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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Ugh!

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Skype Session #2

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Panic over.

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

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

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

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

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

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

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

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

It was a good session.

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

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

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I don’t know what to do.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I hate indecision!

 

 

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 She replied almost immediately:

Ok, I’ll read it. See you on Monday’.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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The Mother Wound

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

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

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

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

I understand that it’s not the case for everyone and not all elements I’ve listed above are relevant to all people and, of course, there are more issues that I haven’t mentioned. I, for one, don’t drink or do drugs but this is largely because I think I have quite an addictive personality and would probably end up in real trouble if I did. We are all different but when I read these blogs the one thing that stands out is that that there is so much vulnerability and longing out there. So much pain.

People, fundamentally, just want to be loved, and to love, and yet the pursuit of this ‘love’ is anything but straightforward because of what has happened in the past. The lens through which we view intimacy is faulty and distorts everything. Our perspective is tainted, even as adults, and it negatively impacts on our ability to form and maintain healthy relationships. I find all that information both comforting and utterly devastating.

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

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

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

To be able to finally get the words out after all these years and say how it feels is, in itself, enormous but for other people to go, ‘yep, it’s really tough, and I get it. You are not alone’ is life-changing, because frankly sometimes these feelings feel terribly frightening and unsettling and isolating.

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

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

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

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

I like to be in control and therapy doesn’t feel like that right now because adult me isn’t there all the time. There are young ones in the mix now and they are not quite so adept at filtering the feelings that come up. They act out. They are clingy and needy at times and at others completely shut down and avoidant. I really struggle with disorganised attachment.

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

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

‘Ay, ay, a scratch, a scratch’

(Romeo and Juliet Act 3:1)

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

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

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

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

ROMEO: Courage man, the hurt cannot be much,

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

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

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

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

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

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

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

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

How can you care for that smallest part of you when it isn’t your care that the child wants? The child wants the love and care of the person who has helped uncover the hidden it. It is that caregiver to whom the child is now attached. They want the person who has taken the time to draw that wounded small child out to rescue them. Session after session of steady work, of calm, understanding, validating conversations lead to this moment. The child loves the therapist how could it not?

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

Oh, if only it were that simple!

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

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

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

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

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

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

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

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

‘What have you got to be depressed about?’

‘You need to learn to let this go.’

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

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

‘Why am I not enough for you?

‘Why don’t you let me in?’

‘Your depression isn’t getting any better.’

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

How much therapy does one person need?’

‘Your relationship with your therapist is unhealthy.’

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

‘You need to try harder to be happy.’

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

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

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

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

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

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

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

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

And so, I guess, this is the bit where my therapist would say that I somehow need to summon up my adult, the one that is a mummy to two beautiful small people, and get her to pick up that little girl and hold onto her tightly, tell her she is loved, and that she is safe. I so want to be able to do that for her. I absolutely want to soothe that part of me but right now all I seem to be able to do is watch her suffer.

The mother wound is gaping today.

 

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When therapy hurts: part 2

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I guess we’ll wait and see!

 

 

‘Breathe Me’…when things fall apart.

*I wrote the bulk of this post over the course of the day yesterday. I can totally see how the tone/mood of this post fluctuates as I go through it which highlights to me just how up and down my emotions are at the moment. Ugh. I’m so bored of feeling like I am on an emotional rollercoaster.

*

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Help, I have done it again
I have been here many times before
Hurt myself again today
And the worst part is there’s no one else to blame

Be my friend, hold me
Wrap me up, unfold me
I am small, I’m needy
Warm me up and breathe me

Ouch, I have lost myself again
Lost myself and I am nowhere to be found
Yeah, I think that I might break
Lost myself again and I feel unsafe

(Sia -Breathe Me)

*

It’s one of ‘those’ days again (although I fear this may not just be a 24 hour thing). You know how it is-  you wake up physically exhausted and emotionally…fucked.

Today I feel everything and nothing all at once. Somewhere inside I am overwhelmed and terrified but externally I am NUMB. I am here but I am not here at the same time. I’m both in my body and not in it. Part of me is a spectator and part of me is long gone.

