holding it together as I journey through therapy – a personal account of what it's like to be in long-term psychotherapy navigating the healing of C-PTSD, childhood trauma and neglect, an eating disorder, self-harming behaviours, as well as giving grief and cancer an occasional nod.
Have you ever wished there was a space where you could see the real experiences that other clients have had with your next/potential therapist rather than relying solely on unverified ‘glowing’ testimonials that therapists place on their own websites to help you decide whether they’re the ‘one’?
Shopping for a new therapist isn’t easy. You can do all the due diligence in the world: research, ask questions about their practice, their modality, how they view the therapeutic relationship etc… but you’re rarely going to get a therapist admit to their previous mistakes, difficulties, or lack of competence in the early days (although it would be really great if they did!!).
Not very many therapists open themselves to Google reviews (unsurprisingly!) as they have no control over what’s posted and it’s almost impossible to get a Google review removed. The thing is, you’d think on balance if these ‘professionals’ are even half of what they promote themselves to be online then their ratings would even out over time. The odd unfavourable review pitted against a stream (tsunami) of gushing five star ones wouldn’t be enough to paint a wholly negative picture would it?
There surely can’t be all that many of us out there that have been so harmed in therapy that we want to give our honest zero star reviews and warn other clients off can there?
I think we know the answer to this question 😆.
So, given that ‘Trust Pilot For Therapists’ doesn’t actually exist, we’re left with no option but to try and trust and put faith in what we see online. Most unwitting clients take therapists at face value from the glossy bios on the BACP website, or other therapy advertising page, or a therapist’s own personal website (cue soft lighting, benevolent smile, a nice cardigan, or some outdoor woodland scene) and the likelihood of us ever finding out what might have happened in the past that might be – how shall I put it? – less than optimal remains concealed in the shadows.
I think it’s tricky, too, when we do take steps to book a session and go and meet someone new because although we might get a ‘gut feeling’ about someone from the off it can take a while to get a sense of whether someone might be a good fit or not. This is especially the case if we’ve been hurt in therapy before. Our antennas are looking for it feeling ‘wrong’ but there’s also a part where we think we should override doubts because it’s probably our defences.
Meeting with Elle for first time was hard. I’d just come out the long-term therapeutic relationship with Anita and then done eight sessions with Hannah that crashed and burned. Therapy wasn’t ever going to feel safe and part of me hated Elle because she wasn’t Anita and she didn’t know me.
Still. We made it through to where we are now- almost two years in.
Last night I decided I’d write my own therapist reviews for some of the ex-therapists I’ve had and let my claws out – it was more Wolverine than cute kitty. Can’t see these ever making it onto their testimonial pages, can you?!!
Enjoy. 😉
P.S – If anyone feels like they’d like to write their own (positive or negative) and ping them into the comments, I’d love to see them! You’ve got to laugh otherwise you’d cry…and man, I’m all too familiar with the crying.
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EM:
As a highly trained and experienced clinical psychologist, I had high hopes for my therapy with Em. She said she specialised in trauma as well as many other of my presenting issues. It turned out that Em is frightened of entering into relationship with her clients and thinks that any move on the client’s part to try and discuss the therapeutic relationship or feelings that arise in the relationship is getting away from the therapy and is in fact ‘pushing the boundaries’. Em is unwilling to meet the client where they are at and operates from a one size fits all model (although she would call herself ‘integrative’). As a therapist, Em says that she is able to handle all the feelings a client might feel and welcomes them – only I wouldn’t recommend expressions of love or anger should you enter into therapy with her as these may trigger her into calling you an adhesive parasite as well as suggesting that you may secretly want to fuck her. If you have any feelings of compassion for those with mental health issues – she is not the therapist for you, as she believes that the majority of her NHS clients are ‘playing the system to get their PIP’ and if this isn’t enough to put you off- I found out much too late that she is a tory (as well as a class A cunt). 0/10
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ANITA:
Anita presents herself as an ‘ethical’ therapist who takes great care and pride in her work. This could not be further from the truth. She is, in fact, more damaged than the clients she professes to help. Indeed, she is the equivalent of an emotional wrecking ball. Her avoidant personality means she is unable to take accountability for her actions and behaves very much like an ostrich. Anita is neither emotionally intelligent or competent enough to be working as a therapist and it is laughable that she believes her services are worth £60 an hour. My advice would be take your money and set fire to it. It’ll do less damage to you in the long run. Don’t be fooled by her website and the extensive list of glowing testimonials. The truth of the matter is that Anita has left a trail of devastation in her wake and justifies her serious failings by repeatedly citing her ill health and ‘situation’. Her situation is of her own making, and her health has been steady enough to get married as well as sustain her counselling business. If you are seeking a therapist with integrity and honesty – Anita is not the therapist for you. Steer well clear. 0/10
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HANNAH:
Hannah is an inexperienced therapist who really should only focus on light work – she is certainly not equipped to deal with trauma. As with many therapists, her ego is far larger than her capability and she is prone to bite off more than she can chew. As much as suggestions of practising ‘yoga’ and going on a ‘retreat’ would maybe be welcome from a friend when sharing your struggles, it is hardly helpful advice from a therapist talking with a client who has been in therapy for many years who has a complex trauma history and recent trauma from therapy harm. This is straight out the playbook of CMHT suggesting a warm bath and cup of tea to people suffering suicidal ideation and self-harm. Chat GPT would dish out more helpful strategies than this at no cost and from the comfort of your own home and phone. Hannah does, however, have a nice set of colouring books and pens. 2/10 Give her five years and she might be worth a visit.
Last year Elle and I were talking about when things have gone wrong in my therapies (there’s plenty of content there and we visit it regularly!) and situations where a client might choose to ‘end’ and not come back to therapy but it feels somehow unexpected or not the ‘natural end’. I was in one of those sensible adult places, not activated (!), and so able to express some of what goes on for me when the wheels feel like they are falling off in the therapeutic relationship and how panicked I get. I recognise that sometimes the reasons I bolt for the door (sometimes literally) are often not what appears to be happening on the surface in the moment.
What can seem like a very small trigger can send me totally spiralling…but then that’s hardly surprising when we look at this through a Complex Trauma lens, or the fact that I have tonne of parts who are all processing stuff in their own ways – many of which are not particularly sophisticated! Of course, my four-year-old self and teen parts don’t see things the same way my adult self does, nor have they the skills to manage things in the way that my adult does. You’d think I’d be ok, though, seeing as I have a really fucking competent adult self. The problem is, my system is complicated, has the capacity to hijack me, and I am really really good at dissociating. Adult self is rarely there when I need her when I am freaking out.
Let’s face it – what scares me (all of me) more than anything is broken connection, feeling like the attachment is severed, and that I am on the verge of being abandoned. This is not at all surprising given my history because there was a time when disconnection really was a life-or-death situation. My mother’s PND did nothing for my little baby self or my developing nervous system and I have spent so much of my life in survival because my caregivers have never been reliable.
It’s hardly surprising that when I feel like the relationship with Elle (or A or Em…) is headed towards a cliff edge I am the first to run away. I am the absolute queen of ‘leave before I get left’ which is why I absolutely need my therapist to know this pattern and make sure I don’t bolt and disappear when there is a rupture (even if from their side it might seem small, repairable, or can wait). Ruptures can feel catastrophic to my system these days because … well… there have been ruptures where I have been hurt really badly and basically been abandoned and rejected because of my responses. Think of Em. My reaction to being called a tick, calling her out on it, and running scared didn’t see her try hard to meet me in it, to apologise, to understand why I was terrified, she just saw it as a perfect opportunity to let me go.
Anita was way better at handling ruptures… until her life collapsed around her ears and she couldn’t hold herself let alone anyone else. The damage from that ending is ongoing and painful. I feel so sad that in the two years since I last saw her, she hasn’t been able to step outside of her struggles and meet to end but that’s not what I am here to talk about today… although it definitely fed into the intensity of the panic I have felt with Elle during our recent rupture.
So, what’s this post all about?
This is a pre-curser post to help understand a bit of what happened in the most recent rupture with Elle (i.e when I brought it to her attention). Because yes. I got myself in a mess. A big one. And I ended up sending her this message:
I don’t want to see you anymore.
You can only imagine what sort of a state I had got myself into to send that. Eek. Like, I am the person will ALL THE WORDS… not none!
I’m almost done writing that post – and it’ll be up soon. But suffice to say it’s been a wild ride.
I am glad, then, that over the time I have been working with Elle, I have given her pieces of the map of me so that she has been able to understand me better and figure out what I need.
Most of the time I probably appear pretty together when I see her despite the crap that keeps hitting my day-to-day life. I probably seem a bit wounded and in need of support for my little parts but also seem generally functional. Sometimes I am a bit closed off but I am present in the room rather than off in space dissociated. The completely derailed, panicked, reactive, scared stiff self hasn’t really made it to the room (she’s done some emailing though!) – or if she has, she’s not been triggered BY ELLE. Elle has been a witness to the struggle and in support role in the room, not the trigger. It’s only this last month that Elle has had to misfortune of meeting that part of me in person.
Anyway, back to last year. I was testing the water with Elle knowing that it was only ever going to be a matter of time before something triggered my runners and protectors and I needed to know how she would respond if I unexpectedly disappeared. We all know that there are those diehard therapists who will say “I respect client autonomy, and if they choose to leave that’s their choice and I will not contact them thereafter. It’s up to them to contact me should they want to resume therapy.”
Puke.
Honestly, this kind of therapist really annoys me more than anything. If that’s your stance as a therapist then you absolutely should not be working with C-PTSD or people with multi-part systems. This ‘in the service of the client’s autonomy’ is bullshit. I’m not for one minute saying to beg and plead for a client to come back, that’s not realistic. But so often when we start running and slamming doors behind us, it’s not because we want to leave – it’s because we are scared! And we need for the adult, regulated nervous system (therapist) to remind us that we can come back, that we are wanted (even if we are having a tantrum and full of shame), and that they are committed to working through EVERYTHING with us even if it is HARD. Letting a triggered client disappear out the door is abandonment… it’s not kind.
And so, that day I asked Elle if she had ever made a mistake with a client that led to termination and what she did, or what she would do differently. Elle told me the about the biggest regret of her career was a time when she wasn’t as sensitive as she could have been with a client who kept cancelling last minute. She reached the point where she enacted her cancellation policy after several missed sessions – i.e charging for the session by sending an email, and the client left as a result – never came back in. Elle said she had failed to recognise potential wounding around money and still feels terrible to this day.
Mistakes and missteps happen, but what I wanted to know was what she did when the client said they were not coming back. Was she a ‘respect client’s autonomy and let them go’ therapist, or did she do something different?
Elle assured me that she had reached out and suggested that they meet in person but that the client didn’t want to come back, that there were some back and forth communications but that the client ended.
[For the record there was nothing identifying or specific – merely Elle’s feeling that she fucked up and had learnt a lot from that.]
I told her that I would always want her to reach out to me because it made me think about all the times I ran out of Anita’s and how when I am upset I can pull the plug (or parts of me can) and how it is really important to me that my therapist recognises when I am truly wanting to end and when I feel backed into a corner and feel like I need to leave because I can’t tolerate the feelings of disconnect etc.
Even though Elle was clear that she would always contact me in a rupture situation – my brain was whirring after the session and so I wrote her this letter at the time:
I was thinking about what you said yesterday, about the client that never came back – because of course that’s what my brain does at 3am when I can’t sleep and the anxiety is doing its thing. I actually had a lot of thoughts, like I can think of hundreds of reasons of why that all happened, but I am sure there’s nothing you haven’t thought about over the years so it’s not relevant.
However, what it did make me really think about was what would happen if something similar happened with us. You’ve probably figured out by now that I am not someone who cancels last minute and, generally speaking, if I did it would be because something was out of my control with the kids or something. But, actually, there are times when I get completely hijacked by my system and the “I don’t want to go” (it’s much bigger and more complicated than that) is really hard to get around.
Tbh it’s rarely an “I don’t want to go” because there is lots of me that absolutely does but it’s sometimes more of a “things feel very wrong, something is up, I’m scared that it’s all going to blow up, I don’t feel safe, I feel hurt, abandoned, rejected, maybe even angry… [on and on and on]…and so I need to protect myself from that and stay away – and she doesn’t care anyway so what’s the point?! It’s better to leave before I get left…”
I mean I totally get what happens, where it comes from, what parts of me are involved, and yet when it’s happening it is not always easy to sidestep it. It would be funny if it wasn’t so tragic but I guess at least there’s a really clear trajectory on how it all runs which I guess at least I am aware of now. And I see it a lot. Clients, for whatever reason, find it difficult to go to their therapy, maybe don’t show up, and might seem to be ghosting but actually it’s not because they don’t want to be there it’s because there is some kind of a rupture (that maybe the therapist has absolutely no clue about) and they, for whatever reason, can’t bring it to the room.
So many of us are conflict avoidant and even though bringing ‘big feelings’ shouldn’t be a problem, I guess most of our experiences have been that when we have, we’ve been mocked, or shamed, or abandoned, or gaslit…you know the deal… and so we’d rather not risk that repeating. I think sometimes, too, part of us knows that our reaction to whatever has been triggered is MUCH BIGGER than it ‘should’ be and so there’s shame and embarrassment there too because we feel completely derailed and it’s not even that big a deal (only it is a massive deal!).
I think it can be all the more unsettling for people that don’t really spend much time contemplating the therapeutic relationship and so when something between the therapist and client happens it’s hard to know what to do with it. Like it’s much easier to say, “I’m sorry, I’m sick” rather than, “I feel really anxious and something you said has really upset me” when they thought they were there to talk about their work stress and all of a sudden all this other shit is stirred up.
