Psychotherapy

If (When) I Run Away – Please Come And Find Me.

rubberbandsandchewinggum4 Comments

Last year Elle and I were talking about when things have gone wrong in my therapies (there’s plenty of content there and we visit it regularly!) and situations where a client might choose to ‘end’ and not come back to therapy but it feels somehow unexpected or not the ‘natural end’. I was in one of those sensible adult places, not activated (!), and so able to express some of what goes on for me when the wheels feel like they are falling off in the therapeutic relationship and how panicked I get. I recognise that sometimes the reasons I bolt for the door (sometimes literally) are often not what appears to be happening on the surface in the moment.

What can seem like a very small trigger can send me totally spiralling…but then that’s hardly surprising when we look at this through a Complex Trauma lens, or the fact that I have tonne of parts who are all processing stuff in their own ways – many of which are not particularly sophisticated! Of course, my four-year-old self and teen parts don’t see things the same way my adult self does, nor have they the skills to manage things in the way that my adult does. You’d think I’d be ok, though, seeing as I have a really fucking competent adult self. The problem is, my system is complicated, has the capacity to hijack me, and I am really really good at dissociating. Adult self is rarely there when I need her when I am freaking out.

Let’s face it – what scares me (all of me) more than anything is broken connection, feeling like the attachment is severed, and that I am on the verge of being abandoned. This is not at all surprising given my history because there was a time when disconnection really was a life-or-death situation. My mother’s PND did nothing for my little baby self or my developing nervous system and I have spent so much of my life in survival because my caregivers have never been reliable.

It’s hardly surprising that when I feel like the relationship with Elle (or A or Em…) is headed towards a cliff edge I am the first to run away. I am the absolute queen of ‘leave before I get left’ which is why I absolutely need my therapist to know this pattern and make sure I don’t bolt and disappear when there is a rupture (even if from their side it might seem small, repairable, or can wait). Ruptures can feel catastrophic to my system these days because … well… there have been ruptures where I have been hurt really badly and basically been abandoned and rejected because of my responses. Think of Em. My reaction to being called a tick, calling her out on it, and running scared didn’t see her try hard to meet me in it, to apologise, to understand why I was terrified, she just saw it as a perfect opportunity to let me go.  

Anita was way better at handling ruptures… until her life collapsed around her ears and she couldn’t hold herself let alone anyone else. The damage from that ending is ongoing and painful. I feel so sad that in the two years since I last saw her, she hasn’t been able to step outside of her struggles and meet to end but that’s not what I am here to talk about today… although it definitely fed into the intensity of the panic I have felt with Elle during our recent rupture. 

So, what’s this post all about?

This is a pre-curser post to help understand a bit of what happened in the most recent rupture with Elle (i.e when I brought it to her attention). Because yes. I got myself in a mess. A big one. And I ended up sending her this message:

I don’t want to see you anymore.

You can only imagine what sort of a state I had got myself into to send that. Eek. Like, I am the person will ALL THE WORDS… not none!

I’m almost done writing that post – and it’ll be up soon. But suffice to say it’s been a wild ride.

I am glad, then, that over the time I have been working with Elle, I have given her pieces of the map of me so that she has been able to understand me better and figure out what I need.

Most of the time I probably appear pretty together when I see her despite the crap that keeps hitting my day-to-day life. I probably seem a bit wounded and in need of support for my little parts but also seem generally functional. Sometimes I am a bit closed off but I am present in the room rather than off in space dissociated. The completely derailed, panicked, reactive, scared stiff self hasn’t really made it to the room (she’s done some emailing though!) – or if she has, she’s not been triggered BY ELLE. Elle has been a witness to the struggle and in support role in the room, not the trigger. It’s only this last month that Elle has had to misfortune of meeting that part of me in person.

Anyway, back to last year. I was testing the water with Elle knowing that it was only ever going to be a matter of time before something triggered my runners and protectors and I needed to know how she would respond if I unexpectedly disappeared. We all know that there are those diehard therapists who will say “I respect client autonomy, and if they choose to leave that’s their choice and I will not contact them thereafter. It’s up to them to contact me should they want to resume therapy.”

Puke.

