Fight. Flight. Freeze. Or all of the above?!

So, Monday’s therapy session was supposed the hail the start of the Christmas therapy break. No prizes for guessing how it went. Ugh! Same old pattern: I started off quite chirpy and present and then somehow when my therapist suggested that perhaps the dream I was talking about might actually be about how I felt a sense of loss around the break and how I was worried about things falling apart…. well, it took me by surprise and I felt a massive shift in myself.

I thought the dream was about grieving the loss of my friend…which it also probably was. Damn why are dreams so multi-layered?!

Up until that point I had been sailing through the session firmly locked in my adult. I’ve notice that I try and do this as I head into a therapy break. I think it’s something about wanting to try and ground myself firmly in a coping place before I am ‘left’ (or abandoned!). I don’t want to dredge up hard feelings, awaken the child parts, or really even let my therapist in when I know I am going to be left without contact for a period of time.

Sometimes this strategy works just fine and sometimes it really doesn’t at all! If I don’t have complete control over the conversation, then my therapist can say things that trigger a response in me and override the adult’s ability to keep things surface level. That’s exactly what happened when she brought up how I might be feeling about the break.

It’s not as though I didn’t know we would be addressing the time away from therapy in some capacity. I mean Monday was going to be the day to do the pebbles, to create a holding message for the therapy break. But before we even got to talking about them I had shut down.

As soon as she mentioned the break there was a part of me was really raging and angry. I think my therapist even commented that I might be angry about the coming disruption. I hate it when she says ‘maybe you are angry’ because it’s one emotion that I am not very good at expressing and it’s only recently that I have noticed what the feeling is. My way of feeling and expressing anger up until very recently has been against myself: self harm and anorexia are the products of internalised anger!

Usually I say, ‘I’m not angry’  but when I think about it, yep, there is always a part of me that is and of course she is right. I think in part it’s the frustrated teen part who knows that it’s going to be her job to run the show and protect the little ones but there is a far darker more pervasive part, too, that steps up and that’s the inner critic. That voice is terrifying and scary but it has also acted as a protector (of sorts) over the years.

The problem with the sessions before breaks is that if I can’t hang on to adult then team ‘Fuck You’ turn up. They simultaneously want to fight and run. I know I sat for a very long time in silence in the session desperately hoping that my therapist would reach out to me. I know she tried repeatedly to find a way to connect with me but when I am like that she has no chance because the critic has me on lock down. The parts of me that crave closeness (mainly little ones) are imprisoned by the hard one.

At one point I could hear its voice saying, ‘Just leave. She doesn’t care about you. Fuck this. You don’t need her’. My therapist asked what was happening in my head and I finally said that a voice was telling me to leave. She asked why hadn’t left and I replied, ‘because that voice has even more power over me when I am not here’. And that is frightening for me. I told her that I knew that the moment I left the room it was going to be very difficult. She said ‘because there are things that need to be said?’ and I nodded.

To be clear, I have never attempted suicide and yet recently there have been several occasions where I have mentally planned out how many pills I would need to take to put an end to feeling this way. I don’t think I would ever act on the plan. Although I am writing this from a place of feeling ‘okish’ and I don’t think suicide attempts usually come from this place.

Ultimately, there are several reasons why I can’t see myself taking an overdose. First and foremost: I just will not do that to my kids. I know what it is like to lose a parent and I will never willingly put my children through that, or put them through a failed suicide attempt. Even when I looked, and often felt, like I was dying when I was going through chemo I drew on every last ounce of strength to keep it together and present an ‘I’m ok’ front for my kids.

My daughter still worries every time I have to go to the doctors, even if it is totally unrelated to the treatment. That’s a hell of a burden for a five year old to carry and I am not going to deliberately add to that. With my history of cancer and the heavy duty treatment regime I underwent it is not beyond the realms of possibility that I will get ill again, either through relapse or as a side effect of the treatment. One day I may not be here for them anyway so I will not take myself away from them through my own volition.

This time two years ago I was being radiated to my chest every day for three weeks. I had a two day break from radiotherapy over Christmas but by which time I couldn’t swallow anything that was in any way crunchy because my oesophagus was essentially microwaved and red raw. Christmas dinner was a disappointment!

As much as I don’t like to look back at what I went through then because I just find it totally overwhelming, I do have to remember that when I got diagnosed there was a part of me that was terrified and part of me that dug deep, really deep, and that’s what I have to do now.

I made it through, bone marrow biopsies, CT guided biopsies through my chest wall to reach the tumour, multiple PET and CT scans, several lung function tests, heart echo tests, oh, and don’t forget twelve chemotherapies and radiation!

The treatment stripped me back and my immune system is still knackered. Which is why I am almost always ill now. I lost all my hair. I knew I would lose the hair on my head but nothing quite prepares you for it coming out in your hand in huge clumps and blocking the plug hole as you shower.

Even when I made the choice to shave my head there was something about sitting in the salon watching my lovely long hair fall to the floor that was awful. I wasn’t prepared to lose my eye brows, my eye lashes, and ALL MY BODY HAIR. I am sure there are some women who would like to look like a nine year old downstairs – indeed I know many pay for the privilege, but I hated the whole thing.

So, what am I saying?

If I made it through all that and survived then I must survive what I am going through right now. I have to believe that things will get better. Experience tells me that it will be the case. Each time that I hit the deck emotionally and/or physically, there is something that picks me up or I, at least, navigate my way to a more secure space to catch my breath a bit.

Ok, I’m not soaring through the clouds by any means today, but the sense of feeling like I want to die isn’t there. It doesn’t ever last. It’s just an extreme response to some really difficult feelings. It’s almost as though I feel like I cannot hold the emotion and so the only way is out. But it’s not. The only way is to go through it and wait to come out the other side because it happens eventually.

I’ve said a few times when I have commented on other people’s blogs that I liken therapy and life to the story of Michael Rosen’s, We’re Going On A Bear Hunt. It’s a great young children’s book. A group of children set off on an adventure to find a bear and on the way they encounter several obstacles:

‘We’re going on a bear hunt. We’re going to catch a big one. What a beautiful day! We’re not scared.

Uh-Uh! A snowstorm! A swirling whirling snow storm. We can’t go over it. We can’t go under it! Oh no! We’ve got to go through it.’

And that’s how I see it. I journey through life on my ‘bear hunt’ and a lot of the time it is a ‘beautiful day’ and when things are good I don’t feel ‘scared’ at all. But then sometimes I am faced with obstacles, sometimes it’s ‘thick oozy mud’ and other times I am caught up in the ‘swirling whirling snowstorm’.

What I do know for sure is that the obstacles are all part of the journey and I can, and will, overcome each and every one that is thrown at me….ok, a cancer relapse may be a bit out of my control, but barring that I will keep going forward because there is always the chance of the beautiful day in between the challenges.

It’s all about trying to hang onto that knowledge when it feels bleak. It’s not at all easy because when things feel bad I suffer from optimism amnesia. Last Monday, in session, I was caught up in an emotional storm and part of me felt frozen. Actually, I did. I was physically stone cold. But what I mean is, the fear, or shame, or whatever it was made me freeze. In the moment I couldn’t find a way out of how bad it felt. It was impossible to imagine that things could ever feel better when I was locked in that headspace and I just couldn’t talk. So rather than run from it, I just sat with it.

