Eye Contact In Therapy

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Making and then maintaining eye contact with my therapist is something I find really difficult. In some sessions eye contact feels more possible than in others – usually when the session is light and I am rooted firmly in my adult. These are the days where I can look at her for a few seconds before looking away and our interactions feel more ‘normal’ – i.e real life, outside world topics, not massively emotionally charged. But of course there are those ‘other’ days, those painful sessions, where I will avoid eye contact for the whole 50 minutes, scanning the book shelves for the millionth time, or staring at the corner of the room. Should our eyes meet, I look away almost as though I have been burnt. The meeting of our gaze can feel so exposing.

It reminds me of some R.E.M lyrics from a song called Electrolite:

“Your eyes are burning holes through me, I’m gasoline, I’m burning clean”

Only I think, in this case, I’m burning like a stack of old tyres and giving off some kind of thick, black, toxic smoke that chokes the life out of things. It’s like a thick fog of burning shame. Ugh. I hate it.

I’ve mentioned this kind of thing in passing a few times in the blog. It’s something that has been on my mind a lot lately, and then this morning I got an email from a friend, who is also in therapy, asking me about my experiences with eye contact because it’s an issue she’s struggling with and so I thought it might make for a good blog post – it can’t just be the two of us that have this problem!…in fact I know it isn’t!

I feel a bit woolly headed/dissociated at the moment and I have noticed that my ability to formulate my thoughts in writing (and verbally, actually) is really proving tricky so bear with me here. I don’t know why, but I feel like I keep having to preface my posts with an apology at the moment. I can’t seem to get my mind clear enough to express things in the way I would like but I still feel like I need to write because I feel like I am going slowly insane. No one ever tells you what a lonely experience being in therapy and doing *this kind of work* can be- and honestly I am so glad to have found this community of like-minded souls online because otherwise I think I would still feel like the biggest weirdo on the planet!

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So, yeah, eye contact…or lack of it.

Bearing in mind I have known my therapist for six years and been working with her for three of those years you’d think, by now, eye contact wouldn’t be an issue for me. Wrong! It’s funny (not funny haha more funny ironic), I’ve found the longer we’ve worked together and the more I’ve let her see of ‘me’ (whoever the fuck that is), the harder eye contact has become. It might seem counterintuitive that the closer you get to someone the harder it gets to look at them but it is how it has been for me and I think I am beginning to really understand why.

If you met me in person for the first time you’d be faced with a friendly, confident (ish!), articulate, caring person who does their best to make you feel comfortable in our interaction. I am a good listener, ask thoughtful questions, I make all the right noises and maintain just the right amount of eye contact. I am not nervous in new social situations (well, not outwardly- you’d never know what’s really going on inside- cue heart racing and quaking child whimpering, ‘Please don’t hate me!’) and people say I am easy to talk to. But that stuff doesn’t work in therapy does it? Because it’s not about looking after the other person (therapist) and so I can’t employ my listening skills in the way I might usually. I can’t deflect the attention away from myself…well, I give it a very good go, but eventually it will always come back round to me and OMG it’s hard.

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Having said that eye contact shouldn’t be a bother, should it? …. and it wasn’t in the very beginning…

When I first met my therapist, I was far more able to look at her (I noticed this was the case when I went to see the other therapist in January following the rupture too). What’s the deal with that? Well in the beginning I was operating from the adult persona and I wasn’t attached to Em in the least. I really didn’t care what she thought of me – which was unbelievably freeing!

I attended therapy as the person I have just described above and was probably really easy to work with. Sure, there was a reason I was coming to sessions but for all intents and purposes I was functioning and coping and together (on the surface at least!) and probably just a bit fucking whiny but not difficult, or demanding, or needy.

I think I wasn’t especially aware that what I was really looking for was a relational experience…I don’t think I really knew what I was meant to do in therapy other than go and talk about the shit that had happened to me. My therapist could have been any human sitting in a chair and I wouldn’t have cared all that much. I never for one minute expected to feel any of the range of emotions I do now towards to the person sitting opposite me. Crikey…what a revelation and what a fucking nightmare!

When I met Em for round one of therapy in 2012, it took me about 9 months to get anywhere near the stuff that now causes me such trouble. Part of that was because I knew it was a time-limited activity on the NHS (12 months) and I didn’t want to be left hanging at the end of it all if I did open up, so there was certainly an element of self-preservation going on. I knew some of what was lurking, buried. If I really looked into the depths it would be like poking a partially healed wound, even if it was a bit infected, and then just as it started to bleed out I’d find myself on my own without any bandages.

So for those first few months I talked and talked and talked and looked and looked and looked but I did not connect with what I was saying. It was almost as though I was recounting someone else’s story. It was easy to make eye contact with Em because I wasn’t feeling anything about my story or, more importantly, her.

There’s been a lot of trauma in my past and yet for the longest time it has felt like it belongs to someone else. I would recount very matter-of-factly what had gone on for me but felt like there was a concrete block between my head and my heart – a huge wall between my left and right brain. I still struggle with this. The level of disconnection from myself is massive although at least, I suppose, this is something I am actually aware of now.

Then it happened, TA DAH! cue jazz hands – the attachment stuff awakened in a HUGE way and I was done for. I would go to session and sit there, unable to look at my therapist knowing that soon I would lose her and I just couldn’t cope. I know she noticed the change in me because the therapy also changed. There was a different level of connection but still so much that went unsaid on my part. I didn’t know how to handle my feelings AT ALL and resorted to the usual familiar coping strategies. I started to lose weight quickly becoming dangerously anorexic, and began to self-harm again. It was a desperate effort to try to cope/run away from the impending sense of loss and abandonment which I now know is the BIG issue for me.

It was an incredibly lonely time. It felt like I was losing my mind. I had no idea that actually it was pretty common to develop these sorts of feelings for your therapist – especially with a history like mine – and so felt incredibly ashamed and embarrassed. There was no way I was going to tell my therapist any of this for fear of ridicule, or disgust or [insert any other nasty reactions here].

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I couldn’t name the different parts of myself at that point, although I was regularly derailed by the inner mini-bus of traumatised kids. The conscious awareness of this fragmented system only really started to make sense to me about a year ago. Back then all I knew was that I was sinking. I desperately wanted to connect with my therapist but I was frightened to. I didn’t know that the fear was the fear of my child parts. I didn’t understand that part of the reason I couldn’t talk sometimes was because several of the littles are pre-verbal or don’t have much vocabulary because they are so little. I didn’t know I was dissociating. I certainly wish I knew then what I know now but I guess this is all part of the process.

Even though my therapist succeeded in getting my therapy extended by an additional four months (because things had got so bad) I still couldn’t open up fully and eye contact was almost impossible by that point. It was tricky, I felt like I had secrets I wasn’t telling her (the anorexia/self-harm) and so couldn’t look at her because I felt like I was at least on some level deliberately deceiving her. At the same time I wanted to be known by her, I wanted to share the burden of what I was carrying, but felt there wasn’t time.

Fast forward to now, we’ve had a three year break and are now working together privately – and the issue with the attachment stuff hasn’t changed much and the eye contact is still a bit (lot) of a problem. It’s exhausting, actually.

Why is eye contact (in the therapeutic relationship) so scary for me? I guess it’s that it’s all about being seen. Eye contact requires a level of vulnerability, honesty, intimacy and that generates …fear.  It’s a double-edged sword. I long for that level of intimacy and connection with my therapist that making eye contact affords. I often find the times when I can look at her for more than a split second that I feel much better, more grounded, and less alone.

It seems like a simple solution really – like come on RB, look at her and feel closer to her, right?! Win. Unfortunately, it’s not just a case of looking at her and feeling better…my goodness I wish it was as easy as that!

As I said, if I am surface level talking I make a reasonable level of eye contact in session. If I feel secure in myself and with her, I can make some eye contact. If, however, I feel unsettled, dissociated, activated, dysregulated, in a child state, teen state, or the critic is present it becomes really very difficult for me. I look at her, meet her gaze, and retreat immediately. It’s too overwhelming. It’s frightening. It’s too much.

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Sometimes I really don’t want to be seen, either. I feel shy. I feel ashamed. I feel embarrassed. Usually this is comes up when I am experiencing strong loving feelings towards my therapist or have really missed her during the week. I feel like if I look at her she’ll see right down into my soul. She’ll see the longing of the child that desperately wants to be held. She’ll see the intensity of the feelings I have….and then if she sees that, she’ll run away. She’ll terminate. That’s the fear.

Sitting opposite someone and having nowhere to hide is scary…and I really understand why I dissociate as much as I do. If I can’t physically leave the room then my mind takes me out of it. Of course, this is not a good solution long-term because it leaves me feeling awful. My young parts get so upset when I leave a session and feel like it’s been a shit game of hide and seek.

