Rainbow Bridge

I’m going to apologise in advance for the rambling nature of this. I’ve a lot to say and yet my mind is struggling to formulate my thoughts in a clear way. I guess that’s what grief does to me. So, you’ve been warned, if you choose to stick with me, here’s wishing you some good luck for bouncing along and coming out the other end of this with some kind of picture of what’s going on in my brain. I can’t make any promises though, you may reach the end and still be none the wiser.

What’s up?

I am heartbroken.

Devastated.

So very sad.

Why?

Yesterday I had to send my lovely golden retriever off to play in the fields on the other side of the rainbow bridge. On Thursday at a routine check for his steroids (he has a long term skin problem) we discovered that he had a large tumour on his stomach (when will cancer please just leave me, and those I care about, alone?). The vet allowed him home with us for the weekend, to spoil him and give him the best few days of his life, and he was booked in to be put to sleep this coming Monday at 9:30am.

There was nothing that could be done for him. He was an old dog, we knew we were on borrowed time with him before this, but it hasn’t made the feelings of loss any less severe. Just because you know you are going to lose someone it doesn’t it any less painful than when it’s an unexpected loss. I should know. I’ve experienced both now and I’m not just referring to the dog here.

Knowing we were to be saying goodbye on Monday we all went out for a special walk with just him (not all our other bonkers hounds) to his favourite spot and took photos of him with the kids. The amazing thing about this dog is that even when he isn’t well he never really lets on; he’s stoic. Had we not already known he was unwell we’d never have suspected anything inside him was wrong on the walk: he swam in the river; found and destroyed a tennis ball; was able to jump in and out of the car; his tail wagged throughout. He was happy.

We had expected to have the rest of the weekend with him, giving him lots of love and cuddles, and generally just being with our super soft old boy and slowly saying our goodbyes. It wasn’t to be, though. I woke up yesterday morning to find him lying on his bed with a reasonable amount of blood on the fur round his back end and he was looking very sorry for himself. I think the tumour had perhaps started to rupture his stomach as the vet had said could happen – I wasn’t going to take any chances if that was the case.

I called my wife down and she cleaned him up while I called the vets to take him in. It wouldn’t have been right or fair to keep him here until Monday. I would never have forgiven myself if he’d have started haemorrhaging or been in pain. I spent the next two hours waiting to go to the vets sitting on the floor with his head on my legs, stroking him as he drifted in and out of sleep. He was ready to go even if I wasn’t ready for him to leave.

The time at the vets was calm and peaceful. My dog likes the vets and was none the wiser as they catheterised him ready for his injection. I cried and cried knowing what I was about to do, even though I knew there was no choice. It’s part of the responsibility of owning animals, knowing when it is the right time to help them die and ensure they are not suffering or in pain. I told him that he was the best boy and that I loved him, stroking him as the vet administered the anaesthetic. And then he was gone. I can’t get over how one minute he was there, the next not.

I’ve never had to euthanise an animal before. This dog was my first dog, and even though we have four others now this boy was my favourite. He was special. He’s been through the mill with me. I’ve never had to experience the loss of losing a dog and I really wasn’t ready for the hit of grief. I thought with an animal it’d be ok. Turns out it’s no different to losing a human you love. Some people may think that sounds insane but grief is grief and love is love. And I bloody loved that dog and the grief is huge.

I was never allowed pets when I was growing up and had always longed for a dog. I remember that I used to leave notes round the house begging my parents for a dog when I was about ten years old! As I child I desperately wanted/needed something to love that would love me unconditionally and would always be there (looks like that need hasn’t gone even now).

I remember that I used to have a video of cartoons that I would watch over and over. One of the episodes was of a child being given a bouncy puppy by its parents – a yellow dog with a red collar. The child was really happy. And that was what I wanted. I wanted a dog and to be happy.

Being an only child with a mum that was away when I was small and a dad that was away when I was bigger, I craved that consistent presence of an animal that would be there through thick and thin. I didn’t want to be perpetually alone and I knew that at a really young age even if only subconsciously. That hole that I have inside, the mother wound, the deficit in love and care, developmental trauma, call it what you will has been there a long time and I think back then I though it could be filled by a dog.

Once, when I was almost eleven, and believe me this has stayed with me as a particular kind of trauma and grief, my mum agreed that we could get a dog. YAY!! HAPPY DANCE! EXCITEMENT! JOY! She took me to the local dog rescue centre and I found ‘the’ dog – it was a medium sized, short haired, cross-breed – to be fair any of them would have been fine! We took him out for a walk round the compound and I was delighted with him.

We went home and I waited until the day we could bring the dog home. You can see where this is going can’t you? The dog never came home. My mum had changed her mind and didn’t want a dog.

Ouch.

Grief.

I was going to be alone still.

It’s no surprise to me that one of my child parts is an eleven year old girl who has basically given up hope.

Anyway, flash forward 13 years and I finally owned my own house. The moment (ok the day after) I got the keys I started filling it with furry creatures – as you do. I got two kittens and then started searching for a litter of yellow pups. I found my boy’s litter down in Cornwall just a mile from my dad’s house on the beach. Seemed like fate.

I remember the day, five weeks after I met him, when it was time to pick up the little golden bundle (red collar at the ready) and how instantly I fell in love with him. We stopped in at my dad’s before going home in order to introduce him to the pup. The doglet peed on the rug but dad didn’t care! He was as taken with the boy as we were.

He’d always wanted a dog but his work and travel commitments hadn’t allowed for it. He was delighted, however, to now be a ‘grandad’ and would be able to have the dog for us when we were away. The last photo I have of my dad is of him holding my seven week old pup – I have it framed in my house and it is all the more special to me after yesterday.

My dad died on holiday abroad less than three months after I got my puppy and that unexpected loss sent my world into freefall. I have CPTSD and that month after my dad died did nothing to help that. I still feel sick when I think about it and have horrible nightmares even almost ten years later. I didn’t know in May 2008 when I collected my furry beastie that this puppy would be the dog that essentially saved my life.

Three months after my dad’s death I had a massive, and I mean MASSIVE mental breakdown. I don’t know how I had managed teaching the term between September and December – all I can say is that I think I was in complete denial about what had happened. I was surviving pretty much on thin air and looking back now I can see how poorly I had become.

My fuse had been getting shorter and shorter and my tolerance for the kids’ usual behaviour was lessened as the term went on. I had started to dread going to work. I didn’t have the resources to hold everything together. I made it to Christmas, somehow, but life outside work was crumbling because I was having to throw everything I had into surviving the day at work.

Between Christmas and New Year I had been steadily working on marking GCSE mock exams. I had gone down to my dad’s (now my) house to do my work because my wife was working long days in the hospital and I thought being at the beach with my dog would be soothing. The beach was great and the dog, my constant companion, was all the company I needed. I am a bit of a loner but I never felt alone with him.

I had just completed the marking and planning and was all up-to-date and ready for the next school term with a couple of days until term started and then reality hit. When I actually stopped and looked around me I realised what had happened and it felt instantly as though I couldn’t function any more. I crashed.