Honestly, this kind of therapist really annoys me more than anything. If that’s your stance as a therapist then you absolutely should not be working with C-PTSD or people with multi-part systems. This ‘in the service of the client’s autonomy’ is bullshit. I’m not for one minute saying to beg and plead for a client to come back, that’s not realistic. But so often when we start running and slamming doors behind us, it’s not because we want to leave – it’s because we are scared! And we need for the adult, regulated nervous system (therapist) to remind us that we can come back, that we are wanted (even if we are having a tantrum and full of shame), and that they are committed to working through EVERYTHING with us even if it is HARD. Letting a triggered client disappear out the door is abandonment… it’s not kind.

And so, that day I asked Elle if she had ever made a mistake with a client that led to termination and what she did, or what she would do differently. Elle told me the about the biggest regret of her career was a time when she wasn’t as sensitive as she could have been with a client who kept cancelling last minute. She reached the point where she enacted her cancellation policy after several missed sessions – i.e charging for the session by sending an email, and the client left as a result – never came back in. Elle said she had failed to recognise potential wounding around money and still feels terrible to this day.

Mistakes and missteps happen, but what I wanted to know was what she did when the client said they were not coming back. Was she a ‘respect client’s autonomy and let them go’ therapist, or did she do something different?

Elle assured me that she had reached out and suggested that they meet in person but that the client didn’t want to come back, that there were some back and forth communications but that the client ended.

[For the record there was nothing identifying or specific – merely Elle’s feeling that she fucked up and had learnt a lot from that.]

I told her that I would always want her to reach out to me because it made me think about all the times I ran out of Anita’s and how when I am upset I can pull the plug (or parts of me can) and how it is really important to me that my therapist recognises when I am truly wanting to end and when I feel backed into a corner and feel like I need to leave because I can’t tolerate the feelings of disconnect etc.

Even though Elle was clear that she would always contact me in a rupture situation – my brain was whirring after the session and so I wrote her this letter at the time:

I was thinking about what you said yesterday, about the client that never came back – because of course that’s what my brain does at 3am when I can’t sleep and the anxiety is doing its thing. I actually had a lot of thoughts, like I can think of hundreds of reasons of why that all happened, but I am sure there’s nothing you haven’t thought about over the years so it’s not relevant.

However, what it did make me really think about was what would happen if something similar happened with us. You’ve probably figured out by now that I am not someone who cancels last minute and, generally speaking, if I did it would be because something was out of my control with the kids or something. But, actually, there are times when I get completely hijacked by my system and the “I don’t want to go” (it’s much bigger and more complicated than that) is really hard to get around.

Tbh it’s rarely an “I don’t want to go” because there is lots of me that absolutely does but it’s sometimes more of a “things feel very wrong, something is up, I’m scared that it’s all going to blow up, I don’t feel safe, I feel hurt, abandoned, rejected, maybe even angry… [on and on and on]…and so I need to protect myself from that and stay away – and she doesn’t care anyway so what’s the point?! It’s better to leave before I get left…”

I mean I totally get what happens, where it comes from, what parts of me are involved, and yet when it’s happening it is not always easy to sidestep it. It would be funny if it wasn’t so tragic but I guess at least there’s a really clear trajectory on how it all runs which I guess at least I am aware of now. And I see it a lot. Clients, for whatever reason, find it difficult to go to their therapy, maybe don’t show up, and might seem to be ghosting but actually it’s not because they don’t want to be there it’s because there is some kind of a rupture (that maybe the therapist has absolutely no clue about) and they, for whatever reason, can’t bring it to the room.

So many of us are conflict avoidant and even though bringing ‘big feelings’ shouldn’t be a problem, I guess most of our experiences have been that when we have, we’ve been mocked, or shamed, or abandoned, or gaslit…you know the deal… and so we’d rather not risk that repeating. I think sometimes, too, part of us knows that our reaction to whatever has been triggered is MUCH BIGGER than it ‘should’ be and so there’s shame and embarrassment there too because we feel completely derailed and it’s not even that big a deal (only it is a massive deal!).

I think it can be all the more unsettling for people that don’t really spend much time contemplating the therapeutic relationship and so when something between the therapist and client happens it’s hard to know what to do with it. Like it’s much easier to say, “I’m sorry, I’m sick” rather than, “I feel really anxious and something you said has really upset me” when they thought they were there to talk about their work stress and all of a sudden all this other shit is stirred up.