Sometimes it feels like a toddler or a teenager having a tantrum but actually I think that’s exactly what is happening – whatever is being triggered isn’t necessarily conscious and, in that moment, the adult self isn’t available enough to navigate the situation and all we know is that it just feels huge and insurmountable and overwhelming and completely in our bodies – and so the instinct is to run away and hide.
In some ways I think this can be really hard to manage because whatever is happening to stop a person turning up to therapy feels massive to them, and acting out can bring on all the massive feelings of shame and embarrassment afterwards and basically like you just want to crawl into a hole and die. It takes a lot to feel brave enough to come back and talk it through, and there has to be a strong enough sense that the person opposite you isn’t going to confirm everything that you fear is happening. It really is like with toddlers and teens. They need an adult to help them out of their meltdowns sometimes and an invitation back to work things out.
It is really complicated (but also not). I think when people don’t show up, rather than being flaky or disrespectful (I mean I guess there must be some people like that), is about testing whether the therapeutic relationship is strong or not. Like do you care enough to come find me if I disappear or will you just let me go? And I really get that this is complicated because all the training is like, ‘therapists should respect client autonomy’ and all the shit about not creating a dynamic that encourages ‘game playing’… only that is really pathologising and really makes it seem like everything that happens is down to us. It’s not game playing, it’s trying to protect ourselves.
As I said, lots of us have been hurt over the years and haven’t had the experience of managing conflict in a way that doesn’t somehow burn the house down and so rather than face a situation that potentially will hurt us more on top of whatever hurt feelings we are already feeling, we disappear. I think, for me at least, if I experience something as being abandoning or rejecting then it absolutely triggers the need to run away.
I’m not explaining this brilliantly well, and this is looooonnnggg, but I guess what I am trying to say is, if I cancelled last minute, or didn’t show up it’s not because I am rude, or don’t respect boundaries or whatever else – it’s because something is really wrong (from my side) and it feels too hard to come. If you just let me go and never contacted me to find out what was up or didn’t reach out and invite me to come and try and figure out what’s going on with you in person, actually what it confirms to me is probably everything I was running away from in the first place which is the feeling that you don’t care…
I’d like to think that a situation like this would never happen – but I also live in my head and experience often enough my runner ducks bolting. Just usually I have enough time to gather them back together before I see you.
Having a therapy go south in this way is sooooo common and causes such a lot of hurt to those involved. I have way too many stories – not just my own! – and I was wondering whether after the event a therapist reaching out would make any difference. And I think it would. An opportunity to talk through what happened when it’s not live would probably be really helpful because I think we tend to carry this shit around for a long time.
Anyway, that’s… a lot. I’ll try not to run away, but if I do, please come and find me. X
And so… I guess it was helpful that I sent that last year, because Elle did come and find me…and the session when we did get to meet was HUGE. I’ll get the ‘what happened next’ post up asap.
I’ve been struggling a lot with therapy, lately… Actually, no, that’s not quite right -therapy is fine, good, really good (when I am there!)… but what isn’t so good is the *time between sessions* and the shitstorm that can (and does) blow up in the gaps between seeing Elle.
My system seems to be perpetually activated these days, and I find it thoroughly exhausting and stressful navigating the nightmares (usually with Elle in), the intense panic, and the heightened fear of being left or abandoned that escalates in intensity as the week goes on.
There’s always the huge separation anxiety that builds and builds during the week before triggering the protectors at the weekend which sends me through a whole other set of loops. I don’t know what’s worse, the small parts sad, lost, and crying or the angry protectors wanting to burn everything to the ground.
Like today, Monday, I feel like I just want to quit therapy altogether because this emotional cycle feels so painful and too hard. I feel thoroughly disconnected from Elle and the idea of even going tomorrow feels impossible because my mind has convinced me that I am set for rejection and that there is no solid base or relationship and so I am wasting my time.
The sensible thing would be to reach out and tell her that this is happening but what’s the point? (Is that the teen? Probably).
I will go because I know that I need to, but pushing through the wall of protectors to even get there means that there will there will be consequences. I will struggle to sleep tonight, mind you my sleep is appalling anyway so I guess that’s nothing new. When it feels bad like this, there is always a total and absolute physical terror in my body. Sometimes it’s just on the day of the session, but today it’s really live, too, and I feel horrible.
To get to my session I have about a ten minute walk across town from where I park my car, and the whole time my heart races, I feel physically sick, and my mouth is dry even though parts of me are desperate to see Elle…it’s honestly fucking horrific. When I am waiting for Elle to come and get me, I feel completely terrified and like I will burst into tears and often my body trembles. It’s so hard. My entire system is in chaos at that point – and yet you’d never know. Externally I appear completely fine – but that comes from years of hiding how I am really feeling in order to survive in the world.
Let’s be clear, this hellscape isn’t because of anything that Elle is or isn’t doing – like there’s no suggestion that she’s suddenly going to end, or leave, or suddenly be horrible and attacking and do something to hurt me (I need to make a big sign with this on!) – it is simply because my system has been triggered off its tits after what happened with Anita and Em. Because of what’s happened with them I can’t get a sense of feeling safe or ok in myself at all – let alone safe with Elle when I am not with her – and of course I am not with her for quite a few days at a time. I know it’s only a week between sessions, but my system just doesn’t cope at all – it’s too long.
Part of the problem is that I struggle a lot with ‘forgetting’ Elle between sessions even though we have a reasonable amount of contact during the week. When I finally see her after a week it can feel like I don’t really know who she is, or whether she’s safe, or… basically it’s the object constancy stuff isn’t it?! Not only that, even if I can hold onto Elle as someone who is safe there is the constant worry that she might change…I think probably we need to do some work with the scared parts so they understand she isn’t Anita or Em…teens particularly just see her as ‘therapist’ and therapists cannot be trusted.
Because of all this, it can take me quite a while to settle into the session because I feel like I am doing my fifty-point check to assess where we are at. Thankfully, generally speaking, when I am actually with Elle it feels fine – especially now that she sits on the sofa beside me rather than in the chair across the room. This, at least, removes the need for any additional mental gymnastics about whether or not she feels disgusted by me and wants to keep her distance which of course are all part of the internal narrative that gets super loud during the week.
I am really glad that we do a ninety-minute session because it can take a good half an hour to relax into the space when I have got myself so worked up (I have no idea how I used to cope with 50 minute sessions with Em- oh of course, I didn’t cope at all!!!) .
It obviously takes a while to trust that the person in the room with me is the same one that I saw last week (and for the previous fourteen months) and that nothing has changed – because therapists do change and drop unexpected bombs (mentioning no names!). I guess to the protector parts it’s important not to remove my armour prematurely in case I get an unexpected grenade launched at me – you know the type that rolls and lands just under my ribcage and stops just where my heart lies – Boom! It’s happened before and I really hope it doesn’t happen again.
If False Adult doesn’t take my session, then it’s all good. At least in the session it feels safe and connected. But no matter who turns up to the session, I feel like when I leave, I almost instantly fall into a panic, not because anything is especially wrong in that immediate moment, but more because I know what’s coming. I only see Elle once a week despite us having a really decent length session (and I really know that I am so lucky to have that), by the time it gets to Friday it’s really not great inside. The wheels on my mini-bus have pretty much fallen off and all the littles have unclipped their seat belts and someone has to take charge – and that’s the dream team of protectors. It’s awful.
Basically, by Friday, my ability to hang it together feels massively reduced and the days until I next see Elle seem to stretch out endlessly. I feel like I am always stretching that bit too far between our sessions and so never really feel properly settled/safe. It feels a bit like a fuck tonne of water is building up behind the emotional dam but the release valve is never activated early enough and so there’s always going to be a flood – despite the high-tech flood management system I have in place.
I am really conscious of not being ‘too needy’ or ‘too much’ or ‘too dependent’ and I really don’t want to run the risk of burning Elle out or, probably more apt for this metaphor, drowning her! So, what do you do when the container isn’t big enough to hold everything from week to week?…or rather, what do I do when I seem to be too much for the container I’ve got?
I have no fucking idea.
It feels like an impossible bind. I don’t want to stop the therapy because actually what all this is telling me is that I need more therapy at the moment, not less…but making what there is ‘enough’ is a challenge especially when I am already exploiting every self-care strategy I have available to me. I don’t just sit and mope about in the week (well, perhaps I did a bit this weekend!) and still this stuff is activated in the biggest way.
I guess part of it is that it feels like there is never quite enough time to get through all the things that I need to talk about or that need space and attention. For example, it might be that we do some really great work on big important stuff. Last week we spoke at length about Anita (which stirred a lot up on its own), but because of this, the young parts that need a degree of reassurance and a different kind of interaction weren’t attended to (even though I was leaning against Elle the entire time and she held my hand…ugh…make my Brian function better please!) and that has unleashed carnage inside this week!
Whereas the week before last, I was in a right fucking mess and so we read a lovely story and had a really calm, nurturing session. It was absolutely what I needed, but then there was all sorts of adult stuff that didn’t get space that really could have done with some time, too. Neglecting adult is far less problematic than neglecting the little parts – and it’s not even neglecting, it’s simply time – but it all needs space and time and there just isn’t enough…even with ninety minutes (talk faster and get to the point sooner, eh?!).
So this is why there is always too much building up behind the dam wall… then throw in the hideous attachment shit on top and frankly, I’m fucked.
This would be a really useful conversation to have with Elle, wouldn’t it? But the problem is, I can’t see a solution to my problem. Elle only works face-to-face two days a week and is always busy. So, what I think would help (i.e another session) and what is actually possible just doesn’t align at the moment and so I have to keep trying to make this work as it is.
The feelings of shame are huge right now. I am so sick of being like this. I hate that I seem to need so much more fucking input and care than everyone else. Like, part of me gets there’s been a lot of trauma and then all the more recent shit on top with therapy going wrong really hasn’t helped…but still. Like why can’t I just be relatively fucking normal and behave like a fucking adult and be bloody fine on a session a week. Why do I seem to spend my life in the fucking hole? Like this week I feel like I have got my legs dangling over the edge of another trapdoor and rather than edging away from it, the protectors want me to jump in the next dark pit.
Ugh…
I used to see Em and Anita on Mondays and Fridays and that spacing felt really good. Like there was enough time between the sessions to process whatever was going on, but there wasn’t too much time until the next session for things to get too much or go too wrong.
I feel a bit like a toddler that’s learning to walk. I can do quite a few steps on my own but by Friday I need a hand to hold for a minute to stop me falling on my arse before I can carry on again. But there is no hand on Friday and so I find that I fall down and it is pretty painful over the weekends.
Every now and then when things are hard, I have asked about seeing Elle for an extra session on the Wednesday but she is always booked up. To be honest, Wednesday probably wouldn’t really help with this problem long-term, as it’s the longer time between sessions that is the issue and this would still leave a big gap the other side.
Elle has offered to so a Zoom session on a Friday before – but I have a feeling (given my online therapy track record) that this might actually make things worse. When I am struggling with distance and connection seeing Elle through a screen rather than in person would likely only intensify the feeling of being far apart and left and lost and all the other shit. Perhaps I need to suggest it here and there, though, because I don’t think I can do many more weeks like this one and perhaps I am only basing my expectations of what online sessions were like with Em and Anita.
This weekend has been terrible. I’ve felt so tired and overwhelmed but I couldn’t seem to rest or sleep because it’s felt like all the little parts of me are crying. There is no soothing that. And I have really tried. I get that this week has probably felt harder because Elle and I properly ventured into the Anita territory in the session and of course that would send seismic waves through my system because there is such a lot of pain there that needs to be looked at. The saga is ongoing with A and it’s just so upsetting.
It feels really difficult. Like I know when I avoid the ‘big’ stuff I am much better equipped to manage the week between sessions. The thing is, I am in therapy to work through this ‘big’ stuff and it feels really helpful to look at it with Elle. I can’t avoid it for much longer because it has a way of catching up with me, anyway. I don’t really know what to do though, because the moment we go there the whole fucking place is underwater as a result. I’m equipped to deal with high tide but this is a fucking tsunami heading my way.
I have no idea what to do. Maybe I should write more? Try and process more that way? Although that doesn’t solve any of the internal panic about Elle, does it? The more we look at Anita and Em the more wobbly I am going to feel about Elle.
I just don’t know. what to do.
What I do know is that this level of activation and upset is crazy-making and exhausting and scary because when this stuff isn’t contained enough I know that I am much harder work, more demanding, more likely to end up in rupture territory because everything is out of control inside…and you don’t have to go too far down the path to see where this can lead. I don’t want to be difficult or create a dynamic where Elle dreads seeing me… I just wish I had a different brain and the ability to make one session and a week between enough!
Right, that’s enough of that… I don’t think there’s much more I can say tbh. Does anyone have any ideas to help with symbolically increasing the capacity of my container??…Any ideas that don’t actually involve me having to bring this to Elle and see me die in a big pit of shame and embarrassment would be lovely! 😉
I get that at some point I am going to have to bring this up because I know the longer I don’t the worse it’s going to get… ffs! HELP!!
Well, fuck, I’ve got so far behind with this blog and everything again that it’s hard to know where to begin – such a lot has been going on, in various ways, and part of me just wants to bring you up to date by saying ‘same shit different day’ and be done with it! The ‘same shit’ being my impressive ability to live as an emotional kangaroo and trying to navigate all the mess that goes with bouncing around like that.
Things are still an absolute colossal steaming pile of shite in my everyday adult life and the last month or so has really been all about survival and wading through the general bollocks that is my existence! My son is still sick, it’s back in the full flow of term and teaching, and then last week my estranged grandmother died so it’s felt a lot just to keep my head above water.