I think I want proximity perhaps more than eye contact. I think I would prefer it if my therapist sat beside me rather than opposite me. It would certainly take away the pressure to make eye contact but also be proof, somehow, that she isn’t disgusted by me and deliberately keeping her distance. I don’t know if I’ve mentioned it before, but she has a footstool placed about a foot in front of her chair and honestly it feels to some part of me like she is deliberately barricading herself in and putting barriers between us. I know this is my stuff and she wouldn’t have the slightest clue that a simple bit of furniture can feel distancing, but it does…and it’s another thing that makes it hard to look at her, because what if I’m joining the dots correctly and I see what I think I’ll see in her eyes?

I suspect I’d open up more readily if I wasn’t constantly aware of feeling like I was under the spotlight. I don’t know about you, but I spend a lot of time battling with the voice inside that tells me she must be getting fucked off at how avoidant I am which makes it even harder to look at her. Like we all know the ‘rules’ about eye contact and frankly not looking at someone for an entire session whilst isn’t me being intentionally rude, it’s not ideal. I know we ought to be able to drop societal convention in therapy and just be how it is for us in the moment, but I can’t help but panic when I know I am not behaving how an adult ‘should’. I get flooded with shame and embarrassment and it’s really fucking uncomfortable.

What would help when I get trapped in this place? I guess, something like, “I can see you are really struggling to connect with me today. I am still here with you. I haven’t changed from last week. I know how scary it feels for you to feel disconnected from me but I also know you are really frightened of my rejection and so are probably trying to protect yourself. All of you is welcome here. Who is here with me right now and what do they need to come out of hiding?” I dunno – something like that, maybe! I imagine my therapist thinks I am just sifting through my thoughts when I sitting frozen in silence but in actual fact I am drowning in shame and feel sick and scared and the young parts are in meltdown.

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The adult part of me knows that my therapist can totally handle all my feelings. Hell, we both know these parts exist and we know what their issues are. We’ve talked about it all enough! I know she can cope with my love as well as my rage…but in the moment when I am struggling to look at her, that rational part is just not online. The trauma parts are live and active and all they can see is that if I let her see how I feel, if I let her see the real me in that moment, I will lose her. It’s not great. It’s not rational. It does, however come from somewhere.

I’ve been trying to pinpoint where it originates from; I know some…ok, let’s be real here, most of it stems from being little and my relationship- or lack thereof- with my mum. I guess my system remembers the times where I was small and vulnerable and had a need for comfort or reassurance -actually proximity is a basic survival requirement for a baby – and the times where I would have been met with a look of disdain or disgust – or perhaps even simply disinterest.

I was either too much’ or ‘not enough’ to generate any kind of positive response from my mother. What can be more painful for a child than to need their caregiver and be viewed negatively or rejected for that? I feel the pain of that so viscerally – it’s feels like being forcefully pushed away – and I simply don’t want to replay that with a therapist. I’d like to think we could rewrite the script but my system feels like the fire alarm is going off most of the time so I just don’t know what’s possible tbh.

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I think another reason I fear being seen and known is a huge throwback to what happened when I came out. It’s almost like because I am letting my therapist see more of me in session and am being more vulnerable the fear of rejection and something bad happening escalates. I have experienced what it is like to have my world fall apart when I have been honest about myself and my feelings, and because I really care about what she thinks, the idea of her telling me I am too much feels utterly devastating. It’s one thing to be rejected for being a needy child, it’s another thing entirely to be rejected for being your true emerging self – and it was bad enough first time around, I’m not up for a repeat experience.

I am really aware that eye contact – or just connection full stop – is something I really need to work on in my sessions. It’s just daunting. The part that keeps running away from being seen is so scared of rejection and abandonment but at the same time I know deep down that part absolutely longs to be seen and known by my therapist too. It’s so hard to navigate this but I guess it’s something to work on ‘bit by bit’ as they so like to say! I have a lot I want to talk about in session on Monday but I think tabling some time for eye contact would be worthwhile.

I’ll let you know how I get on.

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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

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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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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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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A Long December…

‘A long December and there’s reason to believe, maybe this year will be better than the last’ …these lyrics still resonate as strongly now with me as they did twenty years ago. At first glance these words seem reasonably uplifting and a positive projection for the year ahead, but if you’re looking for a dose of optimism as you head into 2018 this is probably not the post for you!

The fact that later in the song these words are chased by the ‘the smell of hospitals in winter and the feeling that it’s all a lot of oysters and no pearls’ might give those unfamiliar with the song more of a flavour of what’s to come…

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It’s no surprise to me that right now a big chunk of my internal soundtrack (and what I downloaded to my phone yesterday) is essentially the same as that of my mid teens: Counting Crows’ albums, ‘Recovering The Satellites’  and  ‘August and Everything After’ (it’s no accident how I titled my archive list); R.E.M’s ‘Automatic For The People’; Coldplay’s, ‘Parachutes’; and Dido’s, ‘No Angel’.

The emotions I am experiencing at the moment first became known to me back in the late nineties. As an adolescent the feeling/s hit in an overwhelming and hugely destructive way. In the last day or so I think I’ve fallen into operating from the Teen state so far as my emotions go and so that’s why my headphones are locked in my ears today as my wife has taken the kids out to give me some space and a bit of a break.

What’s up with me?

I am feeling depressed.

It’s not good.

It’s really not good.

I hate it (but then who enjoys feeling shit?).

Oh. And. I am feeling angry (which is new to me, or at least being in touch with my anger is!)

It’s funny, really, because the words ‘depression’ and ‘anger’ seem to have become so innocuous. We throw them around so freely in society that I sometimes feel like they have lost their meaning:

‘What’s wrong with x – I haven’t heard from her for a while?’

‘She’s depressed’

Oh, right, she gets like that sometimes doesn’t she? I’m sure she’ll be ok.’

And that’s kind of how it feels (to me at least). There are so many campaigns out there about mental health awareness but when it comes down to it, lots of people don’t really get what it feels like to be depressed, or anxious, or suicidal, or struggling and so it gets brushed under the carpet like it’s no big deal…when actually when you’re caught up in it it is huge. It is a BIG BIG deal.

We’re sort of programmed to know how to deal with physical illness:

‘Oh I feel rubbish, I’ve got a stinking cold and a fever and can’t get out of bed’

Oh that sounds rotten, I’ll stay away, then! Feel better soon!’ 

And somehow, it seems like we respond to people in the same way when they express feeling mentally unwell like if you come close by you’ll catch it:

Oh I feel rubbish, I feel so sad and lost and I can’t get out of bed’

Oh that sounds, rotten, I’ll stay away, then. Feel better soon!’

A lot of people don’t know what to do or say when you mention that things are a bit (a lot) shit, and so often just back away, and give you space until you are ready to venture back out into the world in the form that they recognise and can relate to.

Sometimes this is fine and sometimes you need someone to come and sit with you when you are in your PJs wanting to slice your arms open to just talk. I have found this has become even more of an issue when I express any negative feelings about having had cancer and all the treatment a couple of years ago. It’s like it’s a completely out of bounds topic. No one knows what to say.

I have noticed that when I feel depressed I don’t talk, though. I don’t reach out. I don’t share. I shut down. I become secretive and closed off and live in my own self-destructive world. I think part of it is about not wanting to burden people with my difficult feelings and thoughts, and part of it is that I just can’t communicate something that feels utterly overwhelming.

Once I hit a place where I am not eating or self-harming in order to cope with my feelings then the window where I might want/be able to talk has passed. I have disappeared…not that anyone would notice. I am very good at hiding what’s going on inside.

I struggle even to tell my therapist when I am battling with my eating disorder or self-harm. I remember clearly the first session back after Christmas last year sitting almost mute desperately trying to find the words to tell her that I had been self-harming…and it took about 45 minutes to get there…which is not ideal in a 50 minute session! So if I can’t tell someone I trust implicitly and who doesn’t judge me then I have no hope with people in my day-to-day life.

If I do try and change my behaviour, and manage to share even a hint of how I am feeling before I have moved into the realms of self-destruction I often find that people don’t always know what to say anyway, ignore it, or say the wrong things:

You were ok yesterday!’ – (I might have appeared that way, but that was because my filter was intact and I could hide what was inside. Today I have no energy to put on the front)

What’ve you got to be depressed about?’  –(You have no idea, do you?)

‘Try and think positive thoughts’  – (Fuck off! Do you really think I am deliberately feeling this way and a bit of positive thinking will shut this off?)

Your treatment was a success. You should be happy.’ (thank god I don’t have a knife to hand).

And it basically doesn’t help at all and so I end up taking it out on myself which actually just makes it worse. Far better to suffer alone then reach out and be shamed for it.

I saw this on Pinterest a while back and thought it was great:

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Anyway, I don’t need to explain depression here do I?!

Don’t get me wrong, I am all about doing things to try and help myself (#selfcare) but sometimes when things feel really bad like they did when I woke up this morning it takes a herculean amount of effort to even get my teeth brushed, let alone feed myself, take a shower, or practise a bit of mindfulness.

I’m not kidding when I say that it has taken me five hours just to get to this point writing this post. I keep wandering off in my head and sleeping.