Sometimes it feels like a toddler or a teenager having a tantrum but actually I think that’s exactly what is happening – whatever is being triggered isn’t necessarily conscious and, in that moment, the adult self isn’t available enough to navigate the situation and all we know is that it just feels huge and insurmountable and overwhelming and completely in our bodies – and so the instinct is to run away and hide.

In some ways I think this can be really hard to manage because whatever is happening to stop a person turning up to therapy feels massive to them, and acting out can bring on all the massive feelings of shame and embarrassment afterwards and basically like you just want to crawl into a hole and die. It takes a lot to feel brave enough to come back and talk it through, and there has to be a strong enough sense that the person opposite you isn’t going to confirm everything that you fear is happening. It really is like with toddlers and teens. They need an adult to help them out of their meltdowns sometimes and an invitation back to work things out.

It is really complicated (but also not). I think when people don’t show up, rather than being flaky or disrespectful (I mean I guess there must be some people like that), is about testing whether the therapeutic relationship is strong or not. Like do you care enough to come find me if I disappear or will you just let me go? And I really get that this is complicated because all the training is like, ‘therapists should respect client autonomy’ and all the shit about not creating a dynamic that encourages ‘game playing’… only that is really pathologising and really makes it seem like everything that happens is down to us. It’s not game playing, it’s trying to protect ourselves.

As I said, lots of us have been hurt over the years and haven’t had the experience of managing conflict in a way that doesn’t somehow burn the house down and so rather than face a situation that potentially will hurt us more on top of whatever hurt feelings we are already feeling, we disappear. I think, for me at least, if I experience something as being abandoning or rejecting then it absolutely triggers the need to run away.

I’m not explaining this brilliantly well, and this is looooonnnggg, but I guess what I am trying to say is, if I cancelled last minute, or didn’t show up it’s not because I am rude, or don’t respect boundaries or whatever else – it’s because something is really wrong (from my side) and it feels too hard to come. If you just let me go and never contacted me to find out what was up or didn’t reach out and invite me to come and try and figure out what’s going on with you in person, actually what it confirms to me is probably everything I was running away from in the first place which is the feeling that you don’t care…

I’d like to think that a situation like this would never happen – but I also live in my head and experience often enough my runner ducks bolting. Just usually I have enough time to gather them back together before I see you.

Having a therapy go south in this way is sooooo common and causes such a lot of hurt to those involved. I have way too many stories – not just my own! – and I was wondering whether after the event a therapist reaching out would make any difference. And I think it would. An opportunity to talk through what happened when it’s not live would probably be really helpful because I think we tend to carry this shit around for a long time. 

Anyway, that’s… a lot. I’ll try not to run away, but if I do, please come and find me. X

And so… I guess it was helpful that I sent that last year, because Elle did come and find me…and the session when we did get to meet was HUGE. I’ll get the ‘what happened next’ post up asap.

Dear A, It’s been Two Years…

rubberbandsandchewinggum15 Comments

Dear A,

It’s hard to believe that it’s two years since the Anita that I knew and loved was last properly in the room with me. It’s two years this weekend since you went off on your holiday for your birthday, full of reassurances, telling me that “nothing will change” and that you would be “coming back” and that you “love(d) me very much”. Little did I know, then, what would happen to us barely two weeks later. Little did I know you’d never properly come back to me. Had I have known you would pull the plug on us, on me, I would have made more of an effort to take in those last moments of feeling (relatively) safe and held.

I would have taken so many mental pictures of the room, and of you, and tried so much harder to commit the feelings of connection and safety to memory so that I could refer back to them and use them to soothe all the hurting parts of me later down the line. I would have breathed your familiar smell in, carefully listened for your slow, steady heartbeat all the while soaking up every last second of feeling safe in the moment because I can count on one hand the times that I have managed to settle my nervous system since we ended.

Having said that, I think it’s actually all the memories of the connected moments that now hurt me the most. I find it so difficult to sit in this place where I know what we had, how it felt, how you made me feel…and to now be here – it’s all gone… Of course, I have so much of ‘us’ evidenced in my writing and in voice recordings as ‘proof’ but I can’t bear to read back over my blogs or listen to our sessions anymore.

