The End Of An Eating Disorder.

TW: Eating disorders and self-harm.

So, it’s Eating Disorder Awareness Week (EDAW), apparently. I don’t mean to sound so blasé or critical, but I guess like many people who have suffered with an eating disorder and mental health issues I am left feeling a bit cold when ‘awareness’ is mentioned. I think there is a lot of awareness out there but what we really need is adequate funding and investment in training, in order that there is proper provision to support people who are suffering and struggling better (or at all!). We all know that it’s a postcode lottery with what treatment is available not to mention the waiting lists…oh and, of course, the ‘time-limited’ interventions. So, forgive me if I don’t feel all that enthusiastic about this week, or any of the others that come along raising ‘awareness’. I guess I’m just old and over it and would rather see some tangible action so that people like me get the help they need at the time they need it – and don’t spend a lifetime tangled up in pain.

I’ve been saying for a while that I would find some time write about the end of the long-standing ED and so this is my contribution to EDAW – but really, it’s for me, a written acknowledgment, to myself, to honour the journey I’ve been on. I don’t really know where to begin, if I’m honest, but this week seems an especially apt time to finally close the book of many many MANY chapters.

So, I guess I begin at the beginning?… all those years ago when the crafty bastard came along and took root? I suppose that’s as good a place to start as any…but inevitably this will take me back to the very beginning because everything that came before the active anorexia fed into the development of the ED (excuse the pun!).

This is probably going to be a pretty long piece – so perhaps go grab a cuppa. I suspect it will be a bit ‘bitty’ and disjointed here and there, too, as there’s lots to say. It has been such a fragmented experience that I can’t see how it will ‘flow’ but I guess if I keep some kind of loose chronology we’ll get to the end and into March 2022 where I am now sitting with a big bar of chocolate and cup of hot milk as I type – and enjoying both with no hint of “I shouldn’t” or “I’ll have to pay for this in exercise later” or hating myself for not having the willpower to resist these treats. I never for one minute believed this would be possible – but here I am…and contemplating a cheese toastie in a bit!

So, deep breaths, ready for vulnerability download:

I have been battling with anorexia since I was 15 which, sadly, is almost 25 years of my life. My goodness, that’s depressing when it’s right there in black and white. 25 years wasted….

Looking back now I feel so much sadness and compassion for that poor young woman (that was me) who found herself deeply distressed, struggling so badly with soooo many different issues, who took to starving herself in order to cope, and was barely holding it together with rubber bands and chewing gum. I feel so upset that no one paid attention or saw beneath my coping exterior. I was like a swan to everyone around me, gliding along on the surface whilst desperately kicking legs beneath it in order not to grind to a halt or fall apart. It was exhausting trying to appear ‘fine’ when I was anything but. Parts of me longed for someone to ‘see’ me but my protectors were so strong that no one was ever able to penetrate my defences. No one tried but then I wonder if I’d have trusted them even if they had?

I wish I knew then what I know now about myself, and about the destructive nature of eating disorders. But then I was a kid in the late nineties – information wasn’t readily available, the internet and social media weren’t ‘things’ back then (sending a simple text message took ages repeatedly pressing number buttons to get to each letter) and so much was ‘taboo’  – having said that, I don’t think the internet or social media was what I needed, or more ‘awareness’, as I say, I wish back then there had have been someone, anyone, who would have noticed and helped me through what I was experiencing, someone who could have helped release the strangling grip of the eating disorder and allowed me space to breathe and recover and learn how to be me and to accept myself.

Basically, I wish I’d have had a K or an Anita when I was 15 because there’s so much evidence to suggest that eating disorders that are addressed early have the best success rates for people getting through them and moving on. Unfortunately, I wasn’t one of those people who got support at the right time, but I feel so blessed that I have support now and I definitely think that my relationships with A and K have done wonders for me, helping me grow stronger. It’s through having their love and care modelled to me that I have learned to love myself and see my own worth. And this is the thing, for me, my eating disorder, when you boil it down, was actually not a great deal to do with food or body image. It focused on those things, but they weren’t the primary drivers.

There are loads and loads of reasons why people fall into eating disordered behaviours, but I can only speak from a personal perspective here, and say how it was for me. Anyone who has followed this blog for a while will know by know that my growing up experience wasn’t exactly what you’d call ‘optimum’. From the very beginning it wasn’t brilliant. I was an accidental pregnancy, a pregnancy that turned out to be fraught with problems, a pregnancy where my mum spent the final three months of her pregnancy in hospital with pre-eclampsia. Poor little me was stuck in a toxic womb environment and then had to be induced 6 weeks early because I ‘was in distress’ and so I wasn’t exactly onto a winner…and have been distressed ever since. Lol.

After a long and difficult labour, I was born, and reportedly didn’t make a sound. They’d pumped my mum so full of drugs that they weren’t sure I was alive or if I would survive. There’s no doubt, now, that I ought to have been delivered by c-section, but this was the early 80’s, on a Sunday, in a hospital that is renowned for its poor practice over the years. Apparently, the doctor on-call was on the golf course and insisted on finishing his game before coming in to assist with the delivery…as you do.

Tiny baby me was whisked off to an incubator which is where I spent the first three days of my life. I’ve written about this before, here, but every time I think about it, no matter how much therapy I have, it still stings. My mum’s ‘go to’ birth story as I was growing up was, “I thought the baby in the incubator next to you was mine, I didn’t even recognise you.” Undoubtedly, my mum was traumatised by both her pregnancy and her labour, and I am not surprised she went on to develop post-natal depression…but what has any of this got to do with my eating disorder you might ask?

Those early hours and days after the birth of a baby are so important for bonding and attachment. The moment my children were born they were put on my chest, and we had skin-to-skin contact. In fact, the moment my son was born he was skin-to-skin and began to breastfeed immediately. Both my babies were elective c-sections so their births were as straightforward as they could be: my daughter was breach presentation, and my son was enormous so I’m glad I was given the option both times to choose what I wanted. I am certain that a calm birth experience meant that I was very able to respond to my babies and bond quickly. I wasn’t in pain or distress, and neither were they.

I know how important it was for me as a new mum to be close to my babies and to bond – I didn’t put either of mine down except for nappy changing in the first twenty-four hours and they slept on me skin-to-skin – not even in a baby grow. My mum was barely in her twenties when she had me, and didn’t have any of that, or any decent antenatal support prior to birth. I can’t imagine how upsetting it must be to not see your baby because it’s been whisked away, not know if its ok, and then not to know which baby is yours when you finally are allowed to see it. My mum used to retell the story like it was funny, but I think, now it must’ve been her way of coping with something awful.

Anyway, the post-natal depression undoubtedly didn’t help with the bonding process. My dad used to come home from work to me and by all accounts I don’t think I was massively well-attended to during the day. I understand it, but it’s still hard to know that as a small child I was not getting what I needed. I don’t blame my mum PND – it is what it is, and there was next to no understanding of it or support for it really then. But if I was left in dirty nappies then I think we can probably infer that there wasn’t a great deal of feeding going on either.

When I was 9 months old my mum left the country with me. Her relationship with my dad had completely broken down and she basically ran away from an intolerable situation with him and my wider family. Again, to be taken from everything I knew at that time must’ve been disruptive for little me. I don’t know much about the three years abroad but I know we moved back to the UK when I was nearly four. I have only a handful of memories before I was seven: one is being sick after my preschool vaccinations, and the other burning myself on a barbecue but being too scared to tell anyone about it when I was just four. I have no recollection of my first day at school — or anything.

My memories only really kick in when I moved house I and started a new school midway though year 2 and the week of my seventh birthday. Before I started therapy, I thought this was normal. I thought most people had no idea about their lives before that age. Apparently not. Sometimes I wonder about what might have happened or what it was like, but I know what it was like from when the memories actually begin, and I can’t see it being very much different. I imagine that my clever young brain wiped out a lot of what was there to make it survivable.

When I was working with Em, I remember a session where I told her about the burn on the barbecue (I still have the scar now). I’d said how I had been told to stay away from the barbecue because it was hot. My dad had put the tongs on the grill to disinfect them in the flames and then taken them off and hung them on the side of the frame. I was alone in the garden and was inquisitive, like children are. I can remember it clear as day…the searing pain when the boiling metal hit my skin and then peeling the tongs off my leg, taking the skin with them, leaving a long burn on my inner thigh.

Em wondered aloud what might have led little me to be in a position where I was too scared to tell an adult that I was severely hurt in that situation. My daughter was about the same age I had been at the time when I was recounting the story, and Em asked me what my daughter would do: run to me crying and seek assistance. There was no doubt in my mind that that is exactly what she’d do. That’s the natural reaction, right?

So, what stopped me as a little girl? Why was I already so terrified of the consequences of being told off for doing something I had been told not to do, doing something ‘wrong’? It didn’t take much to join the dots, but I can infer that I must’ve at least once before got into trouble for something and the reaction been bad enough for me to go into hiding rather than risk a similar response from my mum.

My children do stuff I tell them not to ALL THE TIME but they ALWAYS come and seek help and support if they hurt themselves, even if they’ve hurt themselves after I’ve warned them not to do something. How does all this stuff link into the ED you might be wondering? Like come on RBCG get to the point! Well, I think from the very beginning my needs have not been met, both emotionally and physically, and I think early on I detached from my needs.

As I child I remember being hungry a lot of the time. I was the kid that never had a snack at breaktime at school. It wasn’t that there wasn’t money for it, there just was never anything in the house to take and I genuinely don’t think it occurred to my parents that breaktime was a time when kids had something to eat. Or maybe they were just consumed in their own busy lives and didn’t keep me, or my need in mind…(sigh)… And so, I used to watch while other children tucked into bags of crisps and chocolate biscuits. Again, I never went home and asked for these things to be bought. I didn’t feel like I was worthy of it, I guess.

I used to go to childminders before and after school at when I was at primary school and the childminder used to feed both her children a snack after school but would never offer me anything. My dad didn’t collect me until almost seven most nights so most days I would have just my school dinner which given how crap things are now for kids in the UK with 1/3 in poverty I feel stupid for moaning because I was at least fed and when I got home, too. But what I am trying to say is that for years I was hungry, my stomach would physically hurt, and yet there was no way of getting rid of that feeling and it was horrid.

I guess I got used to it in the end and something switched off, I no longer ‘felt’ hungry although I guess I must have been. I didn’t feel much of anything at all, actually. And it was the same with the emotional stuff. When my mum would come home at the weekends it was horrible most of the time. She’d argue with my dad, sometimes be violent, and generally make me feel like I was in the way and an inconvenience. For years the shouting and the violence scared me and then I learnt to feel nothing.

Everything was numb.

And so fast forward through to my teenage years, my parents had separated again so at least the yelling had stopped. I lived with my mum during the week, and she was stressed and unavailable or vile. By now I had become so self-reliant that I don’t think you’d know I existed in the house. I washed my own clothes, made my own lunches, cleaned the house, and stayed in my room doing my schoolwork. I was no trouble at all. My reports were outstanding. My grades were top. There was nothing you could moan at me about.

Only she did.

Over and over.

Eroding my self-esteem bit by bit over and over for years and years, “I wish you’d never been born”, “You think you’re so perfect”, “You’re so boring”, “You’re just like your dad”, “Who the hell do you think you are?”…on and on and on…

And then when I was about fourteen, I started to realise I was gay and this neatly coincided with the “Don’t hold my hand, people will think we’re lesbians” from my mum one day when we were out and crossing the road. I have no idea why I reached for her hand that day. I guess maybe it was an unconscious throwback to a time where she would keep me safe as a child. I don’t know. But her reaction was nuts. The laugh is we never really touched anyway, there were no hugs, no kisses, no physical signs of affection and certainly no verbal expressions of love or care…so this was the final nail in that coffin for our relationship in lots of ways. It sits in the same pain zone as Em’s ‘tick’ analogy, another complete and utter rejection of me and my ‘self’.