I can remember my wife came down after she had finished her block of shifts; we’d planned that I’d get my work done so we could have a relaxing couple of days walking along the coast and snuggling up by the fire before heading back home to work. The moment she arrived I burst into tears in the kitchen and started shaking. I couldn’t stop.

It was then that she told me I wasn’t fit for work and that we’d be going to the GP when we got home to get me signed off. So January 2009 was when I entered into the world of NHS mental health services. I was so desperately anorexic, suicidal, and terrified that it all became a bit of a circus in the end (I’ve written about it before). From that point I started living on a cycle of appointments which actually just massively increased my stress and anxiety levels.

The interventions with my GP, crisis team, psychiatrists, oh and bloody ‘wellbeing at work’ really did very little to help me heal. Part of the problem was worrying every other week that my GP was going to ‘make me’ go back to work as she only ever signed me off for two weeks at a time. I used to feel sick leading into the appointment because I categorically knew that I was not safe to go back into the classroom but was terrified that she would only see the high functioning articulate person in front of her and not hear the words I was saying.

I have never been the ‘stereotypical depressed person’ (which, by the way, is a complete pile of shit anyway). I don’t stay in bed all day, cry in front of people, or fail to shower and neglect myself (as if that’s all that is valid) and I think in part that’s why I’ve never really got the help I have needed. I have been ‘too ok’ when actually it’s just a front I put on for that ten minute window and it takes an enormous amount of effort. I wish I had the insight I have now back then about being seen or not being seen, about trauma, and about my coping strategies!

I didn’t feel able to advocate for myself back then and got swallowed up by the system and was beholden to it. It’s weird how these things work but I think when you don’t know what to expect that you just imagine that the system can do things to you and that you have no choice in it. I was young and all I knew of these services was that they locked you up… my auntie was in and out of psychiatric units her whole adult life and I just assumed that I had to comply with whatever was being thrown at me.

I think, too, that I was so desperate for things to get better that if I kept attending appointments then somehow things would just somehow get better, that they could ‘do something to me’ and it would take away the pain and I would be able to go back to normal.

I wanted my life back.

I wanted my dad back.

I saw my GP every week but wasn’t until about four months into being signed off on a two week rolling basis that I was able to tell her that it was really stressing me out (I’m crap at expressing my needs…nothing has changed!). I had lost about another stone in weight and I could see that she was wondering what the hell was happening with me.

I still remember when she said, ‘people as young as you don’t usually need so much time off work’… but agreed then to sign me off for an eight week spell and referred me for an eating disorder assessment as the graph on the computer showed that things were not going well. I can’t tell you how much the anxiety lifted at that point (not having to go to work) but landed on me at the same time (ED assessment).

Anyway the mental health stuff is neither here nor there really it’s just part of a narrative about my current feelings of loss.

I was off work for a total of 17 months and I can categorically say that had it not been for my dog I would not be here now. It was the routine of walking him every day along the canal that kept me here when all I wanted was to disappear. It was sitting on the sofa or lying in bed and him being beside me that helped me feel safe and understood and loved when humans weren’t capable of making me feel that way. It was my dog that sat with my tears when everyone else got silence or ‘I’m fine’.

I shut everyone out at that time but I feel that dog knew my soul and accepted all the broken parts of me. I loved him unconditionally and I know he loved me too – in the only way a dog can. I realise that to a non-animal person this all sounds really saccharine and over the top. I guess before I had him I would’ve thought something along the lines of ‘yeah it’s sad but it’s just a dog’ but I know differently now.

I know that my grief is magnified, too, because this loss is not just about my dog. Losing my dog has activated all the unprocessed grief from nearly a decade ago when I lost my dad. The grief from back then that has been fairly settled but not fully processed. All of a sudden my dog, my protector, isn’t here and all the emotional pain is flooding in. I knew this would happen and have been dreading this time coming for the last couple of years.

I have therapy tomorrow and even that has been an emotional rollercoaster! Initially I had thought that I’d be taking my dog to the vet on Monday and so I text my therapist late in the evening on Thursday to tell her what had happened and that I wouldn’t be able to get to my session. I didn’t ask to reschedule or Skype even though I wanted to see her. Why do I do that to myself?!

She responded almost immediately with a very understanding message (far better than anything she’s sent previously) and said she’d see me on the 26th. The message was containing enough but I went into a meltdown about having to wait until the 26th to see her!

I knew I couldn’t see my therapist in person but the idea of not being able to talk with her for another week with Easter around the corner was just hideous (I found out I have a four week/three session therapy break this Easter in the last session), particularly as I left the session on Monday telling her that I was annoyed with her about the pebbles/transitional object and felt like she was avoiding talking about our relationship!

Ah, this is a bit of an aside but now I am talking about it I may as well bring things up to speed…

The session had been ok and then she’d brought up talking about the pebbles and she said something along the lines of: I find it difficult to tell her what I need and perhaps if we tried a different angle talking about nurturing, protective, and wise figures rather than about us then we might get some useful material. I shutdown immediately (not that she’d have known) but I could feel the rage rising in me when she said that.

I was annoyed for a couple of reasons: 1) that she was asking me to engage with the pebbles when actually nothing I say really matters. It has no impact whatever I say because if she doesn’t feel it to be genuine on her side then she won’t say it or write it. I said as much and she picked up on the fact that I had lost trust in the process after the texts at Christmas; 2) I feel like I spend such a lot of time avoiding talking about the therapeutic relationship that I didn’t want to do it again, ie talk about ‘figures’ rather than ‘us’ because when we do talk about us it might be hard but it is way more connecting.

I guess it’s the thing I was talking about last post again about what I hear and what is said. She was trying to find a way for us to connect with this stuff in order to move forward with the break coming and all I heard is that we weren’t going to be talking about us and that she was fucking off for a month. Ugh. RAGE!

Anyway, I sat there silent and stony and listened to what she said. Basically she wanted me to tell her what qualities I associate with different kinds of figures. We began by talking about nurturing figures. I came up with two points and then sort of gave up and sat there.

She asked what was up and told her I was annoyed because we are avoiding the issues in the relationship. She tried to explain why she thought what we doing was good idea and that it wasn’t ‘instead’ of talking about the relationship and asked what I thought was going on between us. I said I had no idea. The session was up and I left feeling disgruntled and pissed off. As I left she said, ‘it’s ok to be annoyed, and it’s ok to be annoyed with me’. I didn’t respond and walked out the door. Petulant teen? Or disappointed child? Frustrated adult? ALL OF THE ABOVE!

I drove home feeling grrrrr and arrrgghhhh and then went through the usual shit about feeling like she doesn’t care and that I am wasting my time and ….

… and then I came out of that (!) and thought it might be worth engaging with what she had asked me (don’t roll your eyes, I’ve already done it for you!). So I came up with this and then sent it to her:

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I don’t know exactly know what will come of it but I would like to think the text exchanges we’ve had the last few days haven’t come about by chance. They feel warmer and more responsive…but it could just me being more willing to see care where there is some. I don’t know!