I used to get really annoyed with myself when I would shutdown and freeze in session but my therapist is great (gush, I love her!) and is really working with me to notice when this happens and how it feels when I leave the window of tolerance…or as a friend and I joke ‘letterbox of tolerance’ (because that space is so narrow).

I used to feel like these responses: fight, flight, freeze were a barrier to the therapy but now I see that it is all part of it. Processing how it feels when I get to that place, not necessarily in the moment because it is not always possible, is important and bit by bit we are doing that.

We didn’t do the pebbles. We touched on them briefly and I said that I was feeling anxious and stressed about them. I can’t really remember what we said, actually. I know I said something about how it was difficult for me to express the need for them (or the message) and part of me was really attacking that part of me for being needy. I think my therapist asked me if I had any ideas what to put on them and said she’d had some ideas but didn’t elaborate on what they were. I think I just went so deep into my shell that we didn’t get anywhere with it.

On reflection I know what it is that has been bothering me about the pebbles. It’s fear. I am scared that she isn’t going to say what I feel I need her to. Above all, I want a message that comes from her, not one that I have crafted with her. I don’t want to help script the words. Essentially the message I am asking for/need is a demonstration of care on her part. I am asking her to prove that there is a connection in our relationship.

Sounds ok? Well, it did ought to be after all these years but there is a big part of me that is terrified that what she will write will prove something entirely different to me – a lack of care and connection. Part of me can’t bring myself to go through that. Part of me would sooner live in the hope that just maybe she cares rather than have my heart broken by her showing me in black and white that I don’t actually matter at all to her.

I totally get how dramatic that seems.

I felt a bit frustrated at the end of the session because the critic/(asshole protector) part had taken so much of the session and had side lined the little ones that needed holding and containment in preparation for the break. But my therapist told me that the part that had shown up in session was as valid as all the others, and had a place there. She acknowledged that it often shows up around breaks and disruptions and that she has a far clearer picture of it now….which I guess is a good thing.

Leaving the session felt pretty awful but actually this week hasn’t been too bad at all. I have been really really busy and really really ill. I haven’t had capacity to look inwards or think too much. I can feel there are some little ones feeling a bit upset and in need of a cuddle but generally they are coping ok.

At the beginning of this I said ‘Monday’s therapy session was supposed to hail the start of the therapy break’ and perhaps that’s why I am not in full blown meltdown about last session.

A few weeks ago my therapist offered me a session on Thursday 21st to see her (because she couldn’t do our regular Monday slot on the 18th). Usually she works in the NHS in the middle of the week but must have started her Christmas leave by then and so had a session slot available if I wanted it.

Of course I wanted it!…but I knew the moment she said it that it was going to be pretty much impossible. I went home to check but I knew my wife is in meetings that morning and wouldn’t be able to work from home. Both my kids are off school as of Wednesday and so as much as I would like to have cut the break down a bit by having that session it wasn’t going to happen. I considered Skype but to be honest it would have been a nightmare with a 3 year old and 5 year old tearing around.

Then I had an idea.

Is it wrong that I invited someone to come and stay for three days under the guise of a ‘Christmas get together/catch up’ because I knew they would be here to look after my kids on Thursday morning so I could go to therapy??!

I know.

This is not one of my proudest moments.

It’s also a time where I really hope that my therapist doesn’t read this blog! Because that’s a whole other level of crazy right?!

Don’t get me wrong I am very much looking forward to seeing my friend and spending some quality time with her and her son (my kids’ half brother) in the lead up to Christmas. I am excited about taking the kids out to do fun things together. I am looking forward to chatting and watching Christmas movies. But I won’t lie. I am fucking delighted that I can go to therapy on Thursday and have another stab at a decent, connecting session to get through the remainder of the break!

Right, I’m going to go hang my head in shame now before I go and see Father Christmas!

I am shining my weird light brightly today so the rest of you know where to find me! 😉

 

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Grief.

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I woke up in the early hours of this morning sobbing violently, again. A dream. It wasn’t a bad one but it deeply touched on that vulnerable place that I have been desperately trying to guard, the place where feelings of loss and abandonment reside. I awoke to find myself physically shaking. I was stone cold. Tears flowed endlessly down onto my pillow in the pitch black. It was not gentle crying, it was full-body, snot-ridden, ugly crying. The physical embodiment of my grief is not in the least bit pretty, it is warts and all, let it all hang out, pain.

Since my friend died last month after battling Myeloma for two years, I have felt unbelievably sad, lost, and empty but have continued to function in my day-to-day. Externally it has been pretty much business as usual. This is partly because I’ve had to carry on, partly because I am in denial about it,  and partly because I know that’s what she’d have wanted me to do. She would have told me to hold my babies tightly, to find joy in the small things, and buy myself flowers (now that she can’t bring me home grown roses from her garden)….and that’s exactly what I have done or, at least, what I have tried to do.

From the mundane to the extraordinary and everything in between I’ve tried to be present and engaged in life because my friend can’t be in hers. She’s gone. Now, more than ever, I feel the pressure of needing to ‘live’ and not just live but live authentically and fully.  I won’t lie, though, truly there are days where even existing has been difficult. I know I put too much pressure on myself. I should give myself a break. I am grieving for goodness sake! And grief is not neat. There’s meant to be five stages I think, but in my experience is looks more like this:

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There is a part of me that longs to have what feels like the weight of the world lifted from my shoulders just for a minute or two. I know. I know. Get over myself. It could be so much worse…I do know that. It’s just for me, right now, it is bad. I am so tired of battling in one way or another – whether it be against myself or with my health. It’s just exhausting. I never ever seem to reach a point where I feel safe and balanced. If my head feels ok (ha, when was that again?) then invariably my body gives up on me. I’m still coughing and spluttering and heading towards the dread of the three monthly cancer check up.

There’s no wonder I am not full of joy or exuding Christmas spirit. How can I be when my friend isn’t here this year? How can I feel jolly when in a week’s time we would have been celebrating her sixtieth birthday over our annual Christmas crafting day (faffing about making pompoms, or jabbing stuff in oasis, or buggering about with PVA glue and tissue paper). It was always the perfect excuse to get together with my collection of older women/surrogate mothers and consume too much cake, too much chocolate, too much mulled wine. A day with giggles on tap.

I could really use a day like that right now. We had planned to do it this year anyway to celebrate our lovely friend but as it’s worked out no one is around because life is like that – people have children and grandchildren to look after etc. Life moves on and commitments come up. I’ve got so much on this next couple of weeks that even I am probably going to have to cancel the coffee and cake in town we had planned in for Wednesday instead of a full craft day. I have to be on an interview panel for preschool.

There’s a part of me that wishes the world would just stop turning for a little while. I want to pause and take time to reflect on what has happened to my friend, and to me. I want to mourn for what I have lost. And yet, somehow in my waking hours there just is no time to. Not only that, I am fearful of letting it out because I know the flow of pain and loss and grief can’t just be stemmed when the clock demands. And there is so much unprocessed grief – my dad’s death still haunts me.

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So because I don’t face it in the daylight, my grief seems to come out in my dreams and then the floods of tears wake me and they just will not stop.

Last night’s dream:

I called in to see my friend’s husband to deliver a Christmas card and see how he was holding up. I found him sitting in the living room, dishevelled and unwashed. He was a broken man. My heart ached for him.

