A Return To Therapy: A Tale Of Two Sessions

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Bonus!

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

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

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

I had none of that.

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

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

She wants to cry about it.

And maybe she might start crying about it in therapy.

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I don’t know what to do.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I hate indecision!

 

 

Grief.

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

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

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

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

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

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

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

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

Last night’s dream:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Ouch.

‘I’m watching the weather channel and waiting for the storm’

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I’m sitting here now, four days after my therapy session, trying to compose some kind of readable post but I still don’t really know what to say other than it was really bloody hard being in the room on Monday…

I knew that there had been something big brewing as I headed into the break and whatever ‘it’ was had been steadily gathering power and intensity during the break. By the time it was time to resume therapy last week, it felt as though I had an emotional hurricane inside me but there was part of me that just wasn’t ready to face it and so my adult symbolically battened down the hatches and the children went into hiding during my sessions. I talked but not really. Externally, at least, those two sessions functioned as the calm before the storm.

I should know by now that concealing the hardest stuff (the young, vulnerable, needy feelings) only makes things worse for me in the long run. I can feel the child parts almost immediately start to get agitated in session when they have stuff to say and I keep overriding and silencing them.

I can feel their distress steadily building. I can see the very smallest ones in my mind’s eye absolutely distraught, wailing in the corner, and yet, more often than not, I continue to ignore them, or gag them until they basically have no choice but to have a complete meltdown, en mass, when I am on my own! It’s hideous. I don’t know why I do it! Oh yeah, I do, too much shame and embarrassment about having these feelings and needs in the first place!

When there is a lengthy break my child parts definitely don’t get a chance to be seen or heard by anyone but me and therefore their emotional distress escalates. The metaphorical rain cloud that hovers over my head most of the time between sessions becomes a full-on internal shit storm – sorry- hurricane! It’s just awful and really hard to contain. You’d think, then, that returning to therapy would be the perfect opportunity to start to settle some of the turbulence and anxiety but no…

One of the biggest problems after any significant disruption is that I am never sure when I enter the room whether I am going to be on my own facing the potential destruction that my internal storm will cause when it touches down (and that is terrifying – I don’t have the skills to weather this on my own yet), or whether, actually, she (my therapist) will be there, a professional storm-chaser, ready and waiting to witness it all with me and guide me through it. I’m always hoping she’ll be there, fully prepared – someone who sees beauty in chaos and who will be able to reframe the potential destruction of the storm as something positive:

‘Yes, the hurricane will wreak havoc, but don’t worry! I am experienced at navigating storms – it’s what I do. I know how to keep us both safe. I’m not frightened by these tempests, and I will show you how to remain secure and grounded when everything starts swirling and flying about. It will feel scary and some things will undoubtedly get destroyed. The storm will sweep away the derelict and dangerous structures that currently exist, those that aren’t really fit for purpose anymore, and in their place there is the potential for us to build something so strong that it will be able to survive any future storms.’

(Or that’s the kind of thing I’d like to imagine her saying, anyway!)

The thing is, it’s just not that easy to simply pick up where I left off after a disruption because no matter how secure I might feel when I leave a session, or how welcome the little ones might have been made to feel in the room and in the relationship with her previously, when I return to the therapy room I am not sure if I am still safe with my therapist or if something has changed. I am not sure whether I can still trust her with the child parts who are absolutely desperate to reconnect but are also incredibly fearful of being hurt, rejected, and abandoned. Ugh!

I woke up feeling pretty rubbish on Monday, I hadn’t really slept, and could feel that I was going to struggle with the session. When I feel like I ‘want to talk but can’t’ sometimes it feels like the only option is to give myself a symbolic kick up the backside by giving my therapist the heads up via text before a session. Doing this poses its own set of difficult issues around communicating outside of session and therapy boundaries. It’s actually just a frigging nightmare and it does my head in!

After a lengthy internal monologue: ‘Will she be cross if I message her? I just can’t face another one of those let’s keep it in session lectures when I feel like this. I need to let her know what’s going on but I’m not sure if I am allowed to, now. I don’t want to break the rules. I really don’t want to annoy her. She must be so fed up of me by now. Why can’t I just go to session and talk? I hate this’, I did text my therapist an outline of what I wanted to say.

Ultimately, I knew I was stuck in that horrible place where despite having a million things (ok, maybe more like four) I desperately needed to discuss, that it’d all somehow get trapped inside when I got there and I probably wouldn’t say anything at all. I didn’t even feel like I had the energy to have a ‘talking but not really’ session and was aware that it could all just become an uncomfortable silent session, and we’ve had enough of those lately – although they’ve stemmed more from anger and frustration rather than just feeling insecure, needy and small.

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Driving to therapy I could feel the little ones starting to activate. They’ve been really struggling over the break and I knew that they needed to come out and be seen and soothed. When I arrived I think I sat down and said something along the lines of, ‘I don’t feel very good today’, and from that point the anxiety and crippling emotional pain that I had felt so keenly outside of session entered the room with force. The storm touched down.