Anyway back to the communications via text -I waited until Friday morning to text her (usual rambling style!):

I’ve gone into total meltdown overnight (bad dreams etc) about not being able to see you until the 26th alongside the reality that dog is actually going to die. I really want to talk to you on Monday (I’m not annoyed now) but as Wife is home all day on dog leave I don’t think it’d feel very easy doing Skype with her in the house – although I would be home from the vets by our session time so maybe it’d be ok. Wife says I should just go to our session and let her deal with dog but I think I’d feel awful if I’m not there at the end with him. I don’t know what to do. I don’t really know what I am asking but if we can find a way of talking on Monday I would like to. I feel so sad right now but also completely pathetic that I am not ok with not seeing you…which makes me feel anxious about Easter too. Ugh. The shame! X

She responded quickly again and said she understood my dilemma and maybe we should just try skype anyway and see how it feels. That she’d be there and to let her know what I would like to do.

I downloaded the Skype app to my phone and thought worst case scenario I could Skype in my car. When I told my wife I was going to do my session by Skype she said she’d go out and meet me in town afterwards. It’s weird. It was no bother for her to do it and yet I felt like if I had asked her to go out I would have been asking too much or in some way making the therapy seem a secret. I don’t know. I mean ultimately what goes on in my sessions is secret but I don’t know….

I text my therapist and told her I’d like to Skype and she replied again. Good. That makes things feel easier. It doesn’t take a lot for me to feel settled and contained when she is responsive.

As it turns out none of this is an issue now because I now don’t have to go to the vet tomorrow. I am looking forward to seeing my therapist in person. I just hope that the session is as connecting and nurturing as I need it to be. I hope I can show her how sad I am and not shut her out like I did when my friend died last year.

I know part of the issue is that I want to be held by her and to let my emotions out but am scared of doing so knowing that she’ll just leave me sitting there crying. I’d rather hold everything in than feel like I’ve been left alone with it when it’s all coming out.

I know that if I could ask her to sit closer to me then that would help, but unless I am able to tell her that I know it won’t happen because the last time she moved closer to me I dissociated and started crying….and although I was crying because I wanted her to be close, closer than she was, I know she thinks that she has intruded into my space and upset me. Ugh.

So that’s about where things are at right now.

My darling boy is gone and I am bereft.

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Artwork above from: RedandHowling

What I hear vs What is said: Communication in therapy.

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I’ve been in therapy with my therapist a good long while now; in fact it’s been six years since I first wandered into the rather cold and depressingly decorated consulting room in my local NHS Mental Health Hospital (after a three year wait no less!) to begin a year of psychodynamic psychotherapy…at least I think that’s what we were doing!

Picture a small room with a tiny window at one end, two not particularly comfortable brown chairs (the kind where the back isn’t high enough to lean back comfortably and the sides are so tight that you are forced to keep your feet on the floor – no curling legs up underneath yourself!), a fluorescent strip light in the ceiling a la Girl Interrupted, woodchip wallpaper and durable office-style carpet (again brown) and you’d be in the room.

It was a consulting room like many others in the NHS I guess, nothing homely or that in any way reflects the therapist that works inside it – because many therapists use the room. It was as blank a space as the blank screen that my therapist was to me at that time. I’m not really moaning, though. I will always look back fondly on my Wednesdays in that cold little room in the grey stone building because it was there that I met my  therapist by complete chance.

I could’ve been allocated to anyone in the Psychotherapy Department as a space became available on their caseload but somehow fate decided that she would be my therapist and I am so glad it was her because when I had had a couple of assessment sessions in order to go on the waiting list I hadn’t warmed to the therapist AT ALL. I really didn’t like her and dreaded the thought of having to possibly work with her.

The moment I met my therapist I liked her. In fact looking back over my diary after the first session I wrote ‘Uh oh, I really like this one. She seems really nice’… ha!…wakey wakey attachment issues I knew nothing about at that point!!

Little did I know when we met back in 2012 that (after a too lengthy break – damn Cancer!) I’d now be seeing her privately in her home, in her very lovely consulting room by the sea. It’s a medium sized room but feels homely, with neutral – but not bland- soft furnishings, cream carpet (she must be mad!), a pale blue leather sofa and her IKEA therapist chair (you know the one!), chunky style natural/driftwood wooden furniture, several completely filled bookcases (and not just therapy books), art work and a wooden Buddha watching over proceedings. It’s lovely.

It’s amazing how a nice environment can help make things feel more relaxed. Ok, perhaps ‘relaxed’ isn’t the right word here but I do find that the familiar environment is a place I (mostly!) look forward to spending time each week; it’s a little oasis of calm where I can bring my storm and try and get settled and grounded before venturing back out into the real world. Of course that space, just like the little room in the hospital, would be nothing without the person that sits opposite me from week to week trying to help me navigate my way through my almighty mess.

Yes. I can see how this is getting a bit gushing…but that’s because tonight I am feeling nothing but love for my therapist. I would not, however, have been writing in this way on Wednesday about the therapeutic relationship! I haven’t seen her or communicated with her since our session on Monday and yet how I feel about her, and where the therapy is going, is a world apart from earlier on in the week when I was hurt and raging and devastated and considering terminating… and that is why I have chosen to write this particular post about what I hear in therapy sessions.

I trust my therapist (well the adult part of me does), and for the most part our in session communication goes ok – good even. Of course sometimes she says things that immediately hit a nerve or piss me off, but more often than not sessions go fine. I can see and feel that she is making an effort with me – and frankly I am not easy to work with. My window (letterbox!) of tolerance is minute and I can swing into a dissociation with no warning whatsoever. All through that she is with me and as steady and patient as a….what? Can’t think of a decent simile. She is patient!

Generally I leave therapy feeling ok and sometimes I feel very connected. And yet I keep stumbling over the same issue again and again and that is, as if by clockwork, the moment I leave the room and start driving home, things start to shift and morph into something else – something negative. What was a good session suddenly becomes terrible and I feel like she doesn’t care about me and before too long I’ve had enough of therapy, am angry and want to terminate.

I really feel for a couple of my friends who week-in week-out listen to me rant on about how ‘terrible everything is’ and how ‘I am done with this’ and how ‘unfair it all seems and why can’t she just give me what I need?’ and ‘why doesn’t she show me she cares?’ and they patiently coach me through my fluctuating emotions. It’s hard work being in my head on Tuesday and Wednesday and they must feel so bored by now!

The problem I, like so many of you, have is that is what my therapist says to me in session hits so many different trauma parts: Little Me, Four, Seven, Eleven, The Teen and not just my adult self. Communication, therefore, is really complicated between me and my therapist. She has frequently commented that it is hard to say something that is adequately soothing and talks to all the different parts of me. What the little ones need is very different to the teen and sometimes it is hard for her to know exactly who she should be talking to because I give very little away at times. And we all know that the littlest ones don’t really want to be talked to at all and nothing but physical holding will feel enough for them.

I can hide behind my adult self and she’d be none the wiser that the tiny two year old girl is crying inside. I actually think the coping adult front I bring to session is more damaging than when I shut down in a dissociated silence or the protector parts put things on lockdown. At least when I am like that she knows something is up and can try and connect to whatever part is having a hard time. When I (adult) go in, am articulate and talk about things (but not necessarily the things I really need to talk about) she has no clue that I am not telling her what I need to or that I will leave feeling uncontained and spiral in the week.

