Summer Therapy Break Is Almost Here…

I should be delighted right now. School’s out for summer and that signals six weeks off from tutoring; no more trying to make packed lunches at 6am only to realise there is nothing to make a packed lunch with in the fridge; no more washing and ironing uniforms (THANK FUCK!); and better still, no more negotiating with pint sized terrorists every morning to ‘pleeaaasseeee darlings just put your shoes on’.  I will certainly not miss doing school runs or racing around to get to my teaching. I can, for the next few weeks, sit here at 9am in the comfort of my PJs (TMI?!) and blog if I want to.

It’s all good.

Ok, so anyone with kids knows that the shine of summer holidays wears off about a week (day) in, but right now I am trying to picture myself as calm, together mum who plans nice trips, meets for play dates, bakes, and creates a generally harmonious atmosphere. (Who am I kidding?!) The truth is, before long I will probably be threatening to get out the ‘bin bag’ and throw all the toys away if the floor isn’t cleared before bed time and will be pleading with them to ‘be nice to each other’ and ‘stop snatching’ and ‘can we agree on something you both want to watch on Netflix?’

So, yeah. In my head I am aiming for Mary Poppins but realistically, just gotta hope they are both alive in September (that is a joke by the way!). Using the therapy speak – I’m hoping I do a ‘good enough’ job over the summer with my kids.

Oh, but wait, if school is out for summer then that means therapy is almost done with and the long summer break is coming doesn’t it?…

I’m totally screwed.

Ok, so it’s not like this is new news. I’ve been mentally counting down to the summer therapy break since Easter (I’m fun like that!) and once I had confirmation of the break dates from my therapist could start properly obsessing about how bloody long she is going to be away. She always takes roughly the same holiday and, actually, in real terms it’s only two weeks away for her but because my session falls on a Monday things always feel longer because before she even starts her break on a Monday it’s been a week since I have seen her (I think therapists forget this sometimes). The summer break is particularly crap, too, because there is a bank holiday at the end of August in the UK so I lose another session.

So, basically my last session is on the 30th July and my next face to face is the 3rd September…err that’s 5 weeks… There is a session in the middle on the 20th but I can’t get to it because the kids are off. I could, maybe, Skype but it wouldn’t be all that easy with the monsters causing havoc. I am also a bit reluctant to Skype after essentially three weeks break because I know what I am like, and much as I would like to check in, there’s a real danger of me stonewalling her and us getting nowhere and then there being two more weeks until we can sort it out. I know that is a recipe for disaster. So right now I have to think about what is the lesser of two evils: a long five week break or three weeks and then two weeks break back to back.

I can’t see that either is going to be great. I think it’s going to be about survival (again). I hate that I am like this. I hate that the attachment stuff causes so many problems. I wish I could look at this break as a chance to regroup and enjoy some time with my family but it doesn’t feel like that. Instead it feels like my safety net is being whipped out from underneath me or my anchor has been severed and somehow I just need to hang on and make it to September without something tragic happening. I know, spare the drama right?!

I did think about asking my therapist to write me a note for the break but after all the hell with the pebbles I just don’t think I can face it. I don’t want to create a situation that destabilises me before I even get to the break. But five weeks is a long time isn’t it? Especially when you are unable to hold someone in mind…

I don’t really know what to do.

The weeks between sessions have been getting increasingly more difficult recently and I have been dissociating a lot in my sessions (as well as outside them). I know it’s panic about her going away at the end of the month. The anniversary of my dad dying falling in July doesn’t help matters, either. My mind automatically lurches from the fact that he was meant to be going away for a month on holiday and never came back to the possibility that she may do the same. I can’t deal with that. I know it’s not rational but it is what happens in my mind. I panic. It’s like the grief of the loss of my dad swirls with the idea of losing my therapist and a shit storm starts inside me.

There is some good news in amongst all this doom and gloom, however, that I guess I should share and that is that as of September I will be having two sessions a week. A session time has become available on a Friday and so we are going to trial 6 months of twice weekly sessions and see how it feels. Unfortunately, the time is too early for me to actually get to the session in person (9:30am) as my therapist lives 50 minutes from me and I don’t drop the kids to school until 9. However, it does mean I can come home and Skype. When a better time becomes available I’ll swap into that.

I already know this change in session frequency is going to make a significant difference to how I feel in the week because whenever my therapist has a cancellation and can offer me two sessions in a week things feel way more manageable. We did this a couple of weeks ago and I can’t tell you how much easier things felt having that weight of anxiety lifted from me because I knew I would see my T on Monday and Friday. I didn’t get any of that shitty horrid attachment pain and physical ache that usually wipes me out on a Wednesday. I didn’t feel like I needed to dig deep or hang on tight in order to get through the week.  I was able to keep sense of my therapist still being out there – which was refreshing! I knew the child parts were there but they weren’t completely beside themselves. It was so freeing.

This week has been total shit, though, back to one session a week and no in between contact. It’s hit me like a sucker punch – even though it is what is normal for me. Two sessions now remain until the break. My session on Monday this week was ‘meh’. Adult me went in and talked shit for half an hour about ‘non things’ and avoided going to the difficult stuff because I’m in self-preservation mode. But then something suddenly shifted. It was as though the little ones clocked that only twenty minutes remained and they freaked out. They wanted to connect with my therapist but then the shame and embarrassment flooded in and rather than reaching out I started retreating inside myself and started to shut down.

My therapist quickly noticed I was starting to dissociate and tried to hang on to me. I could feel myself slipping but she kept talking to me. She said she could tell something was starting to change because my body had changed and that she has noticed I close my eyes more when I am starting to dissociate. I didn’t know this!

I wasn’t able to tell her why I had started backing away but could tell her how it felt like she was behind glass and that I was alone at the end of a very long tunnel. She asked me what I might need in the tunnel? And I said I didn’t know. I was too lost by that point to express the need for someone to be there with me but she said that she imagined having someone alongside me that I adequately trusted might help. I nodded.

She asked me how old I felt and I quickly answered ‘eight’. She said that that was the age where I had already learnt to cope by myself and not rely on anyone. She was right. As usual. I really wanted to be able to reach out to her, to ask her to sit closer to me, to connect, but I just couldn’t. That glass wall is too thick and the tunnel is so dark and long.

Before long the session was over and it was time to leave again. My therapist has really been talking a lot about how difficult the ends of the sessions feel and is more aware now (I think) that they feel like an abandonment or rejection to me and I seem to hit a very young place at the end, like I look frightened or something. She commented that I seem to feel like because the session is over and I have to leave that it’s automatically ‘out of sight out of mind’ and yet that just isn’t the case. She’s right though. It is how it feels to me. I struggle really hard feeling like she doesn’t care unless I am in the room and that is limited to 50 minutes a week. Because I can’t hold her in mind I feel like it works both ways. I find it really helpful when my therapist says things like this because actually the young parts need reminding that she cares. It really helps.

Although, it clearly doesn’t help enough when a break is coming. I just need to do a massive face palm. I know things are dire when my dreams start getting really vivid and regular. I dream a lot anyway but this last couple of weeks has been horrendous. I’m back into therapy stress dreams 101. The ones where I am vulnerable with my therapist, express a need for her, try and get close to her and she physically pushes me away with force. I hate them and they are occurring so regularly (a couple of times each night) that it’s hard to remember that they are only dreams and not the reality.

There have been times when my therapy dreams affect me so badly that I can’t even talk to my therapist properly – for like a month! I get so shut down and scared that I can’t even tell her anything. I fear the dream will play out in real life. It is utterly horrendous. Of course when I do manage to bring the content to session it’s nothing like the dream but it’s so hard when my mind is telling me one thing over and over and yet I am meant to try and believe that the worst won’t happen and trust in someone I can’t hold in mind. It’s so hard.

I think I’m going to write some stuff down tomorrow or draw some flow charts and take them to session with me. I don’t mean to be deliberately avoidant in sessions. Sometimes I just can’t talk and sometimes I can’t even bloody remember what has been paining me outside the session. Man, that is so frustrating! It’s like some kind of amnesia! haha. Ok, so it’s just a product of dissociation and fragmented parts but either way I think I need to take a map with me on Monday so we don’t get lost.

I think that’s all for now. I don’t really know what to say. Bleurgh. Bloody therapy breaks! I guess it’s almost time to:

img_3597

 

Crash and Burn

img_2678

I guess it was kind of inevitable that a week like this would happen again sooner or later. It feels like I have been running along a cliff path fairly successfully for a while now. Sure, it’s been challenge, a test of endurance, I’ve turned my ankle over a few times but have generally been making progress in a forward direction with only occasional minor scratches from brambles that have overhung the path. I have felt my fitness level improving. It’s been ok.

Then it happened. Just as it always does. This week I’ve unexpectedly fallen down an exposed mineshaft that was overgrown with weeds and grasses. I wasn’t looking carefully enough at the ground as I was running along, probably  had my head up to take in the scenery. I guess I was slightly distracted/daydreaming, and I just didn’t see that there was no safe ground in front of me, and BAM! Here I am battered and bruised down in the dark cold hole. I’m not sure if anything is broken but I have a pretty sore head.

