A Return To Therapy: A Tale Of Two Sessions

So, somehow or other I got through five weeks of no face-to-face therapy (man I still hate summer therapy break with a passion!) and last Monday saw the long-awaited return to the room and, more importantly, my therapist…not that I had missed her or anything!

As the day approached I started feeling conflicted about going to my session (no change there, then!) What is that about?- The absolutely overwhelming desire to see someone gets replaced with an ‘I don’t want to go’ a couple of days before and ramps up steadily until on the day, on my way to the session, I text my friend saying that I wanted to turn around and go home because I felt sick amongst other things.

I recognise, these days, that this resistance that happens when I’m within touching distance of my therapist is the time where some of the parts start speaking up. The young parts finally settle when therapy is in sight and that allows the teen part some additional space to express how she’s feeling. (She’s pissed off!) She can’t bear the thought of therapy being awful, feeling disconnected, and the young parts getting irate again when they’ve only just stopped screaming. The teen harbours a fair amount of anger about being left (rejected/abandoned) in the first place, and then to be ignored on top (texts) doesn’t make the reunion any easier.

Despite all the misgivings I have never yet not turned up to a session. Sometimes I feel like I am dragging myself there but the need of the youngest parts always gets me into the room … even if all I do is sit there and say nothing!

I felt nervous as I rang the doorbell to my therapist’s house but as she came to the door adult went online (thank god!) and walked in, sat down, and just started talking…about life stuff. The small talk was comfortable; catching up on day-to-day stuff that’s been going was fine. I don’t remember trying to gauge where my therapist was at or whether she was safe. I think I had maybe subconsciously decided to keep the session adult. I don’t know. I can’t remember now what we talked about but basically for twenty minutes it was absolutely ok and then bam – I was gone- instant dissociation the moment she asked if I wanted to talk about the picture I’d sent her via text during the break.

You’d think that opening up that discussion might’ve been a good thing (and ironically most of the time it would be – I want her to help open up difficult conversations) but on Monday, even after twenty settled minutes, it spooked me. ‘Agh I’m exposed. This is scary!’ and off I went deep into myself.

My therapist noticed that I was barely breathing and suggested that I was doing everything I could to hide. Yep! My body was killing me. My legs were heavy/achy. I was able to tell her how I felt in my body. And the moment I told her all that physical pain in my legs evaporated and I thought I was going to throw up. The nausea was incredible. I could hardly speak for fear of vomiting. It was horrendous.

She valiantly attempted to bring me back to her but all I could do was listen to what she was saying. I couldn’t even look at her, let alone make eye contact. Does that happen to anyone else? You want to connect but can’t- the fear is too great- and so instead just listen very very carefully to what they say trying to see if they ‘get it’ and whether or not you might be able to connect eventually?

This is a bit of a strange analogy but sometimes it feels to me when I dissociate badly that I have an internal power cut – mains power is lost. I lose my ability to be present. It’s far from ideal. My therapist has to scrabble around to try find an alternative power source. Most of the time she finds some rechargeable batteries but, unfortunately, they’re dead. She doesn’t give up though. She slowly starts charging the batteries up with her insights, validation, and care. If we are lucky she might do enough to give me enough power to work again before the end of the session. Sometimes the charge happens really quickly and other times it take nearly all session.

That’s what happened on Monday. She was really insightful and understanding and validating. She spoke about the really strong emotions that I was feeling: the anger that she felt in the text that I had sent her ‘file under unread’; the horrible feelings of rejection and abandonment I experience when she doesn’t reply to me; the belief that she doesn’t care about me. She talked to me about it all but I could only nod here and there. The batteries we soooooooooooo dead after the break that it took a long time to power them up.

With about five minutes to go I could feel myself starting to connect to her. The vulnerable parts wanted to talk to her and the teen had felt like she got it and cared. She asked me how I felt and I said ‘sad’. She asked if it was because we were coming to the end of the session and there were things I needed to say that I hadn’t been able to. I nodded. She told me we still had a bit of time left and maybe I could make a start now and we could pick it up on our first Friday session. So, once again I took a running jump and said perhaps the most expensive sentence I have said in a while:

‘I really missed you; five weeks is really a long time.’