As I’ve said, my mum was rejecting so much of the time, and I’d felt physically abandoned when she was away through primary school, but that sound bite also felt so loaded for future ‘gay’ me. Being gay clearly was ‘bad’, and now something to be hidden, and so I did… but that was yet another burden, another secret, another thing to feel ashamed about.

I fell head over feet in love with an older woman when I was 15 too (big eye roll now I know all about my attachment stuff and mummy issues!) but that felt awful, too. I wasn’t out the closet, she wasn’t gay, and I couldn’t tell her how I felt for fear of being rejected. As I’ve already said, it was the late nineties and things weren’t as they are now (that’s not to say LGBTQ+ kids have it easy, now – they don’t) but there was no space for kids like me particularly in the part of the country I was growing up in. There were no role models. There wasn’t even mention of same sex relationships in Sex Ed for goodness sake … I felt thoroughly alone…weird…an outlier. It was hard. And then the GCSE years really got going and as a perfectionist who was expected to get straight A’s I crumbled under the weight of it all.

The first time I didn’t eat was a day during a school holiday. There was ‘gifted and talented’ evening trip to the Opera that had been arranged by the Head of English and me and a couple of friends had been chosen to go. I don’t know why I didn’t eat that day, but I didn’t (probably no food in the house). I can clearly remember after the interval feeling, sitting in the dark, waiting for the singers to take the stage, and feeling lightheaded and stars going round in my vision. I felt kind of out of myself too (dissociated) and, honestly, it felt such a welcome relief from the usual agony in my solar plexus and feeling on the verge of a breakdown and suffering with that horrible sense of ‘unrequited love’ (ahhh which is not dissimilar to the mother wound) and being thoroughly miserable at home.

I’d never been someone who had eaten breakfast or snacked (that bedded in young!) but I was definitely a solid ‘pasty, chips, and beans with a can of apple Tango for lunch at high school’ kind of a girl. But then I stopped that in year 11. I would maybe have something small or skip lunch altogether by going and working in the school library ‘revising’ (sitting alone with my head in a book trying to not fall apart). It was about this time that I’d started self-harming too. It was getting bad. And yet what could I do? I couldn’t speak to my parents. There was no school counsellor. There wasn’t anyone. And of course I was an ‘outstanding’ student so teachers had worry about me.

Things got worse and worse and one day I made myself a GP appointment in the middle of my GCSE exams and went to see the doctor because surely this would be someone to help. I felt so nervous going into the consulting room. I’d never been to the GP without a parent, and I was about to tell a complete stranger about my secret destructive behaviours. I thought I was going to be sick, but I knew I couldn’t carry on as things were. I was miserable and destroying myself. I trusted that a ‘professional’ would offer me the support I so badly required. So, I told the doctor how I was feeling and what I was doing to myself…and…he dismissed my issues saying, “It’s a phase” and that “everyone gets stressed round exams” and that my self-harm scars were “superficial” and he sent me on my way.

Wow.

Again, I look back at that memory and I have so much sadness and compassion for that brave sixteen-year-old girl who was going through so much and was left unsupported, not ill enough to warrant support and instead left feeling like a time waster and a hypochondriac. I kept quiet after that, but things got worse and worse.

By the time I started A Levels things had really escalated. My mum had taken to being absolutely vile all the time. I was a substitute emotional punching bag now that my dad wasn’t there. And how did I cope? Well, I didn’t eat breakfast or lunch and would purge after all my evening meal which was in the region of 500 calories. I exercised ALL the time, weighed myself daily, and self-harmed at least twice a week. The cuts weren’t superficial anymore and my weight had plummeted. It was absolutely awful. It was completely exhausting, I was completely exhausted and the ED felt like a full time job occupying so much of my headspace…but thankfully it pushed the other horrible stuff – feeling unlovable, untouchable, and not good enough to one side – albeit temporarily.

One day I went to visit ‘the older woman’ who now lived a couple of hundred miles away from me. She took one look at me and cornered me about my eating disorder when we were sitting watching a movie. The dramatic change in my appearance in the 18 months since I’d seen her was unmissable. I was honest about what was going on (for the first time). She asked why I had never told her when I spoke to her on the phone (twice a week). What could I say? It’s not easy to tell someone that you’re not eating, puking every time you eat…and the reason for it… you hate yourself and have unmanageable feelings for the person you’re speaking to!

I felt like I had taken a big step towards H that weekend and then when I got home, and we next spoke on the phone it was like the tide had turned. (The irony is not lost on me with how much this reflects what happened with Em all those years later when I finally told her how bad things were). H delivered me an ultimatum: tell your parents or I will. I begged her to give me time and she agreed. But when she pressed me the next week and I told her I couldn’t she cut me off, told me that she was wrong to get involved, and I could call her in three months but she needed space…

Ouch.

I came out the next day and was in bits and things continued to get worse.

My mental health got so bad that I stopped attending college regularly in the second year of A levels (after a patchy first year) and think clocked up an impressive 30% attendance overall. I was told I shouldn’t sit my A levels as there’s no way I could pass them and to come back and redo the final year. The idea of this felt unbearable – another year at home and no escape to university? I begged my tutor to allow me to at least try the exams and they conceded. Fortunately, I came out with AAAB and it meant I had the grades to move forward.

Essentially, though I spent the years between 16-18 feeling thoroughly depressed and hopeless. How I passed those A Levels I’ll never know, but I am just lucky I guess, to have been academic enough to not need to go to lessons or try too hard. I know that sounds big headed – it’s not meant to be-  I am just so aware that had I have flunked my A Levels rather than getting a string of A’s and B’s life would have been considerably more difficult for me because it was getting away to university that allowed me to escape the worst of what I was going through.

My eating disorder was a crutch, a coping mechanism. Anorexia was something I was good at, too. It took the focus off all the shit I couldn’t deal with – didn’t know how to deal with. I could escape from my mother, from my sexuality, from exam pressure and watch the scale go down and down. As, I said, I learnt not to feel hungry and enjoyed the feeling of being almost delirious. I likened the heightened anorexic state as like being up a mountain above the clouds, one day. to Em. Like it can be swirling shitstorm down below and somehow not eating enough for long enough takes you up to where the air is clear, and the sun is shining. Or at least that’s what my calorie deprived brain believed. Coming out the other side I can see how fucked up that is, but anorexia really messes with your body and brain chemistry.

I think my eating disorder went some way to shutting down the Inner Critic, or appeasing it a bit…only you can never really please that sadistic fucker and so really it was just a vicious cycle. I’d go through phases of my life where the ED would be in the background, subdued – usually when things were going well, I was ‘happy’ with friends or in a relationship and life wasn’t too trying but then there were other times where it would rise up and take over. The irony is, what I needed when things felt overwhelming was care and support and what I delivered to myself was abuse. The world outside felt threatening and too much and I had no sense that what I should be doing was ‘self-caring’ and not ‘self-harming’. I sort of thought that’s how it would always be. I never felt like I deserved love or care from anyone, and certainly not from myself. I literally had no idea how to care for me.

(I am so glad this has shifted!)

I’ve always been body conscious; I could never look in the mirror and be ‘ok’ with what I saw but there were stretches of time when I wasn’t actively restricting or purging which felt like a kind of progress. I just ate once day….which I guess is still restricting because there’s no way on earth I could not eat until the evening now. I get to about 10am and breakfast has to happen…I can tune into my body and respond to it, but it’s taken a lifetime to get here after years of dissociation.

Ugh.

It’s weird, I look back now at photos and can really ‘see’ that I wasn’t well but at the time would have sworn blind there was nothing wrong. In fact, the ED mindset can be so dismissive, defensive, and angry that it makes you almost delusional. The number of arguments I have had with my wife over the years when she’s expressed legitimate concerns to me is staggering. The denial that I built around myself and the eating disorder was insane but after so many years it was like I was brainwashed, or brain-damaged. I genuinely couldn’t see the issue anymore and other people’s concern was an intrusion. How dare they suggest anything was wrong? But also, why would I admit it when doing so might mean I get rejected again?

Again, I just feel so sad that I have spent more than half a lifetime attacking myself – and why? …because the self-image I’d had placed on and in me was so wrong in the first place. I find it so depressing that I bought into the idea of being unworthy of love and care and the only way of coping with it was to make myself smaller, to disappear, to dissociate my needs away. But those needs were still there, lying dormant because look where I am now in my therapy: #1 Neediest Client In The World!

God.

I read somewhere once that ‘we are only as needy as our unmet needs’ and basically this rings so true…does anyone else relate?! Unfortunately for me, A, and K there are quite a number of unmet needs!

Anyway, back to the story and the early naughties: I’d got through my degree, my MA and my PGCE just about in one piece (I do wonder how!). I started teaching and I’d get through the day on a can of coke and then go home and eat a meal. Again, I can see this isn’t ‘normal’ but it was the most normal I had even been in my life to date. I was painfully thin, but I wasn’t deep in the throes of the eating disorder either. I guess what I would say is that my eating disorder would go through phases- never fully gone, but not always massively active either. At this point I could eat and not gag when I put my toothbrush in my mouth so that’s a win.

Then of course, my dad died suddenly and there it was again, my trusty friend ready to help me. My coping mechanism was back front and centre. I got very ill when that happened. My BMI was 14 and I was like a walking skeleton. Only I couldn’t see it. And yet again, despite having medical input for my mental health and weekly weigh ins with the GP I was able to deflect and distract from it. Having been told at 16 that there was nothing wrong with me I had basically learnt that health professionals don’t believe me and that I am not worthy of care and so never told them how bad things were. What was the point? I ran rings around anyone that tried to come near.

I clearly remember one day my GP telling me that “Happy people don’t have eating disorders” and “was there anything I wanted to tell her?” I wished so badly in that moment to be able to share even a tenth of what I was carrying but what can you do in a ten-minute appointment? And how do you hold your hands up as a 26-year-old professional person that you are still stuck in your ‘teenage coping strategies’? Eating disorders are so often framed as a ‘young person’s issue’ because that’s when they often begin, but there are thousands and thousands of people who have continued to struggle well into their adulthood… and so, I said nothing. I was ashamed and embarrassed.

And on and on it went for another few months until she referred me into eating disorder services. The initial appointment with the assessor was a farce. She asked me a series of questions about my eating habits and body image and the part that was fronting that day answered in way that meant I wouldn’t get help, “Do you think you are fat?” – “No” etc. The part that so badly needed help was gagged and bound. I was so deeply in the denial zone at that point that really the person just needed to use her eyes to see that I was FAR from ok but of course she didn’t. It was another example of my being intelligent and articulate enough to be escape the system. I don’t know why I was so terrified of ‘getting help’ but the idea of being made to eat and go to day patient just felt like a huge no. I didn’t want to be scrutinised. I didn’t want to lose control. I didn’t know any other way of coping with what I was feeling and having my ED taken away…well, I needed it to survive.

Still, none of that ever happened because I never got specific ED help but I was put on the waiting list for psychotherapy after writing a letter to my GP and her calling me in to say she thought I was suffering with PTSD! Three years later and I finally got to the top of the waiting list and was working with Em… and the ED kicked in AGAIN about three months away from when we were meant to end, just as the realisation that I would have to stop seeing her became really real and the attachment stuff had become massive. I had genuinely thought I was over my ED by this point, I’d had a baby and things were going well in my ‘adult’ life. So, what the hell was going on? Ahhh the young parts were activating but I had no idea about any of it at this point, I just felt like I was losing my mind.