I am getting better at telling her how things feel but sometimes it doesn’t go well or sometimes, like last week, I leave what I really need to say to the last minute and we don’t have adequate time to discuss it and then I feel like I am left with loose ends and not quite clear communications. Ugh. Must do better at this.

I doubt you’ll be surprised to hear that I didn’t ask her to sit closer to me or tell her how much her moving closer to me the other week had impacted me – AAAARRRRGGGH! I can’t remember what we actually spoke about during the session, now! It was ‘stuff I needed to talk about’ but it wasn’t #1 on the list stuff that eats away at me!

With ten minutes to go I decided I needed to ask her about wtf was going on with the pebbles:

Why, when we came back from Christmas break, did you say that you felt like I was trying to script what you needed to say in the text messages and yet for such a long time you’ve been asking me what I want you to write on the pebbles? It doesn’t make any sense.’

I mean launching into a discussion about the text communications that caused the rupture and the failing effort at a transitional object with only ten minutes remaining wasn’t exactly a genius plan was it? The thing is, sometimes it takes me that long to build up the courage or feel safe enough to bring these things up – so in some ways it’s better with ten to go than not at all…

We talked a surprising amount and whilst she didn’t say anything explicitly hurtful or unempathic (adult knows this to be the case and can hear it on the recording that that’s not how she is EVER) once I had asked that question I felt a shift in myself. Adult may have appeared to be fronting the show but actually all of a sudden the most vulnerable traumatised parts switched their ears on and were listening intently to everything that was said, analysing every word and subtle nuance, projecting a narrative onto the conversation. Inside was a running monologue: ‘What is she saying? What does she really mean? Does she like me? Does she care? This feels rejecting. No she doesn’t like me. I hate that I need her and love her when she clearly feels nothing…’

I’m struggling to articulate clearly what I want here, but basically the moment I asked the question there was a part of me, if not several, that was automatically searching for confirmation of my deep held belief: she doesn’t care and no one loves me because there is something inherently wrong with me. To be honest no matter what she had have said I doubt I would have heard anything vaguely positive because I am so conditioned to hearing this negative narrative – even when it is nowhere near the case.

My therapist said that she often feels that whilst a part of me wants to be told affirming things and to be loved there is another part that is absolutely terrified of that and wants to run away from it or rubbish and reject it as not being genuine.

Every time she says that it drives me mad inside. Whilst she is right (I recognise this more and more now) it feels really rejecting to the part that does want the affirmation and clear displays of love and care. It feels like she is saying ‘you can’t handle what you want and so I won’t give it to you’. I feel like shouting at her ‘I’m not going to die if you give me more warmth or clear demonstrations of care and maybe if you do it enough I’ll stop doubting you and attacking myself for needing you and convincing myself that you clearly don’t care about me’.

It feels really like a Catch 22 situation. I feel like I need her to be more demonstrative in how she feels towards me and yet she feels like it would send me over the edge if she did. It sends me over the edge as things are so what’s the answer?

We left it that we would work more actively with the pebbles especially as there is the Easter therapy break coming up shortly – nooooooooooo!!!!!!! And so that is a good thing, I guess. I am a bit reluctant about how it’s all going to go. It feels like something simple has become unnecessarily complicated. My therapist said she felt that perhaps I thought she had been too pedantic or pernickety about it but that she wanted it to feel right and genuine. I, of course, heard that as ‘I don’t want to write lies on the stones and therefore have not done it because I don’t want to say anything positive about this relationship when I don’t feel it’.

Anyway, yet again I have navigated my way through the emotional rollercoaster that is the week between sessions. It is Saturday night and I feel quite stable and content in the fact that my therapist is out there, cares about me, and that she will be there on Monday and we can talk – who knows I might tell her all the angst I’ve felt this week about the conversation we had and about the one we didn’t have (proximity).

It’s strange. I always feel quite motivated and able to take these things to session at this point in the week. Monday morning at 10:30….a whole other story!

Ugh!

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Love Ballad To Your Therapist

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I’ve had a bit of a sense of humour failure of late. I mean I can poke fun at myself no bother at all (although I do wonder a bit if that is really just walking a fine line between being self-deprecating and self-loathing?) but I’ve been really struggling to see the funny side of things out in the wider world. I think it’s mainly stress and anxiety that have knocked my capacity to laugh; I’ve just felt so down in the dumps that I haven’t felt there’s been much to smile about.

In fairness, though, it has been a never ending fucking winter of discontent and I am just not a winter person at all. I hate being cold… and my god it’s been sooooooooo cold lately. I hate not getting out to exercise. I hate feeling GREY! (although I do own a lot of grey clothes…) I just want the sun to come out and to be able to lie on the grass, stare up at the sky and watch the airplanes make criss-cross patterns. Or better yet, just fall asleep in the garden in the fresh air. I love that!

I’ve noted that I’ve become more and more sarcastic lately. Don’t get me wrong, my sense of humour has a huge contingent part of sarcasm and I’m not saying it’s a bad thing- but I feel a little like I’ve become the eye roller ‘oh please, that’s just not even funny’ – and I don’t want to be like that. I do want to just have a good belly laugh and be silly. I want the fun to come back…only I am not sure I know when I actually lost it. I have always been a serious person so actually being silly feels quite alien to me.

So I really have to thank Life In A Bind for retweeting the funniest thing/video I’ve seen in ages last week. I don’t spend much time on Twitter but occasionally an absolute gem turns up on my feed and this is soooooooooo it. So thank you for making me smile LIAB! I’ve shared it with several of my friends who are or have been in therapy and we are in agreement that it’s just utter genius. I really wanted to share it with you guys because I think lots of us who are in long-term therapy or have attachment issues can really relate to this but see the funny side. And man we could use a giggle right?!

I mean of course I don’t really relate to it at all*: I have never freaked out about an upcoming therapy break (ahem – might’ve happened yesterday at the mention of Easter!); pretended that it is not a paid for relationship; googled my therapist; considered how much of a reflection of her the boring grey Skoda parked on the driveway is; wondered what her star sign/favourite colour/phobia is; thought that she is ‘objectively’ attractive!…. I mean that’s just not how I am at all!

*LIE (this is totally me!!)

Anyway, enjoy folks.

 

 

Anxiety and the wrong shoes

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

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

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

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

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

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

Why am I anxious right now?

How long have you got?!

Clearly the usual things that bother me are still there:

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

 

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

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

 

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

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

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

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

Secrets

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

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

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

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

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

*

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Skype Session #2

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Panic over.

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

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

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

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

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

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

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

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

It was a good session.

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

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

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Letter to my seventeen year old self.

Dear Seventeen,

I’ve just read your diary. Please don’t be mad. Wait and hear me out a minute. I know how angry you were when you woke up to find dad reading your diary on holiday in Mexico and how violated you felt back then; but please know that I am not deliberately prying into your private life or being nosy. I’m just trying to understand you better. And honestly, I am good at keeping secrets, in fact I’ve been holding onto yours for the last seventeen years of my life. I’m not here to judge you and I promise that you can trust me.