About an hour ago I kicked myself up the arse and went and made a coffee, ate a croissant, and had a shower….but that’s where the momentum ground to a halt. It’s 1:30 in the afternoon and I am now back under the duvet with curtains (still) drawn and the lights out. I just can’t do it today. I feel so tired and ugh that I just don’t want to be awake.

I keep lamenting the fact that I have a horrible headache… but have not managed to go and get any painkillers, and since I forgot to get any when I was actually downstairs, I’ll probably just lie here groaning to myself for the rest of the afternoon now. I need to go to the loo but I can’t face getting out of the warmth of the bed.

Honestly it is just piss poor here today!

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There are loads of things I need to do but I feel incapable of doing any of it. I am trying not to beat myself up for being unproductive but of course when I feel crap, I attack myself about it.

I know that my mood today is not helped by the fact that I am still really ill with a virus that seems to keep mutating and hitting me over and over and over again. I have been ill since the beginning of September and it is really getting me down now. I wrote a while back about how illness always goes hand in hand with a mental health crash and I think this is especially relevant right now.

I just want to feel physically well and it isn’t happening. I know this is as a result of the fact that my blood levels haven’t recovered since having chemo and so I am more susceptible to picking up bugs and that in itself makes me feel rubbish. I feel like I am emotionally and physically running on empty.

I am usually a busy person. I keep myself busy because, I guess, in part, I am always on the run from these feelings. I totally understand that I probably end up here, face down in the mud, barely functioning, because I overdo it, don’t take time out for myself, don’t attend to my needs, yadda yadda and so end up burning out every now and then. I get it. I don’t need it explaining to me…but what’s the alternative? Sit with these difficult feelings and let them wash over me? I keep trying that in various ways but eventually the feeling of overwhelm overwhelms me!

Music has always functioned as an escape for me and that’s where I am seeking solace right now. I spent a huge chunk of my late teens driving around in my car, listening to my stereo, and trying to escape from whatever was going on at home and simultaneously trying to run away from what was going on in my head/heart. It was all a massive nightmare really: perpetually feeling unloved and like I wasn’t good enough.

And here I am, again, running away from those feelings and retreating into my inner world and music.

There is a part of me that feels that it is absolutely tragic that I am heading towards 35 years old and yet I still struggle massively with feeling unloved and like I am not good enough – ugh! It seems almost nonsensical that these feelings are still able to floor me after all these years.

I have been with my wife for twelve years and have two lovely kids and yet, even despite knowing that they love me and cherish me, something deep in my core can’t really absorb it. The bucket I try and store love in has a great big hole in the bottom and until I fix it the good stuff will keep spilling out and onto the floor.

I wonder what has happened to make all this flare up so significantly again?

Any guesses?

The therapy break you say? Ah, maybe you could be right! It’s getting a bit boring my going on about therapy breaks and my inability to cope with them isn’t it?!

Where am I at with it all? 9 days down, 9 to go…I think. Halfway point. (How how how can I only be halfway through?!)

I spent the first bit of the therapy break alternating between my adult and child states. I had Christmas to contend with which meant the adult needed to be online a lot of the time but I was also really aware of the little ones really missing my therapist when it got to the evening and I had bit of quiet reflective time.

I have spent several hours each night lying in bed not crying but really wanting to. I don’t know how I would explain it to my wife, though, and so I just lie there in the dark feeling like an abandoned child until I fall asleep and dream about her and all the anxieties I am feeling about the therapeutic relationship.

Those little parts of me were fully awakened after having such a connecting last session heading into the break last week. This connected feeling should be a good thing, after all, it’s what I seek every therapy session isn’t it? And yes, that feeling is amazing but it is also incredibly addictive. Initially I felt soothed, held and contained by what had happened in therapy but as is all too often the case, the positive feelings didn’t last and the sense of being on my own, abandoned, and like my therapist had disappeared off the face of the earth took root.

I know that these feelings mirror what happened with my mum when I was small (only without the positive connecting part!) and so it just feels like I am replaying that pain of abandonment over and over again every time I am away from the new attachment figure (therapist).

The knowledge about where these feelings come from doesn’t make them any less painful or any less real in the here and now. It’s agonising. I so desperately wanted to reach out to my therapist and somehow try and get the horrible sense of feeling unworthy and being unlovable to go away.

I stayed with those feelings for a while, you know, the feeling like you’ve been kicked in the gut and are simultaneously feeling scared of everything… but I know from experience that I can’t stay with this pain indefinitely – it hurts too much. And I can’t reach out for my therapist either -she deserves a break and won’t reply to me even if I do contact her which only fuels the awful sense of being left. So at the moment the way I cope with it, I’ve noticed, is by going through this emotional cycle:

The therapy break starts and within a day or two the young child parts come online and sit alongside the adult; three days into the break the child parts are inconsolable and screaming in attachment pain hell. The adult tries to listen and honour these feelings for what they are but there is no soothing to be done, the child parts don’t want me, and the noise inside escalates.

Before long the feelings of loss and abandonment become so overwhelming that the Teen part steps up to try protect the little ones seeing as no one else seems capable of it and shut it all down for them. She is angry and hurt and despondent. She really doesn’t want to go to therapy again, ‘fuck this shit – I don’t care anymore’. She doesn’t see the point in it (although part of her secretly really likes therapist). All it does is hurt all the most vulnerable parts and she can’t understand why I (adult) would spend time and money doing something which feels a lot like self-harm (and she is very good at self-harm).

I can go round in this loop for a few days: adult, child part, teen and then before long the big bastard comes online. I can see it now and it is set to smother me. It is the Inner Critic. That voice is not embodied in a traditional sense. I have mentioned before that it feels a lot like one of the Dementors in ‘Harry Potter’ and I guess this is, in part, the depressive state as well as all the internalised anger that I have repressed over the years. It is the embodiment of all the rage that I had no way of expressing at the time and instead learned to turn in on myself. It is ENORMOUS.

Right now it is leaning in and telling me that my therapist doesn’t care just like my mother didn’t, that I am worthless and unlovable, and a complete loser for having the feelings I do about someone who can never reciprocate them. It tells me that cutting myself, or burning myself will make the feelings go. It tells me that my body is disgusting and that I should stop eating.

Part of me is terrified and feels like the only option is to give in to that voice and there’s another part of me that is hanging on for dear life and shaking a great big stick at it and telling it to leave me alone. I don’t know how resilient that part of me is but I am digging in deep today.

I know that I need to find a way to make that Dementor shape shift. I need to find a way of making friends with it and acknowledging it as a part of myself. I know that it has served as a protector of sorts (even if it is hard to see that anorexia and self-harm have been survival /protective mechanisms) and therefore in some ways I should be grateful that it got me through some emotionally horrendous periods.

I have been thinking today. What I am going to do is try and re-imagine this entity as an angry black dog that has been mistreated and caged for a really long time. I know that the black dog is a well-used metaphor for depression but in my actual real life I have four lovely black dogs whom I love, they are super bonkers beasties. What I hope is that over time and with a bit of training I might get the critic under control just like my delinquent hounds.

I am hoping that if I can change the image in my head from all-encompassing terror-inducer to an angry dog that needs taking for a walk sometimes, then perhaps that’ll settle it down a bit and I will be less frightened by it.

Maybe I need to work out what the needs of the Inner Critic are rather than being so terrified of it that all I do is run from it.

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Anyway, that’s where I am today, there’s more I could say but I know I am making no sense so instead, here is the song that sums up how it feels! I’ll be glad to see the back of this year for sure!

 

The Mother Wound

Oh man, where do I start with this one? The Mother Wound. It’s a biggie isn’t it? Part of me feels like I should just throw this out there to all you therapy bloggers and we could do one of those exercises where we each write a single line on the paper, fold it, and then pass it on to the next person and by the end we’d have collected a story about the Mother Wound. The paper part would be tricky but maybe we could do it in the comments box?

I’m referring to a ‘Mother Wound’ here, but essentially what I am talking about is the damage inflicted on a child by the lack of one, or more, caregiver’s reliable care, emotional holding and containment. It could be a deficit in care or sometimes abuse/neglect by mum/dad/grandparent/other guardian or the entire family (I guess). It’s the damage that is caused by lack of safety- either emotional, or physical, or both. It’s attachment/relational trauma.

Even though everyone’s life experiences are different, and their relationships with their mothers/primary caregivers unique, from what I can work out there are quite a few of us battling very similar demons caused by this early emotional injury. I can only talk accurately about my own experiences and causes of my particular Mother Wound but I will also try and bring in some of my observations from hearing/reading the stories of others too.

The effects produced by the mother wound on an individual seem fairly standard on first inspection: at times intense feelings of anxiety and/or depression, a fragile sense of self, difficulty with trust in relationships (attachment issues), fear of rejection and/or abandonment, low self-esteem, an over-developed self-critic which often has led to the development of one or more negative coping strategies: eating disorders, self-harm, alcohol abuse, drug dependency to name but a few things. And sometimes it gets really very dark and the thought of suicide or even possible attempts at suicide become part of the fabric of life. Oh, and the shame. I can’t forget that! A deep deep sense of shame around the expression of feelings and emotion.