So, there I was again, sitting with a BMI of 16.5 and not eating ‘normally’ but also ‘normally enough’ to not draw any attention. I was exercising away my ‘baby weight’ (overdoing it to attack myself and escape the emotional pain). I couldn’t tell Em then what was going on. I was too ashamed and embarrassed that the thing that had triggered me trying to ‘cope’ was approaching the end of our time limited therapy on the NHS and the reality of losing her – and besides, there was no time left. It was all the stuff about being alone, left, abandoned, rejected, not being worthy of love or care…it was the mother wound. It totally fucked me up for a long time and I was so distressed for months after that ending but didn’t really understand why.

Yet again, it was a relational ‘injury’ triggering the eating disorder. Yet again it was feeling emotionally out of control and not good enough that sent me into the pattern of trying to gain control – of what I put into my body and what I did to my body, and over my emotions. The older I got the easier it was to spin my anorexia as a ‘health kick’. I’d buy new trainers and sports kit and RUN AND RUN AND RUN away from all that was upsetting me and eat salads and drink smoothies when, really, I wanted cake and chocolate and roast dinner.

I simply wasn’t able to sit with my feelings of pain and loss and all that’s associated with the mother wound because, as I said, I didn’t fully understand it. I just knew that the thought of losing Em felt unsurvivable because of course that is what it felt like to the young parts who were being triggered. It felt like annihilation. Ugh. And how do you tell anyone about this? It’s embarrassing and loaded with feelings of shame. You’re meant to get ‘better’ after sixteen months of therapy not worse…and yet here I was feeling desperate and heartbroken…

HELP!!!

And so that therapy ended, and I bumbled along for six months feeling untethered, having nightmares, and not eating and trying to shift my focus away from the pain I felt inside. Time ticked on, then I got pregnant again and sorted myself out, put on a stone, had my son…it was all settled and going well…and then I got diagnosed with cancer…and had a year of treatment. Steroids saw me balloon, but I didn’t care at that point. I was fighting for my life not my size six and the steroid weight soon fell off when I had finished treatment.

The wheels came off after I finished the chemotherapy and radiotherapy– the PTSD response to the cancer treatment being lumped onto so many other previous traumas meant that I knew I needed to seek support – and I made it back to Em privately…and OMG…as you all know…the mother wound got triggered in the most massive way AGAIN. I thought going back to her would ease some of that ache that I’d felt in the three years since I had seen her, but it didn’t. It ignited again in a flash. Seeing her, as I have said so many times, was perpetually like being a kid stood peering through the window of a sweetshop- I could see what I wanted, smell it, almost taste it – but I couldn’t have it. It was so painful.

Working with Em meant that I became fully aware of my inner dynamics, my attachment style, the dissociation ALL OF IT. And whilst this information was really useful in helping me understand myself better, it didn’t help with the endless triggering of my little selves in the relationship with Em. Her being so emotionally and physically withholding just exacerbated the situation. And then there were the breaks that triggered the abandonment stuff- and my go to coping strategies- when I needed some kind of relational holding with her and it wasn’t forthcoming – think Pebblegate! Oh man!!!!!!

Some of you that have been here for the long haul will recall the Easter break where the shit hit the fan a few years back and I just didn’t cope AT ALL and fell into a really severe period of not eating and over-exercising. I took a leap of faith and told Em what was going on when we got back from the break – all of it, from the beginning, like the stuff in this post and I genuinely felt like I had taken a huge leap forward in being honest and maybe, finally, would be able to get support with this ED that had been plaguing me for years. Only those of you who have read for a while might also remember that it was straight after this that Em delivered me an ultimatum “Go to your GP or we’ll have to work towards an ending.”

I still feel physically sick when I think back to how that was handled. It had taken such a lot of bravery and a leap of faith to trust Em with this vulnerable and sensitive secret and everything I had worried about – being rejected or abandoned because of it- was panning out. It really was a replay of the GP at 16, and H at 17, but in a different way. I never really spoke to Em about my ED again and I genuinely feel like a massive opportunity was missed there.

Flash forward again…the ending with Em two years ago. Another relational injury and back to my trusty friend the ED. The Inner Critic loves the ED, it makes it feel strong, and powerful, and in control, and it likes to punish all the parts of me that suffer. Thankfully, I wasn’t alone when it all went wrong with Em. K was incredible at this time, so holding and caring, and UNDERSTANDING which zapped some of the shame away from the situation. I also met Anita just before it all went catastrophically wrong with Em, and from the get-go I was able to tell her all of the ‘stuff’.

The great thing about starting with a new therapist is you have a window of time before any of the attachment shit really kicks in in the relationship with them, and you can map out all the issues without the fear of judgement or lots of parts being involved. I started working with Anita in January 2020 and it wasn’t until June/July time that my littles switched allegiances to Anita and the attachment stuff felt really live with her. You’d have thought that the need for A becoming live would also trigger the ED, because the fear of rejection and abandonment would come alive and so I’d have gone into hiding and repeated the pattern…

However, the big change this time was that I was able to tell Anita how I felt outright, rather than skirt round the edges and be living in a vat of shame like with Em. Anita has always handled my feelings with such care and sensitivity that I’ve been able to tolerate feelings that I have never been able to before. It’s always felt like Anita is holding my hand – both literally and metaphorically and so I have felt much safer in the relationship even when big things crop up or a rupture happens. I have enough faith, trust, and confidence in what we have built together that I can experience difficult feelings without the need to go and attack myself.

As you guys know. This therapy hasn’t been plain sailing and ‘nicey nicey’-  my god – Anita and I hit rupture territory regularly enough! But what is sooooo different is the speed at which we repair the ruptures. I don’t sit for weeks and months on end ‘building up’ to telling her I’m hurt, wondering whether she’ll flat out reject me, or terminate me, for feeling upset or dissatisfied…for wanting to be close. Of course, my fears of rejection and abandonment get triggered a lot but how Anita handles this is transformational and I do think this relational healing has gone a long way towards me moving away from the ED.

The level of love and care that I feel with both Anita and K is massive and it’s building an inner resource that is supportive. I realise now that I do have needs, that my needs are valid, that there is nothing wrong with me having feelings and that I do not need to punish myself for experiencing BIG emotions or having relational needs. I do want to be loved and cared for – and that’s normal. And it’s normal to hurt when that hasn’t adequately happened growing up.

I don’t need to feel shame or embarrassment for having young parts that need Anita (of course I still do, a lot!) and I know that Anita has invested a lot of time and energy in building a strong therapeutic relationship with me, as has K. More and more I can internalise their love and care which means I am more and more able to tolerate my difficult feelings as I have these steady, consistent compassionate voices telling me I am loved and good enough both in real life and in my head. Those voice counteract the Inner Critic somewhat. I know why the Inner Critic and other protectors have been so vocal – they do not want me to get hurt. But I also understand that their way of ‘protecting’ me has hurt and isolated me at times.

Basically, these last couple of years working with Anita and K have changed my life. Because I now feel compassion for myself and all my parts because I have had it modelled to me by them I want to nurture myself now rather than punish myself. For the longest time I have looked for a home in other people and now, through being loved and cared for I am starting to find a home in myself. I know there’s still a load of work to do, the young parts still need what they need from Anita, but I do feel optimistic that I am a lot closer to a healthy state than I have ever been before. More and more frequently I can find the resources within myself to start to soothe the young parts that are so upset and lost.

The end of the ED (if there is ever a truly an end) has been a steady, slow, barely perceptible bit by bit change in me and how I think about myself. The body work with K has made me so conscious of my body’s reactions and nervous system that I simply can’t not eat at least three meals a day. I register my hunger and I feed myself where before I didn’t ‘feel’ hungry and then if I did feel it, I’d resist it. Over time I have learnt to tune into my body, and I give it what it wants- sometimes that’s a load of fruit and other times it lots of cake…I just intuitively eat what I fancy when I fancy it. I also realise that I am nurturing my adult body, but in taking care of the basic needs to eat I am nourishing that hungry baby and the other small children inside, too.

And this doesn’t just extend to food. I am now, more than ever in tune with what I need emotionally, and I do what I can to meet those needs. I wrote recently about taking a day off to try and regroup, sometimes I don’t try and force ‘adult me’ into carrying on, and if there’s time, I might grab a teddy and watch a kids’ movie when the young parts are massively activated…there’s all kinds of things I do. What I guess I am trying to say is that I don’t run from myself anymore, I try and look at what’s going on and figure out what the need behind it is and if possible, do something to meet it.

But back to the eating disorder stuff – or the food and body bit. Of course, stopping unhealthy eating habits – or lack of eating habits, has resulted in a significant weight gain. I no longer fit into the clothes I’ve had since I was eighteen, and I am not a size six or eight anymore but then I am nearly 40 and have had two kids so that’s perfectly reasonable! Perhaps the hardest thing about moving on from the ED was ‘growing out’ of clothes. I can’t wedge my arse into my wardrobe anymore and that was a bit triggering but it wasn’t enough for me to want to ‘do’ anything about it. Instead of slimming down, I bought some size ten clothes instead and they fit comfortably. Eating what I want when I want has led to my body sitting at a solid 54kg for months – which for my height 5ft 7 is perfect for me. I never thought this could happen. I used to live in fear of 48kg and now…here I am.

Omg this is massive. If you’ve made it to the end with me – kudos to you. As I said at the beginning this was more of me needing to close the book than write a new chapter…and I think I have done that. It’s taken a long time, it’s been a massive struggle, but I am so fucking proud of myself to be where I am today. And I hope, if anyone reading this is experiencing a similar struggle that they can see that it doesn’t have to remain the same and things can change.

x

Everything Is Fine.

Hi all,

Hope you’re all hanging in there in this bloody bleak misery that is ‘post clocks going back knackeredness and lethargy’! I don’t know about you but, honestly, I am completely done in. I haven’t acclimatised at all to the time change and my poor brain and body just can’t get to grips with the dark evenings and working to what feels like the middle of the night when it is, in fact, only 8:30pm when I stop work. I hope something gives soon because I really don’t think I’ll make it to Christmas in one piece if it doesn’t!

Zoom isn’t doing me any favours, either. Having myself reflected back on screen – crikey – talk about tired-looking! I really need a sunshine break and about a month off from the day-to-day grind or, failing that, some makeup that I can put on with a trowel! LOL. I really need a permanent filter on my face. My brain hasn’t caught up with the fact that I’m not twenty five anymore and am, actually, creeping towards forty!

Help!

I realise that I am blogging really infrequently these days and I wonder, actually, if anyone’s still reading this blog very much anymore. I rarely look at the data but today I did, and the stats seem high but the engagement not so much. Social media success (not that’s what I want or am looking for) seems to be built around putting out lots of content and hitting some secret crap tick on algorithms to keep ‘current’ and ‘visible’. I just don’t do that, nor do I have the time to, but I know what I am like online, I think we’ve all be programmed to be drip fed regular content and when that content doesn’t come we go and look for it somewhere else.

Anyway, that’s just some random thoughts because this blog really hasn’t been for anyone but me, it’s been my personal account of the ups and downs of my healing journey in therapy over the last several years. I am delighted, of course, to have come across some fabulous people along the way and your support has been so welcome and valuable. I guess there’s a part of me just wondering where I go from here. I think it’s perhaps because WordPress updated my site today and took another year of subscription payment and I thought, ‘Wow, do I even want to blog for another year?’