Actually, it reminds me of some of the lines in Romeo’s oxymoronic speech, where he’s out of sorts and lovesick at the beginning of Romeo and Juliet:

O heavy lightness, serious vanity,
Misshapen chaos of well-seeming forms!
Feather of lead, bright smoke, cold fire, sick health,
Still-waking sleep, that is not what it is!

Opposing forces are violently clashing together creating one very uncomfortable conflicted state. I don’t really need to resort to Shakespeare to know that basically I feel like total shit today!

I’ve known it was coming, this… what is it? Depression? Probably. This feeling, place, space, whatever you want to call it, has been lingering just on the edge of my peripheral vision for a few months now, quietly stalking me. I’ve felt its presence but I have been coping, or surviving, or somehow evading it – to an extent. Something like that. I don’t know, really. My brain is so fuzzy….. and yet, oddly, strangely clear. I’m a complete contradiction today which probably won’t make for an easy read. Sorry!

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Maybe today’s feeling is simply depression BUT I feel pretty low most of the time and I think ‘depressed’ is essentially my normal. It’s hard to say what this is. This ‘something’ is more, it’s deeper, more saturating somehow … it’s like I’ve been running and running and running for such a long time and today through sheer fatigue and exhaustion I’ve finally tripped and fallen. FLAT. ON. MY. FACE.

I feel like I’m face down in the mud, a thick fog has moved in along with the darkness and I am stone cold and shivering. I am so desperately lost. There’s a part of me wants to be found, picked up and held (probably the child) and a part of me just wants to lie here and give into it – stop fighting against ‘it’ and myself (the exhausted adult). I’m done.

Today it feels like I’ve finally given up hoping that there is someone to rescue me from myself…because there isn’t. There never has been. I’ve got to do it for myself and the little ones inside, but I just haven’t got the first idea how to achieve ‘recovery’ right now. Nothing I do works. I always just teeter along the edge- surviving, desperately clinging on. Part of me is losing hope. Has lost it, maybe. I just cannot do it.

Is this just capital letters DEPRESSION rather than lowercase depression? Is what I am feeling just the bigger, badder version of what I’m used to living with day to day? Is this the one that signals a proper breakdown- again? The entity I am always terrified of meeting after the last collision that sent everything so far off track I never thought I’d find the path back to the road again?  I just don’t know. I literally can’t make sense of it right now. All I know is I just feel it and it is horrid. I am scared.

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What am I meant to do when it’s like this? Dig even deeper? Keep going? Hang on tight? Hide? Stop? Ask for help?- who from? Who can understand this or help fix it? Who wouldn’t run in the opposite direction if they saw the reality of what I am carrying inside myself?

I know from experience that letting people see even a hint of this stuff doesn’t work out well. It doesn’t suit other people’s agendas. I am not meant to be like this. This is not who I am (apparently). I am the one with the plan. The glue that holds the pieces together. I am reliable. I am solid. I am a safe pair of hands. NOT TODAY I’M NOT.

It is inconvenient when I act like a ‘victim’ and ‘broken‘. Let’s face it, I’ve already put everyone through enough with the cancer diagnosis and treatment….we don’t need another breakdown on top that.

Surely I should be jumping up and down for joy having survived something that could very easily have killed me? Yes, of course I am. But I am so tired now. I have had enough of battling. I am strong but, fuck, I am so exhausted. I have nothing left.

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Part of me just wants to reach for a razor blade and cut – to stop feeling and to feel. I will try not to act on that thought. I made a promise to myself in April but right now I ‘have lost myself again and I’m unsafe’. It’s easy to keep promises when things are ok, it’s much harder to keep them when things feel like they are falling apart.

*

I’ve talked about my internal soundtrack thing a few times in various posts, and about how important music is to me. Well Sia’s Breathe Me (YouTube link at the bottom of this post) is what’s inside today on loop. Strangely, I hadn’t heard it before until yesterday night – I know, I’m very late to the party on this one I think! Sometimes I hear a song and I know it’s one that’s going to stay with me for a long time, not just some passing thing on the radio.