I understand that it’s not the case for everyone and not all elements I’ve listed above are relevant to all people and, of course, there are more issues that I haven’t mentioned. I, for one, don’t drink alcohol or do drugs anymore but this is largely because I think I have quite an addictive personality and would probably end up in real trouble if I did now. I think it is quite telling that I am so controlled where drugs and alcohol are concerned. I think people must think I am quite boring but actually I just know what I can manage and remember what I was like in my early twenties. The idea of a hangover is enough to put me off!

We are all different but when I read these blogs the one thing that stands out is that that there is so much vulnerability and longing out there. There is so much emotional pain. People, fundamentally, just want to be loved, and to love, and yet the pursuit of this ‘love’ is anything but straightforward because of what has happened in the past. The lens through which we view intimacy is faulty and distorts everything. Our perspective is tainted, even as adults, and it negatively impacts on our ability to form and maintain healthy relationships. I find all that information both comforting and utterly devastating.

I have no problem whatsoever with forming friendships but I struggle to really let people in. I am that reliable person that others turn to in a crisis, the level-headed one, the grounded and sensible one, the one that throws a good party but is also the person that sits listening to heartbreak on the phone at midnight. I am a good friend to others but I can count on one hand the people who ‘know’ me and I have let close to me.

I am not interested in making hundreds of acquaintances. I can be life and soul of the party (when I can be bothered) but more often than not must seem aloof or stand-offish in social settings. I just really don’t like big crowds and small talk. I just don’t see the point in it. I’d rather be on my own.

Since I started blogging in the summer, for the first time I feel as though I am not completely alone in my feelings and as though I finally have a space where I can express exactly what feels so wrong with me/in me. Not only that, that what I have to say is accepted and met without judgement but actually, more often than not, a huge amount of empathy and compassion. That’s massive.

To be able to finally start getting the words out after all these years and say how it feels is, in itself, enormous but for other people to go, ‘yep, it’s really tough, and I get it. You are not alone’ is life-changing, because frankly sometimes these feelings feel terribly frightening and unsettling and isolating. I really want to be able to talk stuff through with my therapist but it’s not easy when so much of what I feel is triggered by being in therapy with her. It’s so difficult. There are parts of me that desperately want to connect with her but other parts that are too scared to for fear of being mocked and then abandoned.

Sometimes it is easy to be swept up and away with how bad it all seems. It can feel like there is no light at the end of the tunnel, and there is no point in continuing. It can quickly become a negative downward spiral. A (perceived) bad therapy session can leave me feeling desperate and helpless and adds fuel to the fire of intense and difficult emotions I’m already battling.

To know that I am not alone in this kind of struggle makes me feel less weird, a little less like there is something very wrong with me, and is helping me move towards the realisation, that ‘f*ck!Things weren’t right when I was small and IT WAS NOT MY FAULT!’ How I am now is a product of what was done to me. What an enormous revelation that is!

It’s also comforting to know that other people are struggling with the constraints of therapeutic relationship (argh boundaries!), feeling deeply attached but also terribly vulnerable, repairing ruptures, having good and bad sessions, cancelling and uncancelling sessions, sitting in silence, raging and longing, moving and stagnating. We’re all giving it a good go and it really isn’t easy! I certainly never imagined therapy could be like this when I entered into it years and years ago.

Over the years, I have seen so many therapists and yet I have never got to this place with any of them – which is both a blessing and a curse! I am finally connecting with emotions after years of talking about the events of my life in a detached way – like whatever I am talking about has happened to someone else. But now I feel like I am caught up in something that I am entirely unprepared for. That’s unnerving.

I like to be in control and therapy doesn’t feel like that right now because adult me isn’t there all the time. There are young ones in the mix now and they are not quite so adept at filtering the feelings that come up. They act out. They are clingy and needy at times and at others completely shut down and avoidant. I really struggle with disorganised attachment: sometimes I totally trust and feel safe with my therapist and at other times I feel like the therapeutic relationship is dangerous and is ultimately going to hurt me.

Reading your blog posts is comforting but also totally harrowing at times: how can it be that there are so many incredibly lovely people out there feeling this way? Why should it be that such vibrant, intelligent, caring individuals who have so much to offer are living day-to-day struggling to exist in the wider world trying to pretend that they are not wounded? The attachment wound it so big it is overwhelming and yet it’s as though it doesn’t exist, or isn’t allowed to exist.

It’s like Mercutio in Romeo and Juliet when he has been mortally wounded by Tybalt. Benvolio asks if he is hurt and Mercutio replies:

‘Ay, ay, a scratch, a scratch’

(Romeo and Juliet Act 3:1)

And that’s what we do most of the time. We play it down. We cover it up. This is not for our benefit, but rather to try and keep up appearances, to not rock the boat, to not let people down…and strangest of all, to not let the perpetrator of the damage know we are even hurt.

We don’t ever allow anyone close enough to show them how damaged we really are because somehow the culture in which we have been raised makes us feel that there is something inherently wrong with us. So we try very hard to carry on with life, and we do a pretty good job at living with the wound (indeed some of us have even managed to block it from our consciousness). It’s always there, though, and depending on how we move and flex our minds and bodies dictates how able, or not, we are to go on with the show.

My goodness aren’t we great actors and don’t we have insane levels of stamina? But sometimes it gets too much doesn’t it? It’s too real, too painful, too exhausting, too bloody gory and we just cannot carry on. We finally reach a point where we must discover and face our own truth. We can’t live like this any more. We need to be honest and tell someone about our injury. We need help.

In Mercutio’s case it’s his best friend Romeo to whom he tells the truth:

ROMEO: Courage man, the hurt cannot be much,

MERCUTIO: No tis’ not so deep as a well, nor so wide as a church-door; but ‘tis enough. ‘Twill serve. Ask for me tomorrow, and you shall find me grave man.’

Mercutio admits that he has been injured and that he will die as a result.

Sometimes it is not immediately apparent to us where our wound has originated from because over the years there have been many, many wounds inflicted and so that the attachment wound gets overlaid with other things and becomes simply ‘depression’ or ‘anxiety’ or ‘stress’ or ‘self harm’ or ‘x y z’.

Eventually the inevitable happens: we can’t really function. We reach a time where it becomes almost life and death and we are teetering on the edge. Sometimes the breakdown is averted and other times a breakdown is exactly what drives us into therapy.

Often it is in therapy that we finally realise what the problem has been all along. Sure there are loads and loads of other life experiences that we work through and process. I would hazard a guess and say that most people don’t walk into the therapy room for the first time, sit down and say, ‘So here’s the thing, I am suffering with the fall-out of developmental trauma and my attachment systems are causing me to struggle in relationships and in my life in general’. How wonderful it would be if we did though?! I’d have saved thousands of ££$$ if I’d have really known what I was dealing with in the beginning.

Instead, over time we gently peel back the scab layers that have sort of healed over but not quite. And then we reach it. The core wound. And my god it’s fucking enormous. It’s like staring down into the abyss. How was this level of injury ever survivable? How could a small child endure such damage and still live? Well in my case it came through shutting down/dissociating, repressing memories, and freezing that little girl back in time as well as attacking myself, in various ways, for years.

I have grown up now. I have an adult body. From the outside I have the trappings of a successful adult life: some decent qualifications, nice house, wife and children. But there are certainly parts of me that have not emotionally matured. There are several parts loose and unhappy inside.

When faced with the wound, instinct tells you to run far away and try and forget about what you’ve seen. It’s too much.  At the same time another part of you awakens the moment that gaping wound is exposed to the air. Despite everything, the child is alive still. Its need for love and care and holding is still there as much as it ever was back in the past and it is terrifying to the adult. The feelings are enormous. The need is overwhelming. What on earth do you do with that?

How can you care for that smallest part of you when it isn’t your care that the child wants? Indeed, that child has no idea that you even exist. The child wants the love and care of the person who has helped uncover the hidden it. It is that caregiver to whom the child is now attached. They want the person who has taken the time to draw that wounded small child out to rescue them. Session after session of steady work, of calm, understanding, validating conversations lead to this moment. The child loves the therapist how could it not?

The child’s hopes of being loved, held, and contained unconditionally reawaken in a flash, and there it is. Hope is ignited. Maybe this time that hole, the wound can be filled with the therapist’s love. If we can just get enough of it…

Oh, if only it were that simple!

It’s only natural that when you realise that you are severely injured that you would want to pack the wound, fill it, and close it over. The desire for the wound to heal is huge and it often feels like the only way to heal it is for the therapist to pour more and more love, and time, and evidence of care into it. If we could only get more contact with our therapist, more sessions, contact between sessions, more tangible verbal reassurances, physical holding, and emotional containment then perhaps this wound will heal up. We scream out for ‘more more MORE!’ of the good stuff…

There’s a problem, though. This wound is like a bottomless pit isn’t it? No matter what you throw into it, no matter how you try and pack it, it never fills. It can’t be filled by the therapist’s love alone. We can’t sit back and watch and hope that this person can magically fix us. We have to turn around and look deep into that hole and see how it is constructed because it is us that holds the tools to be able to heal and mend it.