It hurts, too, that the tangible items that you gave me, gifts and transitional objects, now only bring me pain. On the one hand they serve as evidence that we really did exist for a moment in time, well three-and-a half years, but on the other hand that no matter how much “love and care” there was, it wasn’t enough to make you stay. We don’t exist in the here and now and it breaks my heart.

Sometimes I wonder if there was anything I could have said or done differently in those last sessions before your holiday? Could I have said something to pull at your heart enough so that you wouldn’t have ever considered leaving me in the first place? It’s hard to know. I spent months saying ‘less’ and hiding myself away, trying to give you space for fear of being too much because I knew that you weren’t well and things were hard in your personal life…as it was I ended up being “too much” and “not enough” all at the same time regardless of my best efforts to behave in the right way.

When you came back from your trip you were not the same Anita. From the moment I walked in the door I knew something was wrong and it took less than five minutes for you to say, “I’m going to have to bring the counselling with you to an end” and that you were ending with all your “long-term clients”. It’s funny. It’s so much easier to say “counselling” rather than “relationship” and for you to refer to me now as a “client” rather than “RB”. It’s easier to say “I need to cut the stress out of my life” rather than “I am cutting you from my life.”

For someone with the kind of wounding I have, and the issues around rejection and abandonment I struggle with, the way you handled our ending…or should I say ‘not ending’ (?!) couldn’t have been worse.

The day you told me we needed to end, you broke down, there was a complete role reversal, and you even said, “This is meant to be your session not mine.” And yet, I still paid you for it – and for all of those ridiculous sessions where my heart was basically being emotionally stomped all over in hobnail boots.

I focused on trying to save you (not for the first time), because if I could rescue you then it would mean I would be saved too. At the end of that first bomb-drop session, you shifted and said that we would, “find a way to connect” and that we would “figure something out.” I left devastated but somewhat hopeful because this back and forth with you wasn’t completely new territory for me.

Looking back over the last eight or so months of our time together, there was such a lot of push/pull and it wasn’t coming only from my end. I absolutely have a wonky brain, and things get messy, but there is generally a trigger. One minute I was “too dependent” and the next you’d tell me that you “love” me “such a lot.” It’s weird being someone’s “stress” but also being “so important” to them. It’s no wonder I got more and more panicked, and more and more clingy because things weren’t really safe, were they? – I wasn’t imagining it, even though you tried to tell me it was all in my head and that you “hadn’t changed”.

You said so many times in those weeks, “This isn’t what I want” but it was you who made this happen. You chose to cast me adrift and yet keep working with your other clients even if it was because you couldn’t “afford not to work”. I will never ever be ok with that. No matter how many angles I come at this from, and no matter how much benefit of the doubt I want to give you, I can’t let that go. You chose to sever our connection and chose to maintain others. It doesn’t make sense to me. I get that different clients demand different things from you but I just don’t understand how if anything you ever said to me was true that you would do this to me…and to others like me.

You wax lyrical about the importance of ethical practice but I am struggling hard to find anything ethical in how this all went down. At the very least, surely you would ensure that the clients that you were letting go were safe, and had someone else to go to. Like what on earth were you and your supervisor doing when all this was happening? You must have been speaking with her throughout this car crash time. Surely, there’s a fundamental understanding that you, as a therapist, safeguard your vulnerable clients – I mean you do understand complex trauma, don’t you?

And on a human level…well, on a human level you just do better.

Perhaps I am just too sensitive. Maybe I care too much. I have always worn my heart on my sleeve and this has proven to be both a blessing and a curse. But I sure as hell know that if I had hurt someone in the way that you have hurt me that I couldn’t just let it go. I couldn’t just bury my avoidant head in the sand and pray that when I came up for air that everything had gone away. I would have to try and make amends even if the other party didn’t want to hear it. Like how can you sit in your therapy room week in, week out and not be perpetually reminded of what you have done? Are you really able to just blank it all from your mind? – I just don’t know how you possibly could.