It felt strange being in the house, as though my friend could walk in at any point, her things still dotted around the room, her presence still felt. We talked a little while  and I told him how much she had loved him and how that if there was such a thing as soul mates then they certainly were the closest example of it I have ever witnessed. He cried and left the room.

I sat in the chair that I have always sat in and closed me eyes. My friend’s voice came into my head, ‘darling girl, look after (husband) for me. It’s terrible for him and he’s so blinded by grief that he can’t feel me. I know you miss me but you know I am here. I am always with you’.

So again, it wasn’t a terrible dream. It just hurts. My soul aches. I know that sounds dramatic but that’s how it feels.

I can’t tell you how many times things have happened where I have thought, ‘I must text (friend) to tell her…’ and then it hits me that she’s not here. I can’t tell her that my daughter has lost her first tooth, or that my son did a good job as a king in his nativity, or simply that I feel a bit sad right now and would love to pop round for a cuppa.

The grief of no longer being able to share the everyday is hard to manage.

I know that this loss is also really hard right now because I am just about to start my Christmas therapy break. And so all my feelings about my friend dying are getting muddled up with my therapist disappearing for nearly a month.

I struggle enough feeling like my therapist is really gone (dead) on breaks or in between sessions and I know this comes from various events that have happened in my life: my mum consistently being away during the week when I was little, and then more recently my dad dying three days into his month long holiday in Thailand. So throw in this massive recent bereavement and it just feels incredibly difficult.

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Basically, it seems to work that if people are out of sight for me then I am shitting my pants. It is massively anxiety provoking being away from my therapist for any amount of time because I rely on her so heavily. The idea of her being actually gone (dead) is terrifying for me and that is exactly how it feels when I can’t see her. There’s none of this ‘holding in mind’ stuff, and being able to feel secure in the knowledge that she will be there at a fixed time on a fixed day. It really is just horrendous. I’ve tried to explain it to her but I not convinced she really understands.

This year is even worse than usual because obviously one of my mother figures has actually just died. The one other person (aside from my therapist) who I felt totally got me and accepted me just the way I am is not here anymore. It is devastating.

Tomorrow I am meant to go to my last therapy session of 2017 and somehow get something written on my pebbles to take away with me over the break. I know that in theory they should function as a transitional object and should be better than nothing. Having a tangible, physical reminder of my therapist on something concrete did ought soothe me when it feels bad. The thing is, I am so worried about her not writing something that is adequately holding or containing that I’ll just end up feeling rejected and abandoned by her at a time when I least need to feel that the connection is tenuous.

It’s really hard knowing how to handle it if she starts trying to bring in the adult in the message. Last week she acknowledged that my adult doesn’t need the pebbles and it’s the young ones that need something but I know that it doesn’t always follow that a message to the little ones materialises. In the summer we had a similar conversation before she wrote and sent me a holding text message. It fell so flat because it was worded so formally and didn’t talk to the parts that need her most.

I guess I’ll have to see how it goes. Part of me already feels like I am shutting down in preparation for the break. Part of me dreads going to session tomorrow because it signals the start of a period of time that I know is going to be challenging. There is  also another part of me that desperately needs to go and try and connect tomorrow -to try and charge up that felt sense of connection and holding.

I just wish I knew which part of me was going to show up and sit on the couch tomorrow. If it’s the silent and withholding one then I am screwed…thing is, if it’s the open and vulnerable one I fear that she is also screwed.

Either way, by midday tomorrow I can say that the grief I feel is going to be massive. I hate therapy breaks.

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Ouch.

Cancer: the thief

*Trigger warning: cancer, cancer treatment, and death spoken about in no uncertain terms.

One of my closest friends is, as I type this, dying in hospital and it’s only a matter of time until the phone call comes to tell me that she is gone has died today.

When I started thinking about, and writing, this post this morning it was from the position of knowing that my dear friend was receiving end of life care in hospital and I wanted to express how sad, angry, and frustrated I feel about what has happened to her, and how unfair life seems sometimes.

It seems like an odd thing to be doing, carrying on with this piece of writing now, but I need to process this loss and writing is all I can manage right now. Every time I talk I burst into tears. I’ve cried and cried all day and now the tears have temporarily abated there’s a huge part of me that is grieving but another part that wants to tell everyone about this wonderful lady whilst I shake my fist and rage at cancer.

*

I feel like I am perpetually being robbed by this fucking hideous, persistent, crafty, bastard thief we know as cancer. I live in fear of it every day of my life, like so many of us. We (my family and friends) try to pretend like it doesn’t exist and that I am/we are unlikely to be burgled again, but I know the truth: it is only a matter of time before someone I love is taken from me or that I will be taken from my loved ones because cancer just won’t leave us alone. It can’t. It’s so deeply woven into the fabric of our existence these days. With 1 in 2 of us now being subject to some form of cancer diagnosis in our lifetime, there is a sad inevitability about it: you will be robbed blind, it just remains to be seen in which way, will it be your life or the life of someone you care about that is targeted…or both?

The fact remains, if you’ve been burgled once you’re likely to be the victim again. Just like my beautiful, darling friend. She had breast cancer fifteen years ago and then got diagnosed with Myeloma (bone marrow cancer) in 2015… and now she is dying. I guess some people might say that she was lucky to survive the breast cancer and get more precious years with her family and friends but it’s hard to see it that way right now when for the last two years I’ve watched the bravest woman I know try every line of treatment available only to watch it fail. We all hoped desperately for success and yet one by one saw each treatment was unsuccessful – now there is nothing left to be done, in her own words to a mutual friend, ‘we’re scraping the bottom of the barrel now’.

I have known this woman for a decade now and feel utterly blessed to have had her in my life. She was an English teacher, like me, and when I took up my first teaching job she promptly took me under her wing and supported me in any way she could. At the end of the first year of teaching my dad died suddenly and she was the one who delivered flowers to my doorstep and planned my cover lessons. She was there for me all through my subsequent mental breakdown. She has always been there. She has two children around my age and she became a great friend but also a mother figure. She never dodged the difficult questions with me. She noticed when I was sinking into anorexia or depression and would always say something caring but not intrusive. She always made me feel normal and cared for and SAFE. Later she supported me in my return to work and then through my pregnancy when I was teaching. Since then she’s been there through it all with me, another baby, my own cancer diagnosis and treatment, and now, sadly, I have also seen her through hers.

I have watched a beautiful, loving, kind, and vibrant soul have her life stolen from her bit by bit by the cancer thief. I was devastated to find out she had been diagnosed with Myeloma just around the time I was confirmed in remission with Hodgkin’s Lymphoma. I had more chemo and radiation to go but I knew that my treatment was effective and it spurred me on. The relief I felt to have been successful in my own cancer battle was short-lived because I knew now what lay ahead for my friend. I couldn’t take it away for her and I knew that her odds and stats were not in her favour. My cancer was curable, hers only treatable.

So whilst at the beginning we thought she might get 5 years or more with her and were ready to cheerlead her through her treatment, we are now less than two years in and she is at the end of her life, there are possibly days left but more likely hours remaining. There have been no good spells for her because she has not responded successfully to any of her treatment. She has been fighting a losing battle but hell has she put up a huge fight.