It is agony staring down into that dark place. Realising just how much pain it contains is enough to send you insane. Somehow bit by bit that hole will fill and we won’t feel so empty, one day. We will learn to love ourselves and feel good enough and steadily those edges will close in. There will always be a scar, though. We can never fully take away the injury. I’m nowhere near healed. In fact writing this I can feel that hole gaping wide.

From what I can tell, not many of us feel comfortable exposing this wound to friends and family in any real depth. We might be able to talk about feeling depressed, or even allude to how bad things were when we were growing up. But when it comes to the intense feelings we feel towards our therapists and how much that impacts us on a day to day…well, it’s little wonder we don’t share that. It’s totally cringeworthy.

A lot of the time we struggle to admit the feelings we have about our therapists even to them in a therapy session so there’s not much hope of letting that out to others! We can’t face the shame, embarrassment, or the pitying looks but also the lack of understanding we are so often faced with.

Despite all the recent publicity and trying to normalise mental health issues in the media it just doesn’t always filter down into families. It feels like this in my wider family: ‘yeah, mental health issues need to be talked about and there needs to be more funding for it. Isn’t it terrible? It’s lucky that no one in our family struggles with their mental health. We’re all jolly and normal aren’t we?…what breakdown? Oh no, that wasn’t a breakdown it was a gap year, she didn’t want to work. She’s fine. Anorexia? No, no, she’s naturally thin and athletic…’

There is so much denial in my family about what has and hasn’t happened, who does or doesn’t struggle, that it’s almost funny. I can sort of accept the wall of pretence from outside the house and notch it up to ‘my dysfunctional blood relations’. I find it far harder when I face criticism and/or lack of understanding at home.

I’m sure it’s not just me that gets these kind of wonderfully helpful soundbites directed at them when the blood starts to seep through a bit and the ability to hide the gaping hole is lessened:

‘What have you got to be depressed about?’

‘You need to learn to let this go.’

‘You can’t change it so don’t let it bother you.’

‘Why can’t you see all the positives you have in your life?’

‘Why am I not enough for you?

‘Why don’t you let me in?’

‘Your depression isn’t getting any better.’

‘I won’t watch you destroy yourself again.’

How much therapy does one person need?’

‘Your relationship with your therapist is unhealthy.’

‘I don’t see any improvement in you since you’ve been in therapy, if anything I think you are worse.’

‘You need to try harder to be happy.’

‘I feel like there’s a huge part of you that I just don’t know, why won’t you talk to me?’

‘Can’t you just put it all in a box and forget about it?’

I could go on and on and on but I’m sure you get the idea and have several of your own to throw in there.

When, periodically, faced with those kind of statements it makes it incredibly difficult to open up and be honest about how things are. I think this is, in part, why the therapeutic relationship becomes so important to so many of us. We just do not have anyone who really, genuinely, can listen without judgement. It’s hard to be your real self when your true self isn’t what people want to deal with. They like the one that hides the wound and soldiers on.

Sure, our loved ones love us and care deeply about out wellbeing, but it is also so hard for them to witness how bad things can be for us. It’s not easy witnessing so much pain and being powerless to really help. They can’t fix us. They don’t really understand us. They don’t see the child inside or if they do, what on earth are they meant to do with it? They are desperate for us to be well and happy but it’s not a quick solution…and often in therapy things get worse before they get better. I think that must be terrifying for them and so it is understandable that, at times, frustrations air.

The problem for a lot of us is that we fear abandonment and rejection so much that these kind of statements can make us hide and build our walls even higher. I, for one, am a highly sensitive person and so any kind of criticism like that really hurts me. I feel like the emerging self is not the one that people want to know. The high-functioning adult is far more appealing than the vulnerable one who can’t just cope with anything that’s thrown at it.

I’m aware that this is a massive ramble and I haven’t really said all that I want to. It is certainly a subject to come back to at some point. As I have been writing this I can feel the little parts have really started to stir. I felt very much in my adult when I began and now I feel very small and sad and lost.

The little girl inside realises, yet again that Mummy isn’t coming and the idealised replacement mummy isn’t really a ‘mummy’ to her at all. Ouch!

And so, I guess, this is the bit where my therapist would say that I somehow need to summon up my adult, the one that is a mummy to two beautiful small people, and get her to pick up that little girl and hold onto her tightly, tell her she is loved, and that she is safe. I so want to be able to do that for her. I absolutely want to soothe that part of me but right now all I seem to be able to do is watch her suffer. I have no idea how to make things better for her. I know before long I will end up attacking myself because the pain is so overwhelming and that doesn’t help anyone.

The mother wound is gaping today.

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Not waving but drowning

Things aren’t easy right now. I mean, they’ve never really been ‘easy’, but lately it’s really felt like a huge struggle to keep going. I am increasingly turning inwards and shutting the world out. Life feels more about survival than living right now, and if I am completely honest, there are days where I am not all that bothered about the survival side of things.

If it wasn’t for my kids I am not sure I would be here…and that is sad because surely, by now, I did ought to feel like I have some self-worth and value. I should be able to look around me and see the love that surrounds me, the family I have created and the support network of friends who truly value me and think, ‘do you know what? I am still here. I survived some horrible things. But the past hasn’t broken me and cancer hasn’t beaten me. I need to live for now and appreciate what is here right in front of me. I am a good person. I am loved’.

But, and there’s always a ‘but’ isn’t there? When I am stuck in this dark place I really struggle to see what I have. When the little ones and the teen are present (which is pretty much all the time right now) they can’t see what’s right in front of them because they are not of the here and now. They can’t understand or trust the safety that I have built for all of us because they live in a constant state of fear and hypervigilance that is playing out on a loop from decades ago. They don’t need a wife and children they still need a mum. They feel unloved and unimportant. It is that wound that is festering and overriding my ability to feel like I matter. It is my job to fix that but I’m finding it really hard.

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So when it is crappy, like now, if someone says anything like, ‘you need to live for now. You’re not a child anymore. You have control. You don’t have to be hurt and upset about what happened when you were little. You are the adult and you are not a victim. You are healthy, you beat cancer….it’s time to move on, Let it go’. I literally want to smash them in the face and tell them to f*ck right off because they have no idea. I think maybe that’s the teen and her anger coming up? Or perhaps it is my adult who is just sick to death of being told how and what to feel.

Whilst I know it is true I just do not need these messages from other people. I have had my feelings invalidated my whole life by my family, and often by myself (I hate that Inner Critic) and sometimes I just want a bit of empathy. Sometimes I need to hear that it’s ok to feel sad, let down, abandoned and that it’s not possible to be strong and together all the time. Sometimes it’s ok to need someone else to help make things better. Sometimes it’s ok to not be self-sufficient. Having needs is normal.

I don’t really know where I am going with this. My head is a mess. I’ve been steadily losing faith in the idea that things can and will improve and that I am not destined just to be battered by every storm and wave that comes in. It gets to point sometimes where I am just so damn tired of battling with myself that I just think, ‘if this is how it is going to be then I am done with it’. I just don’t have the energy to keep putting on a brave face.

I have always struggled with my mental health and when I feel like I do right now it’s sometimes hard to recollect the good times. The times when there was fun… and LAUGHTER. Oh my god! I need to laugh again soon. I am naturally quite a serious person (or maybe I became serious because I had to be a grown up from a young age?) but I am also funny…when the mood takes me. But it’s been such a long time since I laughed, I honestly feel like I barely smile these days. Is that just depression? Or not having a decent social life? Or have I simply forgotten how to have fun?

When I was at university my best friends and I were fans of  Finding Nemo, or more specifically, the character of Dory. (Nothing like a bit of Disney and cold pizza to work out a killer hangover)I mean, her life story was pretty tragic, she’d lost her family and was all alone, but she had this blind optimism and a mantra to rival any motivational guru: ‘just keep swimming, swimming, swimming’ and not only that, she could speak whale! What’s not to love, right?

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I sometimes wonder if I should be trying to be more like Dory? Just keep going/swimming, try and make the best of a bad situation, and wait for something positive to happen. Maybe I am just not trying hard enough to be happy? That’s how I feel sometimes and it’s how people close to me sometimes make me feel too.

The thing is, Dory has one thing I don’t, and that’s memory loss. This is a big problem for me. My memory is crystal clear (ok, it’s all a bit of a blank before I was five years old… but then there’s a shit load of repressed memories in that blank space that are only now coming to the surface!).

I wish I could forget some of the things that have happened to me over the years. I wish I wasn’t haunted by my childhood and dysfunctional relationship with my mother. I wish I could simply block out some of the later trauma in the way that I blocked out the horrible stuff as a small child…but my brain doesn’t work like that. I have an almost photographic memory for events and conversations and so I can bring them to the front of my mind in an instant.