I’m not alone down here either. There’s a couple of distraught child parts and a fucking livid teen part too. I don’t know how long they’ve been here but they are cold and hungry – well the teen isn’t – she doesn’t eat. It’s cramped and uncomfortable and we need to get out.

Unfortunately there’s no phone signal down here and I can’t call anyone for help. If I shout no one will hear so there’s little point in wasting my energy. It’s not ideal for sure. I need to find a way of getting out of here on my own. I am a good climber. I’ve been in similar places before (I really do need to start looking where I am going don’t I?!… stop tumbling into these dark places and over ledges) but right now I am just too tired to start trying to find a route up and out of here because it’s not just me that has to get out; I have to find a way to help the young ones too. I simply don’t have the strength to carry them on my back right now.

I’ll try and avoid extended metaphor overload today but basically that paints the picture.

Things feel shit.

So, yeah, it’s been a tough, emotional week since my last post. Actually the weekend was fine – or at least I think it was. I don’t really remember! My memory sucks at the moment.

On paper my therapy session on Monday was fine too. I was firmly in my adult. I talked a lot. I didn’t dissociate. I didn’t feel sick. I didn’t start shaking. I could ‘sort of’ look at my therapist. It was fine. I’m sure she was delighted to have the normal adult version of me sitting in front of her for a change. But it was just like having a chat for 50 minutes – or a bit of a moan – no real work was done.

I know that not every session has to be agonisingly hard work, attending to child parts, or dredging up past trauma. I know that the easy sessions have their place too, and to be honest, I really didn’t want to do any of that hard stuff on Monday because it was my wedding anniversary and that evening my wife and I were having a date night and I just couldn’t have a session that floored me.

I suppose, in part, Monday’s session was about protecting myself from getting stuck in the child parts’  pain and trauma. I wrote the other week that I have been struggling a lot with being dissociated outside of session and I didn’t want to be emotionally unavailable to my wife in the evening which so often happens on a therapy day. I usually have to go to bed early and sleep or just be on my own. So much gets activated in session that I feel like I am in survival for the early part of the week.

I know that I was avoiding stuff in session, though. I have been avoiding returning to the letter I gave her before Easter and going through it properly (ugh! Like what is the bloody point in writing this stuff and then not discussing it?!). And I also avoided giving my therapist a thank you card until I left the session.

This week marks two years in therapy with my therapist (this time around). Generally, if I have something to give my therapist (like a card at Christmas) I hand it over at the beginning of the session but for some reason I couldn’t give her this one. Why? I dunno. I guess it’s because whilst it said exactly what I wanted to say it just felt too exposing in the moment.

The front of the card said ‘I know you’re not a hugger but I am hugging you in my mind right now’ – see my problem?! HA. Like whilst it is the perfect card it is also just absolutely cringeworthy and horrendous because the touch issue is still so massive for me. It really is a biggest fat-assed elephant now. There is barely any space for any other of the others in the room now. How many elephants can you fit in a therapy room?!

I didn’t really even know what to write in the inside of the card. I think in the end I put something really boring like, ‘thank you for the last two years’ – which is not at all like me, but the words just wouldn’t come. Maybe I should’ve taken that as a signal to not give her the card at all. I dunno. But she is important to me and I do value her and the work we do together (or at least adult me does!) and I wanted to acknowledge that. So, yeah, I awkwardly handed her the card as I got up and left and walked back out into my real life – straight to tutor.

Monday evening was glorious. My wife and I had a great meal out in the centre of town and then walked the ten minutes down to the riverside (we are really lucky to live in a such a nice city) and had dessert and coffee in a bar with a terrace overlooking the water. It was 26 degrees. A perfect summer evening. AND childfree! Yay. So, I guess doing therapy like that on Monday at least afforded me some quality time with my wife.

Unfortunately, the rest of the week has sucked. I could feel the young parts stirring on Tuesday. They hate it when they don’t get to seen by therapist and then really struggle. I think they also feel exposed now because I gave her that card and what happens if she rejects them for it because it’s ‘too much’. I won’t lie. I am also sad that she hasn’t acknowledged it now she’s opened it. Not that she ever would. We don’t do the outside contact thing so it wasn’t ever on the cards – but still, there is a part of me that feels a bit hurt. It’s not rational but there we go. I know she’ll say something on Monday…but…ugh!!

Wednesday was my cancer follow up appointment at the hospital. It’s a day I always dread and requires a great deal of effort for me just to rally myself enough to go. I have to go, though. There is no choice. But it is not easy being repeatedly plunged back into the place where I had 12 rounds of chemo and memories of all the associated feelings (both physical and emotional). It triggers all sorts of stuff for me being there surrounded by people who are very ill and waiting to go have their treatment. I feel sick to my core.To make matters even worse my consultant was running two hours behind and so I ended up spending three hours in that place feeling anxious and triggered. Ugh.

Another thing that really doesn’t help matters when I feel so anxious and alone is that I know my therapist is literally only a three minute walk from me when I am at the hospital as the NHS psychotherapy building is just round the corner (she does three days a week there and is where I first met her).

Knowing she is almost within touching distance but that I can’t see her is completely hideous. I so want to be able to reach out and yet, obviously, I can’t. Ouch. I can’t even text her to check in on these really hard days. And they are hard. Sitting waiting to be told whether or not my cancer has come back is not an easy appointment to have to go to every couple of months. The build up to it is bad enough, but the day itself if awful. I feel so alone with it.

Most people don’t understand how truly terrifying it is to live in the shadow of cancer. They sympathise, of course. But they also think I should be delighted to have ‘beaten’ it. And I am. But it never truly goes away. The fear of it returning is always there. And it all becomes very real again as I sit in a packed waiting room full of other cancer patients.

Actually, the other day my therapist and I were talking about maybe doing some EMDR in relation to health trauma as a way in to maybe working with the attachment stuff in the future. She’s been suggesting EMDR on and off for about 16 months now! I am a bit reluctant/sceptical about EMDR because I get so dissociated and have so many parts and I know several are not on board with the idea and I think that could make the early trauma difficult to work with. She said that choosing something like the cancer/health stuff to work on might show me how things can work and might give me a little bit more confidence in the process. It’s worth considering because I find these hospital weeks completely agonising.

So EMDR could be a good shout for that. That is, of course, if I keep going to therapy!!… because on Wednesday I lost the fucking plot. Like spectacularly lost it.

Thankfully, this time I didn’t actually act out any of my thoughts/feelings like I might have done in the past but I am not sure if that’s because actually I can’t be bothered and have mentally shutdown/walked away or whether it’s because I have managed to self-regulate a bit. No, actually, it’s probably because my friend absorbed it all via WhatsApp as I fired off angry message after angry message to her instead. We do this sometimes! Just vent that stuff to each other rather than jamming our therapists’ phones. The outcome of all that is that I didn’t end up sending an ‘I’m done and won’t be coming back’ message to my T which is suppose is a good thing. Ha!

How did I find myself in a place where I was ready terminate with my therapist having only two days previously given her a thank you card? Well, no surprises, this all comes down to the fragmented parts and the different feelings they all have. It’s bloody exhausting, for sure!

Sitting in hospital, feeling scared, my mind automatically went towards my therapist- as it always does when I feel vulnerable. I wanted to be able to text her and tell her how things were. I wanted to be able to reach out to her and her respond in some kind of reassuring way. I needed some of that care that she shows me in session when I talk about how awful the hospital stuff makes me feel. But I couldn’t reach out. Or I could. But she wouldn’t respond. And that feels like a huge kick in the teeth…especially on a day like that….it’s bad enough on a normal shit day! So instead I had all these feelings and nowhere to put them. And then I started to get angry. Like properly got the rage. Hello teen part!

Episodes like this send me through a horrible cycle. The youngest most vulnerable parts are scared and need support, they need to reach out and get some kind of emotional holding. They can’t. It’s a boundary. Things feel really overwhelming. The need is huge. And yet there’s the stark reminder that the person I have come to rely on for emotional support is not really there. She is only there in the paid for time (actually the ‘paid’ time isn’t so much an issue, I want more contact time but she just doesn’t have it). And whilst adult me understands (sort of), the child parts don’t AT ALL. They can’t understand why the attachment figure is unavailable. They can’t understand why she can’t check in once during the week via text. They can’t understand why she doesn’t care that they are falling apart because they worry she is gone. They can’t understand why she is how she is in session but is not there at any other time. It feels really abandoning. It hits that deep core wound, the mother wound. Here I am again on my own, struggling, and no one is there who cares.

Fuck.

Then the fun really begins because before too long the teen part comes online. And OMFG she is boiling with rage (because she is so hurt). She’s got so much to say! She is ready to unload. She wants to scream at my therapist for being a ‘fucking liar’. She wants to tell her that ‘we don’t need you’ and ‘you are making things worse for us’. She is raging that the relationship is a ‘complete sham’ and that ‘whilst you (T) might think the little ones are stupid, that I can see exactly how this all fucking works, don’t pretend you care.’ Basically what it comes down to is that the teen part has been through this shit enough times now and will not be hurt any more. Therapy is an agonising and constant reminder that ‘I am not good enough, not important enough, and no one really cares’ and so ‘I’m fucking done with having it shoved in my face’.