Something about this song, the music and the lyrics, as well as her voice just really resonates with me right now. It basically is how I feel… which is both comforting and terrifying. It’s offering me a sort of outlet and yet, perhaps this is the last thing I should be repeating internally or listening to (although that’s not really how it works, there’s no choice, it just plays in my head regardless). Perhaps I need to try and find something uplifting rather than something that accurately conveys how I feel in this moment?

How the hell did I end up here again?

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I had my therapy session yesterday and today is Tuesday which is usually when the therapy hangover starts or, perhaps, the therapy/therapist withdrawal symptoms begin. Maybe I shouldn’t be surprised by how I feel right now given how things have been lately post-therapy session….i.e dreadful.

So, to yesterday’s session then! Because I still sound like someone with a serious smoking habit, when I sat down I spoke about how bad I have felt physically in the last week and how ‘tired’ I have been. I spoke about how last Tuesday my lungs had decided to give up and I spent the week wiped out.

My therapist asked how it’d been emotionally, ‘rubbish’ I said. She said it sounded like there’d been a ‘double-whammy’ of difficulty and acknowledged how Tuesdays can be emotionally hard for me anyway… let’s not forget to mention Wednesday, Thursday, and Friday though eh?!

I suppose in all of this dark pit of despair/nothingness/ugh/yuck I need to remember that I have been really unwell for a couple of weeks now and it’s really taken it out of me. Perhaps this emotional flat-lining is feeling so much worse because my physical stores are so depleted. I know I talked in my last post Why does physical illness always go hand in hand with a mental health crash? about how aware I was of my little ones feeling activated, distressed, terrified, emotionally unanchored and totally overcome by it all.

Maybe how I feel now is just an extension of all that that was going on last week? I don’t know. I really struggled to talk about how things had been emotionally last week, in session, yesterday. I could say how physically ill I had been but not how bad things had been in my head. I couldn’t say exactly what the problem was.

I’m guessing my therapist can probably work out that my silences or avoiding her questions have something to do with the vulnerable child parts and the feelings that come up in relation to her, and my adult feeling really exposed, ashamed, and embarrassed about the whole thing. But who knows?

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I felt strangely calm in the room yesterday (even though there was a new sofa and a view change). Usually, I am agitated or anxious or some other uncomfortable mixture of feelings and we’ve spent ages trying to work out how to make me feel safe in the room in order for me to be able to talk rather than freeze -hence the visualisation stuff. Ugh.

I think part of the reason I felt more settled yesterday was because I had been down to the beach before the session and picked out some pebbles to write the ‘holding message’ we’re going to work on on. The sea was calm and still and the beach was empty. I would have liked to have stayed longer, actually.

Once I’d decided on the actual ‘therapy pebbles’, I spent some time writing some of my feelings and things I struggle to say in therapy on some other pebbles and then threw them into the sea which was quite cathartic.  I’m just hoping they don’t wash back up with the tide! ha!

I guess my beach visit was, in some way, me being proactive about trying to fix the situation that I’d, yet again, found myself in during the week. I can’t go on repeatedly feeling so disconnected and rotten in the week because I can’t hold onto the sense of my therapist being there. I can’t keep hitting that place where I doubt the relationship and then steadily dismantle any sense of security and trust in her because I think she’s gone or that she is going to hurt me. Something has to change before I go completely mad and the little ones destroy me. It sounds dramatic but that is how it feels.

Because I felt ok in the moment, in session, I found it hard to connect with how bad I had felt during the week when I was actually with her in person. I was almost too removed from all that horrible, painful, aching attachment stuff to be able to talk about it…or at least that’s what I thought at the time.

It’s hard to talk about how much you miss someone when they are sitting in the same room with you because you don’t miss them then, do you? It’s also hard to talk about the child’s emotions when you are sitting in adult. I mean, really, I still cringe even writing this. Why does she matter to me so much? How can a relationship that takes up 50 minutes of my week have such a massive impact outside that time?

I feel like such an idiot for getting attached to someone who really couldn’t care less about me. It’s ironic that I have spent my whole life being on guard in order to avoid getting hurt and pouring salt in already gaping wounds, and yet somehow find myself in a situation that mirrors the relationship I have with my mum. The therapeutic relationship stirs up all that pain and anxiety all over again. I know it’s transference. Great. But what do I do with that? The feelings are real and the pain is palpable.