Of course, alongside this there’s all the stuff that hides beneath the surface that’s always pulling at my ankles dragging me down – namely the crazy mental health stuff, the attachment stuff, and trying to move through all the pain from, well, all of it really…
I imagine a lot of us feel like this, but I find I am way more capable of managing my inner world when the day-to-day stuff in my actual adult life isn’t going down the toilet. If daily ‘life stress’ picks up and reaches a critical point then it starts to get super bumpy on the inside. The safety features in my internal mini-bus seem to be a bit hit and miss, and would certainly fail a MOT, when the road gets lumpy and full of pot holes. Like sometimes all the seatbelts just unclip all at the same time and then I’m completely and utterly deep in the emotional shit.
Usually, if one or two parts of my system are in a panic I can just about hold their hands, keep them safe, and remain broadly functional…but if everyone is unstrapped – including the driver (me!) then…yikes. I mean big YIKES!
Some things never change, eh?!
I guess, there are some positives to be had … maybe? I feel, these days, when my system gets triggered, I am far more able to move through it and get out the other side of the worst of it in a ‘reasonable’ time frame…whereas, back in the day I could get stuck for weeks and weeks in the emotional hell zone and be totally hijacked by my system. Now, it’s a bit like doing the hokey cokey – and having one foot in then one foot out on repeat!
I’d like to say that I know myself so well these days that I don’t get upset or triggered by ridiculous things, but that would be a total fallacy. Small things can still act like a massive wrecking ball and send me sideways. I think it’s probably this kind of thing that I struggle with most- knowing full well that whatever is upsetting me is tiny in the big scheme of things – but my system feels like it is enormous and runs off into catastrophe canyon. I still have an impressively speedy set of runners who bolt when things feel off.
Knowing my response is sometimes like that of a toddler having a big tantrum because they can’t get ice cream evokes feelings of shame and embarrassment but it is what it is and it is all information isn’t it? I suppose, now I am far more accepting of my system no matter how it is presenting in the moment. Like today I am really aware of the needy little ones who desperately want a cuddle and to connect with Elle…and that’s fine…just hard to feel because it’s so visceral.
So, where to begin with this catch up?
I guess I should mention the fact that Elle and I made it to a year working together back in August without any serious mishaps or ruptures (go us! … although it’s the three-year mark that things generally go to shit with my therapies so let’s watch and wait!) AND immediately after this birthday/anniversary we also got through another therapy break without me completely losing my shit (I only partially lost it – small triggers and big reactions again!).
I wish I was better at keeping up-to-date with the ins and outs of my sessions because the content of it all sort of melts away pretty quickly afterwards and then I can’t remember what happened when. I guess, this might be seen as a positive – like nothing really massive and disastrous is going on and my brain can let the sessions go rather than filing into my long-term memory bank alongside ‘like a tick’ and ‘too dependent’! However, it feels more like an unwanted amnesia tbh because I lose all sense of EVERYTHING.
Elle more or less falls out of my universe altogether when I can’t physically see her and it’s tough going. The object constancy stuff is just fucking dire. I feel sorry for Elle. I don’t imagine for one second that when she first met me, she would have thought the person she sees now was in there hidden away! I think at this point she must be wondering what the fuck is wrong with me. Like I leave a session, appear completely fine, and the next minute I am freaking out and texting her, asking her if we are ok or not. It’s horrible.
I hate that I need such a lot of reassurance…but I am not really surprised given how people (therapists!) go from being ‘ok’ to ‘not ok’ in the blink of an eye. As much as Elle gives me no reason to think she’d just fuck off one day without warning – my system doesn’t trust anymore after what’s happened to me, and because I am invested in the relationship and am attached to Elle now, all this crap has gone live… I hoped it wouldn’t but it has… with alarm bells on!
This round of therapy has my brain doing something that has never really happened too much before. I don’t know if it’s dissociation or what, but I find that not only do I forget the sessions and lose Elle to a degree – but even if I can hold onto the fact that she and I exist and have a relationship, I have zero recollection of the times when I have been really vulnerable/open/honest with Elle both in the room and outside it. So, I lose her, but I guess my brain thinks that she loses me too. It’s hard to explain this…
Like sometimes I’ll email her the unfiltered version of what’s going on in my brain and when I see her, I have no sense of that big stuff being in her field of vision at all. My brain likes me to think that she has only ever experienced the capable, together person …and that is SOOOO not the case!
I wonder if it’s a protective thing? My system somehow needs to feel in control and so hides the bits that make me feel exposed when I get to session? It’s frustrating, though, because I think I waste a lot of time edging my way closer to being how it really is underneath, tentatively peeking out from behind the sofa, and Elle already knows me and all this stuff. In the moment none of that is there, though.
Isn’t it amazing what our brains do to try and stop us from feeling unbearable feelings. I think I am so sensitive to rejection and abandonment that my system is doing all it can in person to prevent that happening and sadly, it must feel like the young parts of my system are a liability and need hiding away until we figure out what is happening on the day in the session.
I can’t lie, it is incredibly difficult doing therapy in the wake of what has happened with Em, Anita, and Hannah. I think my poor system was sent spiralling off into orbit last year. The string catastrophic fails in my therapeutic relationships on top of childhood trauma have done something terrible to my onboard circuitry. Elle and I are trying to do our therapy with a busted circuit board and wiring system and we’re desperately trying to rewire as we go but it’s a challenge. If we were just dealing with childhood trauma I think we’d be ok but things are so massively complicated by the shit that has happened with therapist…what shall we call it? Shithousery??!!
The problem is when lights should be green my system shines red…and the smoke alarm feature is constantly screaming because there’s a hair or cobweb over the sensor. I can’t differentiate between true danger and a malfunction now. Sometimes Elle feels like she’s a decent enough electrician and sometimes I worry she’s just another cowboy tradesperson (this isn’t because she’s done anything to suggest that though!) and I’m about to have my tentative renovation project demolished again.
Anyway, there have been some really lovely times with Elle – the problem is – I forget! So, instead of building on something great from week to week, I instead, seem to not notice that works have been carried out already. I seem to yo-yo between False Adult and days where my armour is off. Still, there have been quite a few ‘armour off’ days over the last couple of months and I guess these are important to recognise.
You might remember a while back I was brave and told Elle that I loved her in an email (!) which was a huge deal because I’ve been guarding my little broken heart very carefully this last year knowing that it doesn’t have much hope of withstanding very much more hurt and wounding. The problem is, I feel like the only way to really heal a broken heart is to let love in (and out) but if you’re always in hiding and armoured up how can you? I guess this is where my texts and emails have been doing some heavy lifting behind the scenes.
I’d been slowly gaining some momentum here and there in my sessions … you know, one step forward three steps back, four steps forward…and so on. But in one particular session I must’ve been feeling particularly safe and connected, or unguarded. I was cuddled into Elle’s body (I know I have said it SOOOOO many times over the years but physical touch sends a clear message to my system that things are safe – I don’t have to do any guesswork at all). and a very quiet, “I love you” crept out.
Fuck!
It’s one thing typing it into a screen and hitting send (and then wiping it from your consciousness and having several days until a session) and something altogether different saying it to someone when you are right there with them and being physically held by them. And even though parts of me know how Elle feels about me BECAUSE SHE’S TOLD ME ENOUGH TIMES in various ways, I nearly cried when she replied, “I love you too”.
Like…thank fuck. No rejection there. No bristling. No change in body language. No “I’m just your therapist”. It was all just really fine. Like yep, of course there is care between us – duh! I wish I could hold onto that better. Now that I have Monty I do have a constant reminder of Elle with me and that does help a bit, but there is a little part of me that fears that Elle will change how she feels towards me if she really ‘sees me’ and that is scary.
I think it was that session- I’d been in a bit of a state (although can’t remember why) and stuck in my own personal hell until I managed to ask for her to come sit with me and have hug. She’d been gently stroking my head and it was almost time to go when she asked me to give her my arm. She took the bracelet she was wearing off and tied it around my wrist. She said it needed to be on my left wrist as it was closest to my heart … honestly, it was such a lovely gesture and I wear it all the time (although in this picture Monty was wearing it as a necklace!).
So – I may have more evidence than ever that Elle is real and we are ok enough AND YET STILL I FUCKING HAVE TO ASK WHETHER OR NOT WE ARE OK!!! – but this is because people change (Anita) and one minute you’re safe with someone and they say they care about you and love you and the next they are completely gone.
I was quite excited about getting to a year with Elle because about a month beforehand I had stumbled across something I thought she would really like and was desperate to give it to her as a gift but it really was something that needed an occasion. I wouldn’t necessarily say that gift giving is one of my primary love languages but I think in this case it was a definite expression of love. I can’t really say what the thing was here because it is sooooo niche that it would be pretty identifying. She seemed to like it, though, if an excited “holy shit, you’re kidding me!” and “this might be the most impressive thing anyone has ever got me!” is anything to go by.
I think I have probably been so cagey this year that she couldn’t really miss that this was a huge expression of care and thanks. Like so much goes on in my head but I realise I’m like an iceberg and Elle only gets to see a bit of what I show her.
And then it was summer break.
Damn!
The break itself wasn’t desperately bad. I had a lot going on with my son and as much as I missed Elle, we did have some contact whilst she was away. The morning of our first session back I must’ve been on a roll with bravery because I had text Elle and asked her if she might spray Monty with her perfume when I saw her. I had pretty much figured out that that is what she had done when she gave him to me and so decided to ask. Elle didn’t bat an eyelid and at the end of our session sprayed Monty and me and that was that.
You’d think that would be proof enough that things were really ok between us and that the little parts were acknowledged and more than welcome too… but the age-old problem of physical distance had proximity cropped up the moment I saw her and it sent me spiralling.
Breaks are hard because they are a total severing of physical connection, so when I return to the room, I am looking for evidence of what might have changed or if things are still safe. Elle did nothing wrong by sitting in her chair (because that’s her fucking chair!) the first couple of sessions back – she, after all, at that point had no clue that I read so much into where she is in relation to me and how difficult I find it to ask for her to come closer to me – especially if there’s been a break. But for me, her being across the room and behind the coffee table sent the littles into a panic.
As a result, things in the bus were getting more and more dicey, seat belts were unclipped and the terrain was getting bumpy…and we were travelling much too fast. I think when I was leaving and hugged Elle at the end of the session (like always) I hung on for a reaalllly long time because I was devastated to have missed the chance to actually be how it was and connect in that physical way during the session. I’d done a tremendous job with False Adult and it was only at the end, when I was clinging on like a baby monkey, that I think she picked up that I wasn’t ok and said something about having a really long hug the next session.
I cried on the way home and ended up texting her when I got back because my system was in freefall. I think we can just about hold it together in breaks but it puts a tremendous amount of pressure on that first session back. If that session isn’t ‘enough’ then the water that has been building up behind the dam during the break floods out. I actually feel like sometimes I could do with two sessions the week following a break in order to ensure that I feel properly reconnected.
This is what played out that day:
I feel like I can’t find you at the moment and I’m lost. I know it’s a post-break thing – because I find them really hard and the disconnect feels like a total severing of connection. It feels really bad now and scary x
She replied almost immediately with a heart and:
I feel sad hearing that because you felt very connected to me before you left the room. Let’s think about how to use the time better next week. I wasn’t joking about the hour-long hug btw…
It was a quick message between her sessions to not leave me hanging and it was enough to open up the flood gates. Now came the ‘how it really felt’ message… brace positions everyone!:
I’m really a long way off my ok place at the moment. Like, yep, my life is a complete fucking shitshow on the outside so it’s understandable, but it’s much more than that. My internal world is in meltdown and week on week it’s getting worse. I feel as though I’ve been furiously spinning plates this last year and now, I’ve just reached a point where there are several crashing to the ground all at once as I don’t have energy or capacity to keep it all going and it feels like I’m watching everything go wrong in slow motion.
I feel really far away from you – or like I can’t find you – and I get that this is me and not you, but it doesn’t make it any easier to navigate even knowing what the problem is. It feels really terrifying being in this place and it’s not just emotional – it has a massive physical quality to it, too.
I find breaks really hard and actually I find the time between sessions hard on its own and so coming back off a break is always really hard for me. It feels like I’m starting from the very beginning and lose all sense of things being ok or safe or actually that you have any idea of who I am at all or that we have any kind of relationship- which is obviously really shit and I feel really dysregulated. I can’t really put into words how bad it feels.
I don’t suppose this is evident at all. I probably appear ok, calm, present – but I’m anything but. Inside I feel panicked and fearful and like I’m going to cry. I struggle a lot with feeling like you are far away in your chair – even though you’re not- and my brain tells me it’s because you don’t want to be near me and that it’s because I am too much and it just spirals.
Occasionally, I can find a way round it and ask you to come sit with me but I find this especially difficult if there’s a sense of being very disconnected and it will always feel like this if there’s been a break and so I need to find a way of quickly reconnecting after breaks- and actually, really, just week to week. 😞
I hate feeling like this because it totally derails me and then just getting through the usual life shit feels extra difficult. And I get that it’s a lot and it’s really hard to not get engulfed by shame. Lots of the time I am just about capable of outrunning this stuff … and then other times I get caught up and start to drown.
So, yeah… another one of ‘those’ messages that I wipe from my conscious mind.
Elle replied with some very holding messages that really soothed my system and that week we had quite a lot of contact as I limped my way through the week and into the next session where she sat with me from the very beginning and asked me if I wanted to hug.
Around that time, I wrote my last blog post about what a perfect therapy room would look like and I sent it to Elle. She seemed to like it and replied to the message and at the same time asked if it would be ok to share with her supervisees and people starting their own practice which is nice…what was less good was that she also told me that the bear I had seen in the room one day (that I had mentioned in the blog post) actually belonged to someone else and that it was still there in the room but put away – and I am guessing we don’t need to detail how that landed.
OH MY FUCKING GOD!