Obviously, it’s completely horrendous when I am stuck in that place. Part of me so badly wants to let rip and let it all out. I want my therapist to know just how fucking awful this stuff makes me feel. She tells me that my anger is important and that I need to let it out… unfortunately I usually only really feel able to express it at moments like these. And it is not acceptable to let it out via text. I have done it once or twice before and then felt terrible afterwards – shame and embarrassment overload.

I have even ‘quit’ a few times and then the little parts freak out: ‘What have you done?’ So yeah, it’s a bit tricky to say the least because I have all these horrible feelings and yet she has no idea how consuming they really are. I don’t really know how to go in and tell her just how bloody awful it feels, how utterly crushing it is for the young parts to feel ‘left’ week in week out and then how angry it makes me that she is not there when things feel bad.  I hate feeling like she doesn’t care. Given how session was on Monday it’d feel like a completely different person turning up this coming week if I really said what was going on.

So anyway, I’ve spent the week since Wednesday alternating between rage and sadness and completely sunk in the depths of depression. Yesterday I stayed in bed all day between school runs. I just couldn’t do the day. There we things I was meant to do. We have guests arriving tomorrow and I really could’ve done with cleaning the house and getting on top of chores but I just couldn’t.

I had a long phone call with a friend which helped to make sense of things a bit so that was good but I still can’t quite get over the feeling that I’m at an impasse with my therapy. I feel more and more like the little two year old girl stuck in a huge grey space on her own clutching the ear of a soft toy bunny that so often comes into my mind. There is no adult to help her.

I mean, I guess, this week might also, in part, be me hitting self-destruct as we approach an enormous summer break and the anniversary of my dad’s death. I will see my therapist in person on the 30th July and then again on the 3rd September and whilst I should be able to do a Skype session somewhere in the middle of that. I. CAN’T. EVEN. GO. THERE. I can’t even explain how thoroughly overwhelming the idea of another long break is right now.

Maybe all this anger and wanting to quit is about me leaving her before she leaves me? I am shit on long therapy breaks.

Part of me is scared I’ll end up in another bloody horrendous anorexic mess like at Easter. I don’t want that. And even though I don’t want that I don’t even feel like it’s a conversation we can have now after all that happened recently around not eating.

Basically, I just don’t want to care anymore. I don’t want to feel like someone else has the power to impact me in this way – or rather their absence has the power to. I don’t want to feel abandoned or rejected anymore. I don’t want to feel so painfully alone and inadequate.

Man. I so bored of feeling shit about this.

I KNOW!

I know it’s the work.

But jeez. The work is hard isn’t it?!!

img_1588

 

The Good Place

img_4079

I am in a good place at the moment (internally/emotionally not literally). I know, right? What on earth is going on here? Who’s writing this and where did Rubberbandsandchewinggum go? As I type this I am sitting in a soft play centre (so clearly not a literal ‘good place’ unless you are five years old) with Dolly Parton’s ‘Islands In The Stream’ in my headphones…

After that last sentence, part of me wonders if I am on the verge of a breakdown and just haven’t twigged and am about to have something big fly out of left field that’ll knock me out; but the thing is, I actually don’t think this is a ‘manic’ good place which is what so often happens after a low/depressive/ED episode. I am not brilliantly full of energy, buzzing, or even very motivated –far from it! In fact I am tired and a bit stressed out from a busy week of (crappy) work and dealing with stuff I shouldn’t have to, but it’s nothing overwhelming or anything I can’t cope with.

So right now I am ok. I am here. In a good place. I am reluctant to use the word ‘normal’ as it’s so loaded but that’s kind of what it is. I am present and things are good enough.

Often I struggle to try and articulate to my therapist how much I struggle to be present in the moment. I am shit at just ‘sitting with it all’. I usually run from myself in the present,  ruminate on the past, and project about the future. I find it difficult to just be in the moment…mind you it is little wonder when being a parent on Saturday morning today involves this! FFS:

img_4078

But I have noticed since my holiday I am here. In the moment. And granted in the current moment is a little bit surreal but I’m fine with that. And I do at least have a coffee and some time to write!

I haven’t suddenly had some kind of epiphany. I am not suddenly better. I am not suddenly without trauma to heal or devoid of attachment pain. I have not had some fantastic therapy session that has made me feel held and contained and left me able to be more present (although it wasn’t bad on Monday!). Nope. Nothing like that. But there has been a definite shift in me this week. I doubt it will last (I am a realist after all) but I want to document it here because I know that when the wheels fall off (which they undoubtedly will again) and I end up careering into that dark zone I can easily forget that it can be like this. This feeling might be fleeting but I want to pay attention to it when it does happen.

How can I describe what’s going on with me?

It’s not about being content, as such. As I said, the demons haven’t gone away. But there’s a sense that I am fine not being fine. I am able to be bit more accepting of myself. Yeah, that’s what it is. It’s the feeling that I am ok as I am. In whatever state I am in. It’s ok to be me. My feelings are ok. I don’t need to hide. I am human. I guess that’s what my post when I got back from holiday was leaning towards when I thought my anonymity had been blown.

I am who I am.

I am working on myself.

I am not a finished product.

I will never be a finished product because we are always changing and evolving (even when we feel stuck!) but you know what, I’m not some chronically flawed asshole that doesn’t deserve to be happy either. I shouldn’t feel like I am in hiding all the time. I shouldn’t be perpetually feeling like I have some kind of deficit that means I shouldn’t live.

And that’s really how it gets at times. I feel so often like I am hanging on by a thread. It’s about survival rather than actively living. And that is a crock of shit when the odds are that my life is going to be cut short due to either a relapse in my cancer or a nasty side effect of the chemo and radiotherapy that saved my life three years ago.

You can’t expect to have your chest heavily radiated and your body chemically poisoned and get away with it for the next fifty years. There is a strong chance that if my Hodgkins doesn’t come back I could now develop problems with my heart or get lung, thyroid, or breast cancer due to the radiation as well as any other number of nasties from the chemo. Great. It was a risk I was made aware of when I underwent treatment but there was no other choice. The Hodgkins would have killed me.

So really, I ought to be living now didn’t I? Lots of cancer survivors I’ve seen go crazy manic once they ‘beat cancer’. There’s a lot of bucket list ticking off: sky dives, obstacle course runs, sponsored this that and the other. And that’s great. I guess it’s a celebration of sorts. But that’s never been where I’ve been at. I have just wanted to get back to my life and carry on being boring and like everyone else – only with the shadow of cancer alongside me.

I want to just be ok living in the moment. I think this has long been my goal even before the diagnosis. All I really want to is to be comfortable in my own skin.

Today, I feel a bit like that. I am here doing not much but I am in the moment. I’m not perfectly fine. Far from it. I am more than ready to see my therapist on Monday. I need that space. I need to let some stuff out. I want to see her and connect. I have missed her. At times this week it has been agony for the young parts. But importantly I accept that this is where I am at. I am trying really hard to now make a conscious effort to accept myself in whatever form I happen to be in.

Self-acceptance…eek. Am I edging towards that place?!

I put weight on on holiday. So what? I can’t be bothered to even engage with that. It’s my body, it’s still (too) slim, I don’t need to starve myself to drop a couple of pounds to please to unpleasable eating disordered part. I won’t be any more happy thinner – in fact I know I won’t be. Anorexia messes me up big time. I hated myself at Easter.

The attachment stuff is big right now. It’s been so active in the early part of the week. The ache was there almost from the moment I walked out of therapy on Monday. But this week I haven’t run from it. I have acknowledged it. I have accepted it. And it’s been a little bit more manageable. Strangely, in accepting it, rather than feeling ashamed about it I have felt more connected to my therapist. She always tells me that I have nothing to be ashamed or embarrassed about so far as these feelings go. I struggle with that. But she’s right. And in accepting myself a tiny bit more I feel a tiny bit better.

So this is how it is right now. I’m doing as well as I can and that’s good enough.

I think this is all about baby steps.

img_2501

A Much Needed Week Away

img_3999

So, this is the post I had planned to write before the Instagram episode on Thursday night where my anonymity in Blogland and Social Media World was compromised. God that sounds like some kind of MI5/Secret Service statement doesn’t it?! For now, I am ok with my decision to keep this blog public but I guess we’ll just have to see how things pan out in the coming weeks. The worst that’ll happen is I’ll password posts or something.

Part of me is too tired to even care about it. As things stand right now I have bigger concerns. It’s all about doing a reality check sometimes isn’t it?

Currently, my best friend from primary school is in agony with metastatic breast cancer that has now found its way to her sternum. She is battling hard, third diagnosis in five years, but we know that this is going to kill her. I am devastated – in fact I ended up bursting into tears on the bus from the resort to the airport on Thursday just thinking about it (and I don’t cry!).