I think this is partly why, now, even two years later I am struggling to let the last bit of hope of you go. There’s a little bit of me that wonders if one day you’d try and repair because this isn’t how we treat people we love is it? Surely, somewhere in you there is a part that wants a proper resolution, a proper goodbye, to know that you have repaired some of the harm you’ve done…because that’s what I would want if it were me.

I know that is really only the hope of a little part that thinks you might come back, the one that trusts and always wants to see the best in people…and ultimately the one that always gets so very badly hurt. It’s certainly not my adult self, because there is no way on earth I’d let you near my poor vulnerable heart ever again. Even if you did muster up an apology that acknowledged and reflected the magnitude of the damage that you did to me, I could never trust you again and I think I would even struggle to accept an apology now. I no longer respect you. In fact, I think you are pretty dangerous.

I know too, that I cannot continue to judge your actions and behaviour by my standards. You are not me. And whilst I couldn’t do what you’ve done to me and your other poor clients…you clearly aren’t bothered by your conduct. You probably now just notch it up to having burnt out and “stress” so of course you weren’t at your best…but that doesn’t mean you aren’t responsible for what you did and the harm you caused…it just gives you a sense of justification for it.

I have spent years and years waiting for people to change and do better – but the thing is, people rarely change. It’s a good thing then, that the majority of my system has, not exactly let you go, or moved on, but there’s some thick scar tissue forming where that open wound was. I’ve protected myself from what’s happened – to an extent. I don’t long for you anymore. I don’t look for you out in the world. In fact, if I were to come across you now, I imagine I would walk the other way and avoid meeting you because really, what is there to say?

It’s done now. You’ve moved so far past it and our relationship. You’re still working. You’re still advertising that you work with trauma and on a long-term basis. None of the things you said about moving to “couples work” or “online work only” and “no more trauma clients” are remotely true. And I think maybe that’s one of the hardest parts. The lies. Like why bother? It hasn’t protected me any. It hasn’t made it easier. All it’s done is make me question everything about what I thought to be true between you and me.

And where am I left in all this? Well, it’s two years on and I am still hurting – although not like I was. Anniversaries – or should I say ‘traumaversaries’ are rough. I hate the fact that once again I am super aware of dates and how they correspond to our relationship disintegrating.

I hate the fact that I have been a depressed, frozen, dissociative wreck all week.

I hate that once again I am left trying to process all this by writing you a letter that you will never see.

I hate that I will spend the next month struggling hard to keep my head above water as the various anniversaries of aspects of our final month together unfold.

I especially hate that the emotional upset is already making its way into my relationship with my therapist Elle. I am scared stiff that something bad is going to happen between us because I am hard-wired to look for problems and the slightest sense of something being ‘off’ feels completely catastrophic – and it’s not fair.

Elle is going to be away in May right at the time that it was all unravelling with me and you… it couldn’t be worse timing. She did ought to be able to go away without my wheels falling off… and yet there seems to be almost an inevitability that the shit will hit the fan this month. I get that I should be able to circumnavigate that, but when all my system is activated it’s so much harder to hang onto any sense of safety.

Part of me is so angry about all this. I am mad that two years down the line I am still trying to undo the damage that you have done. And I am mad that I’ve basically spent the last five years trying to heal from failed therapeutic relationships on top of the original traumas I came into therapy for.

So, happy birthday Anita, I’m sure you will have a wonderful time… I hope you choke on your cake and the candles set fire to the table cloth! See… I don’t even mean it. I really want to but the truth is, I still wish you nothing but love and happiness because as much as I wish I didn’t, I still love you. x

C-PTSD Triggers – Episode 5723: Therapist’s Generic/Impersonal Group Emails

rubberbandsandchewinggum22 Comments

Oh lordy! I honestly feel like I am navigating a fucking gator-infested swamp of Complex Trauma Doom right now…Seriously, it’s like running through a minefield of endless triggers at the moment, and I seem to be setting them off with nearly every step I take. It’s starting to do my head in, frankly – and my entire system is taking a lot of hits! Wouldn’t it be wonderful if there was an off switch for all our sensitivities?…or a reset for trauma brain…

What’s the problem today you ask? – I mean there are several ongoing issues and upsets #breakdown but today’s bit of bollocks is that I have been once again upended by a seemingly innocuous email communication from my therapist Elle.