I’ve been so aware that I don’t have time to really write ‘properly’ anymore. I bang stuff out rather than craft it like I used to in the early days, and I notice it. Lots of the people I follow have fallen away over the years, too, they just stop blogging and I wonder if that’s kind of just what happens? People get to a point where they’re healed enough or bored enough and go do something else with their time?! Therapy is not central to their existence anymore and so they don’t need to write about it. I don’t know.

I know that when I first started this blog, and I was right stuck in the thick of that agonising attachment pain ALL THE TIME, I mean literally ALL THE TIME and being triggered week in week out by my therapy that I found it really comforting to be alongside other people who seemed to be in the same boat and at similar points along their therapy and mental health journey as me. It made me feel less alone, for sure. I often wondered, though, where the people who had come out the other side of the process were? Where were those people who had put the time in and gone the distance with therapy and were ‘better’ or at least ‘better than they were at the start’? And maybe I just haven’t come across many of those people but it’s a shame as I think it gives us all hope to know that it won’t always be terrible and triggering and …all the stuff.

I guess I feel, a bit, like I am transitioning into that space a bit now. I know that a lot of what I write here comes when I have had something blow up in therapy or there’s a rupture of some kind, but, actually, a lot of the time things are smooth and fine. Like today, I am here because I know the blog is sort of shrivelling up and dying, and I want to check in, but there’s nothing much to report right now. I mean, I’ve just eaten half a packet of bourbon biscuits Anita and I are doing the work, but I’m not sure if there’s anything especially interesting happening that you guys would want to read about. (Actually, there’s a blog that I need to write about what I think is/has signalled the end of my eating disorder – and I think that is massive!…)

That’s the thing, you know?- drama is interesting, ruptures get us engaged, BUT smooth, easy, doing the work with a solid therapist where things are connected and contained isn’t all that exciting is it? Does anyone want to hear about that, really? I know, in the past, when I would read stuff about therapists physically holding their clients or giving them transitional objects or washing something for the client so it smelled like them, and there seeming to be a really solid, loving connection, I would find it really painful to read because I so badly wanted that from Em and she would not budge on her boundary.

In some ways it felt like I was self-harming reading that stuff. I used to get that stabbing pain in my solar plexus and it would feel like that massive mother wound was just bleeding out. The thing is, reading those posts from those bloggers also helped me to see that my needs weren’t wrong, and that actually they could be met I just wasn’t with the right therapist for my needs and in the wrong environment to start healing my wounding.

So, what I hope, more than anything, for those of you that have read along with my significant struggles over the years in the therapeutic relationship with Em, is that you can see that it can get better but sometimes things have to get worse first. Sometimes therapeutic relationships don’t work out how you want- it’s not your fault- and there is the chance of something better elsewhere you just have to be brave enough to search for it.

If therapy tanks with one therapist that isn’t necessarily a reflection on you. It might seem to be repeating a pattern from the past, (we’re the common denominator), and we sooooo don’t want that to be the case, so we keep bailing out the leaky boat and trying to be what the therapist wants us to be…but that’s the problem. It’s not about fitting yourself into someone else’s idea of how you should be or behave ESPECIALLY IN THERAPY THAT YOU PAY FOR!! Sometimes, then it’s better to jump ship, swim in the cold water for a bit, and get to shore because the swim is easier than you imagine.

It’s really the thought of the cold water and the currents that keep us desperately clinging on and bailing out water with our hands as bucket loads flood in…and I swear to you, you’ll get through that bit where you feel untethered and alone. Not being triggered all the time and held ‘stuck’ in that desperate state of the sinking boat is so much of a relief especially when you make it onto dry land and find someone who is fully in your corner and actually can do ‘unconditional positive regard’.

Right, I’ll leave that absolute crap of a metaphor up there, now!

But without sounding gushy, I really can see how far I have come in the last couple of years. The shift inside has been so massive and it has meant that my life feels so much more manageable (even if I am always tired!).

I feel like Anita and I have reached that really lovely place where we ‘know’ each other, it’s safe (SAFE?? OMG I know what safe feels like now!), and no matter what comes up we can work through it. I am not scared of conflict or ruptures anymore – because when they happen there is such a lot of learning and growth, and most importantly, healing that comes from them. All of me, all the parts, KNOW that Anita can handle my rage and my love and all the feelings in between and that she actually welcomes all of me and all of my feelings. I am safe to feel my feelings and express them with her. She isn’t in the least bit bothered by my messy, unfiltered, reactive feelings and that’s so bloody freeing. To know I can have a hissy fit and run out the door one week and still be welcomed with open arms in the very same moment is massive. It’s something that was never afforded me as a child, and certainly not in my last therapy.

I know that maybe what I have written mightn’t make sense because, clearly, I still get triggered and there are ruptures – but relationships aren’t smooth all the time. What I am trying to say is that even when my ‘stuff’ is triggered in relation to Anita and the youngest parts are freaking out – deep down I know that the relationship I have with A is built on solid ground and there’s nothing we can’t find our way through, and because of that I can let out what needs to come, all the pain and anger and jealousy and god knows what that’s there and that’s so helpful. Anita sees me, all of me, all of my wounding, and she cares for all of the parts – even the ones that are complete pains in the arse!

Anyway, I am rattling on about not much here and I’m not convinced any of it makes sense! – so I’ll go make a cup of tea and have a few more biscuits and ponder on the post about the end of a twenty year eating disorder.

Take care all x

Old Patterns: Part 3

I wrote what follows back in early 2013. I’d recently stumbled over the writing I had done in 2009 Old Patterns: Part 1  and Old Patterns: Part 2 which recounted the time of the big breakdown and the scary interventions and decided to start writing again having not put pen to paper, or fingers to keyboard in the whole intervening period. I was in therapy and beginning to feel ‘all the things’ with Em 😉  and so this leads up to June 2013 which saw the end of a 16 month period of psychotherapy on the NHS.

This is the last long blast from the past instalment on the blog. Loads has been going on in the here and now lately and I have just started the summer therapy break so I will get to catching up on 2019 soon!

Anyway, here goes!:

Nearly four years have gone by since I wrote here and rereading what I have written makes me so sad. Sad because right now, all this time down the road, I feel totally out of control again. It’s like I’m still circling the pit of doom. I know this isn’t completely true. I have not been stuck in a consistent state of depression since dad died- far from it – but I seem to find myself back down in the depths of despair wondering how, once again, I find myself in such a mess after so much time has elapsed?

How on earth can I be here again?

I have done the therapy – but it’s not enough, I know there is so much more left to process and I do not have enough time.

Still, let’s bring things up to speed before I get to what’s happening now.

After the seven month long nightmare with the breakdown Dr M wrote to get me put on a waiting list for psychotherapy in the NHS. I knew the wait would be a reasonably long time and so in the interim I had been recommended a private counselling service to try. I didn’t really know what I was looking for in a therapist I was just desperate to not feel so bad and went with the suggestion.

I went religiously to weekly sessions with my therapist N for two years but really made no progress on the big big things, not because I avoided talking about them (that’s progress right?!) but because I was told that my issues were too complex for her as she was just training. You would think I would have jumped ship then and found a more suitable match but after so long I didn’t feel able to kick my crutch out from under me. I liked her a lot and just being in the room each Monday night felt helpful. I think the ritual of going and talking for an hour was at times all that kept me going, even though I didn’t really gain anything other than stability. Not that I am underestimating the need for stability.

I terminated the therapy in the end. I was doing okish. Good enough. The eating disorder was quiet. The grief was still there but I had sort of learned to live with it. I was functioning! Life felt pretty good, really. I was back at work full time and enjoying it. I’d moved house. I’d travelled a lot. I’d got married. I was doing ok at adulting and still not yet 30. Win! I had kind of accepted that maybe the stuff I carry around in the shadows was always going to be there and I should just learn to live with it.

To be honest by the time the letter finally came through inviting me to attend 12 months of psychodynamic psychotherapy (30 months after the initial referral!) it came as a bit of a shock. I’d almost forgotten I was on a waiting list!

About six months after my GP had made the initial referral I had two appointments with a Clinical Psychologist in the Psychotherapy Department in the same scary building where I had seen the psychiatrist that wanted to put me on lithium. Same god awful waiting room. The bright yellow woodchipped walls still giving off a luminous glow of doom. Ugh!

When I went to these sessions I didn’t know they were only assessment interviews, no one had told me and it certainly wasn’t clear from the letter. I thought it was the therapy starting. I didn’t really like or warm to the therapist but given there’s not much choice in the NHS I thought I should seize my opportunity and start PROPERLY talking especially as N couldn’t help me with the ED. It would probably take a while to warm to this new therapist because she wasn’t N.

At the end of the second appointment the therapist told me that she definitely thought I needed psychotherapy and that I would now go on a waiting list for long-term therapy. I felt like I had been hit by a bus. What did she mean, go on another waiting list?? I had just spewed some serious bits of a lifetime of shit at this woman and now I was left hanging again. For fuck’s sake! Still, I’m good at shoving traumatic memories down into boxes and pretending they’re not there (you should see my loft!) and so that’s what I did. I went off and got on with my life – and I still had N even if she couldn’t help me with the anorexia.

So skip to January 2012 – As I said, A LOT had changed since my breakdown. For the first time ever I felt pretty grounded, happy, excited about the future. Now really wasn’t when I needed the therapy but I was wise enough to know that the issues that I’ve been struggling with since my teens hadn’t gone away, they were just dormant. And so I arrived at my first psychotherapy appointment 37 weeks pregnant and feeling quite on top of things.

It must have been a shock to Em my therapist.  I suppose reading my notes she might have reasonably been expecting an anorexic falling apart person to show up in the room and  instead she got a blossoming heavily pregnant woman…how did that happen?!

The moment I met Em I liked her. It was a completely different response to the therapist I had seen for the assessment. I felt comfortable with her from the first session. I don’t know what it was…I just really liked her. She had a nice face and smile, her body language was open. I dunno. I can’t explain. BUT it was good news all the same. I hadn’t really thought much around the logistics of therapy with a baby on the way but Em said that we could wait to start the sessions til after I had the baby and as soon as I felt able I could ring and let her know and start coming to see her.

She said that of course it was fine to bring the baby as she’d be little and need feeding etc. Basically she made the whole thing feel really easy – I didn’t lose my place on the list because I couldn’t start that week. So two weeks after my gorgeous little girl arrived I found myself in the room talking and breastfeeding. Turns out my baby needed feeding EVERY SESSION for the first four months.

So.… skip forward again.

I’ve been going to my sessions for a year now and I have made some good progress and uncovered some issues and set a few of  them at rest. But despite Em being really great there have still been things I have felt unable to address with her. Some of this is because I know my therapy must end soon and I feel like I have run out of time.

It’s taken me three months of mentally psyching myself up to tell her that I am really struggling with my ED again – it’s been especially bad since I have gone back to work after mat leave. I think I have passed the glow of having had a baby and now feel like the baby weight is just fat.

For months I have skirted round the edge of this issue, repeatedly being lost for words or filling my session time with insignificant garbage…. I am distracting myself from what is really important and something that is slowly taking over my life again.

Why?

Well, I guess it’s for many reasons. After giving it a lot of personal thought time- the time when the lights are out and the demons take root in my mind- I think I have reached the conclusion that I haven’t felt able to talk about my eating disorder because I am embarrassed and ashamed about it.

I am ashamed that for 15 years I have been secretly starving myself, on and off, when I can’t cope with my life. I am scared to admit that apart from my pregnancy, I have never achieved a healthy BMI and that I consider anything close to 18 fat whilst still knowing that it is at the bottom end of the healthy.