We haven’t met before. Well, I know all about you (more than you realise) but I don’t think you are aware that I even exist. I’ve been watching you stuck in your own private hell for a long, long time now. It’s like Groundhog Day for you in the year 2000 isn’t it?

Too often I have turned away from you when I should have reached out to you. I have ignored your pain and your suffering because I haven’t known how to help you. Sometimes I have wondered if you even want to be helped.

I don’t know if you know it, but sometimes you take over my body in the present (which, by the way, is 2018 and means you’re often roaming around a stretch-marked 34 year old bod’ – yeah I know, it’s not great – and to think you hate your body now is incredible!) and react to my current day issues as though you are being hurt again in the way that Mum and H hurt you. It’s like my life triggers flashbacks from your life and you (and I) are reliving the pain over and over again.

I can feel your anxiety and fear coursing through my veins. I can’t speak and I go numb. I shake. I feel your frustration. I haven’t know what to do and neither have you. I’ll admit that I have felt overwhelmed by your feelings. I know you have things to say but I also know that you are very very frightened. I understand how desperately alone you feel. It broke my heart reading your account of the pain you feel inside. I know how hard it is. I remember it well.

You feel like you have no one to listen to you and that no one cares. It feels so difficult to trust anyone. You fear getting close to people and letting them in because you think you’re going to be rejected or abandoned or ridiculed – and you don’t think you can survive it again. This year has been the hardest one yet, for you, and I am not at all surprised that you just want to run away from everything and anyone that might hurt you.

So you isolate yourself in order to avoid being hurt but you can’t be alone forever. In your heart, deep in your soul you know you need love and connection. We all do. I know it feels risky seeking that out. I know you fear annihilation. I get how scary it feels to consider opening up again after what’s happened. You are still heartbroken but the only way your heart is going to mend is through letting someone heal it with you; currently you have a handful of shattered pieces and no glue.

There is no shame in wanting to be loved. You needn’t be embarrassed for feeling love either.

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You probably won’t believe me (who can blame you after all you’ve been through); but if you can find a way to trust me, I think that I am the person that you have been waiting for. I can help you, listen to you, and love you…if you’ll let me. I really want to make things better for you – for both of us- because right now your pain is my pain and it’s crippling the pair of us.

I’m so sorry, so very sorry that circumstances have made you feel like you are not worthy of love and care. How things have been with mum are not a reflection on you. None of how she has been with you is your fault. You are not unlovable or untouchable even if that’s how you’ve been made to feel over the years.

How things have been for you growing up isn’t normal. I think you know that but really acknowledging that is devastating. You have suffered emotional abuse and neglect at the hands of the person that should have loved you and protected you the most. I assure you that there is absolutely nothing you could have done that would have changed how things have been for you.

I know that’s hard to hear, but I think you need to hear it and try and take this in. You carry the weight of the world on your shoulders. You feel responsible for everything. And darling, some things are simply beyond your control. No matter how good you are or how much you achieve, there are some things you cannot change or control. You can only be responsible for you and not for the actions of anyone else.

What I will say, though, is this: it won’t be long until you are able to start getting away from some of the horrid stuff. Next year you will leave home and go to university, you’ll fall in love (really!), and things will start to get better. I promise you it won’t always feel this bleak. Until then, though, I’m afraid you’re just going to have to hold on tight and keep putting one foot in front of the other like you always have. I know it feels impossible sometimes.

Despite everything that has happened you are still here. You are a fighter. I know there have times when you have been very close to the edge. I know there are days you have thought about driving your car into a wall or overdosing or paddling your surfboard out to sea and never coming back. I felt the pain of each cut you made, and every burn on your skin. I know how you starve yourself. I see how regularly you purge everything from your system. You are punishing yourself over and over again for something that is simply not your fault. I don’t hate you. Why do you hate yourself?

You’ve lost sense of your value – or maybe, more accurately, you have never felt valued or loved. You feel worthless. Don’t get me wrong, I know why you feel this way. Steady and systematic emotional abuse does this to people. Now you feel like you are acting your way through life. You have little idea of who you are because you’ve spent so long trying to be what everyone else wants you to be that you really don’t know how to be yourself. You’ve struggled so hard against yourself for the last couple of years not wanting to disappoint anyone but inside you were dying.

I am so unbelievably proud of you. Coming out was massive. I know right now it feels like the worst thing you’ve ever done and you feel more lonely than ever; but those people that walked away from you, called you names, and bullied you were not your friends. I am telling you that even though it was scary and is still having a huge impact on your day-to-day you have made a huge leap forward into living authentically as who you really are. I know it takes a huge amount of courage to stand up and speak your truth but six months from now, you’ll be surrounded by people who love and accept you for exactly who you are and those people will become lifelong friends – chosen family.

I also want to say thank you. What for? For looking after the little ones. You are a force to be reckoned with, for sure! They are very lucky to have you as a protector. I know it’s difficult living your life when you continually have distraught children demanding your attention. It is not your job to hold them. It was never your job to look after them, but in the absence of an adult to care for them, you’ve done a brilliant job.

I have children (a boy and a girl). I see a lot of you in them because I remember you as a child, too. You were innocent and vibrant and full of life. You had so much love to give and then something happened and you started holding everything inside and that light you exuded steadily faded until it is now barely a flickering flame inside you. I know right now you feel bereft because, to you, coming out equates to you never having children and you so desperately want to be a mum. I’m not a time traveller but I am telling you this – children are going to be part of your future and that flame will burn brightly again in the love you have for your babies.

You are incredibly strong and I recognise just how much effort you put in to surviving. Sometimes the best you can hope for is just to keep on keeping on. You’ve done amazingly. Don’t roll your eyes! I mean it. The fact that in the face of so much pain you have still somehow held it together, passed your exams, can drive, and are alive is testament to your spirit. You are so driven and this is a good thing. It’ll take you a long way in life. But do you know what? You need to learn to relax too.

You need to let your hair down every now and again and have fun. You are so serious – so grown up- because you’ve had to be. As I said earlier, I am here now, for you and for the little ones – if you want me to be. So I am giving you permission – please relax and start to heal. The adult you all need/ed is here now. I’m not super woman but I promise you that if I can be there for you when it starts to feel scary then I am going to be there – and I am not going anywhere.

Things aren’t going to feel better overnight, I think we both know that. If things are to improve then we are going to need to work together on this. And so there’s something I need to ask you to do for me. I know you know about the therapist that I see each week because sometimes you hijack my session and stamp your feet a bit; or sometimes sit there silently raging and planning how you’re going to hurt yourself when you get the chance. Between you and the little ones there’s not a great deal of space for me in the sessions. I am, in no way, complaining about this, but I was wondering something.

I know you really like therapist but it feels risky to have feelings for her. You are attached to her just like the young ones are, ok perhaps in a slightly different way, but you do love her. And that’s ok. You want to be known by her. The idea of her really seeing you is both appealing and terrifying. Sometimes you let her see you, the real you, and other times you shut her out. When you feel close to her the alarm bells ring and you instantly back away.