This warrior woman is a rock and an example to us all on how to live life and how to cope when facing death. Now barely sixty years old she has faced her diagnosis with a grit and determination that I know I would have struggled to muster. I know, in all likelihood, somewhere along the line I will either relapse in my Hodgkin’s or get another cancer diagnosis as a side-effect of the ‘kill or cure’ treatment I’ve already had. I am terrified of that happening but my lovely friend has shown me it is possible to smile and live through hell. I just don’t want to. I am scared.

I’m not going to dress this up and if it’s too much for you then stop reading. Cancer treatment for Myeloma is hideous. The treatment regime has been gruelling. I have felt so powerless as I have witnessed her go through bone marrow biopsies (this is the worst pain I have ever experienced) chemo after horrid failed chemo, blood transfusions, infusions, injections, poison after poison in pill after pill, and none of it has been effective. She’s suffered hair loss/thinning (the least of her worries), severe jaundice, crippling exhaustion, desperate anaemia, neutropenia, nausea, vomiting, diarrhoea, constipation, aching, balance issues, weight loss, bloating, insomnia, physical weakness and pain….and so much more. To watch someone keep going in the face of total agony is harrowing. She has always put a brave face on and yet I’ve known how hard it’s been. There’s a look in her eye: fear, I think, that she doesn’t show to many people but because I have been through cancer treatment she knows I get it, she doesn’t need to hide from me.

Less than a month ago I sent her a message to see how she was as she’d just started on another (last chance) line of treatment and got this in reply:

‘You know the score more than anyone: bad taste in mouth, tired as hell, and a belly like a poisoned pup. Lots of fluid retention with this one so looking pregnant! Hey ho, what a week! At least I got through the five days of treatment. Three weeks to recover now’

Despite the horror of it, and believe me this treatment is horrific she was still chirpy. I have messaged several times over the last few weeks and then two weeks ago my friends and I got a blanket text:

‘Unfortunately I’m in hospital. I’ve been here since Friday and I’m not sure when I’m going home. You know how I feel about that! Hope all well with you x’

I was in hospital on Wednesday 18th in the haematology centre having my regular consultant follow up. Fortunately I am still in remission (phew). I knew my friend was on the ward literally through the door, but that she was too ill for visitors. Since then I have been texting and getting no replies, like everyone else.

On Thursday when I was house hunting in Cornwall I received a call from my friend’s husband saying that she was now too ill even to reply to messages and that he would keep us informed. In my head I couldn’t process what he was saying at all. I couldn’t read between the lines. Maybe I didn’t want to.

I spent some of my therapy session talking about my friend and how I felt about what was happening. I said how I am not ready to lose her yet and that I always thought having time to say goodbye to someone would make it in some way easier when the time finally came. I can tell you now – it doesn’t. I can safely say that watching a person suffer and deteriorate before your eyes is no easier than losing someone unexpectedly. Unfortunately, I now have experience of both types of loss. What I do know is that losing someone you deeply love generates a pain and grief that is inconceivable until it happens.

After my session on Friday I went to Tesco. I was ambling round the shop in a post-therapy daze when another ex work friend/mum replacement (I try and collect these mothering older women!) text me to say that our friend had further deteriorated and is now on end of life/palliative care. As I read the message I felt my world start to crumble. Things suddenly became real in a way that they hadn’t until now. I left my trolley and walked out the store and sat in my car crying. Despite knowing that treatment isn’t going well and that she is desperately ill in hospital, I am not ready to say goodbye to a woman who has seen me through the best and worst times in my life. I can’t lose another person whom I love.

In the early hours of this morning I had a dream about my friend. I was visiting her in the hospital and she was unresponsive in her bed, as she is now. I sat there holding her hand when another version of my friend walked in the door and sat with me. She was as I have known her before her illness, full of life, vibrant, exuding warmth and love. She came in and sat beside me and said:

‘This body in the bed isn’t me, darling. It’s just my shell. It’s what’s left of my earthly body. I am here with you now in the way I always have been. I’ve had a good life. I’ve been so happy. I want you to tell people about me. I was a good teacher, wasn’t I? We had a laugh didn’t we?’

and I replied:

‘We absolutely did! You were the best teacher but you are so much more than that. You are an unbelievable wife and mother. I am proud and blessed to call you my friend. You are without doubt the kindest soul I have ever met and my life is all the richer for having had you in it. I love you so much.’

she replied:

‘I love you too. I’ve got to go now but I’ll see you soon’.

I woke up sobbing my heart out and couldn’t stop crying for a couple of hours.

*

I found out that my friend died early this morning.

So today is a bad day. It’s right up there among the very worst days of my life. I am beyond devastated and I miss my friend so very much. I will always miss her but I will always carry her in my heart.

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Why does physical illness always go hand in hand with a mental health crash?

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Look, I apologise in advance for this. It’s basically an, ‘I’m really poorly, am feeling sorry for myself, and I really miss my therapist’ ramble written from under the duvet, on a Friday night, whilst my wife is out at a gig that I am too ill to go to.

My immune system is beyond crap. My blood levels have never fully recovered despite it being nearly two years since I completed my last round of chemo. As a result of depleted lymphocytes, my infection fighting capacity is pretty non-existent. The doctors had hoped that things would’ve improved by now, but unfortunately my body is stubborn and has decided it would rather pick up and fight every bug that is going! I’ve been ill for almost two weeks now with the exhausting cold, cough, chest infection, no voice thing that’s doing the rounds. I’m so so bored of it. I just don’t have capacity in my life to be ill and still.

I thought I was getting better at the start of the week, hence the fact that I managed to drag myself to therapy on Monday albeit sounding pretty husky. By Tuesday, though, the dry, croupy sounding cough headed south and turned one of my lungs into some kind of gurgling swamp and I suddenly felt like I’d had all my energy burgled from my body during the night.

I finally made it to the doctors on Wednesday. By which time both my lungs sounded like crackling Autumn leaves being trodden on every time I tried to breathe. I’d spent the whole night trying to sleep propped on the sofa in between coughing fits but it was all a disaster. I know that I need to get better at seeking help before I am completely on my knees but I always worry about people thinking I’m some kind of malingerer or hypochondriac….which is I guess a hangover from all the doctor visits when I was misdiagnosed with my cancer where I was repeatedly sent away (fobbed off!).

I didn’t see my GP (apparently she’s retired) instead I saw a stony-faced misery guts with GP qualifications. I was really only there about the chest infection so it didn’t really matter that she had the bedside manner of a cadaver. The annoying thing is, though, that I could’ve been there about anything: my mental health, or illness, depending on which way you look at it has been pretty bad for the last six months or so.

Realistically after the huge anxiety attack I had a few weeks ago, coupled with the negative feelings I’ve been having about my body and the urge to self-harm it would have been good to air some of those concerns and discuss the possibility of medication for the times when things get out of control. Of course I didn’t say anything, I just took my prescription for antibiotics and went home. I didn’t feel comfortable telling her anything about my emotional state. I wonder how many people feel like this about their doctors?

By the time it got to yesterday I couldn’t even get out of bed. I was absolutely knackered and felt like my body was made of lead. My wife had to take the day off work to look after our son as I just couldn’t move or function in any meaningful way.

I’m not really here to moan about how ill I feel, what I wanted to talk about is how I’ve noticed that when I am poorly my ability to function effectively in a mental/emotional sense is seriously compromised. I wondered if any else has noticed this in themselves?