I might forget when I have a doctor’s appointment that I booked a few days ago, or what I’d agreed contribute to the PTA school Christmas party (yes, really, you’d be suicidal too!) but ask me about the time my mum woke me up and then instantly flew into a rage when she noticed I had put some laundry on the radiator in my bedroom to dry, and literally threw me out of the house wearing nothing but a nightdress/large t-shirt without underwear or shoes or when I was sixteen, then I can tell you word for word how that went down. I can tell you what it felt like walking half a mile to a friend’s house pulling my t-shirt down as low as I could, praying that I wouldn’t be seen, and that she’d be in.

That’s not a big thing event by any means, it’s just one of many odd things that happened, but has just come to mind as I am writing this in bed wearing similar. I can tell you how the regular, ‘I wish you’d never been born’ statements hit me deep and yet how over time I learned to stand there and take my mother’s onslaughts, unaffected, stony still. It used to drive her wild being unable to evoke a response in me. I guess that’s why I struggle so hard now to tap into my emotions, I learnt how not to show and not to feel emotion.

I remember so clearly the first time I deliberately threw up after eating and the satisfaction of how easy it was. The relief of an escape to the bathroom a few times each day to purge away some of the hurt and pain I was feeling. It doesn’t feel like 18 years ago that I was in the bath, razor blade in hand carving intricate criss-cross patterns down my forearm and watching the blood drip into the water and disperse. All these episodes are there in the archive just like it was yesterday.

What I am trying to say is that unlike Dory,  I remember how shit went down…every…tiny…detail of it. My brain has a video vault that plays periodically (sometimes when I sit in therapy) of episodes where I am terrified, neglected, uncared for as a younger child or flat out abused and victimised as a teen. I try not to think about it but sometimes it just comes up. It’s hard to escape it.

Sometimes when I am silent and blocked in session in one of my younger states my therapist asks me what I might need or needed back then – some form of holding usually…and asks me if there are any memories I can draw on to remember that feeling. I think she thinks I am being difficult when I say ‘no’ but it’s the truth. As I child I cannot recall even one occasion where my mother held me either when I was in pain or just through the sheer desire of wanting to hold me because I was her child and she loved me.

There has always been an invisible barrier between us. I’ve said before that my mum doesn’t touch me, even now. It’s not a new thing. And that’s partly why I am finding the ‘no touch’ boundary in therapy so hard. It really is just highlighting how sad I feel about not being held by mum. It really reinforces that sense I have of being untouchable and unlovable.

I keep hoping that things will change with my mum. I keep giving her opportunities to step in and step up but she doesn’t. When I text her the other day to tell her that my friend had died and how upset I was, she didn’t call me, she managed a text reply, ‘Sorry to hear about your friend. Work is really busy at the moment and I’m tired. Mum’ That was it. I was instantly hurt by the message. Why couldn’t she for once take herself out of the equation and just be there for me? Why is it always about her? I couldn’t care less if she’s tired right now….it’s not a competition, rather tired than dead eh mum?

My wife says I need to stop reaching out because I am always disappointed. I know I have talked about waiting for hope to die. But when I am sad, and my god I am devastated about my friend dying, the emotional part of me is so present and that part is young. That part hasn’t grown up yet. That part still wants mum, even if she is not the mum I want or need. It’s tough.

I know I am a grown up. I have survived. The wrinkles, grey hairs, and radiotherapy tattoos show me that I am not a child anymore. But my adult is struggling to keep afloat as I try to carry the weight of several younger parts, that can’t swim, on my back. I really want therapy to go well today. I want to be able to relax and just be how it is but I fear I’ll do one of two things: shut down and freeze through sheer overwhelm or pretend like everything is ok and put a front on. And that’s the danger, for so long I have done such a good job at waving that no one sees that I am actually, now, drowning.

 

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Do not touch!: therapeutic holding and containment…or lack of it!

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So, the ‘holding in therapy’ conversation sort of came up on Monday. It was only a matter of time before it made it into the room wasn’t it?

Spoiler alert!: hugs aren’t going to happen in my therapy.

Part of me is like, ‘meh, this is old news! I already knew this, even if we hadn’t actually discussed it’ and another part, actually, several of the little parts of me are so devastated that they think they may die of grief.

Sounds melodramatic doesn’t it? – but it’s how it is. I’m not going to dress it up or downplay how this feels because I just need to let it out in whatever form it comes….which is probably going to be messy just like my mind.

I’ve now had a chance to sleep on all that happened in Monday’s therapy session twice, and to be honest my brain is still all over the place about it.

I wanted to post something yesterday but found I couldn’t write. As I so often say in therapy, ‘I don’t really know what to say’… but there’s also something about not knowing how to formulate my thoughts clearly on the page when I am still trying to work it out.

I’m hoping that today, writing will help process it all a bit.

Anyway, I’ll start at the beginning and work my way up to the end…

Before I even arrived I knew that my session was going to be difficult (again). I have totally come out of the breezy, rational, coping, adult state I have been in for the last couple of weeks and have landed back in ‘shit has hit the fan, child parts running loose’ state. I guess the emotional bit of me is back in the driver’s seat and the rational bit has done a runner. It’s quite scary really because the current drivers are way too young to hold a licence yet and so it really feels like a bumpy ride right now.

As soon as I sat down in the room I was super aware of my body. It felt like a strong electric current was passing through it. I felt shaky and buzzing. It was horrendous. It’s so unnerving walking into such a calm, quiet space only to be fully confronted with my body’s reality: it was neither calm nor quiet.

I am always really aware of the physical sensations of my body when I am in the therapy room. I guess part of it is because, for so long, my therapist has directed my attention towards how my body is feeling in session. I wish I could say, ‘it’s fine, calm, and settled’ rather than the usual, ‘anxious, buzzing, and jumpy’ response.

There were a few problems with the session for me from the outset. Firstly, I had decided that having not really ‘talked’ for a few weeks about anything that was really bugging me, I’d take in my laptop to go through the last blog post I wrote. There was plenty of content to work through and I needed to get some stuff off my chest – or try to, at least.

I didn’t end up taking the blog post into session. Something had happened with my computer in the car and it meant I couldn’t access my blog offline. I wasn’t too phased, I thought it’d be a good opportunity to try and talk and bring that content into session. I could tell her what I was worrying about rather than showing it to her on a screen.

Obviously this sounds straightforward. It should be, shouldn’t it? Talk about the fear of her being gone and how terrifying it all is? Speak about feeling uncontained and being unable to be there fully with her. It would be easy to discuss those things had my brain not emptied the moment I sat down rendering me mute. It happens all the time. Whenever I need to speak about the therapeutic relationship I lose myself and my words go….I dissociate.

This partly why I resorted to taking my writing into sessions around this time last year. I would sit not really talking and feel incredibly frustrated when I knew how much I had to say and how affected by what was happening in therapy I was. I know how ridiculous it sounds, but honestly, my mind loses its ability to speak, the words go. I get caught up in all the feelings I have but I cannot talk about them and vacate the space. It’s kind of a bummer!

My therapist has recognised that part of the problem is that it is my emotional brain that is most dominant when I am like this and not my rational one (where the words reside). She often makes reference to what’s gone on with me as a ‘very early injury’ and so those young parts actually don’t necessarily have the vocabulary to talk it through in the way I would want. When she acknowledges these vulnerable parts of me I seem to disappear. It’s too much. I can’t stay.

For that part of me, being seen is incredibly uncomfortable. It feels so exposed and scared that I just can’t stay with it and with my therapist. And yet, at the same time, those young parts want more than anything to be seen, held, and contained because they never have been before. I didn’t get enough physical or emotional containment as a child but I know I need/ed it. I know that’s where this fucking huge hole in me has come from. It’s agonising, really. I desperately want to feel safe and secure and yet, at the same time, allowing someone close enough to me to be able to feel contained TERRIFIES ME.

She commented on the fact that I have told her, in the past, that she sometimes reminds me of my mum. I agreed but said that it didn’t feel positive and that actually sometimes I feel frightened of her. I loved (note the deliberate past tense) my mum more than anything but she scared me as a child. She was so volatile that I never had a clue when things might kick off. I was always desperate for her care, love and attention and yet so often things would erupt at home that I could never feel relaxed of safe with her.

This is what happens in therapy: I long for closeness and yet am always on guard waiting for something negative to happen because part of me feels it is inevitable. In therapy I fear my therapist’s judgement, mockery, rejection, and abandonment even though she’s never given me real cause to think she would be anything other than kind and empathic.

It is so difficult to have such conflicting feelings. Part of me wants to run to my therapist and part of me wants to run far far away from her. We spoke about how I struggled to trust that I was safe with her, and how it was alien for me to feel and trust in the fact that someone might care or want to know what’s going on for me. She said something about the nervous system and how the brain is wired and that it’s difficult because the body is involved not just the brain. It’s hard to calm my system down.