Look, I’ve known this woman for six years now and I’ve been in therapy with her for three. I trust her but it’s not me that needs to talk. I’m ok. Do you think that maybe you might tell her how things are for you? Or if you can’t, do you think maybe I could tell her for you?

You’ve been holding onto this pain for such a long time, and I have been sitting on your secrets for as long as you’ve been alive and I think it’s time for us to move on.

What do you think?

Sending you so much love,

X

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I don’t know what to do.

Indecision is not something that I tend to struggle with, except for in one aspect of my life: therapy. You all saw that coming, right? The therapeutic relationship and therapy is something I second guess myself about ALL THE TIME! I have a running internal monologue when I think (obsess) about therapy: Should I say this? What would happen if I do that? What will she think if I…? If I ask her for ‘x’ will she ‘y’? Do I need a new therapist? How can I get past this? Why is this so difficult? Does she care? Blah blah blah.

After a week where I have done a great deal of mental to-ing and fro-ing about what I was going to speak about in tomorrow’s session and struggling to get down to writing some prompts to help me talk about what I need to (we’re still not anywhere close to over the rupture from a few weeks ago) it turns out that most of the angst and ache has been completely unnecessary because I can’t now go to session tomorrow.

My house has been like some kind of vomit factory this weekend #thejoyofkids and I’ve spent a significant amount of time clearing up sick off the bathroom floor and disinfecting everything x100. Fortunately I’ve only been sick a couple of times but am now very reluctant to put anything in my mouth for fear of throwing it back up again.

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There’s a bit of an irony there, because at the end of my last post I was wittering on about what my next session might be like. There was the teen acting up wanting to cancel through sheer frustration but also the acknowledgement that the young attach parts needed to go:

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

As much as I have been anxious about what tomorrow’s session might be like there was also a part of me that desperately wanted to go. The last session we had was difficult (again) I had started with migraine symptoms midway through (having had one earlier in the week). My therapist had asked me if I would like her to try something with her moving her fingers slowly up and down – apparently vertical eye movements can help alleviate symptoms (who knew?!).

She moved from her chair onto a stool which was about half the usual distance from where she usually is. I always feel like she is a million miles away, even though it’s probably less than two metres between our chairs and so her moving closer to me felt massive and my body had a huge response to it.

Part of me loved having her within touching distance and part of me knew that whilst she might be ‘within touching distance’ I still couldn’t touch her. The child parts basically fell apart inside. The desire for physical proximity and holding was so strong that I started crying. I felt so sad. When she’d finished doing the eye thing she moved back to her regular chair and then I went completely numb. I felt like I had been abandoned.

Who would’ve imagined that something as small as moving a metre in the room could have such a profound effect?

I really struggled to pull myself out of my protected silent space. Part of me wanted to ask her to sit back on the other chair and part of me just wanted to die of shame and embarrassment for needing that. I couldn’t tell her what had just happened. I didn’t want to be so exposed and vulnerable because I was still on edge about the previous session…and the therapy break.

I found some kind of inner strength towards the end of the session and asked her if she had been cross with me in that session. I’d been sitting on that question all session! I know, it’s not exactly enormous is it? But I am often frightened of asking questions because I am not sure I really want the answer and in this case it was the little ones who were asking.

I’d felt that the last session had been off. I think it was always going to be tricky coming back after the therapy break and the text debacle/nightmare but it had felt particularly distant and all I could think of was that she was cross with me/the little ones for reaching out to her and expressing so much need.

My therapist’s initial reaction was ‘cross with you? No? Why? When did you feel like that?’ I explained that I had felt there was something off for the whole session. Then she said she wasn’t angry or cross but that she hadn’t liked reading the blog post that she’d read before I had arrived. I said ‘I didn’t think you would’ and we laughed. She explained what she had found difficult in the post and basically said that she didn’t want to read any more posts because she doesn’t need to be ‘masochistic’. So, perhaps that post hit a nerve?!

I asked her why she hadn’t felt able to tell me any of this last week, and she said maybe she’d ‘chickened out’. Which actually made me smile inside. She is human after all! haha. Although that’s just a snippet of the conversation what I will say is that the nature of the conversation felt different to what we’ve had before. I felt like she was really talking to me as ‘her’ not hiding behind the therapist persona.

I came away feeling more optimistic than I have in a while. Like there was something to build on….i.e I needed/wanted to tell her about the issue with proximity and the seating, and the feelings that get evoked about ‘no touch’, the need to work more relationally and directly with the young parts, how disappointed I’ve felt about not getting anywhere with the pebbles/transitional object, and tell her that I’d been to see another therapist to try and help me work out what I needed in therapy and how to get through the rupture. Eeek.

So there we are – some big stuff…and then my children conspired against me and had a sick fest. Whilst they are fine now they won’t be able to go to school until Tuesday – 48 hours clear and all that and so I can’t go to therapy tomorrow even if I wanted to.

So that leaves me with today’s quandary: should I ask for a Skype session tomorrow?

I already text my therapist yesterday morning to tell her I may not be able to make it as that’s her cancellation policy. I literally do not have a clue what to do for the best. We’ve done a Skype session  before and whilst it wasn’t my preferred method of conducting therapy, it wasn’t totally dire either.

I’m torn. I know I was fixed in my adult and didn’t dissociate in the Skype session. And maybe that’s what I need, an untriggered adult conversation about moving forward together. Maybe if we are not in the same space I’ll feel more able to express the concerns I have and the things that have been bothering me?

I’d like to think that’s how it would be, but I am aware that I might just small talk my way through the 50 minutes. Not connect. Feel cut off and distant. And then feel bereft all week and as though the whole thing is a waste of time.

I can’t afford to find myself in that activated/distressed place where the attachment pain is rife and I’m left with it until the next session. I’m not sure how to avoid that eventuality: Skype or cancel the session until next week?

I don’t know what to do for the best. Which part do I listen to? The one that would walk over hot coals to have contact with my therapist, or the one that fears that a Skype session might send everything spiralling?

I hate indecision!

 

 

Don’t worry about it until it happens…

Don’t worry about it until it happens.

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

I saw this on Pinterest earlier:

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

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

Anxiety is exhausting.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

 

 

Rupture in the therapeutic relationship: where do I go from here?

It’s been a week since my last post where I talked (cried, moaned, wailed!) about the rupture between myself and my therapist that came about after the exchange of a couple of text messages last Wednesday (I do see how very dramatic that seems!).

For those of you not familiar with the context, I had been really struggling with the therapy break (that old chestnut) and had worked myself up to a point of high anxiety where I was barely able to function….that is how it was and so I won’t downplay it. After three days of intense emotional struggle, not eating, and almost self harming, I decided to reach out to my therapist to ask her reassure me that she was still there and that the relationship was still ‘ok’ via text message…

And then it all went to shit! Like huge amounts of gushing diarrhoea shit! Ugh! I still can’t believe that I didn’t see it coming.

I know that it sounds bonkers that a 34 year old woman can’t maintain a sense of connection to a therapist that she’s seen for three years, but then I struggle with object constancy and it’s all part and parcel of disorganised attachment. The feeling of anxiety and all-consuming panic that floods my system, and worrying that I have been left is enormous. It’s excruciating, actually.