I’ve said before that I struggle to maintain the connection with my therapist between sessions and that I hate midweek especially. It’s so tough. It’s essentially when the little parts of me are most active and start to overwhelm me. It’s the time when I most feel like I need to check in with Em, to ask whether she’s still there, that things are still ok, and that something hasn’t happened that has changed the relationship.

It’s a really tricky position to be in because that tiny, screaming, terrified bit of me that is totally uncontained is desperate to reach out to her and seek reassurance but the thing is, when I do that, she doesn’t respond and so that desperate little girl feels completely abandoned and then can’t trust her when we go to therapy.

So this week has been hideous. Because I have been so poorly it’s felt as though my adult has jumped ship or died. I haven’t had the physical or emotional strength to hold it all together and my little ones have had free run of my mind. I’ve felt like I am completely emotionally unanchored. I feel like I need grounding and holding tightly. I have been so ill that I’ve stayed in bed and hugged pillows to try and settle and soothe those little parts, but it hasn’t helped and I just feel lost. This small inner child is desperate to be held close and I don’t know how to do that for myself so it’s become overwhelming. I really could use a transitional object – not that I’ve said this before!

I always miss my therapist between sessions but this week it all feels unmanageable, like a life and death situation. I feel like my filter is down and I desperately want to tell her how I feel and how much I miss her. I want to tell her how scared and vulnerable I feel. I basically want some kind of reassurance from her that things are safe still. Rationally I know that everything is fine and that we can work through some of this stuff on Monday but the child parts don’t get any of it. They just want to be cuddled…by her…NOW!

It’s tragic really and I know it’s basically my wonderful friend ‘maternal transference’ doing the rounds. I know that this desire to be taken care of and nurtured back to health comes from my childhood where I was never cared for or fussed over when I was sick. More often than not I was packed off to school because my parents were busy, or sent down to a relative because, ha, my parents were busy. Always too busy.

When I was a bit older and my parents had split up I was left at home in bed when I felt unwell. My day would be spent drinking Lucozade, making toast, and watching Supermarket Sweep and the lunchtime episode of Neighbours….and then watching the repeat again at 5:40pm. There was no one there to take my temperature, hold me close, bring me treats etc. There was never anyone there.

I think so much of how I feel when I am ill (or well for that matter) stems from this feeling of my not being important or worthy of care and affection. I always felt like an inconvenience, something to be managed (when ill) and so now, it’s little wonder that when I feel like there is someone who maybe does demonstrate some care and compassion (Em) I want to latch onto it and hold it greedily against my chest, or place it inside myself. I want that person to be there when I am sick.

I feel like a whiny kid writing this, but actually that’s exactly what it is, I currently have a bunch of whiny kids loose inside that want to be held and contained and my adult who is really just a crap babysitter isn’t even available to try and do the job.

I hope I am well enough to go to session next on Monday – pray to the antiobiotic gods! – as I don’t think I can cope with a missed session right now. As the title of my blog suggests, I’m ‘holding it together with rubber bands and chewing gum’ – it’s fairly precarious.

The one positive from being this poorly is that I haven’t got the energy to think about physical self-harm and I am not eating much because I feel rough and so that in itself is enough to take care of the anorexic voice for now. It’s a sad day when you feel lucky that you’re only dealing with illness and attachment issues!

I literally just want to be held. I know it can’t happen. I want to cry.

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I wrote this poem over the Easter break and gave it to my therapist (must’ve been having a brave day!).  It still feels really relevant today:

Not here

I am not in your presence

but, oh

how painfully aware of your absence I have become.

 

Time and distance

stretch

out

endlessly

between us…

 

You are so far away.

 

The holding place in my mind

struggles hard to keep you whole

 

Are you merely a figment of my imagination?

A hologram, perhaps?

 

*

 

Even when within my reach

you always feel so very far away

 

I can see you,

feel you, but

I cannot touch you.

 

That small space

opens up like a vast ocean

I stand on one shore

you on the other

 

You beckon for me to join you

promise to be my guide

and to witness the lessons of the Self

that only I can teach

myself.

 

For the longest time I have waited

warily watching

assessing the dangers that might lurk hidden

in the deep.

 

I believe I will reach you –

eventually

(is it misplaced confidence or simply wishful thinking?)

and so I begin the swim.

 

My muscles relax into a familiar rhythm.

The hardest, aching parts of me begin to soften

as the distance between us lessens.

 

It’s farther than I thought, though, and

sometimes cold

sometimes silent

sometimes strange –

The horizon keeps shifting.

 

I tread water a while

rest and catch my breath.

I look up and discover that

I can no longer see you.

 

Panic.

 

a sudden shiver

a lightning bolt

 

Both sea and sky shift rapidly

calm blues now rage-filled greys

Angry, turbulent clouds roll heavily in

raining hot tears down like shiny silvery bullets.

My fear rises alongside the storm-whipped waves

 

I am exposed

I am scared

 

Is there still safety on your shore?

I can’t be sure.

But it’s swim or drown

and so I keep moving.

 

There’s no going back.

I must have faith in what I feel

And trust in what cannot be seen.

 

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Recovery from self-injurious behaviours (self-harm and anorexia): Can it ever really happen?

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I apologise if this is difficult to read or triggering for anyone. Just to be clear, I am going to be talking about eating disorders and physical self-harm here. If you think that this might upset you or compromise your recovery, please don’t read it.

From personal experience, I know that if I am feeling on shaky ground with regard to looking after myself often reading someone else’s story can get right inside my head. Rather than encouraging me to keep eating or avoid harming because I see the damage it causes for others it somehow does the exact opposite. When I am in a good place, however, I am not impacted in that way. I’m trusting that you’ll make the right decision for you. (Hmmm, looks like my teacher persona wrote that last bit doesn’t it?!)

I have been wondering about something a lot this week in amongst all the other crap that takes up space in my brain and that is: is it possible to make a full recovery from an eating disorder and to stop wanting to use physical self-harm to cope long-term? Do the attacking thoughts and drives to harm oneself ever truly disappear or is the best you can hope for the strength to be able to ignore the voice that tries to persuade you to starve yourself or harm yourself? Can you really silence the Inner Critic for good?

I haven’t really got my thoughts together on it so this is really just thinking out loud.

To be honest, I am not in a great place emotionally/mentally at the moment and so I guess this is why this question has been circling in my head this week especially. The last few months have been hard for me. I have been opening up more and more in my therapy sessions and getting closer and closer to the core wound. Sometimes I have been staring it right in the face and it is total agony. At the same time, it has felt, week on week, as though I have been gradually edging my way closer and closer to a precipice.

This week I feel like I’ve finally reached the drop off and am peering down into the deep, dark, watery abyss where my old companions anorexia and physical self-harm reside. I’ve banished the pair of them to this place many times over the years at those times when I’ve managed to free myself from their shackle-like grips. There have been so many occasions over the years when I have found the inner strength to run screaming as far away from that place as my legs and mind will carry me. I’ve sought solace in activity, distraction, and the thought of ‘please let me make a proper recovery this time. I am going to change’ and managed a period of time where I function almost normally… BUT there is always something that draws me back to them and to this place. No matter how resolved I am to move away from this hellish spot I always seem to find my way here, as though on autopilot.

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As I said, this week it’s felt as though I’ve been metaphorically standing on the edge of the precipice and have seriously been contemplating diving down into the darkness again to join my terrible friends because frankly, what I am running from in my head feels too painful, too hard, too devastating. I need to escape from it all. I can’t cope with how bad things feel. I can’t just ‘sit with it’ and wait for these feelings to pass because it is all-consuming and it’s been going on for months and months now. My sense of inner strength and desire to keep fighting has been totally eroded. I just can’t do it anymore.