Part of it is that I don’t want Em to judge me.

I judge myself harshly enough already.

But today I realised with only a few sessions remaining I had to say something otherwise I will be 45 and still battling with these issues which doesn’t even bear thinking about, especially when my daughter will look to me as a role model.

I need to change.

I know it’s going to be really hard.

I know I cannot do this on my own.

Today, I sat down in the chair and soon realised that I couldn’t even speak. I felt myself getting angry with myself. How could I have mentally planned what I wanted to say, dreamt it every night for a week, and yet again find that I was mute? What was stopping me just telling my truth? Why is it so hard to open up and trust someone with this stuff?

I know she could see I was struggling again and, thankfully, I just sat there and she filled my silence and led me along. She told me that she felt like I was holding back and that the need to cry was really strong and that she could see that everything was too much.

She was right.

Somehow, I falteringly began to get my words out. I told her of how I hated myself and how I had become really self destructive and how I didn’t see the point of being here. She asked me if I felt suicidal. I said yes. She asked me if I had thought about ways of ending it. I said yes. She asked how. I told her: crashing my car, overdosing, cutting myself. She asked me if I had ever done any of those things before. I told her yes. She asked what stops me from acting on it, and I pointed to my baby girl. And from there the words kept coming, albeit messily and not always coherently.

I told her about how people have told me I look ill, that I am too skinny at work. I told her how I felt like I am losing it. I told her how I feel I am battling with myself all the time. I never know if I want the part that wants to be well to win or the critical self-attacking part to win. I told her that I struggled to talk because I have been in the situation before and been told I did not have an eating disorder after skilfully answering questions that meant the end score did not add up to ‘anorexia’.

She seemed to understand and acknowledged that I am skilled at letting people see what I want them to and understood hard it must be. I told her how I was sick of always falling into similar patterns, how every time things get overwhelming I start hurting myself rather than helping. She asked what I want to look like and I told her I didn’t know, only that I can never see how bad things are at the time and it’s only afterwards when I look at a picture that I can see how thin I am. I told her that the more weight I lose the less I see how thin I am and focus on the areas I perceive as fat and the number on the scale.

I was inarticulate and confused but I did it. I FINALLY told someone what I am carrying around and now the door is open to deal with it…. I feel nervous and exposed and know that next week I will have to keep myself in check and stop myself from playing what I have said down in a defence and actually let myself remain open. The embarrassment is ebbing away and I feel finally like I might get the help I need with this….I just hope I have enough time. That’s what really frightens me. For the first time I have opened up, but I think maybe I’ve left it too late.

I am scared of being left hanging in June, in crisis and having to leave the security of the room and the weekly safe space I have to unburden myself. I am worried I will not cope. Things are bad already without the only support I have being removed. Truthfully, I am terrified.

A week on, another session, and another mild failure in my ability to build on what I said the previous week. I am so painfully aware that in a few sessions my safety net is going to be completely removed that I think I’m probably withdrawing into myself a bit trying to protect myself from another loss. I have lots to say but don’t think there’s time now and as such I think I am wisest trying to put my armour back on and get ready for life ‘out there’ without my weekly check in.

Interestingly, today, Em commented on how I seemed different today than last week (where I was completely flustered and anxious but just about able to talk). I was behaving differently, but actually, in the last week, nothing much has changed for me. I am feeling anxiety about leaving my job, my brain is in a million places and actually what’s happened is that I have ejected my emotions out into space to allow me to function. I have been obsessing about my weight, I even found an app that allows me to track exactly what I am eating and how this will or will not impact my desired weightloss.

I now spend time inputting what I eat into the app and watching the calories go down….I’m aiming for 1000 a day at the minute which is manageable and won’t draw any attention. It also allows a steady weight loss. I am currently 7st 5 which gives me a BMI of 16. I am not happy with my body. I am not happy with myself. I never am. I guess next session I should address this deliberate food restriction. Oh but the shame. God.

I wondered today about something she said to me. She commented on how despite everything, I’d still been able to function and things hadn’t fallen apart and I should be proud of that. Why would I feel proud? I’ve succeeded in reigniting my fiery eating disorder, I’ve taken sick days when I’ve felt unable to cope, I’ve been struggling to sleep, on more than one occasion I’ve had suicidal thoughts, but I haven’t fallen apart. What does that even mean? I haven’t physically harmed?

In the build up to termination today she said that a year of therapy is not a long time and that there are organisations that I can use to find another therapist in the future if necessary. It felt like the rug was being pulled out from under my feet. Something inside felt really painful, like I had been kicked in my solar plexus and my chest went so tight. I felt sick. It felt like I was going to fall apart. I sat there still and tried not to look affected.

I really am going to lose her in a few weeks. I can’t even go there. The loss feels too huge. She is just my therapist but for some reason this ending feels immense- so much worse than ending with N. It was never my intention to let Em matter to me. I knew this was a relationship that had a time limit and yet here I am faced with the reality that somehow or other she does matter to me, I do need her, and oh the fucking irony I can’t stay.

After years of therapy at different intervals, I really can’t envisage starting over again with another therapist. Let’s face it, it takes me an eternity to truly open up and I don’t want to start the process with another person in the future. Maybe she isn’t allowed to promote her own private therapy practice (I looked online this week to see if she exists outside that dingy room!- and she does!) but I would really like to continue working with her if I could.

The PCT dictates that the maximum time available for therapy here is a year, and I have already had this extended by two months because things have got so shit lately, but I know that realistically, had I been in private therapy, we would not be terminating right now.

So school is finished. I cannot believe I have walked away from teaching but I know right now this is what I need. I need to regroup and rebuild. I want to spend time enjoying my baby and focusing on my family.

Today I had another therapy session. It always takes me by surprise on a therapy day how I wake up buzzing as though there is an electric current flowing through my body. It’s not a pleasant feeling. It’s as though I am adrenaline filled and there is no outlet for it.

I noticed, as I sat in the waiting room that my hands were shaking. This was not due to low blood sugar, but rather, nerves. Was I nervous? I suppose so. I worry sometimes that she’ll think I am wasting her time. I always feel like I am waffling my way through and not saying what I should be.  I feel like I am boring.

We talked today about ending work (school not the therapy) and how I don’t ever feel calm. I mentioned how I so easily forget positives about myself and fill myself with doubt. I talked about the tutoring that I have been approached about and how I have felt unable to respond to the email despite knowing it will generate income. I know it is because it feels like work is still there and all the negative associations I have about being judged and failing despite never having performed badly in my work.

She broached the subject of food today. I didn’t build on that opportunity but did talk about obsessive behaviour patterns like running at 5am and how I have had to reign myself in, knowing that one run will become alternate days, then daily, then add in a bike ride etc. I suppose I could then have talked about the food and the app – another tool for me to berate myself with.

I have 4 sessions left now, one of which will be closing up and I have to address this fucking albatross ED. I know it’s tied to self-esteem, perfectionism, sexuality, lack of control….the list goes on….the thing is I need to unload it. Perhaps if I can let this secret out it will make it less of a monster and more of a mouse?

Something else that’s new: I feel more in my body lately. I feel more. I’m not stuck in my head or dissociating. That scares me a bit because what I feel in my body is horrid and overwhelming.

I talked today about remaining firm when people ask me what I am doing and telling them that I don’t know, and that it’s ok not to. She said this is known as ‘negative capability’ where a person can challenge the norm or go against convention and that it can be really healthy and shows that I can assert myself.

Oh man. I like her. I think maybe, if I am honest, I love her. She sees me as I am and doesn’t run away. To feel accepted as I am is novel and addictive. The more time goes on the more worried I feel about the termination of therapy. I really don’t want to be the tortured anorexic but I don’t feel able to be any other way at the moment. I don’t feel like I have the coping strategies to deal with what feels to me like another enormous loss and not eating is a way that I have always coped with emotional pain. I feel like I am losing H and Dad all over again and added to this, someone who has not flinched when I show them who I really am.

Walking into my session today I felt like I didn’t know what I would say or where it would go. I sat down and immediately felt the loss I am beginning to grieve before it has even happened. I could barely look at Em. I did, however, outline just how bad things feel right now. I told her how I take to my bed when little girl is asleep and lie under the duvet just to hide away from the world. She totally seemed to get the need to feel safe and she understood how I never feel soothed.

I explained that hiding in bed allowed me to be safe and not to harm myself. I told her about how I worry about hurting myself and I haven’t done that in years. She asked how and I told her about cutting and burning. These methods have been running through my head for a few weeks now. I have been looking of self harm websites. I guess that is a visual outlet rather than actually hurting myself.

Towards the end of the session more and more came out, as it always does and she picked up on that. I wish it didn’t take so long for me to get to what I need to say. We talked about the impact of ending and how I felt. She suggested that maybe I would feel angry or let down. I don’t feel either of those things, particularly. I just feel lost and sad that I don’t have more time to really unpick this….this self-destructive part that rears its head periodically. I didn’t say this.

I came home and tried to cut myself. The knife wasn’t sharp, though, so there are only superficial lines. No real damage done. I also heated a metal spoon and burned my skin. That really fucking hurt. Neither of these acts makes me feel like I have been able to find an outlet for how shitty I feel, though. I almost feel like I have failed and can’t even damage myself successfully. I feel pathetic.

I had no idea when I started this process that I had so many attachment issues. Em has suggested I have trouble with intimacy – well duh! I had no idea that so much was tied up in abandonment issues and dependency. I guess what has happened in the therapeutic relationship is that for a long time I have held back from allowing myself to get close to Em because I knew that the relationship would come to an end and I didn’t want to feel like I was alone and abandoned when the time finally came.

Fortunately or not, in December I guess I began to experience transference with her and then began to shut down a little for fear of frightening her and replaying issues. As it turns out this has happened anyway. It feels a lot like H, not being able to tell her about how I feel. I suppose what happened last week was the bit that I was terrified of, suddenly being so needy and dependent that I feel like I can’t function without that safety net. Argh. I know I have a lot to work through now about how this has all come about and why. We have a month break now and then it is the last session.

I decided to send Em an email to her private practice email asking if I could see her privately when we finish. She replied that she’d be happy to work with me but that she’d have to find out what the rules are and will let me know in our next session.

June 5th 2013

So today was the last session with Em. I went with a feeling of dread and nervousness after the email and also knowing it was the last session. I was worried that I had overstepped a boundary contacting her. She thanked me for my email and quickly told me that I could see her again but that it would have to be in 3 months or so in order for there to be ‘an ending’ with the NHS and fresh start with her privately. As much as I don’t want a gap, I do understand the theory behind it.

The session today was a bit bizarre as after a month away I felt like I couldn’t just open up and do it, particularly knowing it was the end and I would have to manage. I did talk through some superficial stuff and tried to remain upbeat and together – my outer world persona. I talked about how I have been trying hard to look after myself but that I don’t find it easy and it is easy to be critical. I know that that is the big thing I need to work through next time. I can’t avoid it anymore.

I have come away from today feeling numb – I know I am just shelving how I feel because I know I can’t deal with the idea of being alone with myself for a quarter of a year.

So – that was way back in 2013. I didn’t end up going back to Em until three years later (June 2016). When I finished the therapy I had six solid weeks of horrific nightmares and then one night I had dream where I was night swimming in a lake. I was feeling suicidal. I was cold and tired. I decided to drown myself. I calmly put my face down in the water and floated on my front. I waited. Just as things started to go black someone pulled me up and out of the water and into a boat. It was Em. She quickly wrapped a blanket around me. She said ‘you don’t have to do this to yourself anymore’ and held me close. And that’s when the nightmares finally stopped.