These feelings don’t come from nowhere. They feel enormous now but they were also enormous when I was 10 months old and my mum left my dad (and the country) without telling him or anyone else (you know, as you do!). I have a very clear image of myself at two years old standing on the back porch, looking at the snow, wearing a red snowsuit saying ‘where’s my daddy?’ – I don’t know if it’s a genuine memory but it came to me in therapy one session when I had been particularly dissociated.

So where was daddy? Not there then, and certainly not here now. He left me unexpectedly when abroad on holiday. He didn’t mean to. He had a sudden heart attack three days into a diving holiday. So daddy is gone gone. Little girl doesn’t understand and adult me never saw a body or had a funeral so can’t really understand that daddy is dead now. Part of me thinks he’s still on holiday.

We returned home to the UK when I was 3.5 years old. My mum got back together with my dad. Happy times right? No. Next thing to happen was for my mum to disappear on me 5 days a week from the age of four to go away to study. That makes sense to my adult but the little girl part of me still feels that intense confusion and fear that mummy has gone. I was always left wondering when she might return because one day, two days, three or even four doesn’t mean anything to kids – their concept of time isn’t like ours. Mum wasn’t there so maybe she was never coming back.

What I am clumsily trying to say is that the anxiety I feel on therapy breaks or in between therapy sessions does not belong to my adult. Sure the grown up part of me would like to see more of my therapist, but the dread and fear I feel it is that of a little girl that has had no emotional stability or consistently safe caregiver for her whole life. It makes sense to my adult that being away from the new attachment figure would stir up all kinds of chaos for the young ones.

Anyway, back to the text debacle. In fairness to my therapist, she did respond to me, she didn’t leave me hanging- unfortunately, though, the messages she sent did little to reassure the little girl who was absolutely beside herself and the messages felt cold and misattuned to those needs. Little girl had a meltdown!

Lots of readers commented on the post and could see why I would feel devastated by the perceived tone of the messages I received. It felt comforting, on Thursday, that at least some people could see how upset I might feel and that I wasn’t completely unjustified in feeling utterly bereft.

By Thursday evening I felt quite overwhelmed by the comments on my post because they seemed to be confirming what I was feeling was understandable and justified. I didn’t want to be right, though. Because if my feeling were justifiable….then that meant my therapist had cocked up and missed the point…and I didn’t want that to be the case. It’s much easier to take things on myself than see fault in others. I can change me but I can’t change somebody else. I didn’t want for it to be the case that maybe she didn’t care. That felt too devastating.

I’d felt completely abandoned and rejected by my therapist on Wednesday and I can see now that a lot of my reaction to her messages was about my coming from a very triggered place. Perhaps my reading of her words was not quite as they were meant – she said as much on Monday. Unfortunately, though, my therapist’s messages felt rejecting regardless of her intention and that is what I need to work through.

I had shared what had happened with a friend on Wednesday. I was utterly distraught. She could see how I felt and also felt that the messages felt cold. She recommended a therapist in my area and suggested that perhaps it might be good to get another perspective on things. I agreed this would be a good idea, not just because of this rupture but for some of the other things that have been niggling away at me in the therapeutic relationship.

I emailed the therapist to see if she could offer me any sessions to help me work through the rupture with my therapist. Essentially, I wanted her to help me see if I could find a way of working through the issues I have in my current therapy or whether it might be time to look for a new kind of therapy.

The therapist responded quickly and the reply I got was really warm and empathic even though all I had said was that I had had a rupture with my therapist – I hadn’t given any detail. It was a world away from anything my therapist has ever sent which was both refreshing and painful. How can someone who doesn’t even know me be so open and warm and yet someone who knows me intimately be so business-like? I know. I know. Two different people with two differing approaches…but ouch.

The therapist had spoken with her supervisor following my email and agreed that we could do up to four sessions to work on this stuff and that she had some availability for the next two Tuesdays. I jumped at the chance to get additional input and support because the situation felt/feels utterly horrendous.

Part of seeking out additional therapeutic support was that I wanted to know if my responses to some of the things that have happened are over the top or actually justified (I know she wouldn’t use those words, and actually my feelings are my feelings – rational or not they are real to me), and also to better understand things from a therapist’s perspective.

I know the new therapist is not ‘my therapist’ but she would objectively be able to look at the situation and maybe signpost things for me on how to get through this or at least help me clarify what it is that I need to say to move forward. So that was positive. I felt too, that having this space on Tuesday would mean I would have a sounding board for whatever happened on Monday…and that in itself allowed me to consider going in to face things.

By Friday morning I had begun to settle down a bit, or detach, or perhaps I was a bit desperate… I am not sure what was going on, really. It’s weird. Different parts were doing and feeling different things. Looking back I can see that even though there was a huge part of me that was hurting and angry there was another part that couldn’t bear the thought of not seeing my therapist. The attached child part longed to see my therapist and to try and make the situation feel better and wanted to believe that she cared.

The last message I had sent to my therapist on Wednesday was that it was unlikely I’d be coming to session but that I’d let her know on Friday because she needs 48 hours notice of cancellation. On Friday morning I text her asking her to read the blog post I had written because I needed her to understand how I felt in the moment, even if it was reactive, and even though I might feel a bit less wounded now:

‘I’m still at a loss about Wednesday but I think where I have got to is that you don’t ever deliberately do things to hurt me and I have to trust that you know what you are doing – and so I guess we need to talk on Monday even though part of me just can’t face it. I’d really appreciate it if you can find time to read the linked post before session because I really think you need to know this stuff but equally we’ll need all the session to talk. If you let me know on Monday how long it took to read then I’ll just add the extra to the payment. Have a good weekend.’

 She replied almost immediately:

Ok, I’ll read it. See you on Monday’.

This message was short and to the point but it didn’t feel rejecting…which made me wonder a bit about how I reacted to the first message on Wednesday which was clearly longer and addressed more of the content of my request. Why was my reaction so different then?

I guess what I would say is that the point at which I was reaching out for reassurance my adult was not online AT ALL. I was fully caught up in a trauma response to feeling abandoned in the break and so the part that needed reassurance needed a very simple, caring message. I needed the kind of thing that you might say to a very distressed child: ‘it’s ok, I am here, I know you feel scared, but I will be there on Monday and we can talk about this’…or something along those lines. 

I think this is one of the pitfalls of working with clients who have fragmented parts. It’s not always easy for the therapist to see which part is communicating a need (especially through a text or email) and so it’s hard to know what to say or how to adequately respond- which is why my therapist will not usually reply to texts. She says that when she can’t see me she can’t get a true sense of what I am feeling and she may hone in on completely the wrong thing and leave me feeling unseen and unheard because she misses something that is massive to me….doesn’t stop me wanting to reach out though!

Having said all that, on the occasions where my therapist has responded to me or sent a prearranged message at a particular time she seems hell bent on keeping the adult front and centre in her communications. So often it feels like our exchanges seem to miss the mark because she only talks to the adult part. She doesn’t acknowledge the child parts outside session. It’s different in session, thank god.