The runners were in full Usain Bolt mode. It was really fucking awful. Like of course I knew that’s what it would be – but ugh. Any mention of any other clients just sends my system into a full-blown meltdown. Adult me is fine (just about!) but eek – the littles just weren’t. I think it’s because I have found it sooooo hard to get anywhere near my young parts in the sessions with Elle and then I learn that actually the very things that would help she’s already doing with someone else.
Fuck my life!
I had just about gathered myself back together by the time I saw her, because of course there are other clients working out their own shit in a way that works for them and if I was a bit braver then I could too…and I swear to god, next week I am taking my bloody elephant out the fucking bag even if it kills me! (it won’t kill me).
The session after all that I walked in and she said, “I was thinking of moving the table but seeing as I’m going to sit right here with you, I haven’t, as it’s not in the way between us.” And the second clock was gone, too! And then she said she’d ordered a new couch for the room and was wanting to get a load more cushions! I don’t suppose the new couch was off the back of my blog but it felt nice that she had really listened to what I had said. She said she was really keen to get the space right for me and this felt … lovely. And the irony about that whole blog post really, is that the space doesn’t matter at all so long as I feel connected to Elle.
This is getting really long so I’ll end it here for now – but let’s just say, we’ve leapt forward quite a few steps… I guess, I just need to be myself in all my messy glory so Elle can respond to what’s there!
Warning: this is quite long and I’m not convinced it makes much sense – my brain is in meltdown!
So, it’s Easter break…which, actually, is not really an Easter break at all, so far as what I have previously had to contend with in therapy goes! Em used to disappear for two or three weeks over Easter and that was that. No contact. Radio silence. It was like she ceased to exist – and this triggered me on so many levels. In addition to this, there was no preparation for the break – I knew when it was coming in advance, but nothing was ever done to help get my system safe and settled before a holiday. The was no talking to the parts about how the break might feel. There were no transitional objects (ha – the pebbles debacle is case in point). There was just silence (which breeds shame) and then absence.
I used to dread the breaks (and I still do, actually) and the closer they got the more my young parts struggled. A few days into a holiday and those little parts felt abandoned (and completely terrified) and then to add insult to injury, adult me would panic because my dad died suddenly whilst away on holiday (when I was 25) and so feared something similar would happen again with Em (hello PTSD response!).
So basically, breaks in therapy have always set off an internal ‘bad weather’ event – it just comes in varying degrees: very breezy/light rain (mildly inconvenient), gale force/heavy downpour (wasn’t equipped for this but I’ll survive!), or complete tornado/shit storm (Run for your life! Take cover! I’m gonna die!). Like I say, sometimes breaks feel just about bearable, just a little bubbling of anxiety and feeling unsettled and other times it feels like it’s unsurvivable danger to the young parts who wailing and feeling completely overwhelmed.
Guess which version it is this year?
Uh huh…shitstorm.
Fuccckkkk!!!
It’s disappointing, to be sure. You’d think after everything I have written lately about how good my therapy feels, that my attachment to Anita would be so strong that I would sail through a week off. Only that’s not how it is AT ALL. Far from it. It’s crap, actually. I want it to be ok, but the truth is, I miss her a lot. I’m not surprised though, my life is a real struggle at the minute and my therapy has really been a lifeline so for that to ‘disappear’ (albeit temporarily) it’s totally stirred things up.
When things feel bad on breaks there’s a clear trajectory through the holiday. I know the pattern – I just don’t know what the hell to do about it! To be clear, I also know that it’s my stuff, not the reality of the situation or a reflection of the relationship with my therapist.
So, what happens?
The beginning part of the break sees the youngest parts crying and the attachment stuff is so painful. I have an image of a two-year-old part screaming, alone, abandoned in an endless grey space and it is so powerful. She feels so scared and lost. I can’t reach out to that part- she’s got her back to me. And even if I could reach her, it’s not me she wants. I’m not the attachment figure (yet – but hope to be one day). My body physically hurts and I feel completely ungrounded. It’s basically all the horrible stuff about not mattering, being forgettable, and unimportant swirling around – and it’s just so cold and depressing and lonely. Basically, it’s abandonment and rejection 101 and it feels like I’m stuck in a Groundhog Day.
As the break progresses that young stuff becomes completely unbearable. I feel like I am juddering inside and then nightmares start – usually about the therapist being burnt out, changing, and then rejecting me – which is what happened last night. Groan.
It won’t be long, now, until I move into the next stage where the teen steps in to try and get a handle on the littles. It’s when she steps in that I feel like ‘fuck the therapy, I am done with it!’ I woke up this morning and my instinct was to cancel my session on Friday. I don’t want to feel all this hurt and pain that has so vividly just played out in my nightmare. The anger I feel about the situation is massive – but it’s just a mask for absolute sadness and devastation. The teen feels so let down. So stupid for trusting and attaching to the therapist when actually the reality is it’s easy to leave me and the little parts and I just have to be ok with that.
BTW I get that this is all ‘me me me’ but that’s the teen’s feelings. Adult me understands breaks just fine. We all need them! Our therapists have earned them (mine more than most!) – but I am not talking about my rational adult self here – I am talking about the fucking nightmare that happens for my system on breaks! I wish I could just switch into adult and have all the various parts powered down. It just doesn’t work that way, unfortunately!
So, the cycle continues…
Once teen has had a try and failed to get things under control, I end up with screaming little parts and now suicidal teens who feel like self-harm might be a really good idea, or a trip into anorexia (I am making light of it here – but it’s anything but funny) and then it gets really nasty inside. It is so hard to focus on my life. I try and keep busy and productive but inside it’s just awful. Nothing is contained or safe and it’s agony, actually.
So, as I approach the point where it’s all totally fucked inside, the Critic steps in and shuts everything down. The level of self-attack and shaming is just utterly horrendous. It makes the little parts want to die. The teen is already there. And so, it’s just like being in a torturous boot camp. The Critic is so mean.
This is where the narrative about Anita not caring, it all being fake, that I am too much and that’s why she’s gone away comes in. It says that actually Anita’s glad to see the back of me, I’m responsible for burning her out and now she won’t come back. I am stupid for hoping things would be different – because ultimately, I am the same ‘tick’ that Em saw and anyone in their right mind would find me too much and want to escape eventually.
Ouch.
Even though she’s a complete tyrant I do realise now that the Critic is just trying to protect me from getting hurt. Shut down the vulnerability, hide the need, and cope…I can do it on my own…I always have.
Only the little ones don’t want to be alone anymore.
Ugh.
So it feels like I have ended up on the emotional waltzers again. Waltzers are way worse than the rollercoaster.
I’ve been thinking about what has happened that has made this break feel so hard. It all started a couple of weeks ago. I knew the holidays were coming (I count the weeks down for time off work!) and I was glad that I would be able to rest and recharge a bit as it’s been so so hard lately – in fact I was looking back over messages to see and it’s been 5 solid months of hell now. I need to sleep. I am so so tired. The thing is, holidays don’t feel restful because whilst my work goes on a low gear my maintenance plan stalls.
When it’s school holidays I am automatically plunged into a childcare situation, or rather ‘lack of childcare’ and so therapy gets disrupted and so my ‘rest time’ actually feels massively stressful because that consistent therapeutic space for me is just gone and so the system gets thrown into chaos. Anita is only taking the bank-holiday off, but I still can’t see her as much as I’d like because I simply can’t get to her in the daytimes. In some ways this feels worse than if she wasn’t working and was unavailable. The little parts know she is there and it’s just them that can’t see her when other people can. This stresses me out and sends the little parts into a really bad place.
It’s horrible because I really don’t want to be ‘that client’ (or this client!). I don’t want to be having a meltdown over this. I don’t want to be so unbearably needy. I don’t want to make a big deal out of something that neither of us can do much about. It’s just embarrassing and I am so over it! So, I try and hide what’s going on inside. And this is where my ‘False Adult’ steps up.
The last couple of weeks I have gone to session and talked…and talked…and probably seemed fine. I have, I think, come across as mildly annoyed about stuff in my life, tired, and same same…but also pretty ‘together’ given what’s been going on. Anita probably has no idea that there is anything going on underneath, probably thinks I am doing pretty well all things considered.
Only, it’s that swan analogy – on the surface everything seems fine enough but underneath the legs are going like the clappers.
I am not ok.
So, what do I do when it’s like this? First thing is retreat. Part of me knows I am not going to be able to see or be close to Anita over the holiday so I start protecting myself from that loss before it happens and go into hiding (which is bonkers).
There was a session recently where, despite desperately wanting to reach out and ask for a hug, I just couldn’t. If I am shutdown and dissociated, I think it’s pretty clear what I need and Anita generally offers me a hug or to hold her hand in order to bring me back. This False Adult is different, though. I seem ‘fine’ and engaged and there are no silences. I think I even do a pretty good job at masking how I feel with ‘reasonably relaxed’ body language. On the surface it seems like I am coping and don’t look as though I need anything. It’s smoke and fucking mirrors, though.
Inside the young parts are still there and wanting connection and holding so badly, but I just don’t let them out. I guess I know just ‘how big’ the need of those young part is and I don’t want to be too much for A, or overwhelm her before her break. I don’t want her to go on her break and it be such a huge (and welcome) contrast/rest that she realises that working with me is draining and so she decides not to come back or to refer me on.
It’s stupid though (and I really know this – but am trying to show the process in all its bonkers), because all that happens is this young, needy stuff builds and builds and then when the break comes it explodes all over the shop and is more likely to encroach into the break. Realistically, it’d probably annoy Anita more reaching out during a break than if I was just needy and clingy in the time leading into a break. So why does it still happen? I don’t think what happens before breaks is conscious but it’s definitely a pattern. It’s easier to pretend that I don’t need Anita than actually have to say, out loud, ‘I miss you already and I hate that I feel like you’re gone and it scares me’… because … ugh… puke. Vulnerability overload and eeekkk it’s not safe!
It’s certainly not much fun feeling like I am at the emotional fairground. It’s like part of me can see exactly what’s going on and just wants to cringe in the corner because it’s so predictable, so familiar. But at the same time, I can’t help but feel some compassion for myself. It’s such an exhausting situation. I just want some time out from my system and to properly rest. I feel so sad that this happens over and over again.
So, I seem to have digressed a bit. The day False Adult turned up I talked my way through the entire session…because that’s therapy, right? But no. It was the first session (face-to-face) in months and months that I hadn’t had a cuddle with Anita during the session. And OMG was that a massive problem afterwards! As I got up to leave, I gave Anita a hug but…it wasn’t the same, or enough, or what I needed and the young parts were in bits.
The time between sessions that week was fucking hideous. I mean, really bad. It was me that didn’t reach out and yet, somewhere in my poorly wired, misfiring brain, it felt like it must be something wrong with me. Maybe Anita didn’t want to be near me anymore. Maybe she was glad that I didn’t ask for a hug. Maybe she was relieved that she could keep her distance. Maybe something has changed between us. My mind went to town on me and it sent the child parts into freefall. They couldn’t understand what had happened and why Anita hadn’t seen them.
It was agony.
And this, remember, is all because a break was coming up. The lens I view myself and the therapeutic relationship through at this time distorts everything… and I hate it.
After that session I felt awful. I almost text Anita the morning of the next session to ask her to keep an eye out for the young parts and to ask if we could have a cuddle at the beginning of the session so that they knew it was safe to be there. But I didn’t. It felt too exposing. Too vulnerable. I hoped I would be able to ask for that myself.
Nope.
I didn’t leave this next session or those thereafter without a hug but it took me a really long time to ask and to get what I needed. And before I knew it, it was time to go. And when that happens it’s like being ripped out of the safety before I’m ready. I know this is my own fault. I know that Anita isn’t going to shame me for wanting to be close to her or for struggling with separation anxiety – but there’s a part that is terrified of exactly that. There is so much inner conflict.
Just writing this makes me feel mental.
As I said, adult me can see what the processes and patterns are…but insight doesn’t actually help much when I feel like this. It’s only Tuesday today and so it’s a few days until I get to see A. I have managed to get a friend to have the kids for me this week so I can get to my session, but god knows what I am going to do next week – and that stresses me out when I feel so unsettled.
I realise all I have done here is moan in a confused way. I’ve actually really struggled to write this so I do wonder if I am a bit dissociated because I can’t hold anything in mind properly. I’m trying to work out what to do next but also trying to work out what I could have done differently leading into the break to maybe make this more of a ‘breezy with a bit of drizzle’ break rather than a total ‘shit storm’.
I guess, I should have told Anita how I was dreading the break (that isn’t really even a break). I should have been honest about what was going on for the young parts because that might have invited a conversation about why they are so terrified and perhaps we could have put something in place to make it feel less bad. I should have sent the text before the session knowing it was likely that False Adult would turn up and hide the reality of what was going on.
I am so lucky. I really know that. I am reminded every day of Anita’s love and care. Sitting in bed writing this by the glow of the light she bought me for my birthday is a huge transitional object, as is the gorgeous necklace she gave me after the Nov/Dec lockdown but right now, the youngest most traumatised parts just feel like she’s gone…dead gone. It’s the object constancy stuff again and I don’t know how to get round it. I know it’s not all my system that is having a meltdown (thank god) but when this really young stuff is activated it’s just pure hell. I am so tired of feeling overwhelmed. Right now, I just want to listen to a bedtime story and fall asleep. I know some people have voice recordings of their therapists reading stories, or saying something reassuring and I do wonder if this would help those very young parts…but again, it’s hard to ask for that when you’re drowning in shame and feeling like you’re already too needy and demanding.
I’m trying to shake off the horrible feelings I have been left with after last night’s dream/nightmare. I hate when I dream of A and she embodies all the things I am panicking about. To be rejected in a dream is just so painful…and waking up it just adds fuel to the fire.