I picked myself up after that dream. I didn’t contact Em when the three months wait was up. Part of me wanted to but part of me was scared of ending up back in that dependent, unsettled place. I had another baby in 2014 and life actually was really very good until I got cancer in 2015 and then had to go through a year of treatment…cue a complete meltdown when that had all finished! The wheels really started falling off. All the old stuff started to become live again. So I approached Em and since then we have been working together solidly for the last three years working on so much shit. We’re still not done yet! But I am so glad I have her reliable, calm, non-judging presence in my life. And even though I am still trudging through trauma I can really see how far I have come.

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Old Patterns: Part 2

Here’s the next instalment of ‘writing from the breakdown 2009’ you can read the earlier post here . This jumps all over the place, but reflects how hard everything was back then. Reading this back I feel so desperately sad for myself. I was in such an almighty mess and yet desperately clinging on to the belief that if I appeared ‘normal’ enough I would be ok and not end up being sectioned. My fear of mental health services prevented me getting the help that I so desperately needed. I wish I could go back in time and advocate for myself properly rather than being dictated by the fear of losing all control:

Here I am again, another appointment, sitting across from my doctor inwardly crying out for help but outwardly showing that I am totally pissed off at another intrusion into my life. I am reacting badly to having been referred unexpectedly and without consultation to the Crisis Team or as I fondly renamed them ‘The Nut Squad’.

The Nut Squad is quite a step up the crazy tree in mental health terms where I live. This time I had bypassed the ‘Access and Wellbeing Team’ which is where you go when you are maybe only partly crackers: I’d been there before, but this time, whatever I had said to my doctor, or maybe not said,  had been a real cause for concern and I had ended up with a psychiatrist and mental health nurse sitting in my living room asking me a series questions. Things have been really bad, but knowing how stretched mental health services are to have  the NHS send people to see me in my own home feels unnecessary.

Questions I can cope with, though. In recent months I’ve answered the same set of questions on multiple occasions and my answers never deviate:

“On a scale of one to ten, one being the least and ten being the most, tell me where you feel in terms of happiness at the moment” (or something along those lines).

“Three” I respond mechanically.

“Still three?” they exchange concerned looks. I had just reported feeling ‘better’ whilst talking in a measured fashion so as not to look manic. How could it possibly be three? My definition of ‘better’ was that I had started to notice the spring buds and had read a book, which were markers in my mind that things were improving for me. It had been months since I had been able to direct my attention towards anything or look outside myself. I thought this would be ample deflection for the fact that I’d been out and blown almost £45,000 in two weeks and pretty much decimated my entire inheritance in less than a year since my dad died.

I think it was probably this insane spending that had led my GP to refer me to the Crisis Team. It had all followed an appointment where I had splurged at the GP that what I was doing wasn’t normal. I left feeling like I had been honest for the first time, and then shat myself with ‘what ifs?’ and devised my plan of action. How I thought I was helping myself, I have no idea. I think in hindsight it was something about being absolutely terrified of being carted off in a straight jacket and being sectioned so I told them what I think they needed to hear and it seemed to work.

To an outsider that would seem like an incredible leap of the imagination that feeling wobbly could result in incarceration. A person exhibits slightly unusual behaviour and so steps are taken to help them, right? Doesn’t mean they’ll end up locked up on a psych ward. I’m sure this is the case, but I have a fear of mental health services. They terrify me. Why? Let’s just put it this way, growing up with a close family member being perpetually in and out of mental health institutions doesn’t do wonders for your confidence in the system.

I would sooner die than end up in a mental hospital. Although looking back on this, perhaps it’s where I belong? I’m sure if I had have been completely honest with all the professionals from the start I would be in much better place now – but it’s hard going from being someone who on the outside appears successful, confident, and independent, to admitting to someone that all of a sudden you feel a failure, have no self belief and feel unable to participate in life. That is the truth of my situation. When I got ill at Christmas the wheels fell off in a big way. I could not cope and yet, instinctively I felt like I had to, to pretend that I was at least managing on some level.

I know, now, that I came across as resistant and inconsistent bouncing from uncommunicative, to dismissive, to out of control, to needy and back again – often all in one appointment. Hats off to my doctor, if the roles had have been reversed I would have given up long ago.

So, back to the psychiatrist and nurse house visit. They looked around the room and commented on how immaculately tidy it was, asked me about all the books on my shelves and noted that they were all placed in alphabetical order (surely this is normal for most English graduates?!) Of course the out of control spending came up in the conversation and I tried to justify the totally abnormal behaviour as if it was normal – cue ‘telling a lie like it’s the truth’ again. Bingo. It seemed to be working:

“If you had the money wouldn’t you go and buy things you’ve always wanted?” I asked, looking at them both imploringly. It’s sort of like the question which you mull over time and again. ‘What would you do if you won the lottery?’ The thing is, I haven’t won the lottery and this money I have doesn’t make me happy. Money can’t make you happy and it can’t fill the void left by a human being. No amount of spending eased the depression or the feelings of helplessness and hopelessness but god, I was willing to try anything to take me out of that dark dark place.

The camper van I had just purchased I did want, but the £8000 diamond ring, first class airline tickets to New York, mountain bikes and snowboards for me and my partner, new windows and guttering, laptop, multiple pairs of shoes, a surfboard, and enough clothes to open my own shop were more what you might call ‘impulse buys’ – funnily enough I didn’t think now was a good time to mention any of that.

I thought I had managed the Crisis Team fairly well.  As my consultation came to a close there was a shock. I was told that I couldn’t drive. Not that I can’t drive, I am a competent driver; no, I had been advised not to drive. In that moment I stared at the psychiatrist in disbelief now stripped of my independence and my wheels. The Nut Squad had clearly taken one look at the Jaguar supercar (another part of my inheritance) outside and thought ‘no way– this one is a liability’.

As the psychiatrist left my house she told me to keep my life “boring”. “Not a problem” I replied with a wry smile. In recent months my life had become mundane and really fucking boring. At least this was one promise I could keep.

It was eventually agreed with my GP that neither of the antidepressants that I had tried had worked for me, if anything they had been to my detriment, the first killed my appetite and my will to live, the second sent me on a hyperdrive where I was like a bee in a jar buzzing around out of control and spending like I had a shopping addiction. It was decided that I should not take these pills and I was given a prescription for a different type of drug, from a different family of medications.

I was to be given a mood stabiliser or anti-psychotic. Yes, when I heard the phrase ‘anti-psychotic’ I did panic a little, which I am sure anyone would. It sounded way more intense than ‘anti-depressant’. I dutifully took the pills and slept soundly for the first time in months. As well as this, there was a further but less desirable side effect: the munchies.

It is a well documented side effect of this particular drug that you feel like you are starving all of the time. It’s like stoned munchies without the relaxation of a joint. For two weeks I swear I did nothing but eat. It was totally uncontrollable which did not make my anorexic self feel at all happy and so, I took to cutting myself to regain some of my control and exorcise my self-loathing. In that two week period I gained a stone and hated myself for it.

My body image is completely screwed anyway and this rapid weight gain really sent me into free-fall emotionally. That is the only sensible way of describing it. I have never in my life been overweight, but the moment I hit the region of 7 stone I start to feel bloated and fat. I am having a battle with my 15 year old self right now. I am determined to hold onto my body mass. I am determined to prove my GP wrong and keep myself away from the anorexic label.

Part of my new ritual is each day looking in the mirror at my naked self and telling my reflection that I am not fat. I then go to the fridge and eat my way through something highly calorific to spite my teenage self and then continue with my day. It may seem like a totally insane approach to healthy living, but right now I have exhausted ‘sane’ and this, although not healthy in the long run it works for me and it has stopped the doctors asking me about my eating! Thank god!

Awareness of physical self is something I have always tried to avoid because the moment I become aware of my body I fixate on all that is wrong with it. I know that anyone reading this will still see that I am in denial. Just because the weight is back on does not change the ideas that swirl inside my mind. I have an eating disorder, only right now it is in the stage where I have it hidden again and that is a relief. I am not a skeleton anymore but I hate myself now more than ever.

Some time elapsed after the Crisis Team’s intervention and I eventually received an appointment with another psychiatrist in the mental health hospital. The building which houses mental health services is a gothic style grey stone Victorian affair with a central staircase leading up to the entrance. It has a certain grandeur which is imposing and more than a little intimidating. It is a beautiful piece of architecture, the sort of place that a developer would have a field day with and could turn into some great apartments. But today, for me, it is still a mental health hospital and walking up the steps and into the jaws of the building saw another panic set in.

The interior of the building was dark and depressing and was exactly as I had imagined – ‘Girl Interrupted’ has a lot to answer for! It was as if something had sucked the life and light out of the place. It was eerily quiet and seemingly unoccupied except for the few staff that walked with purpose along the echoing corridors. There was a clinical, hospital smell, cold metal on metal, disinfectant, and I hated it. I have always hated hospitals. The moment I walk inside one I always feel sick to my stomach and as though I could pass out at any second, this is not because I am actually ill, I just cannot stand them and what they signify to me: illness and death.

I was directed by the receptionist on the desk to take a seat in the waiting room a little further down the corridor. It was a tiny, claustrophobic room with four chairs on each side of the door. I took in the sunny, yellow wood-chipped walls and fading green carpet and felt the tendrils of anxiety creeping over me; like a smog it saturated my being and I felt suffocated.

Someone had clearly thought that a bright colour would make depressed people feel optimistic and ‘light’ inside. The colour made me feel chaotic and overstimulated and I wanted to get out of the room as soon as was humanly possible.

As I sat there, watching the clock ticking down to my appointment I wondered what I should do?: Tell the truth about how I felt: flat, sad, depressed, anxious, sometimes suicidal or to rationalise my feelings and make light of the situation. Perhaps I should  tell them that I’m sad but I am managing it and I don’t need pills to grieve.

I was eventually called into the psychiatrist’s office and the nice male doctor sitting opposite me began asking me questions. It was those same questions that I had become so used to over the last few months. A few days before this meeting I had had a particularly dark day which saw me sitting in my doctor’s surgery bereft with depression and as close to suicide I have ever felt. For the first time I felt as though we had made progress, I showed her the depth of my pain and she seemed to get it. She insisted I kept my appointment with at the hospital and made a further time to see her to discuss the outcome. She commented on what she perceived as my lack of self esteem and I thought ‘finally, she sees me for me, minus my front’ .

I alluded to this dark day and my lack of confidence with my consultant when he asked me if I felt gifted. ‘Gifted?! Me?! Are you serious?’ I shouted inside my brain. I told him of my feeling like a fraud, like someone who by fluke had got where I had got to, and someone who was on the verge of being found out all the time. My truth.

He then proceeded to read through the notes of the psychiatrist who had visited my home and who suggested I was, in her opinion, very confident and had good self-esteem. In that moment I felt abject disappointment. I guess I should have felt pleased that my acting skills are so good that I can even fool a mental health professional into believing I am in control and happy with myself; but that wasn’t the case at all. I felt like at a time when I needed someone to see through my defences, all that they had seen was the persona.

I have become so skilled at presenting a confident, together version of myself that no one can see through it. I know it’s my own fault.

The next shocker came a little while after this bombshell I was still reeling from the notion that I was a confident person when the doctor suggested that because I was ‘a lesbian and wouldn’t be having children’ that he recommended putting me on lithium. Suddenly alarm bells started ringing in my head. I recognised this drug – my aunt having been on it for years and years. I also was shocked that a doctor would make a judgement that I would not have children because of my sexuality. Most of all though, I was staggered that I had clearly had a breakdown and rather than refer me to psychotherapy it seemed more appropriate to offer me a cocktail of pills. How can that ever be right?