Through her messages I think she wants to bring the adult part back online (and that makes sense) but actually all that happens is that my young child parts feel rejected, unseen, and abandoned, when she sends messages aimed at the adult. It takes a lot for me to show any level of vulnerability and need and so to have it almost ignored feels absolutely crushing to the little parts. And that’s exactly how it felt last week. I felt like I had been annihilated and struggled to get my adult self back online.

I don’t know what the right thing to do in this situation is. I know that how what she does makes me feel awful but perhaps there is some kind of therapeutic rationale behind the way she communicates that I just don’t understand. For me, I feel that if she at least acknowledged the child parts, then it’d settle them a bit and allow adult to come back online. Ignoring the young ones just agitates them even more. The attach parts are set to scream until they get a response from the attachment figure, after all so ignoring them doesn’t shut them up.

Anyway, Friday went by steadily. The feelings of pain, rejection, and abandonment from Wednesday were still swirling around and distressing the child parts; the inner critic was doing a smashing job of attacking my body – I only ate twice between Tuesday and Friday. The teen part was feeling very much ‘fuck her and fuck this’. I could feel an additional cloud move in as Friday progressed. I sunk into a really very bad place. I’m not just talking depressed and lethargic. I was bordering on suicidal and I don’t mean that in a flippant way. I literally wanted to die. I haven’t felt like that since my breakdown in 2009. I really felt desperately unwell in my mind.

I text a friend and tried to dig my way out of my hole before having early night. I had bad dreams about therapy and then woke up feeling anxious but not like I wanted to die. Thank goodness. It was crap still, but not end of the world crap. When it gets bad I have to try and remind myself how quickly these feelings can move in and out.

I think what I am beginning to understand now, is that perhaps I am not a massively changeable, volatile, and, unstable person, but actually instead there are many parts of me and they have lots of different feelings. I need to become more aware of who’s running the show at any given moment.

Who is the ‘holding it together’ one and who is it that wants to die? Who wants to attach and who feels left and wants to run away? And so on. Because whilst I know they are all part of me, they are exactly that, fragmented parts. That’s why it is so unnerving to feel so conflicted so much of the time, there are so many voices from so many different times competing for attention. Sometimes some are silent and sometimes they are screaming. It really just depends on the moment and what triggers there are.

For example, this week I have really been aware of Eleven (my eleven year old self) being close to the surface. I don’t see a lot of her but this week I have felt her pain and that pain runs deep. I feel how sad she is about having tried to tell an adult how bad things have felt for her and what it is like to be shutdown for it and to not have her feelings acknowledged. She longs for someone to listen to how scary things are for her and validate those feelings but no one ever does. And because she copes so well (on the surface at least) no one ever looks beyond what they see.

By the time it got to Monday I was in a really bad way physically. I think not eating properly (bearing in mind I am always teetering on the edge of normal eating anyway) had really started to mess with my body. I mean you just can’t live on 400 calories a day when you already have a BMI of 16. There are no reserves to draw on. I was shaky and lightheaded but that numb feeling gave at least some part of me a relief.

I didn’t think it was all that noticeable to anyone else but I have just been to get blood taken for next week’s haematology/cancer follow up and the lovely nurse took one look at me and said, ‘you’re looking really pale, are you ok?’ and then as I got up to leave, ‘you’re looking very slim, are you eating ok?’ I said I was fine and that I’ve just been fighting a virus which meant I’d lost some weight…we get good at making eye contact and lying like it’s the truth don’t we?

So to Monday…As I drove to my session I was physically shaking- from nerves more than low blood sugar I think. My mind had shut off, I felt numb, but my body was clearly sending up distress signals.

The first thing I said when I sat down on the couch was ‘I’ve been shaking in the car’. I had no idea how the session was going to go but I didn’t feel especially hopeful. Something felt off. My therapist’s tone and body language felt all wrong. I know I am sensitive to these things because I have always had to be. I’ve always been in a necessary state of hypervigilance because I never knew when the next attack was coming. I needed to be alert to the warning signs.

I might have been projecting negative feelings onto my therapist and maybe she didn’t feel cross or annoyed with me, but something was telling me that things weren’t ok.

The session was stilted and difficult. I found it really hard to talk and I felt like my therapist didn’t really try and draw me out. Sometimes I listen back to sessions and I can hear how hard she is working with me, trying hard to connect with me, trying to make me feel safe. There was none of that on Monday. There was no warm voice or understanding non-verbal gestures. It felt like she didn’t want to be there. It felt like she thought I was criticising her.

I felt as though she didn’t really understand that although I now saw that the response to her messages was quite extreme, that the feelings of abandonment we real to me in the moment. She didn’t acknowledge how feeling ignored and uncared for felt. She said that she had responded to me and that that showed that she was there. I get what she was saying but it felt like we were at crossed-purposes. She wanted me to see that because she had text me that she had proven she was there; and I wanted her to see that she felt impersonal and distant.

On paper there was nothing wrong with what was said in session. Technically everything was correct in terms of theory….but that’s the problem. There’s more going on here than applying theory to a struggling human being. Knowing your stuff can still lead to empathic failure.

Being told that the time for my ‘young infantile needs to be met has passed’ is all well and good (hell don’t I know this, I’ve written about it enough!) but I needed some empathy too. i.e ‘you know the time for your young needs for holding to be met has passed. I know the little girl part of you wants me to hold her and make her feel safe, and I understand how painful it must be for me not to do that for her. I know that she feels rejected, but I am not rejecting her.’ – you know? Something that expresses the theory but also shows how it feels to me with her in our relationship despite the theory. She did acknowledge it was painful – I guess I’m splitting hairs.

I left the session feeling a bit hopeless. I had hoped to go in and repair the rupture and to find some common ground and reconnect but instead I left feeling like I was alone with all these feelings. I mean, the huge issue has long been feeling disconnected between sessions and then struggling, yet this time I felt disconnected in session…and so it’s not great now. Usually my leaky bucket takes a couple of days to dispense with the warm connected feelings. This time I left session with an empty bucket.

Fortunately the session I had with the other therapist on Tuesday was positive. It was a completely different experience to what I am used to and quickly allowed me to tap into emotions. I was staggered that I felt the urge to cry – usually those feelings are on lock down. I felt heard and understood. Bonus!

I have come away feeling positive about moving forward either with my therapist or, if not, someone else. My feelings were validated and I feel as though there are potentially other ways of working that may help me better if I can’t resolve things with my therapist or find a way to meet in the middle. Ultimately my goal is to try and sort things out with my therapist. I love her and really value her. I just need to find a way of expressing my needs and hopefully getting a few more of them met so that I don’t repeatedly find myself drowning in disaster therapy breaks.

Right, this is enormous and so I am going to go…don’t really feel like I have said much!

p.s Thanks to everyone that commented last week and supported me.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Simple.

Or at least I thought it would be.

Only things don’t seem to work like that.

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

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

So at 11am I sent this:

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

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

*

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

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

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

*

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

I didn’t.

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

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

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

*

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

Thanks for clarifying. See you on Monday.’

*

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

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

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

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

Nope.

At 5:15pm I sent this:

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

*

And that’s where it’s been left.

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

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

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

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

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

I don’t know.

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

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