Her struggle is so hard to watch and a potent reminder that my very good friend died of Myeloma just before Christmas less than two years from being diagnosed. I still haven’t processed the loss and keep imagining I will see her again. My brain is really not very good at dealing with death.

In addition to this, I actually have my own follow up at the hospital this coming week to check (and hopefully confirm) I am still in remission. So in reality, who cares if someone I know might find out a little more about my mental health? It’s not going to kill me. It’s not cancer. It’s only the truth.

Anyway, my holiday. I’m not sure anyone wants to really read about this but I think it’s important for some balance to show that not every aspect and minute of my life is a complete shit show! Ha! Having said that, since I got home I have slumped and the attachment feelings/pain have ramped up enormously. I guess I can’t really escape that.

The last time I had a proper holiday abroad was I was eighteen weeks pregnant with my son. He is now almost four years old so it’s been a while. I have always loved travelling and have been fortunate enough to visit lots of the countries on my bucket list, but since getting diagnosed with Hodgkin’s Lymphoma in early 2015 travelling abroad has been off the cards.

Until recently I have been pretty much uninsurable. Despite being in remission, I am now classed as having a pre-existing condition and so the cost of travel insurance has been insane. For example, when I finished my course of chemo and radiotherapy in January 2016 we thought it might be nice to get away in the May once my hair had grown a bit and I was a bit less fatigued. We needed a holiday. We found one. We almost booked it. And then I got an insurance quote for that week in Greece: £1000! It was more than my ticket!! So, needless to say we didn’t end up going.

I have intermittently generated insurance quotes for trips and until recently they’d still be in the several hundreds of pounds and made things unaffordable. It seems mad that I have no active disease and am fitter than almost anyone else I know: running, cycling, swimming etc, and yet have to pay such an enormous premium. I would understand if there was active disease or I was compromised as a result of having had cancer but I’m not, not really.

I get tired, of course I do, but then I pack a lot into my weeks and have two young kids. That’s being a mum not necessarily a cancer hangover. Or maybe I should say, the cancer hangover is not so physically debilitating as to stop me from going to an all-inclusive resort in the sun, sitting my arse on a sun lounger, reading books, and eating plenty… in fact that’s surely exactly what I need! Low risk and relaxation. I need stress reduction – because these days the biggest problem with having had cancer is the continual stress and anxiety about it coming back.

It was my 35th (wtf how did that happen?!) birthday in March and my wife and I were bickering with one another about absolutely nothing at all. We’d just reached that point where we needed a break, a proper break, not another midweek ‘break’, self-catering in a static caravan in Devon which is not really relaxing at all or long enough to unwind. We needed to get away properly. So before I even entertained searching for a holiday I generated an insurance quote….and low and behold it was £42. Win! Having said that my wife and two kids all got insured for less than £10 with a high level of cover so go figure…

I quickly found a holiday and booked for us to go away for half term week. The joys of internet travel agencies and credit cards eh?! It’s amazing what you can do in five minutes online…and how much you can spend!

The kids were super excited to be having a holiday when so many of their friends regularly go away. My son was in his element on the plane, ‘mummy, are we really in the sky?’ and my daughter was good as gold.

We arrived at the resort and I could feel myself relax instantly despite having left home the best part of 15 hours ago. It’s a feeling that I haven’t truly felt in a very very long time. I know that chilling out has always been a problem for me. My brain is always buzzing even when I feel low, but I hadn’t truly realised the levels of stress, anxiety, exhaustion, nervous energy that was the cocktail fuelling my system. I guess it’s not a surprise to anyone that reads this blog!! Haha.

It was so nice to be away from the responsibilities and routines of home. My dogs were in kennels for the week. My neighbour was feeding the cats and fish. I didn’t have to cook or clean. No school runs. No teaching. Just sunshine, swimming pools, and the spa. Whoop.

It was amazing.

The most surprising thing for me was that for almost the whole week I didn’t experience any of that horrible gnawing ache in my tummy. The absence of attachment pain feelings was a massive relief. I didn’t feel agitated and lost. I didn’t feel young. I didn’t feel angry. I didn’t want to harm myself. I didn’t desperately long to be with my therapist. Sure, I thought about her, but I wasn’t consumed by that need to be in contact. Seriously, having that weight off was incredible.

Sadly, it didn’t last!

I think it was Wednesday (bloody Wednesdays will be the end of me, I swear!) when those feelings started to creep back in. The young parts started making themselves known again. I could feel that shift in myself from predominantly adult to all the others. I started to feel snappy and short tempered and my wife and I ended up having an argument. It was nothing big. I was just being unreasonable and angry. I know it’s because of those attachment feelings coming up (might’ve been a bit premenstrual too!). Suddenly I felt suffocated being around people. I wanted to be alone…or with my therapist. Argh. What a shitter.

Fortunately, I got over myself, or rather, I returned to default – i.e having those feelings and masking them from everyone else. Don’t get me wrong, I was still able to enjoy the last two days of my holiday but I was very much aware of carrying that additional emotional baggage inside me again.

What also didn’t help matters in the least was the set of scales in the hotel room bathroom. I clocked them the moment I walked in. I ignored them for almost the whole week, determined to leave the ED back in the UK, but then once those attachment feelings, doubts, and anxiety crept in so did the body stuff. No real surprises there.

I knew it was a bad idea to stand on the scales. You can’t go to an all-inclusive resort and eat pretty much consistently for a week really packing it in: full English breakfast, smoothie, and pastries at breakfast (breakfast is a meal I never bother with!); a plate of hot food, a salad bar, bread, and a plate of desserts (yes, three or four different sweet items) for lunch; ice cream, drinks, and snacks beside the pool; repeat lunch at dinner time…. and then not gain weight. So yeah. Of course I put on weight. Still not enough to take my BMI into the healthy range but not a million miles off it either.

I saw this:

img_3998

I wish it were true!

For some reason I can’t cope with the idea of having a healthy BMI. It’s madness. I do get that. The idea of the calculator ever saying ‘18’ makes me feel strange. Usually my BMI is mid-16 and now it’s mid-17…and that’s fine isn’t it? Only it doesn’t feel fine. I feel stodgy and fat. I am due my period and so some of this will be hormonal stuff and water retention but my head is conflicted. I am trying really hard not to resort to my unhealthy coping strategies. I don’t like being caught up in active anorexic behaviour. It makes me miserable. I don’t function well. So it’s going to be a challenge. One of many!

Since getting home the attachment pain has ramped up even more. The little ones two and four are very active. I was delighted to crawl into bed in the early hours of Friday morning when I got home and snuggle with my teddy bear but I could feel that ache of not being read a story, held, or tucked in by ‘mummy’. Don’t judge me!

I have felt really flat and lacking in energy these last couple of days. Everything feels like it’s a struggle. I have got things done – all the holiday laundry is completed, I have mowed the lawn, and taken the kids out on their bikes but it has taken a ridiculous amount of coaxing myself through.

This morning I still feel flat but am going to try and take it a moment at a time. I have jobs to do today: painting fences and exterior walls and this will allow me to feel like I have accomplished something by the end of the day whilst appearing ‘present’ when everyone else is in the garden doing their own thing.

I also got my bike serviced whilst I was away on holiday and so I might go out on it tonight once the kids are in bed. I know once I am out I will enjoy it but I am not sure right now if I will end up in bed and sleeping instead. I guess we’ll see.

Tomorrow is my therapy session. It’s only been two weeks since the last session but it feels like a very long time ago. I am both desperate to see my therapist and dreading seeing her too. I want to have a good, reconnecting session. I need that with the week I have ahead of me. I have so much to do. But I am frightened that the session will fall short. So often a return to therapy after a disruption is not quite what I need. I can’t settle. It takes a while to rebuild trust. I’m hoping that it won’t be like that though. I need my therapist to see me even if I am hiding.

During the last session I had, I handed over my letter with about twenty minutes to go and we started to work through it. My therapist was amazing and said all the right things but obviously we didn’t have time to cover everything – in fact I think we only got through the first couple of pages in a light touch way and she quickly scan read to the end before I left.

She said that she thought there was a huge amount in it and that we should definitely come back to it when I returned from holiday and so we agreed that we’d continue to talk about it next session. So that’s what I am walking into tomorrow. The stuff about connection, touch, boundaries, transitional objects, outside contact….it’s all waiting for me.

Fuuuuccckkkk!!!

I won’t lie. I am nervous (shitting myself) about it. I know that my therapist always handles things well when I spell it out this clearly to her and we generally have really connecting sessions. I should feel encouraged by her response to what we talked about at the beginning of the letter but I feel anxious. This is big stuff for me. I know it needs airing. I’m just not sure that I am ready to hear the reasons why I can’t get what I want from her – no matter how kindly it is delivered. And I know that’s what’s going to happen.

I know tomorrow I must go and start to grieve another loss or, should I say, several losses. But I guess this is what therapy is about. It’s not always getting what you want. In fact many of the needs could only have truly been met in my infancy. It’s now about trying to work through it with someone who cares and has empathy for the situation. Adult Me understands all of this. Truly. But the little ones can’t accept or understand why they can’t get a hug or reach out when they feel sad and alone.