So after two days of barely holding it together with rubber bands and chewing gum (I had no idea this blog name would end up being so apt!) today, at 11am, I found myself lying face down in my bed holding a pillow over my head convulsively crying about… yeah…you guessed it…feeling like my therapist doesn’t care about me after a pretty rubbish Skype session on Monday and a complete failure to acknowledge a message I have sent her since.
Believe me, there is a part of me that is seriously rolling my eyes and sighing in exasperation right now as if to say ‘for goodness sake, not this AGAIN’ as I type this. Like really, this cannot be happening again can it? But it really is. And you’ve probably noticed by now – I tell it how it is…even if ‘how it is’ is fucking ridiculous and embarrassing. I tell it how it is in the here and now, as I experience it, even if in two weeks (or possibly even two days) I feel differently and can see things through an alternative, more rational lens.
I’m very aware that right now my left brain is offline and my right brain (where all the emotions are) is lit up like Piccadilly Circus. It’s probably not a great time to write a blog post but it’s either put it on the page here or start firing off upset/angry/needy messages to my therapist and that’s not a very good idea is it?
And so here I am again, trying to find a way through the difficult feelings in order that I don’t completely fall apart over the next two weeks. Does anyone have any glue to hold all my pieces together?… I am worried that the bands and gum aren’t up to the job this time around and am in danger of smashing into a million pieces.
I wrote recently about shame having just then started reading Patricia A. DeYoung’s book ‘Understanding And Treating Chronic Shame’. I’m no stranger to shame and having now read the whole thing, I have to say, the book is fantastic. I highly recommend it. There’s heaps of really useful and interesting stuff in it and I plan to take it to my therapist and go ‘Here! Look at this. This is what’s happening!!’ (that is, of course, if one of the other parts doesn’t go to town with the text messages!)
Young suggests that shame is essentially caused by being ‘a self disintegrating in relation to a dysregulating other’. I mentioned in that post that I was concerned that I had somehow got caught up in a dynamic where my therapist was taking on the role of ‘dysregulating other’.
And. Yep. Skype session proved that point on Monday! More on that in a bit.
Basically, when a child is in distress it looks for connection and containment from the other to help regulate the distress. If all goes well the interaction soothes the child and the distress ebbs away. However, if the interaction between the child and other in some way misses the mark, is not attuned, a child is left feeling uncontained and out of control. It tries to place meaning on what is going on. Basically, the child ends up blaming itself for the failure of the other to contain and connect.
It makes sense that when we need something really badly from an important person and they fail to meet that need often enough that we start to feel like there’s something wrong with us. Instead of blaming them we find fault in ourselves. It must be something we are doing wrong. Our need is too much. Feelings are bad. And so the shame cycle begins. We see need as ‘bad’ and try and hide it.
So, we amble through life pretty successfully – well, you know, smoke and mirrors and all that! To most people I seem like a highly self-sufficient, high achiever, who ‘doesn’t need anyone or anything’ and if you’d asked me before therapy ‘I can do everything on my own and by myself. In fact other people are a pain and I prefer to be alone’. But now I see that actually I am not made of Teflon so far as emotions go and scarily: I have needs.
Who knew?!
Unfortunately, I seem hard-wired to feel bad about having feelings or needs and so in therapy it’s become a complete disaster zone because I have some very strong feelings towards my therapist and needs that I wish she could (although frustratingly know she can’t/won’t) meet.
I’ve noticed for a while now that I can go from ‘fairly normal’ to ‘away with the dissociative fairies’ in a matter of seconds in my therapy sessions. My therapist keeps asking for us to think about the process and notice what happens to make me dissociate and hide. For a long time I haven’t been really conscious of it, all I know is someone young comes online and then I am gone.
It’s like a switch gets flipped.
Because it’s been happening more and more lately I have been consciously trying to pay attention to the feelings that crop up and then what happens when I retreat inside myself. It probably won’t come as any surprise to you when I say it has its roots in shame. It happens so quickly and I am trying to work out how to stop it happening or how to get back from that dissociated, lonely space when it does.
Monday’s session was a complete shit pile but it kind of gave me some answers.
I am not stupid, I know that sessions after breaks are often hard. It takes time to reconnect (I’ve been here before. I know what I’m like!). We’d not seen each other for three weeks. It wasn’t face to face it was Skype. And following the virtual stepping stone in the river crossing (therapy break) there is now another two weeks until a face to face. It was always going to be a challenge to connect with my therapist. Don’t get me wrong, I wanted to but I have so many defences… ugh.
I know that I was certainly trying to keep buoyant and surface level because I knew I would be on my own again for two more weeks the moment the call was over and I couldn’t face the possibility of falling headfirst in the pit of attachment pain for the next few weeks if I let her see the vulnerable stuff and it not go well. Ironically, yet again I failed to notice that if I don’t let her in I feel shit too!!!
Part of me didn’t want her to know how much I have missed her and wanted to shut her out a bit. But of course it didn’t last because as the session went on, surface level chatting, I could feel things stirring. I could feel that time was ticking away and I desperately wanted to connect, or at least part of me did.
I asked my therapist what the time was and it was 11am. I thought ‘oh that’s ok time to talk‘ and then the moment the thought went through my mind I realised I didn’t know how to get what I needed from her. It didn’t feel like she was receptive or attuned to me. I desperately wanted her to come closer to me, to hold my hand, hug me, and tell me that it’s all ok…but that will never happen.
The need feels huge.
The young parts screamed inside, burst into tears, realising that she was there but couldn’t see them and that we were going to be left until September…
…and then I was gone…
The shame of having those needy feelings and the pain that shame generates is utterly unbearable and that’s when I dissociate. I can’t cope with the overwhelming sense of longing and need for connection and feeling like I can’t get it, that I am not worthy of it, that she doesn’t want to connect. I feel like there is something wrong with me.
Like I say this whole process happens in a matter of seconds.
The rest of the session was hard. I think I just sat there making the odd ‘uh huh’ ‘yeah’ ‘no’ as she continued to talk to me about what I had initially started talking about (filler!). I felt like we were on completely different pages and was kind of glad when I hung up the call – not because I wanted to be in the throes of a further two week break- because it was so fucking excruciating feeling the minutes tick away and feeling like I didn’t know the person sitting opposite me. She probably felt the same way.
I felt awful the moment the screen went black and took myself straight into the kitchen to cut myself. That’s how bad it felt in that moment. Sheer desperation. I didn’t self-harm, though. I took a minute and thought about why I wanted to hurt myself. It was the need, the shame, the feeling unseen…and also very clearly having a sense of ‘what’s going on’ when it goes to shit in a session.
So instead of cutting I made this:
and then sent it to my therapist as a text along with a note to ‘File under ‘unread’. The teen part was feeling sarcastic. Like, ‘fuck it, I’m sending you stuff to try and help me and you won’t read it just like everything else, so shove it why don’t you?!’
Clearly, she hasn’t replied…and I feel rubbish about it. Not just because she hasn’t replied but because I feel so utterly overwhelmed by where I am in therapy and the therapeutic relationship and the break.
It just all feels kind of futile right now.
I don’t feel like I am moving forward. I just feel like I am stuck in trauma.
The teen parts are definitely wounded and feel like texting my therapist to tell her ‘we’re done, because what’s the fucking point in all this if almost every time we interact I am left feeling inadequate and like what I want/need from you is too much. I feel physically sick when I think about how much I care for you and contrast that with how easy it is for you to leave me/ignore me when I am struggling’.
[Ok. So that’s the work isn’t? it]
I have no idea how the next couple of weeks is going to go. I know I will cycle through heaps of emotional states. I expect I will go to my session on the 3rd because the young parts are so desperate and attached that they’d have me swim through shark-infested waters to see her. But, ugh, I don’t know. I don’t know how much longer I can keep putting myself through this.
With just ten minutes of Monday’s therapy session remaining I finally said it. In words. In the room. To her face. Not written down. Not kind of implied and hoping she might read my mind. I actually said the sentence that has been persistently in my head for the last month (well, it’s always there) aloud. It may not have been very loud, it may have come from a young part, but it was loud enough for her to hear:
‘I don’t want you to go away’.
OMG what just happened?! Did I actually directly tell my therapist how I was feeling about the summer therapy break and show vulnerability and need even when several parts were screaming at me to keep my mouth shut? Looks like it, doesn’t it?
We all know by now that these feelings are always there in one way or another. Every time I have to leave my therapy I feel like my therapist is ‘gone’ and it’s a huge struggle for the youngest parts to just make it through the week…but therapy breaks, well, crikey, they are the absolute pits and no matter what I do, or how I try and prepare for them I always end up on my arse, in a heap, sooner or later.
Ok, so I did kind of have to throw myself over the metaphorical ledge to get the words out and take a forty minute running jump at it: sliding through dissociation, silence, and shaking just to reach the drop off, but I did it- and you know what? It was ok. She didn’t freak out (of course she didn’t) and it opened up a really useful conversation about breaks and the difficulties I have with maintaining connection with her.
It’s fair to say that therapy has been a bit weird lately. It’s my fault. I do want to kick myself sometimes. I’ve been struggling to really connect with my therapist/hiding from her for a variety of reasons. Some of it is definitely a hangover from last Easter break and how she reacted when I finally properly let her in and told her about the eating disorder stuff. I have struggled to trust her with the big things since then because I am worried that if I so much as allude to issues with my body or food she’s going to overreact and write to my GP or threaten to ‘work towards an ending’ again (shudder).
My rational adult knows that I can trust her and that we now have an agreement (that we worked out together) in place around what we do if I end up struggling with eating and she is concerned that things are bad but even so, the teen parts are still hurting after how things were handled and most of what I need to say to my therapist comes from these younger parts. As I have said many times my adult knows what she’s doing and has it together…it’s the others that let the side down! They’re the ones that need the therapy and if they don’t feel like they can trust Em then we’re all screwed.
In addition to stuff around the ED I have been struggling to reach out or let her in because I’ve felt pushed away – and that bombshell about needing ‘to work towards an ending’ if I didn’t go to my GP has just got stuck on loop. Fucking soundbite from hell. I feel wobbly at the best of times and parts of me are certain that she wants to get rid of me… Disorganised Attachment 101. I do know this is really very much about my skewed perception of things rather than it being the reality but I don’t require a lot of evidence of her supposed lack of care in order to shutdown and hide. It is a nightmare.
For example when I asked for a regular check in around the time when the ED was off the chart bad and she essentially said she had no time I couldn’t help but feel like the whole therapeutic relationship was just a huge pile of shite and that she did not care at all. It takes a lot for me to express any kind of need and so to do it and then get a no was just hideous. Add to that the hell that was the beginning of July (cancer follow up at the hospital neatly coinciding with the anniversary of my dad’s death) wanting to reach out to my therapist and knowing I couldn’t, or could but she wouldn’t reply sent me into a complicated rage and devastation cycle:
Why the fuck do I bother? She clearly doesn’t give a shit about me.
I wish she was there and could give me some reassurance. I miss her.
I’m done with this. I hate her.
What is wrong with me? Why doesn’t she care?
I hate myself.
It’s so hard constantly trying to juggle and manage utterly conflicting but intense emotions. I get that this is where the work is. On a good day I can completely see how my therapist is just a therapist and is doing her best to help me but other days it is so much more complicated than that. It drives me insane.
When the five week summer break started flashing persistently on the radar it added in another level of internal struggle. I absolutely want and need to be able to connect with Em before the break but the moment any kind of vulnerability or need starts to creep in the room I have dissociated. I am gone and it takes ages to try and get back to her. It’s been horrendous feeling like she is behind glass and I’m stuck in a long dark tunnel. This week was even worse than usual. There wasn’t even the ten minutes of adult small talk at the beginning before a plunge into young parts’ chaos and dissociation. Nope. I sat down, looked at her, and went numb.
AAAAAHHHHH FOR FUCK’S SAKE!!!!
It’s so annoying. I spend all week wanting so badly to be in that room in order to try and work on this stuff and yet my mind plays tricks on me. I can’t even really remember what we talked about in the session, now. I know that she was trying really hard to draw me out and connect. I really wanted to talk and yet there was a part inside freaking out ‘if I tell you how I feel you’re going to leave’ which is hilarious, really, because of course there is a therapy break coming up next week anyway, and she is leaving, so what’s the difference? I guess a therapy break isn’t forever, though, and yet to some of the young parts there is a real and genuine fear that I will get terminated for being too needy if I tell her how I really feel.
It’s that old chestnut: I am too much.
No matter how many times she tells me I am not too much and that she wants to hear everything I am feeling I still can’t trust in it fully. I really want to, though. I am trying. And I do get there eventually.
So often what happens is that as we creep towards the eleventh hour in therapy I am able to talk a bit. I guess I build up enough trust, or perhaps enough desperation to let some stuff out the bag. I sense the clock ticking down and I get a ‘now or never’ sort of motivation but also an ‘oh she is still a safe person’. This is a pattern I have noticed in my sessions – the last ten or fifteen minutes is where the work is really done. But this is also true as we head into a break. I conceal how I feel for at least a month leading into a holiday (‘what’s the point in telling her anything, it won’t change anything’) and then suddenly the break is almost here and I let it all out. I don’t know why exactly. Perhaps it’s about feeling like I can’t contain it on my own during a break, or maybe it’s about safety. If I let all the really vulnerable stuff out just as a break starts then I have time to recover from it, let the dust settle a bit, we can pretend like it never happened if it is totally mortifying… I dunno.
So anyway, when I said ‘I don’t want you to go away’ I felt like I’d had some kind of out of body experience. Who the fuck said that? It was a young part for sure but I have never allowed that stuff out in this way before. Sure some of you might be thinking, ‘seriously, you’re getting wound up about this??’ but it was huge. Em handled it really really well. She asked me what I was scared of and I said ‘that you won’t come back’ and we talked a lot about how massively traumatising this all felt especially in relation to my dad having gone away and died on holiday.