I left the appointment feeling stunned and proceeded to write a letter to my GP. I outlined exactly what had happened when my dad died because no one had ever asked. I explained all the complications: dying abroad, the body being in heat of 40 degrees for a week on a remote island because there was no hospital or morgue, battling with insurance company to move him to the mainland and start a process of repatriation, the unexpected post-mortem, finding out that it could take up to six months to get cremation rights in the UK even if we flew the body home, opting for a cremation abroad and the time being moved, the ashes being flown home and then left outside on a driveway for me to collect along with my dad’s backpack, my family refusing to attend the celebration of life….and so the story poured out of me including the stuff about not eating and self-harm…in the end there 14 pages of it!

I received a letter in the post shortly after this from the GP inviting my in for an extended appointment before the surgery opened. As I sat down, she thanked me for my letter, and said how sorry she was to hear what I had had to go through and that actually she now believed that I was experiencing PTSD. She said, “Let’s remove the psychiatric label shall we?” and then  “You are just really unhappy – aren’t you – and I am not surprised. I think we should refer you into psychotherapy because it sounds like you need to talk and there’s a lot to process. You can stop taking the medication because it hasn’t helped and I agree, lithium is not the way forward especially as you want babies.”

So, that’s what’s happened. I’ve had 7 months of bouncing around and now they think I need time to heal and someone to talk to. And this is all I ever wanted, really. I just wish I could have expressed this sooner rather than behaving like a deer in the headlights. I know waiting lists are long for psychotherapy and I plan to find a therapist in the meantime and see what I can do.

x

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Old Patterns: Part 1

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Yesterday I was looking for some writing I had done around the time that my dad had died in 2008/9. It’s coming up to the anniversary and I am very aware that there is still a great deal of work to be done in therapy around everything that happened at that time hence the poking around for info.

Whilst I was searching I actually stumbled across a load of notes from when I was doing psychotherapy with Em in the NHS back in 2012/13, basically I started writing again about the time that I realised there was a massive attachment to her which neatly coincided with the time therapy was just about to end. Not good! I will share some of that over the next few weeks because I think it’s interesting to see how different things were (in some ways) and yet how many issues remain live.

Anyway, I did eventually find the document/diary of the time when I had my actual mental breakdown in 2009 following my dad’s unexpected death in July 2008. I was in denial for the first few months and then basically fell apart at Christmas and couldn’t function thereafter for a significant period of time.

I saw a lot of my GP in the early days because I was being signed off from work and had to visit her on a regular basis in order to check in and get the sick certificate which said ‘bereavement reaction’. In the end I was out of work for seventeen months. After the first six I actually took an unpaid sabbatical because I knew I wasn’t going to be ok any time soon and the stress of having to keep contacting work to explain that I wasn’t fine even though I might look it was really anxiety provoking.

Reading my notes again I am staggered that it took three years on a waiting list to get seen for psychotherapy on the NHS. In the interim I did get offered a lot of pills and had some interesting appointments with psychiatrists and the Crisis Team before they realised I wasn’t actually psychotic and instead was experiencing PTSD and had an active ED amongst other things! Basically my dad dying was the trigger that made EVERYTHING reactivate and fall apart. Not only was the way he died and everything that followed fucking horrific in its own right but all the years of childhood trauma suddenly came alive too.

Anyway, I found this next piece of writing about my interactions with my GP. I think, looking at what I have said, I must have seemed really ‘treatment resistant’ but the truth is, I was just scared and couldn’t trust anyone…ha that old chestnut!

It’s a long read so I’ll break it into parts and a bit (a lot) embarrassing but actually the stand out thing for me was just how entrenched the attachment patterns and defensive behaviours were even then, and my how go to coping mechanisms were alive and well. Ugh.

It’s clear as day to me now that if you put me in front of a caring woman who is in the range of possibly being old enough to be my mother then boom I am utterly screwed. I mean anyone that follows this blog can see what a disaster it can be with Em!! I get attached but I also start behaving in a defensive, scared, ‘don’t hurt me’, ‘don’t leave me’ kind of a way, oh, and try and pretend that everything is just fine!! …AND in the case of my GP I was also massively attracted to her. I know why this is, now, having spent all these years working with Em but I had no idea back then! I was utterly mortified then – now not so much. I see the attraction now as another desperate search for care and intimacy (the things that have been lacking my life from the word go). I hadn’t uncovered my child parts then and I suspect really what I craved was a cuddle but could only see my need for intimacy through a sexual lens.

Please don’t judge this too harshly! I wanted to put this here because it forms part of the journey I’ve been on and I think also demonstrates just how potent the transference can be and how scary mental health services can feel oh and how god awful it is to be in the grips of an active eating disorder. It seems insane that the people that are meant to help can feel so dangerous to me but it is how it is. I guess my biggest fear is losing control, and these people have the power to take control (or care) of you.

So back, to 2009- I realise it’s not hugely coherent but I think that certainly reflects what  a mess I was in:

“You seem to be incredibly defensive and I feel we are stuck”. Ouch. Not the words of my partner (although they certainly could be), these are the words of my GP. These words come 4 months into treatment for my breakdown and clearly I am not making the progress I should be. She looks directly into my soul, well, my eyes, and says, “It’s unusual for someone your age to be off work for a term”. Another stinger. Yet again time and lack of being better is thrown in my face. I should be ‘well’ by now. I should have picked myself up, brushed myself off and be participating back in the real world. I should be over it. I should be teaching. So why am I struggling to function when everyone else bounces back quickly?

Unlike at home when the accusatory words ‘how long is this going to take?’ function as the equivalent of a red rag to a bull, today I just feel lost and as she so rightly says ‘stuck’. Today I am too wound up and anxious to come back with anything that would paste over my cracks or, alternatively, help her make sense of my situation and so I sit and say nothing, muted and desperate.  I feel so sad and unseen. Her words will be turned over in my mind for the next month and I will slowly beat myself up for my defence mechanisms berating myself for lack of progress.

I act defensively and shut down because I am terrified of losing what little control I have over my life. Weeks ago I sat there, in that consulting room, metaphorically laid bare, and she asked me how my eating was and did I have an eating disorder? My fight or flight instinct kicked in, “No, I eat loads” I lied whilst staring directly into her eyes. This is a trick I have mastered over the years. My dad used to check if I was fibbing when I was a kid by saying, “look me in the eyes and tell me the truth”. This was meant to catch out a lie but, the thing is, over the years I taught myself to tell a lie like it was the truth and in that moment looking into the eyes of my doctor that lie was my truth.

I make eye contact and categorically deny having an eating disorder. I deny restricting my food intake and further deny taking laxatives and don’t mention the insane exercise routine I have started. She is not stupid and I am clearly sitting there with a BMI of 14: my body, now, looks more deathly skeletal than anything like a living human being. My clothes hang off me. I look ill. I am perpetually cold. It’s horrendous. I know I am on a losing streak but something in me at the moment feels my lies really are the truth. “You don’t believe me, do you?” I say defiantly. How can she possibly respond to that?- I am, after all, a fully grown adult and should not be lying to her – or to myself.

She softly says, “Happy people do not have eating disorders”, and I think to myself ‘No, and they don’t self-harm either’, but that is a conversation for another day. I am not able to articulate this to her yet, or really even to myself. She has not, yet, won my trust and I cannot show my true vulnerability. I am in denial with my own self so how can I be true to the woman sitting opposite me even if there is a part of me that longs to crawl into her arms and be held? There is so much shame. I can feel it coursing through my veins like acid.

As the weeks and months roll on, my eating habits become a regular topic in the appointments with my doctor and I consistently maintain that, “I am fine”. FINE: Fucked-up, Insecure, Neurotic, Emotional! I am fine and yet I am CLEARLY NOT FINE AT ALL. I am struggling. It’s horrible. But the eating disordered self thinks we’re doing great. Everything is under control. I can no longer recognise the person in the mirror but I know she is not me. It’s so hard to navigate.

Of all the mental things that have happened in this nightmarish saga, fancying the pants off my GP must be up right there with the best of them. It’s not even funny. I seem to have a thing about older women that exert some kind of power over me. Over the years I have had my fair share of crushes: teachers, lecturers, and now, bloody hell, my fucking doctor. Apart from the power thing, another common factor that these women share is that they are all also straight – or at least say they are. In other words they are all totally unattainable and maybe that’s why this happens? Maybe when everything can remain a fantasy there is no danger of really getting hurt again?

I can’t help but feel butterflies when I have an appointment with my doctor and this, at least, balances off the unbelievable anxiety which overtakes me a week before each meeting where I not only can’t sleep, but also basically fail to function in anything like a normal way. I know now that what I was experiencing was transference. I projected who I wanted her to be onto her and then, sadly, was always really disappointed when she didn’t hear my so very desperate silent cries even when she was clearly doing her absolute best, offering me early morning extended appointments, seeing me sometimes twice a week…but it was never enough. There is a gaping hole in me that cannot be filled and there is absolutely no chance of this healing if I refuse to let people in and hide from them.

And so my appointment with the hot doctor goes on. She continues tentatively, “Some people don’t eat to punish themselves; others don’t eat to punish other people; and some people feel eating is something they can control in a time where other things in their lives are out of control”. I nod as if this is all a revelation to me using my honed special teacher skill: smile and nod. She is not telling me anything I don’t already know.

Having battled with an eating disorder in my mid teens and at intervals during my early twenties, I know exactly what she is saying and, I know that I fall into parts one and three. I punish myself and try to control my world when the world is spinning round me out of my control. I think she knows this is the case but has learnt that I am not open to discussing this yet. I am, after all, ‘defensive’.

I’m used to it now but I absolutely hate it – she weighs me every time I see her and plots the numbers on a graph on the computer. I can see that the line has a sharp downward correlation. Part of me feels happy about that and part of me is terrified. I stand on the cold metal scales and see that I have succeeded in losing another kilogram in weight and tell her the number on the scale. I am trembling again with anxiety and probably, in a larger part, due to low blood sugar. There is a part of me feels secretly thrilled to have lost weight when there is so little left to lose and the other feels cross that in my 2 weeks I have only managed to lose a little bit of weight.

My regimented approach to food and exercise has taken over my existence and dictates where and how I operate in my daily life. I walk everywhere, cycle every other day, and I categorically avoid large meals out, but ensure I spend enough time in the presence of others and eat a little, just enough, to prove that I am eating and that my GP is actually wrong about me. I realise that this behaviour is totally insane and it is crazy that at 26 years old I am behaving in much the same way as my 15 year old self. I hate this secretive, self-deluding, self-attacking ritual I get caught up in. I am crying out for help but am also unable to accept it.

I guess we stick with our so-called coping mechanisms throughout our lives even when they really do not help us cope at all. There is a look of concern pervading the face of my doctor who looking at her computer screen comment,s “You’ve lost another kilo”. Nothing more is said on the food front after the earlier conversation and we move onto a a discussion regarding my current antidepressants – I know they are not working. I’ve already tried two other types and now I feel suicidal and this, surely, is not right. Still, we agree that I will continue to take the pills a little while longer and see if things improve.

The end of our appointment draws near and on cue comes, “It will get better” she says kindly. “I hope so” I reply, “things can’t get much worse”. I try to smile through my hopelessness. I wonder if she is speaking from experience or just because it is an anodyne statement designed to comfort me in my mental pain before I leave the safety of her room for another two weeks.

This relationship is so frustrating for me. Or rather how I am behaving with my doctor is. After months of emotional struggle and subtle deterioration from July to January I finally had a meltdown and went and asked for help (something I don’t do) and then actively failed to take help on repeated occasions.