And that’s the conflict.

If we were working with Adult Me all the time I’d be fine…but as we well know, the work needs to be done with the little ones and therein lies the problem. I have a two year old screaming to be held, a four year old silently crying in a corner, a seven year old that wants to run away, an eleven year old that feels like she’s dying….and the list goes on….so many parts suffering in one way or another. And because I am dealing with child parts I keep hitting the same boundaries over and over again, circling the same issues time and time again. This is the work but man it’s tough going!

So, yeah, I went on holiday. It was great to escape, relax, and recharge a bit but now it’s time to roll my sleeves up and get stuck into therapy again. Really get stuck in.

Wish me luck!

x

P.S The reason I haven’t really gone into any detail about my last session with the letter is because I think I’ll write once I have been to therapy tomorrow and addressed the thing as a whole.

 

 

Letter To My Therapist (That I Probably Won’t Even Show Her!)

So earlier in the week I was really struggling. I always feel particularly unsettled in the first few days after a therapy session. It’s a pattern I am so familiar with now that I’ve almost accepted it as part and parcel of this therapy, albeit an uncomfortable side effect. It’s as though seeing my therapist stirs EVERYTHING to do with my attachment issues up and then I walk out the room with a bunch of inconsolable children inside me and some angry teens and have to survive the week as best I can. It is utterly draining and emotionally all-consuming.

The attachment pain I feel is agony. It’s been especially bad since Easter break where the eating disorder stuff got a bit (ok, a lot) out of control. The ED stuff was certainly triggered by feelings of abandonment and rejection around the Easter break and not seeing my therapist for almost a month. I feel huge amount of shame just typing that. I am so embarrassed that I am so attached to my therapist that not having contact can send me into free-fall and latching desperately onto my teenage coping strategies like a life raft on a stormy sea.

I hate feeling like this. I hate not seeming to have found a way of ‘not feeling like this’ after being in therapy for such a long time. If anything these feelings are getting worse rather than better at the moment. I know, in part, this is because I am keeping a lot to myself.

My last post was about The Elephant In The Room or rather the herd of elephants that are wedged in the therapy room with me! I was largely talking about the eating disorder stuff being a current and big stubborn beast but there are others. One of the most persistent and long-standing (so far as this therapy goes) elephants is the one about being unable to talk about touch and holding in the therapeutic relationship.  We talked very briefly about it last year – basically it’s a no from her- and since then I have struggled to acknowledge this really massive problem for me. In fact I would go so far as to say it is ‘the issue’ that activates all of my anxiety in the relationship.

I need to find a way of feeling ‘more held’ and I know that part of the problem with not feeling held and contained is that I see my therapist once a week. Before my last session I had reached the conclusion that it was time to ask about incorporating another session into my therapy or, at least, a check-in (because that made a huge difference the other week) and so I text her to ask if we could talk about this. I basically said that I can’t do the work I need to do with one contact each week. It’s just not containing enough.

My therapist was agreeable to the idea of an extra session, in fact she had suggested this might be a good idea this time last year, but as things stood financially with me not working it just was never on the cards. I hate that mental healthcare is so limited by your ability to pay in this country! Anyway, since I have taken on some home-schooling and tutoring work it’s just about doable to have another session.

Unfortuantely, my therapist doesn’t have any times available at the moment. Ugh. She has said it could be several months until a slot becomes available and in the meantime she has not got time for a check in. You can imagine how that went down with various parts of me. I sat there and absorbed what she was saying with an ‘it’s fine’ face – I mean it is the way it is, she is busy. BUT omg! It stung.

It wasn’t so much the not having any regular times available for a session that upset me – there’ll be one eventually- as soon as one becomes free it’s mine. No. It was not having time for a check in that hurt the parts that feel like she doesn’t care about me anyway. Like, seriously, she doesn’t have time for a five minute call at the end of the week to settle the parts that are struggling, or won’t reply to a text and say ‘Still here! Look forward to seeing you on Monday.’

I know we don’t have a good track record with texting but I was kind of hoping that if we spoke about it a bit we could reach a mutually acceptable way of interacting that would help contain those feelings that get so stirred up in the week. As it stands I feel stranded and alone and like I don’t matter. I know I should bring these feelings up in session today but it all feels so raw and activated that I suspect it will become another elephant.

I’m struggling, too, because when she told me that she had no time for a check in she said that the other week when we spoke on the phone it was an usual situation because she had had a cancellation. This simply isn’t true. She doesn’t work at either of the times she offered me to talk that week. And whilst I understand she mightn’t want to make it a regular thing working outside her usual hours, that is what she did that week. It felt like a big gesture on her part that she was willing to help me outside her usual working day and now it feels like something has shifted… she did mention that she felt that the dynamic had shifted…so maybe she’s gone back to the usual frame. I just have no idea.

I really want today’s session to be connecting and holding because we have another break next week. I am going away on holiday but my therapist would also have been away so whichever way you look at it we would’ve had a disruption (again!). I am so rubbish with breaks and the last thing I want is to walk out of my session today feeling anxious and lost and little – even if that is the norm.

My therapist said to write stuff down and bring it to session last week and so that’s kind of what I have done. I splurged on the page on Wednesday – a five page handwritten letter – and have copied it below. Today it feels unimportant, or less potent, somehow. I don’t know whether or not I will take it with me and hand it over. I guess it would prevent a silent session but I am not sure I want to be so vulnerable.

I find this whole process so bizarre. I struggle so hard for the majority of the week, the feelings are huge, it is so painful, and then I get to the weekend and things semi-settle down. I guess part of this is because I know I will have my session on a Monday and so the parts that struggle settle a little in the hope/knowledge that they may get what they need in session. I think there is probably also a bit of resistance from some of the parts. It’s almost like ‘you weren’t there in the week, so why should I care or talk to you now?’ I know!! It’s not all coming from an adult place!

Anyway, here’s what I wrote. No idea what I’ll do with it!

What It’s Like On Wednesdays

Wednesdays are notoriously the worst day of the week for me. Something horrible happens in the pit of my stomach when I wake up and it stays all day. It’s hard to explain how utterly crushing this feeling is and to anyone that’s not felt it, it must seem crazy. I know, however, that I am not alone in this and at least a couple of my friends understand.

Every week in session I struggle to talk about these feeling because they are totally mortifying. It seems so stupid that a grown-up can feel so small at times and so unsafe. What’s even worse is that these feelings are triggered in relation to you. I can’t tell you how awful that feels. I don’t want to feel any of these emotions and I certainly don’t want to feel them about you. I don’t seem to have a choice, though. Believe me when I say have tried to rationalise out what I’m feeling, to make sense of it , in the hope that it might go away…but it doesn’t.

You tell me that the young parts have done nothing wrong and their feelings are ok. Sometimes I believe you. Sometimes the way you say it makes me trust that actually you aren’t freaked out by this and you can handle whatever I am feeling. Sometimes I can feel the barriers coming down and there is a sense of connection. The problem is that a lot of the time I don’t believe what you have said, either because it’s been a while since you’ve said it (I hate that I need so much reassurance) or because I sense something is different in you. I might be oversensitive but I notice when your voice is different and how you are sitting – and even if those changes are only subtle, the parts of me that have always had to be on guard start applying a narrative to what might be going on. I don’t know how accurate it is because you rarely tell me how it is for you.

I know that my ‘worst case scenario’ thinking doesn’t do me any favours here ,but if I feel like you are annoyed or frustrated with me I shut down even further. I do, absolutely, feel helpless when it gets like that. I wish you were able to actually see what’s going on inside me when we are sitting in near silence and I feel like you are giving up on me. I know it’s difficult to picture a set of small children all alone and separate from one another suffering varying degrees of upset but that is how it is.

You said before that sometimes it’s like being blindfolded with me, and you don’t know who’s there – for me it’s like being trapped on the edge of a ravine. I can see you, just about, on the other side, but I can’t reach out to you. You cannot hear me crying. At least I don’t think you can. The critical part of me thinks otherwise and believe that you simply don’t care that it is so difficult for me and despite what you may say, are as embarrassed about how I feel as I am and choose to ignore it. It’s easier that way.

So, frequently the session is fine-ish. I talk-ish. You probably think things are ok-ish. And yet more often that not I walk out of the room feeling sad and deflated. I am frustrated that I can’t tell you how bad things feel. for the young parts. I’m still not really sure you get what I mean when I say I worry about you giving up on me. It’s not a mild sense of anxiety, it is utterly debilitating. And sure, I get it, therapy will end one day, but the youngest parts of me don’t even feel like you’ve really seen them yet and so the idea of an ending feels hideous.

I walk away feeling all sorts of agony. I really believe that it is only a matter of time before you pull the plug on the therapy. I understand what has happened lately with all the GP stuff and eating disorder stuff. I know it’s important to have a safety net but I can’t help but feel like you’ve started backing away from me because actually it’s all too much. This confirms what I have been thinking for such a long time and that is painful.