I always feel silly getting stressed about her going on her summer holiday. It certainly is the hardest therapy break in the year and not just because of its length. It just falls so soon after the annual sucker punch of my dad’s anniversary. I have experienced someone I love not coming back from a holiday, and I have had it front of mind for the whole of July, and then off she goes on holiday for a month in August. The timing sucks.
I wish I didn’t get so scared and anxious that she would respond negatively to something that is fairly normal and understandable. Like surely it would be more weird if I was completely unaffected by her going away for 5 weeks especially given the timing. But I do fear her rejecting me. It is a huge stumbling block for me. I wish that I could retain all these positive therapeutic experiences where she responds to me as I need her to. If I could hold onto her and her kindness and care I know it would enable to be more open and vulnerable but unfortunately I just cannot hang onto these connecting moments and file them away in my memory banks to give me some courage the next time I have stuff to let out (which is basically every session).
I know it’s a process…but god…it’s long isn’t it?!
Anyway, that’s kind of where I am at now. I have one more session on Monday and so that revelation in the last ten minutes of the session might have been the start of the emotional flood gates opening. I kind of hope so. I don’t really want to sit on all this attachment stuff over the holiday and feel alone, unseen, and unheard. I want to tell my therapist how it feels so that she can help me put things in place so that everything doesn’t disintegrate the moment I walk out the door.
She said we are going to work on building on the felt sense of connection between us in session next week…..god only knows what that’s going to entail but I’m telling you now if she gets me to imagine fucking angels or a sodding box to hold positive feelings in I will throw my pebble through her window!!
I should be delighted right now. School’s out for summer and that signals six weeks off from tutoring; no more trying to make packed lunches at 6am only to realise there is nothing to make a packed lunch with in the fridge; no more washing and ironing uniforms (THANK FUCK!); and better still, no more negotiating with pint sized terrorists every morning to ‘pleeaaasseeee darlings justput your shoes on’. I will certainly not miss doing school runs or racing around to get to my teaching. I can, for the next few weeks, sit here at 9am in the comfort of my PJs (TMI?!) and blog if I want to.
It’s all good.
Ok, so anyone with kids knows that the shine of summer holidays wears off about a week (day) in, but right now I am trying to picture myself as calm, together mum who plans nice trips, meets for play dates, bakes, and creates a generally harmonious atmosphere. (Who am I kidding?!) The truth is, before long I will probably be threatening to get out the ‘bin bag’ and throw all the toys away if the floor isn’t cleared before bed time and will be pleading with them to ‘be nice to each other’ and ‘stop snatching’ and ‘can we agree on something you both want to watch on Netflix?’
So, yeah. In my head I am aiming for Mary Poppins but realistically, just gotta hope they are both alive in September (that is a joke by the way!). Using the therapy speak – I’m hoping I do a ‘good enough’ job over the summer with my kids.
Oh, but wait, if school is out for summer then that means therapy is almost done with and the long summer break is coming doesn’t it?…
I’m totally screwed.
Ok, so it’s not like this is new news. I’ve been mentally counting down to the summer therapy break since Easter (I’m fun like that!) and once I had confirmation of the break dates from my therapist could start properly obsessing about how bloody long she is going to be away. She always takes roughly the same holiday and, actually, in real terms it’s only two weeks away for her but because my session falls on a Monday things always feel longer because before she even starts her break on a Monday it’s been a week since I have seen her (I think therapists forget this sometimes). The summer break is particularly crap, too, because there is a bank holiday at the end of August in the UK so I lose another session.
So, basically my last session is on the 30th July and my next face to face is the 3rd September…err that’s 5 weeks… There is a session in the middle on the 20th but I can’t get to it because the kids are off. I could, maybe, Skype but it wouldn’t be all that easy with the monsters causing havoc. I am also a bit reluctant to Skype after essentially three weeks break because I know what I am like, and much as I would like to check in, there’s a real danger of me stonewalling her and us getting nowhere and then there being two more weeks until we can sort it out. I know that is a recipe for disaster. So right now I have to think about what is the lesser of two evils: a long five week break or three weeks and then two weeks break back to back.
I can’t see that either is going to be great. I think it’s going to be about survival (again). I hate that I am like this. I hate that the attachment stuff causes so many problems. I wish I could look at this break as a chance to regroup and enjoy some time with my family but it doesn’t feel like that. Instead it feels like my safety net is being whipped out from underneath me or my anchor has been severed and somehow I just need to hang on and make it to September without something tragic happening. I know, spare the drama right?!
I did think about asking my therapist to write me a note for the break but after all the hell with the pebbles I just don’t think I can face it. I don’t want to create a situation that destabilises me before I even get to the break. But five weeks is a long time isn’t it? Especially when you are unable to hold someone in mind…
I don’t really know what to do.
The weeks between sessions have been getting increasingly more difficult recently and I have been dissociating a lot in my sessions (as well as outside them). I know it’s panic about her going away at the end of the month. The anniversary of my dad dying falling in July doesn’t help matters, either. My mind automatically lurches from the fact that he was meant to be going away for a month on holiday and never came back to the possibility that she may do the same. I can’t deal with that. I know it’s not rational but it is what happens in my mind. I panic. It’s like the grief of the loss of my dad swirls with the idea of losing my therapist and a shit storm starts inside me.
There is some good news in amongst all this doom and gloom, however, that I guess I should share and that is that as of September I will be having two sessions a week. A session time has become available on a Friday and so we are going to trial 6 months of twice weekly sessions and see how it feels. Unfortunately, the time is too early for me to actually get to the session in person (9:30am) as my therapist lives 50 minutes from me and I don’t drop the kids to school until 9. However, it does mean I can come home and Skype. When a better time becomes available I’ll swap into that.
I already know this change in session frequency is going to make a significant difference to how I feel in the week because whenever my therapist has a cancellation and can offer me two sessions in a week things feel way more manageable. We did this a couple of weeks ago and I can’t tell you how much easier things felt having that weight of anxiety lifted from me because I knew I would see my T on Monday and Friday. I didn’t get any of that shitty horrid attachment pain and physical ache that usually wipes me out on a Wednesday. I didn’t feel like I needed to dig deep or hang on tight in order to get through the week. I was able to keep sense of my therapist still being out there – which was refreshing! I knew the child parts were there but they weren’t completely beside themselves. It was so freeing.
This week has been total shit, though, back to one session a week and no in between contact. It’s hit me like a sucker punch – even though it is what is normal for me. Two sessions now remain until the break. My session on Monday this week was ‘meh’. Adult me went in and talked shit for half an hour about ‘non things’ and avoided going to the difficult stuff because I’m in self-preservation mode. But then something suddenly shifted. It was as though the little ones clocked that only twenty minutes remained and they freaked out. They wanted to connect with my therapist but then the shame and embarrassment flooded in and rather than reaching out I started retreating inside myself and started to shut down.
My therapist quickly noticed I was starting to dissociate and tried to hang on to me. I could feel myself slipping but she kept talking to me. She said she could tell something was starting to change because my body had changed and that she has noticed I close my eyes more when I am starting to dissociate. I didn’t know this!
I wasn’t able to tell her why I had started backing away but could tell her how it felt like she was behind glass and that I was alone at the end of a very long tunnel. She asked me what I might need in the tunnel? And I said I didn’t know. I was too lost by that point to express the need for someone to be there with me but she said that she imagined having someone alongside me that I adequately trusted might help. I nodded.
She asked me how old I felt and I quickly answered ‘eight’. She said that that was the age where I had already learnt to cope by myself and not rely on anyone. She was right. As usual. I really wanted to be able to reach out to her, to ask her to sit closer to me, to connect, but I just couldn’t. That glass wall is too thick and the tunnel is so dark and long.
Before long the session was over and it was time to leave again. My therapist has really been talking a lot about how difficult the ends of the sessions feel and is more aware now (I think) that they feel like an abandonment or rejection to me and I seem to hit a very young place at the end, like I look frightened or something. She commented that I seem to feel like because the session is over and I have to leave that it’s automatically ‘out of sight out of mind’ and yet that just isn’t the case. She’s right though. It is how it feels to me. I struggle really hard feeling like she doesn’t care unless I am in the room and that is limited to 50 minutes a week. Because I can’t hold her in mind I feel like it works both ways. I find it really helpful when my therapist says things like this because actually the young parts need reminding that she cares. It really helps.
Although, it clearly doesn’t help enough when a break is coming. I just need to do a massive face palm. I know things are dire when my dreams start getting really vivid and regular. I dream a lot anyway but this last couple of weeks has been horrendous. I’m back into therapy stress dreams 101. The ones where I am vulnerable with my therapist, express a need for her, try and get close to her and she physically pushes me away with force. I hate them and they are occurring so regularly (a couple of times each night) that it’s hard to remember that they are only dreams and not the reality.
There have been times when my therapy dreams affect me so badly that I can’t even talk to my therapist properly – for like a month! I get so shut down and scared that I can’t even tell her anything. I fear the dream will play out in real life. It is utterly horrendous. Of course when I do manage to bring the content to session it’s nothing like the dream but it’s so hard when my mind is telling me one thing over and over and yet I am meant to try and believe that the worst won’t happen and trust in someone I can’t hold in mind. It’s so hard.
I think I’m going to write some stuff down tomorrow or draw some flow charts and take them to session with me. I don’t mean to be deliberately avoidant in sessions. Sometimes I just can’t talk and sometimes I can’t even bloody remember what has been paining me outside the session. Man, that is so frustrating! It’s like some kind of amnesia! haha. Ok, so it’s just a product of dissociation and fragmented parts but either way I think I need to take a map with me on Monday so we don’t get lost.
I think that’s all for now. I don’t really know what to say. Bleurgh. Bloody therapy breaks! I guess it’s almost time to:
So earlier in the week I was really struggling. I always feel particularly unsettled in the first few days after a therapy session. It’s a pattern I am so familiar with now that I’ve almost accepted it as part and parcel of this therapy, albeit an uncomfortable side effect. It’s as though seeing my therapist stirs EVERYTHING to do with my attachment issues up and then I walk out the room with a bunch of inconsolable children inside me and some angry teens and have to survive the week as best I can. It is utterly draining and emotionally all-consuming.
The attachment pain I feel is agony. It’s been especially bad since Easter break where the eating disorder stuff got a bit (ok, a lot) out of control. The ED stuff was certainly triggered by feelings of abandonment and rejection around the Easter break and not seeing my therapist for almost a month. I feel huge amount of shame just typing that. I am so embarrassed that I am so attached to my therapist that not having contact can send me into free-fall and latching desperately onto my teenage coping strategies like a life raft on a stormy sea.
I hate feeling like this. I hate not seeming to have found a way of ‘not feeling like this’ after being in therapy for such a long time. If anything these feelings are getting worse rather than better at the moment. I know, in part, this is because I am keeping a lot to myself.
My last post was about The Elephant In The Room or rather the herd of elephants that are wedged in the therapy room with me! I was largely talking about the eating disorder stuff being a current and big stubborn beast but there are others. One of the most persistent and long-standing (so far as this therapy goes) elephants is the one about being unable to talk about touch and holding in the therapeutic relationship. We talked very briefly about it last year – basically it’s a no from her- and since then I have struggled to acknowledge this really massive problem for me. In fact I would go so far as to say it is ‘the issue’ that activates all of my anxiety in the relationship.
I need to find a way of feeling ‘more held’ and I know that part of the problem with not feeling held and contained is that I see my therapist once a week. Before my last session I had reached the conclusion that it was time to ask about incorporating another session into my therapy or, at least, a check-in (because that made a huge difference the other week) and so I text her to ask if we could talk about this. I basically said that I can’t do the work I need to do with one contact each week. It’s just not containing enough.
My therapist was agreeable to the idea of an extra session, in fact she had suggested this might be a good idea this time last year, but as things stood financially with me not working it just was never on the cards. I hate that mental healthcare is so limited by your ability to pay in this country! Anyway, since I have taken on some home-schooling and tutoring work it’s just about doable to have another session.
Unfortuantely, my therapist doesn’t have any times available at the moment. Ugh. She has said it could be several months until a slot becomes available and in the meantime she has not got time for a check in. You can imagine how that went down with various parts of me. I sat there and absorbed what she was saying with an ‘it’s fine’ face – I mean it is the way it is, she is busy. BUT omg! It stung.
It wasn’t so much the not having any regular times available for a session that upset me – there’ll be one eventually- as soon as one becomes free it’s mine. No. It was not having time for a check in that hurt the parts that feel like she doesn’t care about me anyway. Like, seriously, she doesn’t have time for a five minute call at the end of the week to settle the parts that are struggling, or won’t reply to a text and say ‘Still here! Look forward to seeing you on Monday.’
I know we don’t have a good track record with texting but I was kind of hoping that if we spoke about it a bit we could reach a mutually acceptable way of interacting that would help contain those feelings that get so stirred up in the week. As it stands I feel stranded and alone and like I don’t matter. I know I should bring these feelings up in session today but it all feels so raw and activated that I suspect it will become another elephant.
I’m struggling, too, because when she told me that she had no time for a check in she said that the other week when we spoke on the phone it was an usual situation because she had had a cancellation. This simply isn’t true. She doesn’t work at either of the times she offered me to talk that week. And whilst I understand she mightn’t want to make it a regular thing working outside her usual hours, that is what she did that week. It felt like a big gesture on her part that she was willing to help me outside her usual working day and now it feels like something has shifted… she did mention that she felt that the dynamic had shifted…so maybe she’s gone back to the usual frame. I just have no idea.
