidence, you know? Like of all the pages in the world about mental health she discovers mine with no identifying info. GPS??? Does Instagram try and suggest pages you might like with people in the vicinity? I have no idea. I am not a techy person – I just write!

It all feels a bit, I dunno, Big Brother… I guess I am naïve and trust that these big social media things are private when you set yourself to be private but who knows. It’s too complicated!

Anyway,

My Instagram has this info:

Mental health blogger. Mum of two. LGBT. Procrastinator. Holding it together with rubber bands and chewing gum.

Which is basically the same as my Twitter account.

I guess that wouldn’t have been too defining had I not posted some Bitmoji on the Instagram page….but also used Bitmoji on my personal facebook as my profile pic….ugh. What a dummy! It looks like me! Obviously!

Until yesterday my Instagram had a link to my blog. I have since removed it- although given the name is the bloody same only with a dot com at the end it’s not exactly a stretch to find my blog is it? I temporarily made this blog private last night (thanks to those of you that emailed to find out why and to get permission to read it). In my panic I didn’t know what else to do knowing I was about to board a flight.

Just before I turned my phone off I bit the bullet and messaged the person who had followed me (but for some reason was her account was no longer showing as a follower despite the notification coming through) and said:

Am I imagining it or did you follow a mental healthy Instagram (my Instagram) earlier and then disappear? My phone’s having a wig out and then I had a panic that someone I know would access my blog through that account. Thought it better to be honest and ask than freak out – as am actually bonkers mental health wise x

She responded kindly and basically said she had been following things at random on her business account that had come up in her suggested pages and thought it looked cool and followed without even looking at it. And then said ‘I’m pretty bonkers too, so no judgement’. She then said she understood the panic and knows how important it is to have places like that (the blog) to go to that are your own. I received that reply when I got off my flight having been sweating it some more for the four hours back from the Canaries.

So. Where am I at today with all this?

Well clearly, as you are reading this the blog is no longer set to private. What I have decided is this: whilst I am not going to suddenly promote my blog on my personal Facebook page (can you even imagine?!! -hell no!) or let anyone else that I know know about this blog (literally my two best friends know about this page and even they don’t read it and respect my privacy and need for space to let this stuff out) I am not going to take the page down.

Why?

Well, even though this is blog talks about personal stuff….VERY personal stuff and is a window into my emotional world and my private thoughts. It is a side of me that only a very few ‘real life’ people ever get a glimpse of. I kind of feel like if I take down this blog or make it private because one person in the world that I actually know might find out that actually I am more vulnerable than I appear, that I struggle with my mental health, and that life is not always what I present to the outside world then….well…that’s a bit daft isn’t it? What’s really wrong with someone knowing the authentic version of me?

(breathing deeply into a brown paper bag here!)

Obviously, I am working on trusting this person, who I don’t know very well but seems nice enough, to keep my blog and anything written on it to herself. I mean why would it interest her to talk about me to anyone else in the playground? I am not that interesting.

There are, of course, parts of me that flood with shame and embarrassment and want to crawl in a hole and die at the thought of being exposed in this way. But I need to work on my feelings around shame and embarrassment. Man how much of my therapy is devoted to this pairing?!

I am not a bad person. I have feelings. Some of them are tricky. I have some shit coping mechanisms. But I am not a weirdo for having them (the feelings or the coping strategies). Lots of us with traumatic and neglectful childhoods feel like this and have unhealthy behaviours that we use to try and help us cope.

Yes. I am in therapy. So what? Frankly, it’d be more worrying if I wasn’t in therapy, given how I am, wouldn’t it?!

And lastly, the main reason I am not binning my blog is you guys. If so many of you have accepted me despite, and maybe because of, all my emotional wounds when you haven’t ever met me than surely someone who has did ought to extend some of the kindness, compassion, and care that you do (if they end up reading).

I don’t often talk directly to the followers of this blog other than in comments but I really have to say that this blog, and the people that choose to interact with me on it and through it, have been a huge support. I think we have a brilliant community. I cannot thank you enough for the kind, considered, thoughtful comments you post up. I have made some lovely friends through this page, too, and what started out as a random anonymous space for me to spill my emotional guts has become something so much more than that.

So, yeah, this is me, warts and all x

And now to get back to writing about therapy…soon be Monday…eek!!

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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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