There is, of course, a bigger more horrible side to these feelings and this is what causes me so much difficulty from week to week, and on breaks. I know that I’ve said it a million times before but I don’t think you really understand that I am not being dramatic or over the top when I say that for parts of me it feels like you are completely gone – like dead- in the week. I feel panicked that you have disappeared and are not coming back.

Adult me knows that this is unlikely to be the case but the child parts have had a lifetime of people disappearing: my dad was ‘gone’ when I was nine months old until I was three and a half; and then my mum was ‘gone’ Sunday to Friday between the ages of five and eleven – and even when she came back she was often ‘not really there’. Top that off with my dad dying when on holiday – it’s little wonder that I struggle when you are not there and on breaks.

It should feel like I am onto a winner if I can hang onto the sense of you being out the somewhere but even that isn’t straightforward because when I can’t see you I miss you. And because I miss you I feel massive amounts of shame and embarrassment. It really is like having all the sadness and pain of my childhood playing out week after week and it is really hard to manage. I am convinced that you find me irritating and think I am deliberately keeping myself stuck and you are reaching saturation point.

I don’t like feeling this way. I want to find a way to make things feel better between sessions. I want to find a strategy that helps to contain the feelings. That’s why last summer I asked you to send me a message. You said after the break perhaps writing a message on a card would help and then the fucking pebbles disaster happened. I really wanted to succeed in making a successful bridge to get through from week to week and it’s not really worked because I still have no real sense of you, which I guess should not be surprising when the words were not yours.

So when I feel disconnected, like today –hellish Wednesday- I cycle through all kinds of emotions. The little parts feel completely alone and unseen and the older parts want to run away and give up. The smallest ones want to be close to you, to close the space between us, and the older ones want to tell you to stop hurting the small ones.

I completely get what you are saying about therapy needing to take place in the session and that sending long messages isn’t a good idea. I don’t want to ‘do’ therapy outside the room but really every time I send you something it’s to check you’re there. Obviously getting no reply doesn’t help matters in the least. I don’t know how to get round this. I feel like I am drowning with this stuff and can’t see how to make it better. How am I meant to feel secure when my brain conspires against me all the time?

I get to session and all the little parts want you to notice them and yet you don’t for a really long time. I try not to disappear when I see you because I want to be able to connect but there is such a huge fear of being seen and then being rejected that something happens and I don’t behave in a way that I recognise as even being me. I feel embarrassed when I sit there saying nothing because I feel like you are automatically judging me negatively. Sometimes I want you to come closer to me because my head is telling me that you can’t bear to be near me. I’ve said before that the space can feel enormous and when things are bad it feels awful.

I have no idea how to get around this. Sometimes I want you to sit near me but I don’t ask and then shut down because the shame and embarrassment of needing physical proximity feels awful. So when this happens it triggers another level of hell. It’s like I must be utterly disgusting to you, you can’t even tolerate being near me. This feels horrid, especially to the parts that want to be able to touch you and can’t. I don’t think you have any idea how big an issue this has become for me. Week in week out I feel like I am re-enacting the relationship I have with my mum. Every session we have confirms to me that on a fundamental level I am untouchable and unlovable.

I struggle, then, to trust in the relationship because on a basic level I have confirmation that you don’t want me anywhere near you. It feels so confusing because I feel like therapy did ought to feel more nurturing and connecting and yet I can’t help but feel like it is impossible to get close to you. And then I wonder what I am actually meant to be doing! Like what on earth is a therapeutic relationship?

You said once that boundaries are not barriers and I have never really been able to get my head to make sense of it because if they are inflexible then how can they be perceived as anything but barriers? I seem to keep banging hard into boundaries and feeling like I simply cannot get therapy right.

I can’t help how I feel. It’s doing my head in. I hate that wanting to feel close to you causes me such high levels of anxiety but I hate, too, that I seem to be caught up in wanting something that isn’t available. Right now I have a lot of children’s feelings and nowhere to put them and so, instead, have been trying to shut them down by attacking myself. It’s not sustainable but there feels very few options out there.

I think I still want you to read the thing I wrote about ‘The Mother Wound’ because I think it sums up just what we’re dealing with. But perhaps not now….

And lastly, finally (phew)… last week you said you would expect that perhaps I’d be relieved to have a break next week given how things have been. This really surprised me. I’m staggered that I give off such a strong sense of not wanting to be there or that I discern nothing useful from the process – but I guess that’s because I rarely show you the vulnerable bits that actually want to be there, to be seen, and to connect because they don’t believe it’s possible and are scared of showing up properly only to be told to go away.

X

Oh, and actually, I’d much rather know the truth about how things are – I might not like hearing that I am annoying you or that you think this isn’t working but it’s actually better that I know. I can’t keep doing things the way I am/we are and so something has to shift. I can’t currently work out whether that is changing things and ‘colouring in’ or ‘leaving’ – because I have no clue where we are at. All I know is that the levels of anxiety and physical drain is really hurting.

img_3149

The Elephant In The Room

There are times when I feel like there’s not just ‘an’ elephant in the room in my therapy sessions but rather ‘a herd’ of elephants in the room with me. Some days there are so many jostling for position and distracting me that it can make it very difficult to do any work. I can’t even see or hear my therapist over and around the huge mass and racket that a number of metaphorical pachyderms generate in my mind.

I’ve been aware, for a long time, that there are some elephants that could do with moving on to make space for me and my therapist to work together. They’re quite stubborn, big buggers, though, and they don’t want to move!  It doesn’t help, either, that The Critic is doing everything possible to keep the elephants there…and we all know how powerful she is.

I know I can’t push the elephants out the door on my own, or persuade them to move on. I need my therapist’s help with this task. She knows there are elephants too. She mentions them a fair bit, but I don’t think she has always got an idea of which elephant is sitting between us on any given day; she just senses a presence. She tries to invite the elephant out of the shadows  –  she can’t miss my silence, she knows it’s there, but when I have an elephant’s trunk wrapped around my face acting as a gag I can’t say anything.

I’ve learnt over time that it’s not just as simple as my asking the elephants to ‘please go back to where you came from (so I can just talk about something else that is easy)’ in order for them to leave. I have to tell my therapist that they’re there, who they are, and together we have to coax the elephant into not feeling like it belongs in hiding anymore. We have to make friends with it, give it some attention, and then it gladly moves out for a bit, or sometimes even permanently (if we do a good enough job).

Whilst I want to set these massive beasts free because they don’t look at all comfortable in the small room, and I am certainly uncomfortable when they are there, it is not as easy as it might seem. See, the thing is, these elephants often feel threatening to me. Whilst The Critic is a fabulous ring master in this circus that is my therapy and can tell the elephants exactly what to do, I am less confident with them. I’m more of a cat person, really!

Part of the problem is that I worry about how my therapist will respond to the elephants when she meets them properly. I wonder (panic about) whether she will be able to help me with them or whether she’ll send me packing along with them when she finally sees just how destructive they could be. Some of the elephants are very young, vulnerable, and needy and just want to sit with her but know they can’t; others are absolutely raging and want to destroy the place.  It’s complex. Any one of them handled in the wrong way could result in a stampede.

Recently, after the Easter break, I was feeling brave/desperate/squashed and so I finally pointed out one of the long-standing, elderly elephants to my therapist. I felt a bit like David Attenborough as I described this twenty year old. Her name is Edey, or ED. Edey has been a near constant companion to me since my teens. She’s a skinny elephant and looks like she’s had a tough time over the years. My therapist knows of her but has never really come face-to-face with her before.

Edey is a shy elephant and frightens easily. So when she first met my therapist properly she was quite tentative and didn’t want to be fully seen. Little by little over the last couple of months she let herself be seen more by my therapist and I was able to talk about the problems Edey has. It was going so well. I felt like my therapist and I were, for the first time, really getting to grips with this massive elephant together. It felt like we were co-creating a plan for her. She was calming down, trusted my therapist, and was thinking about going outside.

And then something unexpected happened. My therapist took her by surprise and spooked her in a session and since then Edey has gone back to being one of the elephants in the room. My therapist and I both know she’s there, but for now I don’t feel like I can mention her because this sad, little elephant could be the one that gets me terminated from my therapy, or at least having to ‘work towards an ending’. And frankly there are other little elephants in the room who can’t bear the thought of that. Edey really couldn’t care less now. She wants to smash everything up and get all the others to join her and then march out the door.

I was worried about talking about Edey, in six years she’s rarely come up, despite having always been there with me, but after what’s happened (and yes, I know my therapist was just doing her job and has acted in my best interests etc- it’s not what has been done that’s the problem, it’s how it was done)  I am even more terrified about talking about some of the others. Edey is a tough old beast but some of the little ones are already so wounded that I am not sure they could handle my therapist treating them in anything but a gentle way.

Anyway, winding metaphors aside, I wrote my therapist a letter this week. I’ll type it up and post it on here, later. I am still unsure if I will hand it over on Monday.  This is a nothing post but I just had to write this because I saw this image on Facebook earlier and thought it was utter genius!

img_3737

Ultimatum

img_3651

So I realise that my blog has fallen by the wayside a bit these last few weeks (but I’m back now with a humdinger of a post!). I usually try and write something here at least once a week in order for me to keep some kind of regular record of what’s going on for me. I used to write a journal on my computer following each therapy session I had; the blog became a bit of a replacement for that – a sort of diary that the public can read (although I have been having some thoughts about that, lately, too – weird paranoia maybe? Or just a need to draw close and be private…I don’t know).