I felt so overcome by my feelings, a mixture of emotions: fear, grief, sadness, love, longing, hopelessness, confusion, embarrassment, and shame (and probably too many others to name, actually). I said ‘I feel like everything has caught up with me’, meaning all the feelings I’d been trying to manage over the break. I felt as though I was about to disintegrate, my body was a mass of nervous tension and I felt sick to my core. The intensity of what I felt was totally debilitating. The child parts of me were utterly beside themselves and I was unable to talk. I think this is generally what happens when Little Me and Four show up because they just haven’t got the language to explain the feelings and their trauma feels locked in the body.

Despite having sent the warning text and my therapist making repeated reference to it (no telling off!) asking if I wanted to talk about it, I still couldn’t bring myself to tell her what was on my mind. I find talking about how I feel in/about the therapeutic relationship really difficult. I feel so exposed and just mortified that I have such strong feelings about her. Yes. I know. It’s not unusual to feel this way but god I fucking hate it, sometimes.

I know I need to tell her how much of an impact breaks have on me and how much I miss her, and all that gets stirred up for me as a result….but ugh, it’s just excruciating and I just can’t really articulate it in person! I did write some of it down in the letter I gave her before the break but revisiting the content is so hard now because I feel like I have lost momentum and confidence since the break.

I also know that I need to really unpick, rather than just touch on the visualisation exercise (can’t do it!) that was meant to function as some kind of internalised transitional space during the break. In my long letter I asked for a holding message to help me remain connected to her during the break:

‘I was wondering if you might write/send me a message that essentially tells me that we are ok, that you aren’t leaving me, and that you’ll come back, that it is ok to miss you, that my feelings are valid and that there isn’t anything wrong with my caring about you or needing you. The thing is, I’m not even sure if all that is true.’

She agreed to my request and sent me the visualisation via text describing that I was meant to picture the therapy room and us in it together, me talking to her and her responding in the way I need…sounds ok, right? Nope. I tried it and found myself, child parts fully activated, desperately sad, sitting in the room but she wasn’t there, I was completely alone, staring at her empty chair and feeling flooded with despair. Part of my problem mid-week has been the sense of her being gone and being unable to picture her. The visualisation confirmed this.

Devastating doesn’t cover how it felt. I don’t think it’s hard to understand that if you are already in the position of needing to try and conjure up a safe, nurturing space because things feel bad that when it doesn’t work it just feels like everything is hopeless and pointless. I felt really defeated. It had taken a huge amount of courage to even ask for the message in the first place and then for it not to work just seemed so unfair.

I kept staring at the message on my phone, trying to coach myself into a better place, ‘look, you can’t do the visualisation, let it go. What matters is that you reached out to her, asked for something and she responded to you. She tried to meet your need. She spent time thinking about you and wrote this to you. She must care a bit to do that.’ That’s good processing right?!

But when I was sad and frustrated with it all I started to get wound up about some of the wording in the message surrounding the visualisation: ‘thank you for your communication’ (nooooo – too formal, clinical, cold somehow) and ‘I think the most developmental help at this time might be for you to imagine the consulting room(really not soothing at all!). I know I’m probably just splitting hairs here, but I also get that most of you will totally get what happened in my head. By the time I got to the ending, ‘With best wishes’ (OMG I hate it!) I’d sort of lost the will with it all. I don’t think I need to elaborate on this sign off! Needless to say, the child parts were like ‘what does this all mean? The words are too long. Why isn’t she talking to us? Where is she?’

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I think, no, I know, what I really needed was a really simple message that spoke directly to the little ones and not to the rational adult who is meant to be able to contain the feelings of the little ones. I understand that is the long-term goal, to furnish my adult with the skills to cope in her absence but right now I’m not quite there. My child parts are running my internal show and it’s all a step too far at the moment. That’s not to say I won’t get there eventually….maybe! Hopefully!

I feel a bit ungrateful writing that because I (adult) know that the intention behind the message was good and so I feel unduly critical. But I just needed more. More holding. More containment. More ‘real’ person coming through. I know that these things take time and sometimes things need refining. I get that maybe I will never actually get what I need/want because perhaps it’s just not possible. Perhaps she doesn’t think it’s necessary and maybe I have to trust in that? The thing is, deep down I know I need to fight for what the little ones need so that they, and therefore I can move forward. If the long-term goal is integration of all these parts then I know I have to take another running jump at this and try again, but it feels risky.

I need to bite the bullet and tell her how I really feel the need for a tangible transitional object, something I can physically hold, to get the small ones through the week.

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It’s just so hard. It makes complete sense to the child parts that this is what would help them when they can’t see her but my adult just wants to dig a big hole and bury myself in it for even having this need. I mean seriously, this is just mortifying! I guess there’s also a bit of me that is scared. I don’t want to take any more time building up the huge amount of courage it takes to express that kind of need and then not have it met. I know I (adult and little ones) wouldn’t recover from it.