I am stuck, frozen, between two terrible choices – which damaging, crap friends do I hang out with now? Ahead lie Anorexia and Self-Harm. They’re more than ready to welcome me into their shitty mind games. Behind me lies Attachment Trauma. The question now, is which option hurts less? Attachment trauma is steadily destroying me. Right now I feel like I have been left. I feel so sad and little and lost. I am screaming out for holding and containment and yet no matter how loudly I yell or how many different ways I say it there is no one coming. No one cares about that little girl. There is no one who cares enough to scoop her up and tell her that it’s all going to be ok, that she is safe and loved and that it’s all over now, that she doesn’t have to hurt herself anymore.

I have tried to do that for myself time and time again over the years, but my adult is so overwhelmed by the intensity of these feelings that are coming up again that l am scared stiff and not sure I can keep going down this path, facing that demon, and essentially feeling increasingly anxious and traumatised. I just cannot continue feeling like this and so what lives in the depths of that black void is familiar and, in some sick way, comforting. Given the choice right now, I’d rather spend time sitting with anorexia or self-harm than be caught in the grips of abandonment trauma.

I developed an eating disorder when I was 16 and began physically self-harming (cutting and burning myself) at 17 and so, tragically, it appears that I have spent more than half my life (on and off) attacking my body in one way or another. I’ve never got my BMI up over 17 apart from when I was pregnant and feel very uncomfortable weighing any more than 46kg. In my head the magic sustainable in control place is 45kg and a BMI of 16.1. Yep. Fucking insane. But it’s the borderline weight where I feel ok and yet still able to conceal how unwell I really am. I don’t draw too much unwanted attention or concern as I can hide at this weight – or at least that’s what I have convinced myself. I’m not sure it’s really the case.

The one thing I know and hate about eating disorders is how skewed your mind gets. I hate the secretive, weird place I inhabit when I start focusing on my body in an extreme way. Everyone who ever tries to demonstrate care or concern becomes the enemy and I resent them commenting on my body or what I am or am not eating. I think it’s probably because so few people truly understand that it’s not really about food – eating cake won’t fix things. The eating disorder is a really shit coping strategy. For me it always starts off as trying to control something at a time where I feel like I have no control/am out of control.

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And yes, in some ways for me it is about my body image too. I am critical of my body and when I am really unwell I just cannot see how skeletal I get – how grey, tired, and just poorly I really am. The thing is, when I am caught up in full-blown starvation mode it’s a focus, a distraction from other terrible painful issues.

I know that starving myself or cutting/burning my skin doesn’t take away what is tormenting me and that’s why I know that jumping off the edge and into anorexia or self-harm isn’t a good option (really, I do know that!) because whatever I choose to do attachment trauma will only jump in after me.

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This, then, is not a good proposition because then the three of them will gang up on me and I will end up drowning again. I know I am literally only a few steps away from a complete breakdown and I need to try hard to back away from all this. I need to find a better way to cope. I just don’t know what that is. Therapy doesn’t seem to be helping much right now, in fact it’s just created the melting pot for all this stuff to truly emerge.

Recently, I threw out the scales in a bid to stop that part of me that gets obsessed with numbers. It was just starting to get bonkers inside my head. So, I have no idea what I weigh right now but I think it must be about 47kg because I feel fat and people tell me I ‘look healthy’ … yeah, that one! It’s insane that being told you look well is a frigging trigger isn’t it? Ugh.IMG_1474

I should be pleased with myself really as I have actually been working hard to pull myself back into a better place lately – this is largely through eating large tubs of Hagen Dazs each night and sharing bags of Galaxy Counters. Which, I suppose isn’t especially normal! But it has resulted in a stable body weight for a good few months. It’s not binge eating. It is systematic feeding of high calorie foods whilst being distracted by TV. I hate it.

My brain has the most brilliant inbuilt mental calorie counter. Several of my newish friends (those that have no idea of my history) are doing weight loss programmes at the moment and when they talk about it to me and I am able to launch into some detailed conversation about the nutritional value of something or the calorific content I think they must think I am strange. I often get the ‘you’re so lucky to have that kind of body that doesn’t put on weight. I only have to look at a cake and put on a stone. You eat whatever you like and you’re so slim’. Little do they know that I am fighting my own body battle, telling myself ‘I must eat the cake, the ice-cream, the fattening stuff so that I don’t fall into the place where I eat pretty much nothing and spiral downwards’.

Another reason that I have had to try and maintain a reasonably sensible weight is because (and here’s where I should be writing that I value my health, care about myself enough to look after myself, and that I am not plagued by negative voices) part of my follow up cancer care is that I see the consultant every three months and part of that check is getting weighed (rapid weight loss is a marker of active Lymphoma).

Last October I went in for my check and there was a flurry of concerned questions from the nurses as I stood on the scales because I had lost 6kg in the three months between appointments. I knew that the weight loss wasn’t down cancer but I also couldn’t tell them what mess I had got myself into with not eating and over-exercising. So since then I have tried to get myself off their radar and creep back to a more acceptable, if still too low, weight.

Over the years I have crawled back up out of the abyss more times than I can remember. I’ve sort of joined the rest of the world masquerading as someone who is ‘fine’ and has it all together. But I won’t lie, even when I am ‘well’ or as well as I ever get, the voice inside my head that tells me I am not good enough, that my body is disgusting, and that the only way to feel better about myself is to not eat and self-harm myself is always there. The only thing that changes is my response to that voice. Sometimes I have the strength of mind to say, ‘fuck you! Leave me alone. I am not listening to your shit anymore’ but then other times it just doesn’t happen and that’s where I am at today.

I have to be especially careful with exercise when I am in this head space. For me exercise is a double-edged sword. I have always been fit and active, sporty, and competitive. I really like to get out and run or cycle. It gives me an escape from being my head. I zone out. It feels good. When I am ‘well’ exercise is fine but it can quickly turn into something negative and self-destructive, like it did in the summer: I got back into my running in the Spring having not really done any since finishing my cancer treatment. I was determined that I was going to get my fitness back (despite the consultant telling me that I would struggle because of the radiation to my chest and weakness in my lungs).

My exercise plan started off as a healthy twice weekly thing: a quick 5km run. But it wasn’t long before I threw in a 40km bike ride, then upped my running distance to 15km each time. By the middle of the summer I was up to running 15km on alternate days of the week, cycling 40km on the other days, and walking my dogs 8km most days. Oh, and let’s not forget to mention the 30 day arms, abs, and plank challenge app that I would do in the evening. It’s literally all or nothing with me.

I liked getting out. I liked feeling super fit again. I enjoyed knowing that my speed and stamina were improving and that my friends, who have always been healthy and active, were posting significantly slower times than me. It’s so addictive watching your times on the Strava app…but then it soon became something to beat myself with, always needing to go faster. The only positive at this point, was that despite the ridiculous amount of exertion I was sensible enough to keep eating properly. I was attacking myself with exercise but I wasn’t attacking my body by not eating which is what I would have done in the past.