It mightn’t seem like much but it really was after such a difficult session. Saying something that feels so exposing after a break feels really hard. I always struggle to tell my therapist how I feel about her. I feel like she’ll think I am weird. I don’t want to embarrass her. Of course, any time I let her know how I feel she is really kind and non-shaming. It’s just so hard to reverse the automatic pilot that tells me feelings are bad and dangerous, that showing someone that you care for them and need them will result in something negative.

I guess I just need to keep saying how I feel, keep getting met well, and maybe eventually I might feel differently.

Anyway, that was Monday! I don’t think it’ll come as a surprise to anyone that I was left with an almighty therapy hangover! I’ve come to expect it now after a long break. I’m starting to recognise it as part of the process and just see it for what it is rather than feeling bad about how things are. I think all the stuff I had kept at bay over the break came flooding out and had me flailing about on my arse for most of the week. It was initially quite hard to work out whether I was heading into a depressive state or whether it was what was left from the break and the session. I tend to fear the worst when I am stuck on the couch for hours at a time unable to complete the tiniest of tasks.

I felt totally incapacitated. I felt ugh. I wanted Friday to get here so I could have another stab at connecting and feeling better. The great thing about this week was that I knew Friday (yay for two sessions a week) was coming and so even though the young parts were feeling separation anxiety and attachment pain it was nowhere near as bad as it has been previously. Wednesdays have been notoriously bad when I have had one session a week. I have felt stranded and uncontained. It’s been god awful! So, even though things were pretty bad they were WAY better than I am used to.

My Friday session isn’t a face-to-face session at the moment. The session time is too early for me to be able to make it in person and be able to get my kids to school and so we are Skyping. I’d had mixed feelings about this. The irony is not lost on me that only a few months ago I would have been ripping my therapist’s arm off for any extra contact – even a midweek text and now I am whinging about an extra session via Skype. *eye roll* I guess there’s just a part that wants to be with her in person. I’ve asked that when a later session becomes available that she lets me know so I can swap into it, but it’s likely to be several months.

When it came to it it was actually nice to do the session at home. I was snuggled up on my sofa with a coffee and it was nice and quiet. There’d been no rushing in the car to get to my session and I felt pretty relaxed. I think this feeling relaxed made a difference to how I was. Usually I only Skype when I can’t get to session because I have my kids at home (holidays or sick) and it certainly changes how I am. I am on ‘mum duty’ and don’t open up in the same way. Anyway, this session felt really nice. I remembered how much I like seeing my therapist’s face close up. Ha! And even better I DID NOT DISSOCIATE AT ALL!

Bonus!

Don’t get me wrong. I didn’t dive headlong into how the break felt or how difficult I have found being in therapy the last few months but we did lots of connecting work that I feel is paving the way for me to be able to have those conversations. I was able to tell my T how bad I had felt during the week and how just the day before I had burst into convulsive tears whilst running on my treadmill.

I don’t really ever cry and I certainly don’t cry in front of people. My therapist mentioned that I don’t cry when I am with her but that she feels I am fighting back tears sometimes and that occasionally a single tear will escape. She said that the idea of someone seeing me crying is hard for me. She talked about the huge expectations my parents placed on me to be a certain way as a child and that I had had to grow up too quickly and be what they wanted rather than who I am. It’s true. I never expressed how upset I was when my mum wasn’t there when I was a kid. It was just how it was and something I had to get used to.

I am realising now just how sad that little girl was to not have mum there from Sunday to Friday- from the age of 5 even if mum wasn’t perfect or especially nurturing. I look at my daughter who is now six and my son who is four and know how they hate it if I am not there for bedtime. I have to leave home at 6pm a couple of nights per week if I am going out to tutor and they moan (fair enough! I am glad they can!). I always give them a kiss and cuddle before I leave and come and kiss them goodnight (even if they are asleep) when I am back –they have never had to not have their mum/mums there for protracted periods. I am there for breakfast; I am there to take them to school and pick them up; I am there for dinner; I am there for parents’ evenings; I go to sports day; I drop everything when they are sick; I ask them how they are EVERYDAY. I hold them and tell them I love them EVERYDAY.

I had none of that.

I was a good girl who got on with it quietly. Accepted that I didn’t have a say in how things were.

That little girl doesn’t want to be quiet and accept it anymore.

She wants to cry about it.

And maybe she might start crying about it in therapy.

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Crash and Burn

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

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

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

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

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

Things feel shit.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Fuck.

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

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

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

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

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

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

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

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

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

Man. I so bored of feeling shit about this.

I KNOW!

I know it’s the work.

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

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