That really is fucked up.

The more time goes on I realise that I am, walking a fine line between sane and nuts. Catch me on a bad day and I have both feet in Crazyland on a better day I bear a reasonable resemblance to something coherent and normal. Still, today after 4 months of bi-monthly visits to the doctors, I am fully gone and am resident in Crazyland, which is not unlike Disneyland actually – lots of people acting happy to try and make out everything is ok.

Part 2 to follow.

 

 

The Good Place

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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:

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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.

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A Much Needed Week Away

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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:

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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.

 

 

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!

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Ultimatum

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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!

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Eating Disorder Relapse.

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I knew this was coming. As the Easter therapy break approached I could feel some of the feelings that I associate with my eating disorder when it’s active stirring again. What I mean by that is I sensed the beginnings of a shift from having the voice that tells me not to eat in check moving towards only being able to hear that convincing critical voice. I don’t really know if that makes sense. I’m a mess right now and I can’t think amazingly coherently so writing is certainly going to be a challenge.

I’ve been battling with my body in one way or another since I was 15. I have had years and years of not eating properly, exercising too much, hating myself for eating…

It’s exhausting.

It’s boring.

I thought I was over it… clearly not.

Sometimes I am ‘almost ok’, as in I am not actively trying to lose weight or be super mindful of everything that I put in my mouth; but even when I take my eye off the ball I have never yet achieved a healthy BMI other than when I was pregnant with my babies. My BMI has always sat somewhere between 16-17 even when things are ‘good’, times when people would have no idea there is an underlying issue.

I’ve been in therapy with my therapist for three years in total- 16 months the first time round on the NHS and almost 2 years this time privately, and in that time I have only ever alluded to ‘not eating or doing whatever’ (basically anorexia and self-harm. I’m so eloquent!). I’ve never been able to blow the lid off the case that contains this massive secret with her.

We both know my eating is/has been an issue, but I have felt so ashamed about what I do to myself that I have rarely been able to bring it into the room. Occasionally I might mention how bad things were when I was in my teens from a detached adult place and only at times when I am not actually actively struggling with my eating. When I have had spells of over-exercising or starving myself during the course of my therapy I haven’t been able to tell her. Part of me knows she wouldn’t judge me but part of me is so embarrassed by my behaviour that I just can’t let her in.

I think it’s really common for people to shut down and become secretive when they are in the throes of an eating disorder. I keep quiet because I am ashamed but also I don’t want anyone to try and talk me out of what I am doing to myself. When I am in ‘the zone’, I might be destroying my physical self but I am slightly more removed from my emotional self…and we all know that’s where the problems lie. Not eating and over-exercising provides a kind of relief from my emotional pain – albeit temporary.

It’s not rocket science to see what happened over Easter and how I have ended up here with my body now. I wish I was in the dark about the reason I have started systematically destroying myself but I’m not. I am massively embarrassed about the reasons for how I find myself in this mess. I feel like I am some kind of attention-seeking loser who needs to grow up…

The critical voice is loud right now.

I was absolutely dreading the protracted time away from my therapist at Easter. I really need regular contact and the security that our sessions give me just to function. I wish that wasn’t the case but it is how it is. I knew that being on my own for almost a month was a recipe for disaster. All therapy breaks pose a challenge (I struggle just getting through the normal week between sessions!) but the Christmas break was something else this year and I knew that there was very real possibility of repeating the pattern over this break.

Over Christmas I got so worked up and anxious as the break went on that I became really self-destructive. I couldn’t eat (not through deliberate food restriction but through high anxiety). I seriously considered self-harming. And by the end, after the rupture caused by reaching out to my therapist and it going badly, felt suicidal. I really wish that that sounded less dramatic. Part of me is completely mortified that I am like this at 35 years old.

Shoot me now!

I really really didn’t want a repeat of the last break this time round. I knew the feelings about abandonment and rejection would loom large – they never go away. I knew that a month-long holiday would bring up all the worry I have about my therapist going away and dying on me, just like my dad did on his month-long holiday. I knew that the child parts would freak out and at some point I’d feel the need to reach out to my therapist to seek confirmation that she was still there…which would cause all the usual frigging problems about crap responses or no reply at all. I couldn’t go there. Not this time.

I told my therapist about my sense that the eating disorder stuff was coming online again a couple of sessions before the break and we talked a bit about it. I didn’t tell her that it was all linked to fears I had about my ability to survive the break and her going away. It was, however, the first time I had really brought the eating stuff into the room properly. I felt exposed and that was excruciating but I knew that it needed to happen.

I think I said in my last post that I tried to stop the anorexic behaviour from taking hold by deliberately eating and being nice to myself every time I felt like restricting food or attacking myself. Basically, I ate a lot of chocolate eggs, ice-cream, and biscuits for the first part of the break! That strategy worked to a point….until I put on my jeans and they felt a bit tighter than usual. Then it all came crashing down.

A 2kg weight gain was enough to send me over the edge and allow that critical voice to take hold. I’d done my best to keep it at bay but now it was fully empowered. I gave in. It’s hard to explain to people that eating well, or relatively normally, is a daily battle and that not eating has become my default setting over the years. It is less effort to me not to eat than it is to eat. Anorexia, for me, isn’t like a diet where I feel like I am perpetually punishing myself and wanting to eat. I couldn’t care less about putting food in my body. I want to not have to eat all. It makes me feel ill.

I lost 2kg in a week through running every day on the treadmill and eating less but it wasn’t desperately bad at that point because I had gained the weight over Easter. I was just back to baseline. I returned to therapy and told my therapist all about what was going on.

We had the Skype session last Thursday and our face-to-face on Monday and I swear to god I have no idea what has happened to me but I have just talked and talked and talked about what this fucking bastard eating disorder is like. When she’s asked me questions I have answered them rather than evading them. I have told her I want to physically cut bits of my body off. I have told her exactly what I am doing to myself. It’s like some kind of out of body experience. Who is this person? Where is the secretive, shut down, person that denies there is a problem and plays down the reality?

Well she’s still there to a point. Each time my therapist has asked me if some of what I am feeling might be down to the break we’ve just had (in addition to other things) I say nothing. I can’t tell her… yet. I will tell her though. I think. And soon!

Monday’s session was ok in that I spoke at length about the anorexia. It was connecting in a way…but the session also fell short because those little parts that had longed to see my therapist, that had been hanging on through the therapy break and counting down the days to see her in person, didn’t get any of what they needed. They were stuck inside me watching the session play out. My therapist was a million miles away on her chair and they were locked inside unable to reach for her. Why it is so hard to simply say ‘I really missed you and the break was hard’?  I have no idea.

I felt so sad when I left the session. In some ways it was a huge relief to have talked about the eating disorder, but as always when you have lots of parts with lots of needs kicking around inside, more often than not someone doesn’t get a look in or their needs met. It’s tricky and it can feel really destabilising.

This week has been a fucking disaster as a result. I have opened up the can of worms that is my empty stomach leaving me feeling all kinds of conflicting emotions: the critic is raging that I have told my therapist the secret, and the little ones have felt devastated that they have waited so long to see my therapist and yet still they haven’t been seen by her. Ugh. I feel uncontained and all over the shop meanwhile feeling less and less able to put up any kind of fight against the critic.

I’ve also been busy this week, too. I have taken on more tutoring work – some home schooling 1:1 three days a week (soon to be four) – which is great but means I am basically running around like a headless chicken from Monday morning until 7:45pm on a Thursday evening now. On Monday I had therapy and then had to rush to my teaching session, teach, and then pick up the kids, rush to martial arts lessons, and be mum again. Tuesday I dropped the kids at school and preschool, went to teach, picked up my son, did a staff appraisal for a member of staff at the preschool, went home, and then an hour later had to pick up my daughter, fed the kids, then went off to swim lessons…… blah blah. Same deal on Wednesday only also squeezed in a run on the treadmill and swapped swimming lessons for tutoring a GCSE student on the other side of the city in the evening.

By Wednesday evening I was exhausted and overwrought. Adult me has done really well and I am proud of everything I have achieved this week- especially as I have done it on essentially 400 calories a day. Needless to say, though, it’s all taken its toll. Physically: I have a headache, I feel weak, and I’m tired. My body weight is decreasing. I have lost a further 2kg since last Thursday so now 4kg in two weeks. I can feel my body starting to shut down. I have stars in my peripheral vision, and if I stand up too quickly everything goes black. I get dizzy. I am a mess. Emotionally: I feel very small and scared and uncontained. I feel bullied. I feel both in control and completely out of control. It’s pretty horrible, actually.

I decided to text my therapist on Wednesday evening before I went to tutor (sharp intake of breath!) to ask if she could see me on Friday or, if not, if there was any chance we could have a quick check in over the phone. We’ve never had a phone check in before, I’ve always had extra sessions if there has been a need, but I was feeling like the wheels were falling off in a big way and I needed to talk.

Actually, what I really needed to was to accelerate reconnecting with my therapist and to alleviate the mid-week sense that she doesn’t care and I am a nuisance. Of course these doubting feelings feel all the more potent right now because the critic is running the majority of the show. I needed urgently to feel better about the relationship in order to try and ground myself a bit.

My therapist responded and said that she wasn’t able to offer me a session on Friday. Ugh. As I read the first line of the text I could feel myself shut down. I had already berated myself for being too needy and for reaching out. I had been worried that she may respond with something like ‘I don’t do check ins and I’ll see you on Monday’ which would have sent me over the edge. There was more to the text, however, thank god! – my therapist offered me two possible times to talk to her on the phone or by Skype outside of her usual working hours. I would have settled for a five minute check in on the phone to touch base and settle down the child parts but there she was offering me a full half an hour to talk.

It might seem like a ‘nothing thing’ but actually it felt huge that she was willing to try and meet my need despite her having no time in her working day and actually having to find time in her own time. Not sure if that makes sense. To me it felt like she cared enough about me to try and help me. I guess I should know this would be the case after seeing her on and off over the last six years but clearly her care hasn’t fully worn a pathway in my brain. Part of me still feels like she tolerates me because she has to not because she actually likes me or has any caring feelings towards me- or that she cares in the session but not outside it. She has told me in words enough times that she cares but when I can’t see her that positive sense of her being there erodes.

Yesterday evening I was tutoring til 7:45pm and I had arranged to call my therapist at 8pm to check in. Rather than call from the house, where I feared I may be overheard and therefore feel less able to speak freely, I went out in my car and drove to a layby not far my house that has wonderful views over rolling hills. I parked up, turned the engine off, and wrapped myself up in a fleece blanket that I had taken with me. I dialled in, and we talked.

I can’t tell you how soothing it was to speak to my therapist and hear her voice after the week I’d had. We really talked and I really opened up about the struggles I am having. She was so warm and caring and she used ‘the voice’. You know the one- the one that makes you feel like you are being held tightly. I got off the phone feeling really contained and less alone.

It feels a long way off until Monday but the phone session has certainly helped settle some stuff down. The eating disordered behaviour is still here. I haven’t eaten yet today and won’t until dinner time. I know I will be battling with myself not to throw up after I have eaten.

Things are bad.

They’ve been bad before.

I will come out the other side of this…at some point. Only this time I am not on my own with it. I have someone else on the journey with me and I really hope that even though I have fallen into this space, in part, as a result of feeling abandoned by my therapist, that maybe this time it will be the therapeutic relationship that helps me get over this, and not just for now, in this crisis, but maybe we will be able to do some solid work that might mean recovery is lasting rather than temporary.

Here’s to that!

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