I really want today’s session to be connecting and holding because we have another break next week. I am going away on holiday but my therapist would also have been away so whichever way you look at it we would’ve had a disruption (again!). I am so rubbish with breaks and the last thing I want is to walk out of my session today feeling anxious and lost and little – even if that is the norm.
My therapist said to write stuff down and bring it to session last week and so that’s kind of what I have done. I splurged on the page on Wednesday – a five page handwritten letter – and have copied it below. Today it feels unimportant, or less potent, somehow. I don’t know whether or not I will take it with me and hand it over. I guess it would prevent a silent session but I am not sure I want to be so vulnerable.
I find this whole process so bizarre. I struggle so hard for the majority of the week, the feelings are huge, it is so painful, and then I get to the weekend and things semi-settle down. I guess part of this is because I know I will have my session on a Monday and so the parts that struggle settle a little in the hope/knowledge that they may get what they need in session. I think there is probably also a bit of resistance from some of the parts. It’s almost like ‘you weren’t there in the week, so why should I care or talk to you now?’ I know!! It’s not all coming from an adult place!
Anyway, here’s what I wrote. No idea what I’ll do with it!
What It’s Like On Wednesdays
Wednesdays are notoriously the worst day of the week for me. Something horrible happens in the pit of my stomach when I wake up and it stays all day. It’s hard to explain how utterly crushing this feeling is and to anyone that’s not felt it, it must seem crazy. I know, however, that I am not alone in this and at least a couple of my friends understand.
Every week in session I struggle to talk about these feeling because they are totally mortifying. It seems so stupid that a grown-up can feel so small at times and so unsafe. What’s even worse is that these feelings are triggered in relation to you. I can’t tell you how awful that feels. I don’t want to feel any of these emotions and I certainly don’t want to feel them about you. I don’t seem to have a choice, though. Believe me when I say have tried to rationalise out what I’m feeling, to make sense of it , in the hope that it might go away…but it doesn’t.
You tell me that the young parts have done nothing wrong and their feelings are ok. Sometimes I believe you. Sometimes the way you say it makes me trust that actually you aren’t freaked out by this and you can handle whatever I am feeling. Sometimes I can feel the barriers coming down and there is a sense of connection. The problem is that a lot of the time I don’t believe what you have said, either because it’s been a while since you’ve said it (I hate that I need so much reassurance) or because I sense something is different in you. I might be oversensitive but I notice when your voice is different and how you are sitting – and even if those changes are only subtle, the parts of me that have always had to be on guard start applying a narrative to what might be going on. I don’t know how accurate it is because you rarely tell me how it is for you.
I know that my ‘worst case scenario’ thinking doesn’t do me any favours here ,but if I feel like you are annoyed or frustrated with me I shut down even further. I do, absolutely, feel helpless when it gets like that. I wish you were able to actually see what’s going on inside me when we are sitting in near silence and I feel like you are giving up on me. I know it’s difficult to picture a set of small children all alone and separate from one another suffering varying degrees of upset but that is how it is.
You said before that sometimes it’s like being blindfolded with me, and you don’t know who’s there – for me it’s like being trapped on the edge of a ravine. I can see you, just about, on the other side, but I can’t reach out to you. You cannot hear me crying. At least I don’t think you can. The critical part of me thinks otherwise and believe that you simply don’t care that it is so difficult for me and despite what you may say, are as embarrassed about how I feel as I am and choose to ignore it. It’s easier that way.
So, frequently the session is fine-ish. I talk-ish. You probably think things are ok-ish. And yet more often that not I walk out of the room feeling sad and deflated. I am frustrated that I can’t tell you how bad things feel. for the young parts. I’m still not really sure you get what I mean when I say I worry about you giving up on me. It’s not a mild sense of anxiety, it is utterly debilitating. And sure, I get it, therapy will end one day, but the youngest parts of me don’t even feel like you’ve really seen them yet and so the idea of an ending feels hideous.
I walk away feeling all sorts of agony. I really believe that it is only a matter of time before you pull the plug on the therapy. I understand what has happened lately with all the GP stuff and eating disorder stuff. I know it’s important to have a safety net but I can’t help but feel like you’ve started backing away from me because actually it’s all too much. This confirms what I have been thinking for such a long time and that is painful.
There is, of course, a bigger more horrible side to these feelings and this is what causes me so much difficulty from week to week, and on breaks. I know that I’ve said it a million times before but I don’t think you really understand that I am not being dramatic or over the top when I say that for parts of me it feels like you are completely gone – like dead- in the week. I feel panicked that you have disappeared and are not coming back.
Adult me knows that this is unlikely to be the case but the child parts have had a lifetime of people disappearing: my dad was ‘gone’ when I was nine months old until I was three and a half; and then my mum was ‘gone’ Sunday to Friday between the ages of five and eleven – and even when she came back she was often ‘not really there’. Top that off with my dad dying when on holiday – it’s little wonder that I struggle when you are not there and on breaks.
It should feel like I am onto a winner if I can hang onto the sense of you being out the somewhere but even that isn’t straightforward because when I can’t see you I miss you. And because I miss you I feel massive amounts of shame and embarrassment. It really is like having all the sadness and pain of my childhood playing out week after week and it is really hard to manage. I am convinced that you find me irritating and think I am deliberately keeping myself stuck and you are reaching saturation point.
I don’t like feeling this way. I want to find a way to make things feel better between sessions. I want to find a strategy that helps to contain the feelings. That’s why last summer I asked you to send me a message. You said after the break perhaps writing a message on a card would help and then the fucking pebbles disaster happened. I really wanted to succeed in making a successful bridge to get through from week to week and it’s not really worked because I still have no real sense of you, which I guess should not be surprising when the words were not yours.
So when I feel disconnected, like today –hellish Wednesday- I cycle through all kinds of emotions. The little parts feel completely alone and unseen and the older parts want to run away and give up. The smallest ones want to be close to you, to close the space between us, and the older ones want to tell you to stop hurting the small ones.
I completely get what you are saying about therapy needing to take place in the session and that sending long messages isn’t a good idea. I don’t want to ‘do’ therapy outside the room but really every time I send you something it’s to check you’re there. Obviously getting no reply doesn’t help matters in the least. I don’t know how to get round this. I feel like I am drowning with this stuff and can’t see how to make it better. How am I meant to feel secure when my brain conspires against me all the time?
I get to session and all the little parts want you to notice them and yet you don’t for a really long time. I try not to disappear when I see you because I want to be able to connect but there is such a huge fear of being seen and then being rejected that something happens and I don’t behave in a way that I recognise as even being me. I feel embarrassed when I sit there saying nothing because I feel like you are automatically judging me negatively. Sometimes I want you to come closer to me because my head is telling me that you can’t bear to be near me. I’ve said before that the space can feel enormous and when things are bad it feels awful.
I have no idea how to get around this. Sometimes I want you to sit near me but I don’t ask and then shut down because the shame and embarrassment of needing physical proximity feels awful. So when this happens it triggers another level of hell. It’s like I must be utterly disgusting to you, you can’t even tolerate being near me. This feels horrid, especially to the parts that want to be able to touch you and can’t. I don’t think you have any idea how big an issue this has become for me. Week in week out I feel like I am re-enacting the relationship I have with my mum. Every session we have confirms to me that on a fundamental level I am untouchable and unlovable.
I struggle, then, to trust in the relationship because on a basic level I have confirmation that you don’t want me anywhere near you. It feels so confusing because I feel like therapy did ought to feel more nurturing and connecting and yet I can’t help but feel like it is impossible to get close to you. And then I wonder what I am actually meant to be doing! Like what on earth is a therapeutic relationship?
You said once that boundaries are not barriers and I have never really been able to get my head to make sense of it because if they are inflexible then how can they be perceived as anything but barriers? I seem to keep banging hard into boundaries and feeling like I simply cannot get therapy right.
I can’t help how I feel. It’s doing my head in. I hate that wanting to feel close to you causes me such high levels of anxiety but I hate, too, that I seem to be caught up in wanting something that isn’t available. Right now I have a lot of children’s feelings and nowhere to put them and so, instead, have been trying to shut them down by attacking myself. It’s not sustainable but there feels very few options out there.
I think I still want you to read the thing I wrote about ‘The Mother Wound’ because I think it sums up just what we’re dealing with. But perhaps not now….
And lastly, finally (phew)… last week you said you would expect that perhaps I’d be relieved to have a break next week given how things have been. This really surprised me. I’m staggered that I give off such a strong sense of not wanting to be there or that I discern nothing useful from the process – but I guess that’s because I rarely show you the vulnerable bits that actually want to be there, to be seen, and to connect because they don’t believe it’s possible and are scared of showing up properly only to be told to go away.
X
Oh, and actually, I’d much rather know the truth about how things are – I might not like hearing that I am annoying you or that you think this isn’t working but it’s actually better that I know. I can’t keep doing things the way I am/we are and so something has to shift. I can’t currently work out whether that is changing things and ‘colouring in’ or ‘leaving’ – because I have no clue where we are at. All I know is that the levels of anxiety and physical drain is really hurting.
So I realise that my blog has fallen by the wayside a bit these last few weeks (but I’m back now with a humdinger of a post!). I usually try and write something here at least once a week in order for me to keep some kind of regular record of what’s going on for me. I used to write a journal on my computer following each therapy session I had; the blog became a bit of a replacement for that – a sort of diary that the public can read (although I have been having some thoughts about that, lately, too – weird paranoia maybe? Or just a need to draw close and be private…I don’t know).
I’ve been so busy running around like a headless chicken or maybe, more accurately, with my head wedged up my vaguely anorexic arse, sorting my kids out, and tutoring most days that now there is very little time to actually sit down and reflect on what is going on in my internal world on the page (currently writing this from the edge of a swimming pool while my daughter has her lesson!). I haven’t not been writing because I’m short of things to say- far from it- my mind is all over the place and overflowing with the usual angsty crap: attachment pain, therapy worries, bad dreams, health, the eating (or not) stuff… and now, in addition to all that, I’m in a spin over my therapist’s ‘ultimatum’…
I have really missed my writing time. I so need it! Hence stealing time where I can now before I explode! A couple of hours each week to ponder and process, I am discovering, is more important to me/necessary than I thought. I need to try and find time for this but like so many of ‘my’ things, it doesn’t take precedence when there are so many other pressing things that actually have to be fit into the day. I do need to prioritise time for me, not just for writing, before I sink even further into quicksand I seem to find myself in.
Even if I write reams (maybe piles!) of emotional diarrhoea here (and having just proof-read this it does turn into a big splurge- sorry) and it makes no sense to anyone but me, I find the writing process really cathartic. It helps me get my head above water/out the sand a bit. It’s a good way of letting stuff out when all too often I feel overwhelmed or full of emotion.
I think some of why I find it so helpful might be that I actually sit down in one place for a block of time and have a hot (rather than luke warm/forgotten about) cup of coffee – it certainly can’t hurt! I was speaking to a friend the other day and I likened myself to a bee stuck in a jar. I am always buzzing around like a crazy thing. I don’t really stop.
Of course, I also have my therapy session on a Monday which is where I should get stuff off my chest, slow down, decompress, but more often than not the session stirs up more than it lays to rest and then I am left trying to make sense of it all on my own during the week. I find the first couple of days post-session extremely hard going and it’s no secret that I feel emotionally at sea and struggle for a good part of the time between my therapy sessions. I really haven’t got to grips with that emotional containment thing yet.
Actually, I’m having a hideously rough time this week and it’s crap right now, so I am looking forward to Friday and feeling like I am over the worst of the week. Having said that, usually I am pleased to get to Friday because it means it’s actually almost Monday…but this week I am not sure how I feel about my session on Monday. I am not sure if I am going to go yet. I don’t know if I can face it. Of course the little parts want to go and have some chance of reconnecting with my therapist but right now my teen part is off the chart raging, angry and let down. Underneath that, there’s also a real fear that I have broken my therapist and it’s all going to be downhill from here.
I’ll get to the point shall I?
Last week’s session (1st May) feels a really long time ago now. I can’t really remember what happened. I sometimes get this weird amnesia following a therapy session. Does anyone else? Like I have a vague idea of what happened or sense the general feeling of the session but it’s not clear exactly what happened. I usually have a very good memory for detail in my life and remember all sorts of useless information so I wonder if I am so frequently dissociated in session that I lose what’s gone on?
I do know that we talked about the eating disorder stuff – again. My therapist asked me how things were going and said that although I may not like her bringing the subject up, that it was too important for her to just let go – indeed she couldn’t/wouldn’t let it go. The session was fine. I told her how things were and filled her in on what was going on now (level of exercise, what I am eating, how I feel about my body, and the physical symptoms I was experiencing) and what it’s been like in the past. It was ‘the no-filtered version’ of life with an eating disorder.
I think she finally has an accurate picture of what it’s like for me and she seemed to get it. I guess part of me was quite relieved for her to show she cared and build on the phone check in we had had on the Thursday night. I felt exposed but also like I wasn’t completely alone with this burden anymore. Yet again, I failed to bring up any of the issues about the attachment and the feeling disconnected from her but on the whole it was ok.
The week was a bit wobbly between that session and the one I just had on Monday (8th) – but when is it ever not wobbly?! I can’t suddenly let the cat out the bag about the anorexia and not be impacted by it can I? So, yeah, it was very bad in the early part of the week again. My tolerance levels were shot, my temper was short, and I was beating myself up in a big way. It wasn’t good. Some of it was undoubtedly hormonal but I know a larger part came not having really eaten properly in weeks: my blood sugar was low, fatigue was massive, and all the stuff that I just about have a handle on from week to week was suffocating me.