I hate the distance between us because I read it as lack of care, and actually worse, that there is something fundamentally wrong with me that makes my therapist keep her distance. I hate never knowing where I am. I hate feeling insecure. I hate feeling like I am not good enough and that I have no power in the relationship.

Ultimately it doesn’t matter if I fall apart in the week because outside of that 50 minutes she doesn’t want to know, and that’s fine because she is just my therapist. I know that! But in so many ways what is happening feels so damaging, so re-traumatising. I don’t feel like I am repairing I just feel like I am reliving, or re-enacting the pain of the past in the here and now. I’m stuck in it and it’s awful.

Really all I want is to feel safe and secure in the relationship between sessions and have some sense that I am not too much, but that’s not how I feel. When it’s all going off in my head I can’t find a way out of it and it just spirals into something utterly horrendous. All the fear of abandonment stuff and attachment stuff has so much power once it’s in full flow. Sometimes I can feel myself starting to wobble and all I want to do is check in, ‘are we still ok?’ or ‘I feel like you’ve gone, are you still there?’ , get some reassurance before it all gets too bad, and yet I can’t do it. Well, I could but there’s no point because she won’t reply.

I hate being this vulnerable and having that need for reassurance leaves me hating myself and feeling stupid. It’s bad enough to have that need in the first place but not having it acknowledged makes it ten times worse because it tells me that, as I have always suspected, I am too much. It feels so rejecting.

So, perhaps the real issue about not being able to talk about this is not so much about feeling safe or not, or agitated or not, perhaps I just can’t talk discuss these feelings because it’s just too excruciating. I can write about them, hint at them, but I can’t engage in a proper conversation about them because I feel so exposed. I mean it really isn’t easy to lay this stuff out and trust that the other person isn’t going to run away. It feels too much. It’s too intense.

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I get that therapists are faced with this kind of thing all the time. You only have to look at the blogging community to see how widespread these issues are! Knowing this doesn’t make my therapy any easier, though! I know I have to find a way of getting this stuff out properly because maybe then it will have less power. Maybe I will feel less pathetic. Maybe things will improve.

I so desperately want to find a way of feeling secure in the therapeutic relationship because I think if I did then maybe the time between sessions wouldn’t be so emotionally fraught. The problem is that I don’t seem to have the password to access ‘secure attachment and emotional intimacy’. I don’t know who has it or how to get hold of it. It’s so frustrating. I don’t know how to make this feel better.

I understand why I feel like I do. I totally get it. I get that developmental trauma and attachment issues often come out like this in therapy. Knowing why I feel like this doesn’t ease the anxiety and hurt I feel, though.

I try so hard to cling onto that bit of me that isn’t a complete emotional wreck, who isn’t caught up in a whirlwind of emotions about someone who, in reality, I know absolutely nothing about, but it’s not always possible because that part is rarely dominant at the moment.

I know I need to help the ones that are in a blind panic and I can’t keep running away for forever but sometimes I just want to be halfway normal in session,  just to prove that I am not a complete fucking loser who can’t converse. I don’t want to be needy ALL THE TIME…it’s so grating.

*

The child parts were absent for most of the session – probably hanging out wherever they had been in the previous week or having a nap. I seriously need to give them a memo about where they need to be on a Monday morning, though. I need to find a way to get those vulnerable parts of me to attend therapy, because essentially they’re who I am there for. I also need to have a word with the censoring Gatekeeper part and tell them to allow the little ones chance to speak when they do actually turn up rather than shutting them down and banishing them to the corner. It’s all so difficult. It all sounds so mental.

My therapist asked who was there in session yesterday. I couldn’t identify it. I still don’t know. All I know is that I was finding it really hard to connect with any of those hard feelings and was really frustrated by it. Who is that?

The child parts eventually made an appearance about 10 minutes from the end of the session (usual pattern- sigh). It was like I had been hit by a truck which is something we had been talking about in the session. I’d said how all of a sudden those overwhelming feelings come crashing in and knock me over. There is no steady slip into overwhelm – it’s WHAM, and then I am overcome and pretty much unable to speak. I get so caught up in the feelings and the images that present themselves to me that I lose sense of time and how long I have been silent for.