Oh, but of course this would happen today! –  the first day in a really long time where I have been able to carve out some space and time for myself in a place that I love- and then rather than be able to sink into safe and calm I have spent the day ruminating on the message! – let’s be clear, group mail outs trigger the shit out of me. FFS.

This is not the first time I have had a reaction to an impersonal email or communication from a therapist. Years ago I remember Anita handing me a printed sheet of paper at the end of a session with her holiday dates on and it signing off with something like ‘sorry for the inconvenience it may cause…best wishes…’ and it sent me into outer space because how could it possibly be that one minute I was snuggled into her body with her telling me that she loved me and the next minute I was being presented with cold admin related paperwork and sent on my merry way? This kind of thing jars my system so badly… because, yay for relational trauma and the fear of people turning cold and leaving.

Early on in my work with Elle a similar situation to today happened (a group email to all clients) and I went belly up then, too. It was the first time that my mask of coping slipped with Elle. I had read her message that began with, ‘Dear All, My apologies for the impersonal nature of this group email…’ and it landed really hard. At the time I felt like the group email was a backhanded way of her addressing something with me and feeling like I was getting rejected for something I didn’t know about – basically WhatsApp communication being a ‘no’. I absolutely crumbled. I was able to tell her in an email:

The email you sent on Friday made me cry. Like I actually fell apart. I felt like I’d pissed you off, and rather than tell me directly you’d done it in a ‘send to all’. The feeling of needing to run away and self-protect was massive and really highlights to me what a fucking massive mess I am in. Literally everything feels like a rejection or an abandonment or like I have done something wrong or that I’m fucking things up and my system just can’t cope.

Elle replied with a really holding/caring message to that and I think it was probably the start of me moving into trusting her a bit with ‘messy me’. At that point I wasn’t especially triggered by the fact I was receiving a mail out to all clients because I was still getting to know her and wasn’t all in – but that has certainly shifted today because crikey…it’s been a lot.

I just REALLY DON’T EVER want to be receiving a ‘Notice to all clients’.

When I feel attached to a therapist the last very fucking thing I want is the reminder that I am one of many clients that my therapist sees on her conveyor belt of losers each week, or that the carefully constructed relationship we have only exists in the room for the time I am there and is nothing more than an elaborate paid for pantomime full of smoke and mirrors. Elle is running a business (ugh she said that today in the email ‘rising costs of running a business’) and that is therapy. Anything beyond that is just wishful thinking on my part.

Being just a ‘client’ is hard enough but being reminded of the ‘others’ that I have to share Elle with triggers all kinds of sibling jealousy…I don’t want to be conscious of the fact that there will be other people Elle likes better than me, others who she would choose to see over me if there was a choice to make… it’s all just too painful. I do understand that this is ‘the work’ but sometimes when you have had a childhood of never being put first, never feeling important, never having someone’s undivided attention…then it’s not surprising that we might just want that in therapy (even though it can’t really ever happen – the fantasy of that is important).

Some of you might remember when I, idiotically, asked Anita about a box on the shelf in her room one day and she told me that a client who had anxiety and trust issues had given it to her and that inside there was a stone with the word ‘trust’ on it and I wanted to curl up and die and for the floor to open up and swallow me whole.

Recently, I wrote about what a perfect therapy room would look like and shared it with Elle. She emailed back to say she really liked it, that she’d like to share it with supervisees, and then commented that the soft toy I had seen in the room (that I had mentioned in the post) belonged to another client… Oh holy fucking hell. Like no. Please no. Just no. I can’t explain how having that confirmed triggered the shit out of me. Of course I know that there’ll be loads of people working on their inner child in therapy with Elle- like I’m not stupid…but I don’t need reminding that there are other people that Elle might cuddle, read stories to…basically, I don’t want to know that she’s probably replicating what she’s doing with me with others.

I didn’t tell Elle this because honestly, I don’t want to come over as a needy, selfish brat… but it is how it is.

So, umm what else can I say about all this stuff?? It’s not just group emails that are problematic, generic communications aren’t great for me – full stop. Recently the ‘automated session reminder texts’ stopped because I let Elle know that they trigger me and I find them upsetting – like, the day before a session when I have drifted off into panic and doom because it’s been soooo long since I have seen her the last thing I want is stone cold admin… and so Elle has been sending me personalised messages that are far more in keeping with how we communicate both inside and outside the sessions and I have found them so much better.