On Wednesday evening things felt so utterly overwhelming that I almost just got in my car and drove away….you know, just wanted to leave everything? I was done. It wasn’t good. I’d been having dreams about all the stuff surrounding my dad, friend, dog, all dying – upsetting as hell. I had also dreamt that my therapist had left me – nooooo. Oh and then I had a dream about my very good childhood best-friend, the one with metastatic breast cancer, and planning her funeral with her. It was a week where my sleep was filled with death and loss. The feelings crept into my waking life and I felt on the verge of tears every time I woke up, and every time I felt a bit tired.
Thank god for good friends with an ability to talk me down is all I can say. A twenty minute phone call was the difference between me falling off the edge altogether and regrouping and having another stab at moving forward. Things are on a knife edge.
By the end of the weekend I had reached a place where I wanted to really talk about ‘big stuff’ with my therapist and had steadily been eating a bit more each day which undoubtedly helped with my mood. Don’t get me wrong, there was still the voice telling me I was fat, and lazy, and can’t even succeed at an eating disorder… yeah, really!…and that is not easy to have doing the rounds in my head. But there was a part of me that was trying hard to hang on and not sink down into the place where I would, before long, have been passing out. Dizzy spells, cold hands and feet are enough. I was pushing myself too far. I know that how things have been since Easter is not sustainable. I was losing the battle with the eating and it wasn’t good. I wanted to unpick this properly.
I needed to explain why the attachment stuff feeds this kind of damaging behaviour and relationship with food and how things need to change – although I have no idea how to get round this myself but if my therapist at least has an accurate picture of just how bad it can feel we might be able to put a plan in place. The eating disordered behaviour simply masks other issues. Sure there is a large dose of body image stuff thrown in the mix but primarily not eating allows me to focus on something other than feeling the pain of neglect and abandonment. It temporarily shifts focus away from the Mother Wound.
Despite feeling embarrassed – mortified, even- that my young parts are so traumatised and get triggered every time I see my therapist, I think it’s time she heard the truth about how affected I am when I can’t see her…the real truth, not just the watered down insinuated version of things. I wanted to explain how I long to connect with her but part of me feels distant and like I can’t trust her. I want her to know that when I am not with her in session the young parts cannot cope at all and it is utterly overwhelming. I need her to know that breaks aren’t just ‘a bit difficult’ they are ‘a fucking disaster zone’. I wanted her to know that touch, or lack of it, has become such a huge issue for me that it’s massively impacting my ability to function in the relationship and is attacking my self-esteem.
I sit in session every week feeling like there is something wrong with me because we are so physically distant. I need more proximity if I can’t have touch because my mind tells me that my therapist doesn’t want to hug me because there is something disgusting and repulsive about me and she is only tolerating me because she has to. It must be the idea of touching me, even holding my hand, that is nauseating to her. It’s not the first time this physical rejection has happened to me and it’s hardly surprising it’s coming out in the therapeutic relationship now when so much of the work is about my mother. Yay for huge whacks of maternal transference with my therapist! Ugh!
For me, the ‘no touch’ boundary feels just the same as my mum refusing to touch me at fourteen saying ‘don’t hold my hand. People might think we are lesbians’. We’re twenty one years down the line and since then I’ve never had any holding from my mum (I mean there wasn’t much before that point either!) and the sense that ultimately ‘being a lesbian’ is a bad thing has stuck. Little did my mum know when she said her casually homophobic remark that I would turn out to be gay and those words branded into my brain.
I know it’s not my therapist’s job to physically hold me but I am not sure she realises how traumatising not being touched at all is for me. Every session with her reminds me that I am not worthy of her physical care – and might it be because I am gay? Is that the problem? I know it’s not rational. Adult knows this. But there are plenty of others inside that feel it to be absolutely true. The young parts of me want to be physically close to her and not being able to be feels utterly rejecting. How can a young three year old part make any sense of why an attachment figure won’t come close?
To my therapist, no physical contact is just a therapy boundary but to me it confirms everything I believe about myself as being unlovable, untouchable, and repellent to be true. That’s how it is. It’s hurting me. It properly makes my stomach ache and my chest feel tight and I want to cry when I think about it. It’s a big wound.
So yeah, with all that ready to air it was going to be a big session! I had reached that ‘now or never’ place. I was feeling brave. Go me!
So, I walked in, sat down, made some passing comment about the lovely weather and how I wanted to go to the beach – I’d actually been considering asking if maybe one day we could have our session on the beach seeing as it’s only about a five minute walk away. I looked at my therapist and immediately sensed something was up.
Fuck.
What was wrong?
My internal system went on high alert. My poker face went on. I steadied myself. I waited.
And then out it came…
We needed to talk about the eating disorder stuff and she said it couldn’t wait until the last few minutes of the session. She’d been thinking a lot since the last session about what I’ve told her since coming back from Easter break. She said that she was very very concerned about my well-being. She was worried about my low BMI. She was worried about the fact that my body is clearly struggling and shutting down. She was aware that the dynamic between us had shifted and that she’d fallen into being more like my mother and almost policing me by talking about what exactly I’m eating and suggesting strategies to eat more [sounds fair enough]
But then came…
She was not prepared to hold this level of risk and be so worried about my physical safety. It was not her job. She wanted me to go to the doctor, get bloods taken, have an ECG, and get weighed. She wanted the doctor to confirm I’d been seen and communicate with her. Or if I wouldn’t go of my own volition she wanted to write to my GP and ask for these things to be done. She wanted someone else to be responsible for my physical well-being. She needed a safety net.
She said I was either agree to all that or we’d have to work towards an ending.
After the words ‘work towards an ending’ I didn’t hear a great deal more. I shut down. Properly shut down. I was a mess inside, though. Like utter full-on flat-out panic. The young ones wanted to burst into tears right there and then. It felt like a hole had opened up beneath me and I was falling. Not seeing my therapist anymore would be akin to a bereavement. This. Cannot. Be. Happening.
The Teen part stepped up, though and waded in. Her thoughts?:
There we are then. Confirmation that when I let stuff out and trust someone with my shameful secret it backfires. I am too much for my therapist. I am too much for everyone. She isn’t prepared to work with me alone. She said she would be here for as long as I needed and now there are conditions attached. Why did I trust her with this? I’m an idiot. I fucking hate her.
Look. I (adult) absolutely get that what was said, and what came afterwards in the rest of the session, was coming from a place of care and it wasn’t only about my therapist covering her back. It is completely reasonable that she would need a safety net for if things get bad so she has somewhere to touch base and get me help if I needed it. It’s no different from when I saw her in the NHS and she had my details on record. But that wasn’t how it came across at the beginning of the session. To be given an ultimatum within three minutes of sitting down where the choice was ‘go on record about your eating disorder and enter into the NHS circus again or we’re done’ didn’t feel like much of a choice if I am honest.
I’m glad that she didn’t leave this stuff until the end of the session because we needed an entire session of talking about this stuff back and forth – as painful as it was. The moment she mentioned the possibility of ending I felt so sad and scared.
We like to convince ourselves that our therapists will be there no matter what. Well actually, I struggle to believe that is the case and am always feeling as though shit is going to blow up at any given moment so I best be vigilant. For me it’s been about trying to believe she is as good as her word. That she is reliable. That she won’t abandon me when the big stuff comes out. I was starting to believe that maybe she won’t leave and that as long as I need her she won’t let me go – hence finally telling her fully about the eating. It’s not true though. When it comes down to it, she can and will sever the tie. It is just a job to her. Sure she cares but she has to work within a framework and that means being hard line sometimes.
I get that she wasn’t actually saying ‘you’ve said x and now I am terminating you’ far from it, she said it isn’t her job to be neglectful and I’ve had too much of that from others in the past. She isn’t trying to let me down, in fact it is the very opposite… but the very mention of the ending sent me into orbit. I know it was probably a bit of tough love and she was maybe riding on the fact that my attachment to her is strong that I would help myself rather than lose her. I dunno.
Even though we’ve left things on ok terms I still feel massively unsettled now. I mean things were already a bit all over the place and now it’s like I am on very shaky ground. Unsurprisingly the eating is feeling really hard again now…because I feel out of control and like I am going to maybe lose the person that I need to help me.
The initial request/insistence that I must go and get checked out or work to ending has changed a bit/been negotiated over the course of the session we had. Somehow in amongst the teen shut down there were periods were I strongly advocated for myself. I have now given her my GP details and agreed that she can contact my GP if we discuss it beforehand. I’ve said that if she thinks things are bad she can act but I have to know about it first; I don’t want to suddenly get a call from my GP asking me to come in because my therapist has contacted them and me not be aware it was happening.
The reasons we got to this point are that I had been eating and had been looking after myself a little better this week. I was honest with her and said that things haven’t gone away but that I am not in immediate danger right now. I probably was the week before and so her reaction was entirely reasonable. She had cause to be genuinely worried about me last week. I was genuinely worried about me too. I told her I would tell her if I was slipping. I know that this is going to be a challenge because part of me is worried about ever bringing up this topic again.
I also reminded her that as part of my cancer follow up care I get full bloods taken every eight weeks and I get weighed (which I hate but I can’t really argue with). They monitor me very closely and so I said that if they are not overly concerned about my BMI (it has been mentioned but nothing done) or my blood chemistry then I think that’s good enough. She wasn’t aware I had such a thorough work up at the hospital so this went some way to settling her concerns.
I said that my eating disorder is definitely an issue, has been massively active, and it is absolutely something I need to work on but the idea of going back to weekly weigh-ins and GP appointments would actually make things worse for me. I don’t want to run away from this stuff anymore (hence letting her know about it) but equally I know what hasn’t worked for me in the past. If I get weighed all I want to do is chase the scales downwards – not maintain.
There were times in the session where I was really reactive and grumpy and shut down and dismissive and ‘I don’t care’ and ‘what’s the point?’ but she could see it was all a reaction to what she’d said. I’d sent her my post about the Mother Wound and asked her to read it because, actually, I know that this is where so many of my issues stem from. She didn’t have time to read it before the session and so I felt a bit irritated about that. Remember I was in pissed off Teen 😉 and when she offered to read it in the session I just couldn’t bear the idea of her sitting there reading the vulnerable stuff and then having no time left to discuss it.
I left the session. I didn’t want to go. I wanted to settle things properly and leave feeling better. Doesn’t work like that though does it?! Time’s up. We over ran by five minutes but I knew I had to leave. I drove home and had a good think about what had happened and then sent this text to her about one o’ clock:
Today felt really hard for me. Having had some time to reflect and untangle – actually the request for my GP details really is a non-issue and had you just asked for them and explained that it was because you feel like it’s important to have back up, I would’ve given them to you. I completely understand why it’s a good idea that you have them and it’s fine if we agree communication beforehand if it becomes necessary. The thing that shut me down/activated stuff was how what you said was delivered. It felt like you were giving me an ultimatum along the lines of – ‘see your doctor or we’ll have to work towards and ending’. All I heard was ‘we’ll have to work towards an ending’ and so every vulnerable part felt the rug come out from underneath me. This is the sort of thing I dread happening but am always sort of expecting, and why I am always reluctant to let stuff out. When it feels like things are so tenuous my instinct is to leave before I get left- hence how I was today. It’s been really hard opening up about all this stuff especially just after the Easter break when I feel like trust is an issue and still feel disconnected (I really missed you) – and to feel like that was essentially being me with ‘it’s too much’ (even if that’s not what was intended) is not easy. Unfortunately, there is a part that struggles to believe that this isn’t actually just about getting rid of me and there are other parts that feel completely bereft. Trying to be rational but it’s not always my strong suit. Anyway, that’s about it I think.
Of course there was no reply to that. And then I started second guessing myself. Texts haven’t gone well for us and after what happened at Christmas where she thought I was criticising her and nothing was good enough I wondered if what I had text might be read as another criticism of her rather than just saying how it felt for me. So at six pm I sent this (groan….when will I learn to just shut the fuck up and manage for myself?!):
And none of what I said in that message is meant as a criticism – in case it comes over that way –it’s definitely not my intention. It’s just what happened in my head when you said what you did. What I hear and what is meant can be quite a distance apart…which highlights to me just what a mess my head is. I wish this young attachment stuff would just go away but it gets triggered so easily. That part is always there listening, and then it doesn’t settle down and becomes another jumble of mess to manage. On the plus side, I’m delighted that you don’t feel I’m psychotic.
(We’d had a bit of a joke at the end and that was what the end bit of the text was about.)
Obviously, it’s been complete radio silence since those messages on Monday – which sucks. But it’s the boundary…another that I seem to have no say in. Ugh. It’s felt pretty rotten at times over the last few days and yet now I feel I can’t reach out to my therapist for help or support. I can’t text and ask for a check in or an additional session like I did a couple of weeks ago because I feel like I am already too much for her. It’s horrible. I need to work this stuff out with her more thoroughly and yet it feels impossible and so I am sitting on it all, brooding, and cycling through the whole range of emotions. I don’t like rollercoasters but I seem to stuck riding one right now.
This morning I woke up at 5am feeling sick after having another dream about my therapist leaving. I’m just about hanging together with rubber bands and chewing gum but it feels like I have done it now- I have broken the therapeutic relationship. I am frightened that I will go back in on Monday and she’ll terminate me. She’ll have had some more time to think and that’ll be that. It’s a complete head fuck. I’m trying not to get worked up about something that is unlikely to happen but unfortunately some of the parts have different ideas!
So that’s that. Nothing earth shattering or insightful – just how it is in the therapy and life of yours truly!
Musing on counselling-related issues in the UK. I am a counsellor/psychotherapist and a client too. As the blog title suggests, my counselling journey began in the client's seat. For information about my counselling and psychotherapy practice see my website: www.erinstevens.co.uk
holding it together as I journey through therapy - a personal account of what it's like to be in long-term psychotherapy navigating the healing of C-PTSD, childhood trauma and neglect, an eating disorder, self-harming behaviours, as well as giving grief and cancer an occasional nod.
Rubber Bands and Chewing Gum 
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