I’ve been so busy running around like a headless chicken or maybe, more accurately, with my head wedged up my vaguely anorexic arse, sorting my kids out, and tutoring most days that now there is very little time to actually sit down and reflect on what is going on in my internal world on the page (currently writing this from the edge of a swimming pool while my daughter has her lesson!). I haven’t not been writing because I’m short of things to say- far from it- my mind is all over the place and overflowing with the usual angsty crap: attachment pain, therapy worries, bad dreams, health, the eating (or not) stuff… and now, in addition to all that, I’m in a spin over my therapist’s ‘ultimatum’…

I have really missed my writing time. I so need it! Hence stealing time where I can now before I explode! A couple of hours each week to ponder and process, I am discovering, is more important to me/necessary than I thought. I need to try and find time for this but like so many of ‘my’ things, it doesn’t take precedence when there are so many other pressing things that actually have to be fit into the day. I do need to prioritise time for me, not just for writing, before I sink even further into quicksand I seem to find myself in.

Even if I write reams (maybe piles!) of emotional diarrhoea here (and having just proof-read this it does turn into a big splurge- sorry) and it makes no sense to anyone but me, I find the writing process really cathartic. It helps me get my head above water/out the sand a bit. It’s a good way of letting stuff out when all too often I feel overwhelmed or full of emotion.

I think some of why I find it so helpful might be that I actually sit down in one place for a block of time and have a hot (rather than luke warm/forgotten about) cup of coffee – it certainly can’t hurt! I was speaking to a friend the other day and I likened myself to a bee stuck in a jar. I am always buzzing around like a crazy thing. I don’t really stop.

Of course, I also have my therapy session on a Monday which is where I should get stuff off my chest, slow down, decompress, but more often than not the session stirs up more than it lays to rest and then I am left trying to make sense of it all on my own during the week. I find the first couple of days post-session extremely hard going and it’s no secret that I feel emotionally at sea and struggle for a good part of the time between my therapy sessions. I really haven’t got to grips with that emotional containment thing yet.

Actually, I’m having a hideously rough time this week and it’s crap right now, so I am looking forward to Friday and feeling like I am over the worst of the week. Having said that, usually I am pleased to get to Friday because it means it’s actually almost Monday…but this week I am not sure how I feel about my session on Monday. I am not sure if I am going to go yet. I don’t know if I can face it. Of course the little parts want to go and have some chance of reconnecting with my therapist but right now my teen part is off the chart raging, angry and let down. Underneath that, there’s also a real fear that I have broken my therapist and it’s all going to be downhill from here.

I’ll get to the point shall I?

Last week’s session (1st May) feels a really long time ago now. I can’t really remember what happened. I sometimes get this weird amnesia following a therapy session. Does anyone else? Like I have a vague idea of what happened or sense the general feeling of the session but it’s not clear exactly what happened. I usually have a very good memory for detail in my life and remember all sorts of useless information so I wonder if I am so frequently dissociated in session that I lose what’s gone on?

I do know that we talked about the eating disorder stuff – again. My therapist asked me how things were going and said that although I may not like her bringing the subject up, that it was too important for her to just let go – indeed she couldn’t/wouldn’t let it go. The session was fine. I told her how things were and filled her in on what was going on now (level of exercise, what I am eating, how I feel about my body, and the physical symptoms I was experiencing) and what it’s been like in the past. It was ‘the no-filtered version’ of life with an eating disorder.

I think she finally has an accurate picture of what it’s like  for me and she seemed to get it. I guess part of me was quite relieved for her to show she cared and build on the phone check in we had had on the Thursday night. I felt exposed but also like I wasn’t completely alone with this burden anymore. Yet again, I failed to bring up any of the issues about the attachment and the feeling disconnected from her but on the whole it was ok.

The week was a bit wobbly between that session and the one I just had on Monday (8th) – but when is it ever not wobbly?! I can’t suddenly let the cat out the bag about the anorexia and not be impacted by it can I? So, yeah, it was very bad in the early part of the week again. My tolerance levels were shot, my temper was short, and I was beating myself up in a big way. It wasn’t good. Some of it was undoubtedly hormonal but I know a larger part came not having really eaten properly in weeks: my blood sugar was low, fatigue was massive, and all the stuff that I just about have a handle on from week to week was suffocating me.

On Wednesday evening things felt so utterly overwhelming that I almost just got in my car and drove away….you know, just wanted to leave everything? I was done. It wasn’t good. I’d been having dreams about all the stuff surrounding my dad, friend, dog, all dying – upsetting as hell. I had also dreamt that my therapist had left me – nooooo. Oh and then I had a dream about my very good childhood best-friend, the one with metastatic breast cancer, and planning her funeral with her. It was a week where my sleep was filled with death and loss. The feelings crept into my waking life and I felt on the verge of tears every time I woke up, and every time I felt a bit tired.

Thank god for good friends with an ability to talk me down is all I can say. A twenty minute phone call was the difference between me falling off the edge altogether and regrouping and having another stab at moving forward. Things are on a knife edge.

By the end of the weekend I had reached a place where I wanted to really talk about ‘big stuff’ with my therapist and had steadily been eating a bit more each day which undoubtedly helped with my mood. Don’t get me wrong, there was still the voice telling me I was fat, and lazy, and can’t even succeed at an eating disorder… yeah, really!…and that is not easy to have doing the rounds in my head. But there was a part of me that was trying hard to hang on and not sink down into the place where I would, before long, have been passing out. Dizzy spells, cold hands and feet are enough. I was pushing myself too far. I know that how things have been since Easter is not sustainable. I was losing the battle with the eating and it wasn’t good. I wanted to unpick this properly.

I needed to explain why the attachment stuff feeds this kind of damaging behaviour and relationship with food and how things need to change – although I have no idea how to get round this myself but if my therapist at least has an accurate picture of just how bad it can feel we might be able to put a plan in place. The eating disordered behaviour simply masks other issues. Sure there is a large dose of body image stuff thrown in the mix but primarily not eating allows me to focus on something other than feeling the pain of neglect and abandonment. It temporarily shifts focus away from the Mother Wound.

Despite feeling embarrassed – mortified, even- that my young parts are so traumatised and get triggered every time I see my therapist, I think it’s time she heard the truth about how affected I am when I can’t see her…the real truth, not just the watered down insinuated version of things. I wanted to explain how I long to connect with her but part of me feels distant and like I can’t trust her. I want her to know that when I am not with her in session the young parts cannot cope at all and it is utterly overwhelming. I need her to know that breaks aren’t just ‘a bit difficult’ they are ‘a fucking disaster zone’. I wanted her to know that touch, or lack of it, has become such a huge issue for me that it’s massively impacting my ability to function in the relationship and is attacking my self-esteem.

I sit in session every week feeling like there is something wrong with me because we are so physically distant. I need more proximity if I can’t have touch because my mind tells me that my therapist doesn’t want to hug me because there is something disgusting and repulsive about me and she is only tolerating me because she has to. It must be the idea of touching me, even holding my hand, that is nauseating to her. It’s not the first time this physical rejection has happened to me and it’s hardly surprising it’s coming out in the therapeutic relationship now when so much of the work is about my mother. Yay for huge whacks of maternal transference with my therapist! Ugh!

For me, the ‘no touch’ boundary feels just the same as my mum refusing to touch me at fourteen saying ‘don’t hold my hand. People might think we are lesbians’. We’re twenty one years down the line and since then I’ve never had any holding from my mum (I mean there wasn’t much before that point either!) and the sense that ultimately ‘being a lesbian’ is a bad thing has stuck. Little did my mum know when she said her casually homophobic remark that I would turn out to be gay and those words branded into my brain.

I know it’s not my therapist’s job to physically hold me but I am not sure she realises how traumatising not being touched at all is for me. Every session with her reminds me that I am not worthy of her physical care – and might it be because I am gay? Is that the problem? I know it’s not rational. Adult knows this. But there are plenty of others inside that feel it to be absolutely true. The young parts of me want to be physically close to her and not being able to be feels utterly rejecting. How can a young three year old part make any sense of why an attachment figure won’t come close?

To my therapist, no physical contact is just a therapy boundary but to me it confirms everything I believe about myself as being unlovable, untouchable, and repellent to be true. That’s how it is. It’s hurting me. It properly makes my stomach ache and my chest feel tight and I want to cry when I think about it. It’s a big wound.

So yeah, with all that ready to air it was going to be a big session! I had reached that ‘now or never’ place. I was feeling brave. Go me!

So, I walked in, sat down, made some passing comment about the lovely weather and how I wanted to go to the beach – I’d actually been considering asking if maybe one day we could have our session on the beach seeing as it’s only about a five minute walk away. I looked at my therapist and immediately sensed something was up.

Fuck.

What was wrong?

My internal system went on high alert. My poker face went on. I steadied myself. I waited.