I know I am not a child but in this situation I kind of am. I just cannot cope with the possibility of being shamed or abandoned for expressing such a childish need – I’ve already had too much of that in the past. I know that if I express this need and it’s not met I would lose trust and faith in the relationship. I think this is a similar conflict to how I feel about asking to be held. I will never ask her for a hug because I can’t face the rejection. Argh. Even typing this makes me feel sick.

Errr. I don’t know where I am going with all that. Umm. The visualisation? I basically managed to tell her ‘I couldn’t do the visualisation and I found the break really hard’ Twelve words! Hilarious given all of what I’ve just written above!

I never cry in session but Monday saw the start of something. Silent tears slowly started coming – it wasn’t a true reflection of what was inside (flooding!), because I was still trying to hang on tightly to everything. The tears that came out were the few that I couldn’t contain. I’ve spent my whole life holding everything in or crying on my own, never ever seeking comfort because I learnt at a young age that none would be forthcoming.

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The idea of really letting go and properly crying in session terrifies me. I think part of it is that it feels really exposing, but the main thing is that I just couldn’t cope with being watched and ‘left’ to break down on my own. It’s one thing to choose to be alone in my own emotional pain but it’s horrible to think that I might now trust her enough to be that vulnerable (cry) in her presence, that maybe I could let her see that all that pain, and seek comfort in being with her and she might just leave me to it.

My child parts were emotionally abandoned and never physically soothed and I can’t bear that pain repeating in this relationship. So I guess that’s why I am reluctant to cry or reach out even when I need to. The warning message repeats in my head: ‘She’s a therapist not your mother. She’s a professional not your mother. Hold it together. Don’t embarrass yourself – or her’.

The heightened sense of anxiety and fear I felt in session has lingered on well into the week and I can’t seem to shake it off. I’ve had Sheryl Crow’s, ‘Weather Channel’ as my internal soundtrack (must be more depressed than I thought) and I haven’t been able to fully emerge from the deep pit of grief and pain that I was silently swimming (or drowning) in in session.

I think maybe I am still so hungover from the session that I just can’t get my head together, yet. It sounds a bit dramatic but honestly I have felt like my world has been steadily falling apart day-by-day and my brain has gone into panic overdrive. It’s as though someone has typed in the code to activate the ‘fear of abandonment’ button and is now on countdown to nuclear apocalypse. It’s crap.

I seriously considered ringing my GP for an appointment on Tuesday for some kind of anxiety medication. I felt jittery, sick, had a horrible migraine, and so much tension behind my ear that I felt like doing a Van Gogh and cutting the bloody thing off! I haven’t had anything like this amount of anxiety in years and it was horrendous. The most distressing thing was that the anxiety that is usually contained within the therapy relationship crept into my ‘now’, my ‘real life’ and current relationship.

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I was certain on Tuesday evening that my wife was going to leave me. Why? Well, she seemed to be in a bad mood about something and was a bit short. It might well have been that she was tired or stressed about work, but I couldn’t face asking what the matter was because I was so sure that the reply would be about her being sick of me and my depression and anxiety and getting caught up in therapy etc (it’s happened before).

Because I was too scared to ask what was wrong I felt shit all night, couldn’t sleep playing different scenarios over and over in my head. I felt as though I was treading on eggshells on Wednesday morning and did my very best to put on the ‘everything is fine, and I am functioning like a normal human’ persona. I was beside myself with anxiety waiting for her to come home in the evening worried about what was going to happen. Everything was fine. She was fine. There is nothing wrong. We are ok. That anxiety lifted but what’s going on in therapy hasn’t. So I feel a bit better but ffs this sort of thing is not sustainable long-term!

So, yet again, I feel that overwhelming need to contact my therapist outside session and tell her how bad things feel, but I know there’s no point because she won’t respond to my messages and told me to write it all down or draw it and bring it to session to talk about. I get the importance of keeping things in session but sometimes I just need to know she’s still there.

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I don’t really know what to write or draw to take to session. I have so much to say but also don’t know how to say it to her.

I don’t think I’ve really talked about Monday’s session here!…She was really good and said all the right things. I’d like to think I’ll be better this Monday but unless I somehow manage to find the words to say this stuff to her I don’t really know what it’ll be like because the child parts are still very upset.

I’m not sure what I am taking from this very very long post (sorry!) other than this question:

Why is it so so hard to express need?

 

C is also for…

Commitment

Communication

Conversation

Child parts

Crying

Compassion

Care

Connection

Containment

Today’s session had all of these ingredients.

I didn’t say much, I just couldn’t, but thankfully my therapist took the reins and soothed me with her words as I sat silently crying.

The one ‘C’ I really could have used?…

Cuddle

– oh but of course!

In my dreams! Literally, always in my dreams. Ha!

I’m so wiped out after today’s session that I’ll have to sleep on it before writing about it.

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