My therapist had asked me a question about whether I recognised when this ‘hit by a truck feeling’ happens, i.e is there a common thread that activates the emotion….all of a sudden I felt myself go. I felt completely exposed and little and as though the ground had opened up beneath me and I was in freefall. I sat there in silence…same old same old. I knew I didn’t have time to explain what had just happened.

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I eventually returned to myself. I asked what the time was and if I could play a song that we’d spoken about in the previous session before I left.

Listening to the song really helped settle me and calm me down. At the end my therapist asked me what the impact of the song had had on me, i.e was it soothing? I couldn’t really articulate it at the time, but I realise now that sitting with music made me feel like me- whole in some weird way.

It was as though in that moment all the parts of myself came together and were able to  just sit in the moment and that was fine. I guess I felt present. There was no need to be anything other than myself, how it was, no front – just me. That’s what music does for me, I think.

*

So that was yesterday. I took myself off to bed last night and couldn’t sleep. I ended up on the sofa at 1am and lay awake until 4:30am.  I could feel that the little ones had moved in fully again and actually they just wanted a cuddle. Then I had this dream:

I arrived at therapy (i.e this coming Monday’s session). I sat down on the sofa and sighed a long, deep sigh and wrapped my arms tightly around myself. ‘Are you ok?’ I looked up briefly to meet my therapist’s gaze and said, ‘No, not really’ I was silent for a while and then asked,  ‘Can you sit with me today?’ and then averted my eyes as a wave of nausea and embarrassment flooded my system.

To my surprise she got up out of her chair and came and sat beside me and took my hand. ‘This is really hard for you, isn’t it?’ she said. I nodded and just started sobbing. I told her about how awful the week had been and how close I had come to self-harming. She rolled up my sleeves and traced the lines of my tattoos with her finger. ‘Your protectors have worked, though’ and smiled.

I asked if I could hug her and she agreed. I held on tight and didn’t want to let go. I was still crying but I felt calmer and more contained. I sat talking about what had happened during the week and how I felt. There was a feeling of connection and safety with her and I felt my system settle down. I felt like I was going to drift off to sleep. I was so relaxed.

Suddenly, there was a commotion in the hallway and then it moved outside the house. I got up and turned around to look out the window to see what was going on. There was a private ambulance, it was black, backed onto the driveway and its doors were open.

A paramedic (dressed all in black and wearing a balaclava) was carrying a screaming child out of the house using a fireman’s lift. The child was struggling and fighting against it. The paramedic violently threw the child into the back of the ambulance and went to the front cab leaving the back doors open.

The child was all alone in the dark (it was early evening) , it was terrified and crying. I couldn’t work out what was going on and stood frozen trying to make sense of it. I didn’t know what to do.

As I looked closely at the tiny figure I realised that this child was my three year old son. That’s when I lost it! I was totally filled with rage. At that moment, the ambulance started moving away and my son fell out of the back smashing his tiny body on the metal steps of the ambulance on the way down, and then cracked his head on the drive. Everything was in slow motion.

I ran out the house as quickly as I could to get to my son. I scooped him up in my arms. His head was bleeding and he was unconscious. My therapist and her husband were standing at the front door and stared at me but said nothing. ‘What have you done to him?’ I screamed. ‘Why is he even here with you?’

I felt so betrayed.

*

So yeah, that’s great.  Something else to think about! And we know how I am with ‘therapy dreams’ from this post: ‘To sleep, perchance to dream’…but please, God, not about my therapist! 

My child parts are really active and feel scared and lost. Part of me desperately wants to reach out to my therapist and check in but part of me feels like I can’t trust her after that dream. It’s the usual emotional push/pull. Hmmm disorganised attachment you say?!

Is it really as simple as that? Is this really where all this deep-rooted depression stems from- just a basic lack of containment and holding throughout my life? Can it be that not having a reliable caregiver has left me unable to trust in relationships or behave in a normal way? It seems so small and insignificant when written in words but it is massive, isn’t it?

I’m not sure if any of that makes any sense at all.