And then out it came…

We needed to talk about the eating disorder stuff and she said it couldn’t wait until the last few minutes of the session. She’d been thinking a lot since the last session about what I’ve told her since coming back from Easter break. She said that she was very very concerned about my well-being. She was worried about my low BMI. She was worried about the fact that my body is clearly struggling and shutting down. She was aware that the dynamic between us had shifted and that she’d fallen into being more like my mother and almost policing me by talking about what exactly I’m eating and suggesting strategies to eat more [sounds fair enough]

But then came…

She was not prepared to hold this level of risk and be so worried about my physical safety. It was not her job. She wanted me to go to the doctor, get bloods taken, have an ECG, and get weighed. She wanted the doctor to confirm I’d been seen and communicate with her. Or if I wouldn’t go of my own volition she wanted to write to my GP and ask for these things to be done. She wanted someone else to be responsible for my physical well-being. She needed a safety net.

She said I was either agree to all that or we’d have to work towards an ending.

After the words ‘work towards an ending’ I didn’t hear a great deal more. I shut down. Properly shut down. I was a mess inside, though. Like utter full-on flat-out panic. The young ones wanted to burst into tears right there and then. It felt like a hole had opened up beneath me and I was falling. Not seeing my therapist anymore would be akin to a bereavement. This. Cannot. Be. Happening.

The Teen part stepped up, though and waded in. Her thoughts?:

There we are then. Confirmation that when I let stuff out and trust someone with my shameful secret it backfires. I am too much for my therapist. I am too much for everyone. She isn’t prepared to work with me alone. She said she would be here for as long as I needed and now there are conditions attached. Why did I trust her with this? I’m an idiot. I fucking hate her.

Look. I (adult) absolutely get that what was said, and what came afterwards in the rest of the session, was coming from a place of care and it wasn’t only about my therapist covering her back. It is completely reasonable that she would need a safety net for if things get bad so she has somewhere to touch base and get me help if I needed it. It’s no different from when I saw her in the NHS and she had my details on record. But that wasn’t how it came across at the beginning of the session. To be given an ultimatum within three minutes of sitting down where the choice was ‘go on record about your eating disorder and enter into the NHS circus again or we’re done’ didn’t feel like much of a choice if I am honest.

I’m glad that she didn’t leave this stuff until the end of the session because we needed an entire session of talking about this stuff back and forth – as painful as it was. The moment she mentioned the possibility of ending I felt so sad and scared.

We like to convince ourselves that our therapists will be there no matter what. Well actually, I struggle to believe that is the case and am always feeling as though shit is going to blow up at any given moment so I best be vigilant. For me it’s been about trying to believe she is as good as her word. That she is reliable. That she won’t abandon me when the big stuff comes out. I was starting to believe that maybe she won’t leave and that as long as I need her she won’t let me go – hence finally telling her fully about the eating. It’s not true though. When it comes down to it, she can and will sever the tie. It is just a job to her. Sure she cares but she has to work within a framework and that means being hard line sometimes.

I get that she wasn’t actually saying ‘you’ve said x and now I am terminating you’ far from it, she said it isn’t her job to be neglectful and I’ve had too much of that from others in the past. She isn’t trying to let me down, in fact it is the very opposite… but the very mention of the ending sent me into orbit. I know it was probably a bit of tough love and she was maybe riding on the fact that my attachment to her is strong that I would help myself rather than lose her. I dunno.

Even though we’ve left things on ok terms I still feel massively unsettled now. I mean things were already a bit all over the place and now it’s like I am on very shaky ground. Unsurprisingly the eating is feeling really hard again now…because I feel out of control and like I am going to maybe lose the person that I need to help me.

The initial request/insistence that I must go and get checked out or work to ending has changed a bit/been negotiated over the course of the session we had. Somehow in amongst the teen shut down there were periods were I strongly advocated for myself. I have now given her my GP details and agreed that she can contact my GP if we discuss it beforehand. I’ve said that if she thinks things are bad she can act but I have to know about it first; I don’t want to suddenly get a call from my GP asking me to come in because my therapist has contacted them and me not be aware it was happening.

The reasons we got to this point are that I had been eating and had been looking after myself a little better this week. I was honest with her and said that things haven’t gone away but that I am not in immediate danger right now. I probably was the week before and so her reaction was entirely reasonable. She had cause to be genuinely worried about me last week. I was genuinely worried about me too. I told her I would tell her if I was slipping. I know that this is going to be a challenge because part of me is worried about ever bringing up this topic again.

I also reminded her that as part of my cancer follow up care I get full bloods taken every eight weeks and I get weighed (which I hate but I can’t really argue with). They monitor me very closely and so I said that if they are not overly concerned about my BMI (it has been mentioned but nothing done) or my blood chemistry then I think that’s good enough. She wasn’t aware I had such a thorough work up at the hospital so this went some way to settling her concerns.

I said that my eating disorder is definitely an issue, has been massively active, and it is absolutely something I need to work on but the idea of going back to weekly weigh-ins and GP appointments would actually make things worse for me. I don’t want to run away from this stuff anymore (hence letting her know about it) but equally I know what hasn’t worked for me in the past. If I get weighed all I want to do is chase the scales downwards – not maintain.

There were times in the session where I was really reactive and grumpy and shut down and dismissive and ‘I don’t care’ and ‘what’s the point?’ but she could see it was all a reaction to what she’d said. I’d sent her my post about the Mother Wound and asked her to read it because, actually, I know that this is where so many of my issues stem from. She didn’t have time to read it before the session and so I felt a bit irritated about that. Remember I was in pissed off Teen 😉 and when she offered to read it in the session I just couldn’t bear the idea of her sitting there reading the vulnerable stuff and then having no time left to discuss it.

I left the session. I didn’t want to go. I wanted to settle things properly and leave feeling better. Doesn’t work like that though does it?! Time’s up. We over ran by five minutes but I knew I had to leave. I drove home and had a good think about what had happened and then sent this text to her about one o’ clock:

Today felt really hard for me. Having had some time to reflect and untangle – actually the request for my GP details really is a non-issue and had you just asked for them and explained that it was because you feel like it’s important to have back up, I would’ve given them to you. I completely understand why it’s a good idea that you have them and it’s fine if we agree communication beforehand if it becomes necessary. The thing that shut me down/activated stuff was how what you said was delivered. It felt like you were giving me an ultimatum along the lines of – ‘see your doctor or we’ll have to work towards and ending’. All I heard was ‘we’ll have to work towards an ending’ and so every vulnerable part felt the rug come out from underneath me. This is the sort of thing I dread happening but am always sort of expecting, and why I am always reluctant to let stuff out. When it feels like things are so tenuous my instinct is to leave before I get left- hence how I was today. It’s been really hard opening up about all this stuff especially just after the Easter break when I feel like trust is an issue and still feel disconnected (I really missed you) – and to feel like that was essentially being me with ‘it’s too much’ (even if that’s not what was intended) is not easy. Unfortunately, there is a part that struggles to believe that this isn’t actually just about getting rid of me and there are other parts that feel completely bereft. Trying to be rational but it’s not always my strong suit. Anyway, that’s about it I think.

Of course there was no reply to that. And then I started second guessing myself. Texts haven’t gone well for us and after what happened at Christmas where she thought I was criticising her and nothing was good enough I wondered if what I had text might be read as another criticism of her rather than just saying how it felt for me. So at six pm I sent this (groan….when will I learn to just shut the fuck up and manage for myself?!):

And none of what I said in that message is meant as a criticism – in case it comes over that way –it’s definitely not my intention. It’s just what happened in my head when you said what you did. What I hear and what is meant can be quite a distance apart…which highlights to me just what a mess my head is. I wish this young attachment stuff would just go away but it gets triggered so easily. That part is always there listening, and then it doesn’t settle down and becomes another jumble of mess to manage. On the plus side, I’m delighted that you don’t feel I’m psychotic.

(We’d had a bit of a joke at the end and that was what the end bit of the text was about.)

Obviously, it’s been complete radio silence since those messages on Monday – which sucks. But it’s the boundary…another that I seem to have no say in. Ugh. It’s felt pretty rotten at times over the last few days and yet now I feel I can’t reach out to my therapist for help or support. I can’t text and ask for a check in or an additional session like I did a couple of weeks ago because I feel like I am already too much for her. It’s horrible. I need to work this stuff out with her more thoroughly and yet it feels impossible and so I am sitting on it all, brooding, and cycling through the whole range of emotions. I don’t like rollercoasters but I seem to stuck riding one right now.

This morning I woke up at 5am feeling sick after having another dream about my therapist leaving. I’m just about hanging together with rubber bands and chewing gum but it feels like I have done it now- I have broken the therapeutic relationship. I am frightened that I will go back in on Monday and she’ll terminate me. She’ll have had some more time to think and that’ll be that. It’s a complete head fuck. I’m trying not to get worked up about something that is unlikely to happen but unfortunately some of the parts have different ideas!

So that’s that. Nothing earth shattering or insightful – just how it is in the therapy and life of yours truly!

img_3653