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Then one day it changed, just as it always does. Big sigh. I had started skipping meals again. I rarely have breakfast anyway, but on this day I hadn’t eaten at all. I decided to go on my 15km hill run. It was a hot, humid evening – 23 degrees according to the car thermometer – and I pushed myself hard. It had been a stressful day and I need to run away. I posted my quickest time by miles. I felt pleased with myself. The voice inside my head that berates me incessantly was silenced briefly. But by the time I got home and walked in the door I was dizzy and sick. I blacked out in the hallway. I had a bath and the room began spinning in the way it used to after drinking too much alcohol at Uni. I was so unwell that I had to ask my wife to help me up the stairs and put me to bed. I felt awful.

I really scared myself and since that day in May I have only done one short 8km run. Part of me wants to go out and run hard and fast and push myself but there is another protective part that is telling me ‘NOOOOOOOOOO’. I feel stir crazy and lethargic not moving and I have too much time to think but it’s the only way I can think of to keep myself relatively safe and right now that’s the best I can do.

So that’s the anorexia covered, what about self-harm, then? At Easter things were feeling particularly precarious with regard to wanting to self-harm again. I had self-harmed straight after the Christmas therapy break having not done so in several months. The break had stirred up a lot stuff: it’s when I started to become more aware of the different parts of me and how much the little ones were impacted by the separation from my therapist. I didn’t feel able to tell her about any of it at that point and so took to hurting myself instead.

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As the Easter break approached I could feel myself getting stressed and anxious about not seeing my therapist and I that’s when I decided that I would make a commitment to myself that I wouldn’t cut or burn myself again no matter how bad things felt. Tall order, I know! I decided to book in for some tattoos on my wrist, forearm, and ribs – the places I would generally hurt myself. I was going to get something symbolic in place of scars. There was three month wait for the artist I wanted and so in this time I knew I couldn’t damage my skin because it would affect the tattoo and tbh I didn’t want the artist seeing new cuts or scars either.

So for three months I didn’t hurt myself at all (even though I wanted to at times) and since having the tattoos I haven’t cut or burned myself either. Instead I have meaningful reminders that I can survive and that this is not the end: Lotus flowers, unalome, semi colon, root chakra etc. So, these tattoos have worked as a symbolic protector. I haven’t self-harmed but it hasn’t meant I haven’t wanted to. And that’s what I am pondering in the title of this post; will that desire, need, whatever it is, to harm ever disappear fully? Will there be a time where I feel anxious or depressed and my brain won’t take me to this place? It won’t cross my mind to cope in a negative way? I don’t know. I hope so.

So for now, today, at least, I am digging my heels in as much as I can and leaning away from the edge.

At the start of this I wondered if it was possible to ever really recover from an eating disorder and the desire to self-harm?

Perhaps the real question is: will I ever feel good enough? – because I guess underneath it all, that’s what it’s all about.

I guess maybe it’s time to bring this to therapy…again.

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Alanis Morrisette’s, ‘That I would be good’ has been stuck on an almost constant loop in my head since Wednesday. It’s another of those songs that I haven’t heard in years but I guess is a reminder of having been in this place before, in my teens, and so it’s come up again now.

The backstory- or how I met my therapist.

This is long and in no way an essential read. It’s just the backstory of how I find myself here.

I’ve always struggled with my mental health. Anxiety and depression have been almost constant companions since my teens, albeit to varying degrees: sometimes barely noticeable and at other times totally debilitating. I’ve seen various counsellors over the years but never really got anywhere with them.

After spectacularly falling apart following a bereavement I was allocated a year of psychotherapy in the NHS. I was told there was quite a waiting list (turned out to be 2.5 years!) so in the intervening period between being put on the waiting list and actually getting therapy I saw a nice ‘tea and sympathy’ counsellor, privately, who quickly told me that she ‘didn’t have the skills’ to really help with my issues (that did wonders for my self-esteem I can tell you!).

I kept going for a year anyway because I needed to talk to someone even if I couldn’t work through the deeper issues with her. She helped me with my feelings of loss about my dad which enabled me to get back on with my life to an extent.

When I finally got the letter to see my current therapist, I’d just about patched myself together with my trusty rubber bands and chewing gum. I was functioning ‘fairly’ well: I’d moved house, gone back to work after 17 months off sick, got pregnant with my first child, indeed I’d pretty much forgotten that I was waiting for therapy as I was caught up in all that life, work, and pregnancy brings!

How could it take over two years to see a trained psychotherapist anyway? I guess if I had have shown my doctor, the psychiatrist, and the community mental health teams how bad it really was for me when I was at my lowest then things may have moved more rapidly, but I was terrified of being sectioned or something. I played everything down at the time and just picked myself up like I always had done in the past, not really dealing with anything and just running away from my issues. Idiot!

I’d sort of resigned myself to continue living this sort of half-existence – accepting that I would suffer regular periods of depression and anxiety; that not feeling good enough and like there was something fundamentally wrong with me was just my personality type; that I would never really be happy and I would continue to use restriction of food, too much exercise, and self-harm to cope. I guess I felt that I would have to carry on with the show in the way I always had done and accept that this is how it is for people like me and maybe this is what life is really like. I doubted if anyone could really help me with what seemed like a lifetime of cumulative traumas and crap coping strategies.

I’ve always been a private, reserved, and introverted character and even during my breakdown nobody knew about any of these feelings I carry inside because what I had always presented to the world was a confident, in control, high-functioning adult. It’s served me well, to an extent, but it’s taken a ridiculous amount of energy.

When I first met my therapist in 2012 I liked her instantly although I doubt she would have known because I was really resistant and guarded. I spent the first 9 months of therapy weighing her up and not really talking to her. Sure I spoke, but not about the real issues, not my well-guarded secrets. I didn’t even mention the eating disorder I have had for half my life, or the fact I self-harm until three sessions before the end of the therapy!

Trust is a huge issue for those of us with attachment wounds. Although there was certainly part of me that wanted to get better and heal, I just couldn’t risk really letting her in. I didn’t want to show my vulnerability. I didn’t want her to know how messy it was underneath my cool exterior. I didn’t want her to confirm to me that I was ‘beyond help’. I didn’t want to identify with all my broken parts or admit that they were even there. I essentially sabotaged the therapy – not because I was being difficult, but because there is a part of me that is so battle ready that it serves to protect me against any intrusion. It used to ward off the enemies but somewhere along the line it also got caught up holding off the allies too.

But, as is so often the case with therapy, one day I was blind-sided, something massive shifted, and my defences crumbled. I didn’t see it coming. I don’t know if it was the realisation that time was running out, or what, but suddenly I felt like I couldn’t survive without this woman. I needed her like I needed air to breathe. She really mattered to me. I missed her between sessions in a way that made my stomach ache. I had become deeply attached to my therapist.

This should have signalled the start of something good, right? A flood of positive and connected feelings? Well, it didn’t because my brain doesn’t work like that, unfortunately. Feeling dependant and needy triggered a huge amount of anxiety. It re-activated some really deep-rooted fears that I must have buried somewhere back along the line. All of a sudden I became aware that she was going to leave me right at the time I needed her most. She would be gone. I wouldn’t see her anymore. It was beyond overwhelming.

Now that I wanted to tell her what I had been holding in my entire life there wasn’t time. I felt like I was going to disintegrate. I was also really embarrassed that I had somehow got so emotionally reliant on a professional (ugh!), someone who could never be what I suddenly felt I lacked. I’d spent my whole life avoiding getting close to people in order to not get hurt and here I was fixated on a therapist. I wasn’t just fond of her in a ‘we work well together’ kind of way, it was as though some really primitive, young emotions had surfaced, I loved her, and I just didn’t know what to do about it.