She spoke about how I have been with my kids and how I try and hold and contain them in order for them to feel secure but that repeatedly hitting the contrast between how I am as a parent vs what I received growing up is incredibly painful and it’s something we are aware of.

And then it happened, the holding and boundaries talk came out of nowhere (well that’s how it felt!). It went something like this:

‘If we can understand it and know that that bit needs to feel contained and held here…and I know that, here, it’s not about physical holding. I know that you are clear about the boundaries, but it has come up in your dreams. You want to be held. It’s understandable because it’s what you needed and it wasn’t around enough back then. It’s ok to feel like that in therapy. You know I have this boundary and won’t cross it, but it’s still the idea about needing to feel a bit safer in this space, emotionally safe. It is important. It’s not the same as physical holding but it’s what we can do here bit by bit and that might feel quite frightening because it’s so alien’

I was a silent for quite some time after that.

As she was speaking I could feel the little parts of me crumble on the floor. It was a sucker punch. I froze and went somewhere else. I ended up where I always go, a huge dark grey space where there is absolutely nothing at all and I am totally alone. Only it’s not me, the 34 year old adult, standing there in the emptiness, it’s a tiny two year old little girl standing there in her nightdress holding a well-loved soft toy rabbit by its ear wondering why she is alone and there is no one there to pick her up and make her feel safe.

My therapist asked me what was going on for me, but it was close to the end of the session and I knew I couldn’t say everything that had just been triggered in me. How could I articulate any of what I felt? Her bringing up ‘the boundary that will not be crossed’ (touch) has made me certain of all the things I have always felt about myself. Having shown her the real me it is clear that there is something wrong: I am unlovable, untouchable, and repellent.

My mum couldn’t bear to touch me or hold me and it’s the same with this ‘therapy mother’. I guess I sort of hoped that it was my mum’s problem and her inability to connect with me but having this conversation on Monday makes it feel like it’s me. I must do something that puts people off. My Inner Critic is having a field day:

Why don’t you ever listen to me? I’ve told you time and again that you are a loser. No one loves you. It is you. It’s not your mother that’s the issue. How could she ever have loved you? Just look at you! Pathetic. No one wants to be around neediness. It’s so boring. You are boring and disgusting. Why are you so shocked that your therapist can’t bear to be near you? Why on earth would she want to be? If your own mother can’t even tolerate you then why would she? Your mum was stuck with you through biology, your therapist is blessed that she has no bond to tie you to her. Give it up. I’ll promise I will look after you, as I always have, but stop reaching out for something that you will never get. You are not worthy of love and care. You are nothing.’

Rationally I know that what I have just said there is crazy but that’s what is going on in my head. It’s that voice that encourages me to self-harm or not eat. I’ve run miles every day since Monday (both literally and symbolically) and yet I can’t run away from this no matter how I try. My body aches from distance covered on pretty much zero fuel and yet my brain is no further from how it was on Monday.

I know that I’ve ignored my inner child and the pain it carries for years and years and so perhaps I need to lean into how this feels rather than run away from it? My therapy is really all about trying to deal with my childhood. It’s about trying to give space to how my inner child feels.

How does she feel?

She is devastated beyond words. She is caught up in raw, all encompassing, pain. She literally just wants to curl up and die. She feels hopeless and abandoned: all familiar feelings that I have desperately tried to avoid feeling in the therapeutic relationship. But, of course, this is where we are….it was only a matter of time wasn’t it?

The other day I commented on another blogger’s post about mother issues and said something about how I was able to accept, most of the time, that my mum would never be the mother I needed because she is not that person, but sometimes I put myself out there, hoping for her to be that holding, nurturing person I needed as a child and when she doesn’t fulfil that need (because actually she never has been able to) I am devastated. I think this is what’s playing out in therapy right now.

My adult knows that my therapist is just a therapist, is grateful for her as a therapist, and can handle the constraints and boundaries of the relationship. BUT, and it is a huge BUT, there is the little girl part of me that still holds out hope of there being a chance of mending what is broken inside me. Maybe there is one last chance to fill the hole that was forged so long ago?

The little girl in me desperately needs to be loved and held and contained and is attached to my therapist. Right now the grief I feel is not about my mum, it’s about her. I had transferred that ‘hope’ onto her which has made how I feel about my mum more manageable…but now it’s all caught up with me again and I am grieving two attachment figures at once.

The little girl doesn’t understand that the window for meeting these young needs has gone because she is still alive in me, frozen in time, trapped in this grown up body. She longs to be held both physically and emotionally by the new attachment figure. But as I said in my comment the other day in relation to my mother it takes a long time for hope (of love and holding) to die. But I think I am one step closer to that after Monday. There is no hope now – either from my biological mother or the therapy mother.

I walked out of therapy and immediately wanted to self-harm. The urge was so strong. I was lucky that there is a 45 minute drive home because had I not had that time to decompress I would be a right mess now. I didn’t self-harm but the thoughts are not far away – if I am honest those thoughts are front and centre. It is really all about trying to hang onto myself right now and not go spiralling off any deeper into that attachment pain. It’s not easy.

When all this happened I talked it all through with a friend and she, as usual, had plenty of helpful grounding comments for me. At least part of me understands that this boundary is my therapist’s and for whatever reason it’s something she sticks to. It could be her training and the type of therapy she does that makes touch a no-go area or it could be about her own issues and comfort around physical touch.

I have got to try and hang onto the fact that this is not a reflection on me and that my needs and wanting to be physically held by her aren’t the problem. It’s not like it’s one rule for me and a different one for everyone else (at least I bloody hope that’s the case!). I won’t lie though. This has really hurt me in the place that I try to keep protected.

I know that physical touch is helpful to lots of people in their therapy and so it’s hard knowing that that cannot, and will not ever, be part of my therapy. What I do know about this, though, is that emotional holding is vital in therapy. You can have all the physical holding you want in session but if you aren’t also emotionally held then you don’t cope well outside the room. Hugs are great but only in addition to emotional holding.

Ah, there’s the problem, though…because I don’t feel emotionally held either. FFS!!!! Or rather, I can’t hold onto the sense of feeling emotionally held and contained if I am not in the room with my therapist. It all falls apart and disintegrates when I leave.

I know that the goal is that I should reach a point where I can hold and contain my own emotions but that seems like a long way off right now. I keep trying, though. I had a go at the visualisation things a few times – they categorically do not work for me; I’ve listened to music to try and help feel grounded; hell, I’ve even picked those fucking pebbles from the beach to try and have a transitional type object….and yet none of this is doing anything for me right now because the emotional holding needs to come from the therapeutic relationship and not from brain training! My brain will rewire itself once it has experienced being contained.

It’s really hard because I don’t really know how to move things forward with that. Right now I can barely look at my therapist in sessions and feel like she is a million miles away. Who knew that a couple of metres could feel so huge? I feel so removed and distant from her. I guess that’s maybe why I have been so caught up in seeking physical holding. I don’t know.

I’ve sort of run out of steam here with this and I have to leave for my friend’s funeral now. I know, I could write more and post at a later date but for now, that’s all I have in me. I guess I need to come to terms with lots of loss today.

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When therapy hurts: part 2

So, since my last post When therapy hurts: part 1 my week has been a bit up and down but I’m in a significantly better place than I was on Monday evening, thank god! I think I might rename myself ‘Flux’! Perhaps it could be my online name. It’s got a good ring to it, don’t you think? -and slightly less of a mouthful than rubberbandsandchewinggum!

I’ve been meaning to get on and write this post all week but just haven’t been able to for some reason. I’ve not been very busy, I just can’t really think of anything to say. I’m not very motivated to write. I can’t really be bothered with it. I know there’s no one forcing me to do it. There’s no pressure. It’s daft really. I am procrastinating. It almost feels like this is a piece of ‘homework’ I have to do but am resisting doing it. I think there’s a lesson for me there, don’t put ‘parts’ to posts. Last time I did it I had exactly the same predicament and got blocked.

I think maybe there’s another element in play too: ‘What’s the point in writing about it? Saying how bad I feel about things in the therapeutic relationship isn’t going to change anything, so fuck it all’. This attitude and reluctance to write makes a lot of sense to me, now, because I have finally identified the part that has been so dominant lately both in sessions and out of them. It’s an older teen part. She’s broken and pissed off.

I guess I feel about 17 years old which was a really tricky (also read ‘fucking horrendous’) time in my life: home was hideous, my mum was incredibly abusive ALL THE TIME, my anorexia was in full swing, self-harm was the norm, and I was in so much emotional pain that I could barely function.

I know it’s a huge cliché, but I had fallen in love with an older woman (a student teacher in my school -oh but of course I had!- huge huge eye roll!) and couldn’t tell her, or anyone for that matter, about how I felt. She’d moved away when I was 15 but we were very very close for a couple of years, speaking every night on the phone but as ‘friends’. I’d visited her a few times up country, being very intimate but not in a sexual way, and then the shit hit the fan when I became so ‘intense’ and needy that she basically cut off all contact with me.