How do you explain to someone that you feel like you are empty inside and have a bottomless pit of need that only they can fill? That you need/want them to hold you like a small child and soothe you even though are a fully grown adult? How can you express that when you know there is no chance of it ever happening? How do you cope with the huge sense of rejection and abandonment if you ever manage to pluck up the courage to ask for that and then get a refusal even though it is just protocol not to touch/hold?

It’s beyond painful because it is a child’s needs that are coming up and the inner child that feels the massive hurt and rejection. The likelihood is that this is all replaying something that happened in the past: not being held, contained, seen –essentially being emotionally abandoned. I didn’t know anything about transference back then and so struggled against my feelings, too ashamed and embarrassed to talk about them.

I still find it all a nightmare but at least I sort of know what’s going on and that I’m not completely mental for having these intense feelings towards my therapist. I also know now that these issues are the very things I need to bring into session and work through! It’s easier said than done sometimes and part of me wants the ground to open up and swallow me when I start to talk about how I feel about her. I wish my adult censor would leave the room sometimes to allow the little ones space to talk.

Anyway, back to the first episode of therapy… She realised how difficult things had become for me as I started to share my story, though I never told her how I felt about her which was really what was hurting me the most at the time. Somehow she managed to extend the therapy for a further three months but even that wasn’t enough time. This kind of deep-rooted trauma and all the coping strategies you build up to survive don’t just repair in a few sessions, in fact maybe not even a few years. It takes a huge amount of commitment from both client and therapist to do this kind of work and it’s not easy. In fact this is probably the hardest work I have ever done.

Time was ticking away and before my final session I had sent her a rather long email. It was like I had taken a dose of truth serum and let a lot out on the screen. It was weird, the whole time I had been in therapy it had never occurred to me to Google her or try and discover anything about her. It was almost like she only existed in that room. I think it’s a bit like when I was a teacher and kids I taught would see me in the real world and do a sort of double take.

Desperation had kicked in as the end of therapy drew near and that’s when I searched for her online. It turned out that she also worked privately and that’s how I got her email and asked if she would see me in private practice. She agreed but said there would have to be a three month break between the NHS setting and her private setting. Argh.

Even though I planned to meet in three months, I was absolutely devastated leaving my final session. I didn’t show it. I’d sort of shut down and put on my ‘it’s fine’ face in order to cope. I just walked away and didn’t look back. I’m not sure if I even said thank you. I’ve never been good at endings. I’d rather pretend that they’re not happening.

The idea of a three month break was just too much. I’m rubbish at therapy breaks! (more on that later!) I started having really graphic, distressing nightmares and sunk into a pit of depression. The nightmares lasted a couple of months and then abruptly stopped following a dream. I was in a lake, swimming in the dark, about to give up and drown myself when my therapist pulled me from the water onto a boat, wrapped her arms around me and held me tightly cuddled up in a blanket. She told me that I didn’t have to do this anymore and that I was safe.

My partner was not supportive of me having more therapy and it caused a huge row. ‘How much therapy does one person need?’ I was just oversensitive and needed to move on and be thankful for what I had now. The past was in the past. I knew then that I wasn’t going to be able to see my therapist again, no matter how bad I felt. I would have to just carry on as I always had, only knowing now that help was possible and that I couldn’t access it.

Life moved on again, things were ok, good even, but as always the good times were punctuated by periods of anxiety and depression, not eating, over-exercising, and occasionally self-harming. And then when my new baby was 6 months old I got diagnosed with cancer having been misdiagnosed for the previous two years with other conditions. I was too young for cancer, apparently! I had an enormous tumour and my life turned upside down.

I spent 9 months battling the cancer with chemotherapy and radiotherapy. I lost my hair but I was one of the lucky ones and kept my life. It was the most terrifying experience to be faced with the reality that I could die and leave my children without a parent before they’d even started school. A couple of months after completing treatment I fell apart. I just couldn’t manage anymore. Cancer was the straw that broke the camel’s back and my partner told me then that I needed therapy. PRAISE BE! So that’s what I did. I was back with my therapist within two weeks. What a relief.

 

If you’ve made it to the end of this, well done. I’ll try and be brief in the future.

Got to start somewhere…

I’ve been procrastinating. A lot.

I meant to start this blog when I re-entered therapy with my old therapist in June 2016. We’d had a three year break and plenty had happened in the intervening time: a baby, a cancer diagnosis (chemotherapy, radiotherapy, hair loss – the whole nine yards), almost a mental breakdown.

I thought I’d start a blog as a way of keeping a record of what happened in my sessions and to chart my (hopeful) progress out of cancer, chaos and depression! Needless to say it’s now August 2017 and I haven’t posted anything.

I don’t know why I haven’t got round to writing. I’ve had plenty to say and no one to really share it with in the real world where I pretend to have my shit together and function. I put on a good show and unless I told you, you’d never know what a mess it is underneath the cool exterior but in truth, I really am holding it together with a bunch of rubber bands and chewing gum! It’s a little precarious to be sure. I feel like a crap swan: I’m not even really gliding along and my feet are going like the clappers beneath the surface just to stay afloat and keep moving forward.

The thing is, I may have been back in therapy for the last 14 months but actually it’s only really started to get ‘interesting’ (scary/terrifying) since Easter, in that I have started to really unpick things that I’ve been to afraid to even acknowledge before. I’ve also become aware of different parts of myself: Little Me (she’s about 2 years old), Four (her age), Seven, Eleven, The Teenager, and The Critic (a really mean bastard).

So I guess now is the time to start sharing with you lovely people on the internet because I need to let it out somewhere and talking through your therapy session isn’t run of the mill conversation at a playdate with small children- although part of me would love to see the faces of mums if I dropped the ‘so, I’m on a 22 day therapy break and I feel like I might die because my little parts are beside themselves and think they’ve been abandoned’.

To be honest, I’m a bit protective of my therapy so maybe that’s why I’ve had this blog page for ages and not said anything. Part of it is also because I wasn’t really sure what was wrong with me. I’ve been borderline depressed since I was a teenager. I have a history of self-harm and an eating disorder both of which I manage to varying degrees depending on how bad things feel.  I am a perfectionist. I don’t trust people. I feel alone most of the time even when in company. I’m highly sensitive. I like to be in control. I feel like I am not good enough. I have a dysfunctional relationship with my mother (who doesn’t?) … I mean basically I’m a high-functioning fuck up.

The deepest wounds I have are invisible and were formed in infancy and gouged further throughout my childhood and adolescence. Not many people understand what childhood attachment trauma is like, not many people have even heard of it (I hadn’t until therapy took a nose dive and I started doing some reading) but for those of you who do know exactly what I am talking about, this is for you too.

I have wanted to write and share my experience, what it’s like to have these wounds and what therapy is like as a result of this because I get the sense that therapy is quite challenging for most of us. I hope my experience makes you feel less alone even if it’s identifying with some really tough emotional stuff.

So here I am. Today. Taking the plunge. Here goes. Wish me luck.  It’s probably all going to be a bit haphazard but I’ll try my best to tell it like it is… and right now, ‘like it is’ is pretty hard. 8 days of the therapy break remain and:

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