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At the time it was meant to be a ‘three month break’ from contact but it devastated me like a breakup and once I’d been hurt I couldn’t go back to that relationship in the same way. I came out the day after the ‘let’s have a break from each other’ phonecall because I literally couldn’t stop crying and was beside myself. It didn’t get much better when I did come out, though, as a large chunk of my social group stopped talking to me and silence used to fall whenever I walked into a room…. So yeah, all in all it was a fairly traumatic time in 2000!

So when I am in that teen state I trust no one and shut down but am also hugely on guard, devastated, hurt and angry inside. I won’t let anyone in because I will not be hurt again like I was back then. I won’t express my feelings, in fact I’ll try not to feel anything at all, because I don’t want to be abandoned and rejected again by someone I love.

My therapist doesn’t stand a chance when I am in this state because the parallels of the relationship I had back then and have now with her are all too clear to me. She’s another woman, ten or so years older than me, who I talk to a lot but don’t get to see in person outside of the focused time,  someone whom I am very attached to but the power in the relationship is unbalanced. I don’t want to ever feel like I did at 17 again and so I won’t make the mistake of telling my Em how I feel her when I feel like this.

Fortunately, I am not physically attracted to my therapist, I absolutely see her as a mother figure (which isn’t easy either is it?!), but it’s also more than that. It’s quite hard to define exactly what she is to me. Of course, she’s my therapist, but I’m sure you know what I mean, it’s kind of the mother/big sister/best friend/fairy godmother idealised sort of thing and sometimes it’s none of those things. It’s a strange relationship, for sure!

I always really worry that my therapist will read my feelings and behaviour from the perspective of me having erotic transference because I am gay. She may not, I don’t know. I guess it is a sensitive issue for me. I have been rejected on the basis of my sexuality so many times. I worry that she only tolerates me because she has to. Unconditional positive regard is a cornerstone of therapy and yet part of me wonders if she is repulsed by me and just can’t show it?

It’s horrible to always be doubting the quality and authenticity of the therapeutic relationship. I know it shouldn’t matter even if I did feel attracted to her and that it would form part of the work but I just feel so fragile about this, even having come out 17 years ago, I still feel really vulnerable talking about my sexuality with her and I have only once brought up that massive heartbreak I had in my teens in all the time we’ve been working together.

I appreciate that I am rambling here and not really saying anything about ‘when therapy hurts’. I think this is what happens when I am fairly buoyant or in denial or both. I’m not really sure how I feel today – disconnected from myself is probably a good way of describing it. I know all those horrible feelings are inside and that the little ones are struggling but somehow they feel completely detached from where I am right now, they’re not front and centre.

It’s not a bad thing. I am functioning and frankly there have been too many days lately where I have struggled to. The teen part doesn’t need to be on guard and ready to fight because she doesn’t need to protect the little ones quite so much.

Since Monday I’ve been yo-yoing which totally follows my usual pattern of emotion after a session. I am always distressed, doubting, and devastated the day after the session. I feel abandoned, rejected, and hopeless. Ugh. It’s crap. I feel generally pretty rubbish until Thursday. By Friday daytime I feel as though I have survived the bulk of the week and can count down to the session on Monday. Friday evenings can be tricky, though, and so can Sundays. It’s almost like hope in the relationship and its potential is rekindled towards the end of the week, but then because I feel open and hopeful doubt can creep in again because she could hurt me.

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Another blogger, who I’d like to think I can call my friend now (you know who you are), has been really helpful in giving me another perspective on things and challenging how I have perceived what’s happening in my therapy this week. She’s annoyingly perceptive and her input has certainly helped me get my head together a bit.

I complained to her on Monday about how I’d felt my session had gone. I’d basically not been able to talk for the first 15 minutes and then handed over my laptop and asked my therapist to read the blog post I’d written. I sat there crying behind my hands as she read it and yet when she’d finished we didn’t really talk about any of it. I felt frustrated that I had shared all that content and yet we weren’t talking. Or that’s how it felt at the time.

However, on reflection it is clear that I was dissociated. My therapist asked again which part had come to session. And she very gently talked with me. She commented on lots of areas but it was me that couldn’t/wouldn’t engage and she didn’t push me. We just sat with how things were. She actually did a good job. I just couldn’t see it at the time because I wanted more. When I feel like that and am pushing her away it’s almost as though I am testing her to see if she’ll stay with me.

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She can’t win, though. She cannot communicate effectively with all my parts in a session because they all need such different things and approaches. What is right for one is completely wrong for another. It’s a minefield. The little ones need holding and soothing with that soft, warm voice that feels like a virtual cuddle; the teen needs reassurance and care and to be listened to and for her feelings to be validated; the adult needs to be told everything is ok and that there’s no need to be embarrassed or ashamed about the feelings that are coming up; the critic needs to be heard and wondered at. It’s not easy for her and I know she is doing her best although sometimes doesn’t get it quite right…

Shortly after she’d read my blog post she brought up something about payment – it was crap timing but I suppose there’s never a good or easy time to talk about money in therapy. I’ve been really poorly for a few weeks and on one of the session days I had done a Skype session because my son was ill, I ended up getting sick that day too.

I have basically been floating around on autopilot with no voice and propped up on pain killers and antibiotics for the best part of three weeks. Anyway, apparently for that Skype session and the one following it ,she hadn’t received my payments and yet last week did (but for just one session not the three I’d had) so she brought it up. I had been sitting in silence,not really, and I think the conversation was meant to engage my adult but also open up a conversation about resistance in the therapy.

The thing is, I hadn’t not paid her to send her a message. Hand on heart it was just a complete accident. I know what had happened because I’ve done it before making online transfers. I hadn’t confirmed the final page of the online transaction. I always go online shortly after the session and pay but obviously on these two occasions my brain was not fully in the game. I’d gone through the process, got all the details up on screen and just not scrolled down to confirm.

My therapist commented that I always pay promptly and suggested that maybe it was some unconscious communication about not really wanting to be there with her or something. I’ve said it enough lately that I haven’t wanted to be there (teen part can be quite dismissive of her) but that wasn’t what had happened in this instance. It was just a cock up and my autopilot had malfunctioned. It kind of threw me off balance a bit.

It made me think about a recent post by Life In A Bind – BPD And Me:  How do you pay your therapist? The answer could be part of your therapeutic work.  about payments and what they can reveal about the therapeutic relationship. I honestly don’t think I was unconsciously trying to send her a message by messing up the payments. I think, no , I know I was ill and just not functioning very well. In fact I am usually so quick in making payment to her when I get home or sometimes even before a session, despite the fact that she says she is happy to bill me monthly, because I value her so much. So meh, it was a bit of a weird conversation to have in the middle of the session.

What else has happened this week? Well another ‘interesting’ thing I’ve done is started looking around and researching other therapists. Uh huh. Yes. I know!

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Of course it’s all a reaction to feeling so completely lost in the relationship and like things are disintegrating between us. Googling therapists came from a place of sheer desperation. That was Wednesday. After a bit of research and contacting a therapist I realised that I really don’t want to work with anyone else. I don’t want to chuck three years of therapy away. I just want to get things sorted in the relationship I have….if I can. I just don’t know if it’s possible.

I certainly know what it is that I need to feel more secure between sessions and in the relationship more generally. Essentially, I need to ask for some boundaried contact outside the sessions, whether it be a midweek text just to ‘check in’, or a quick phonecall later in the week just to maintain the connection. Basically I need some form of confirmation that we are still connected in the relationship so that the sessions don’t bomb on a Monday because I have lost all sense of her in the week and don’t trust her to be there and not abandon me.

Monday is going to be hard because I am completely rubbish at expressing my needs. I don’t like feeling so dependent and needy. But mostly I am massively fearful of her refusing to do either of those things when it will take a serious amount courage to ask in the first place. I asked for a double session just after Christmas and she said no and I basically ended up self-harming because I feel so stupid for expressing a need and not getting it met. I know that I will feel so rejected and uncared for again even if there is a good reason for not engaging in either of those activities, from her perspective.

I guess looking for another therapist was about rejecting my therapist before she has chance to reject me. This therapy business really isn’t easy is it?…particularly when your attachment style is disorganised and your cumulative life experiences/relationships have only heightened your fear of abandonment and rejection. Looking back over some of my close relationships, it’s almost as though my attachment style acts as a map to create these issues time and again. I either push people away, shutting them out so they end up leaving or I cling on so tightly that they feel smothered, or yo-yo back and forth between the two. I hope my therapist can handle my volatility. I think she can.

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So back to the title, which I really haven’t stuck to at all – therapy hurts sometimes, a lot of the time actually, and sometimes it doesn’t. Right now I feel ok about how things are, like I might have turned a bit of a corner as I head into the weekend. I really hope that I am able to go to session and talk it out with her on Monday. The problem is, I have no idea who will arrive in session, how long they’ll stay for, or who else may show up along the way.

I guess we’ll wait and see!