So, it’s hardly surprising that today’s email landed so painfully. It’s been a bit of a week with one thing and another, anyway, but I just about got to the weekend in one piece with a bit of slipping and sliding. The irony in all this is, Elle and I had a really lovely reconnecting session this week after my holiday – like it was just so great to see her, we laughed a lot, and she surprised me with a really beautiful, thoughtful, handmade present that was so personal to our work I just wanted to cry – like my heart was fit to burst and I just can’t even begin to explain how much it meant to me. We’ve remained in close touch most of the week and it’s felt so nice…until today and this email.

But this is Complex Trauma brain for you, isn’t it? One minute things are going great, are doable and the next moment everything feels like it’s complete shit, and not real, and basically the protectors go wild trying to stop us from getting hurt. Adult me can see that today’s email is just a fucking admin email – but try explaining that to the minibus inside who wonder where ‘our Elle’ is. Like where’s the Elle that calls us ‘sweetpea’ and ‘lambkin’ and ‘flower’…now we are ‘client’.

Ugh. It’s just ugh.

So, what was it all about then? Well, Elle is putting her fees up from April – which is…fine. I mean, I get it, this is how things are. I know that money in therapy can be a minefield in itself for some of the reasons I have listed above – i.e it making the relationship seem fake. Like it’s very clearly a transactional relationship and without that exchange of money the therapy ceases to exist but over the years I have managed, just about, to see that actually just because I pay for my therapist’s time it doesn’t necessarily follow that the care and love I experience from her isn’t real…at least I feel that’s the case most of the time!

However, seeing things today like:

I appreciate that, for some of you, this will mean you will have to consider whether to continue working with me, or perhaps decrease the number of sessions you attend per month. If this is the case, please let me know as soon as you can so we can discuss the best way forward.

Are a reminder/warning that maybe things aren’t as solid as I think. I would like to think that if I couldn’t manage the increased fee that Elle wouldn’t just ditch me, or I’d have to see her less… but who knows from that email? Fortunately, I can absorb this increase – well, right now I can…June-September is always tricky as my work pretty much disappears.

I think the hardest thing about therapy in general is that for me therapy isn’t a six month or year-long financial commitment that I am investing in but will end soon and so it’s a stretch now but fundamentally worth it…but there is an end point.

For me therapy is going to be long-term and so it’s literally like having taken on a mortgage term and equates to about 25% of my income over the course of a year. That’s a lot, isn’t it? Elle and I have a 90-minute session each week – and I’d love to say I could go down to an hour, but we all know that that wouldn’t work, that it takes me so long to ground and feel safe in the first place that an hour just isn’t enough – and that even as things are now I am in a state of perpetual struggle because there actually isn’t enough contact. I miss having two sessions a week like I did with Em and A and how containing that felt.

I am really aware of the need to have some kind of regular, agreed upon contact on a Friday with Elle– even if it’s just a fifteen-minute call … but it’s all money isn’t it? Especially now. And don’t get me wrong, my time with Elle is worth every penny and then some! I really really get that she gives me WAY MORE than she has to – she is so available to me outside the sessions … and I am so grateful to her. She demonstrates in so many ways that I matter to her – but my belief in that is so fucking fragile and today has left me feeling like I need some serious reassurance.

I feel like a fucking fool getting so upset about this that I will go hide in my hole until Tuesday and in the meantime the littles will get more and more worked up because how embarrassing is it to say, “I have been completely derailed by your group email today and the little parts of me wonder if all of what I think our relationship is is a lie – am I delusional?”

Sometimes it feels so unfair that those of us with Complex Trauma who badly need therapy to keep afloat are always having to juggle finances to make it possible to do the therapy just to help us recover from things that weren’t even our fault to begin with. Childhood and life trauma are bad enough, but it’s especially galling to think about this when you’ve also experienced harm in therapy – all those years with Em and Anita for what? Debt and more trauma lumped on top!

I already work more hours than I want to/feel able to in order that I can keep going to my sessions but that’s a choice I have made because the therapy is so necessary. My last evening teaching session of the day (7pm) wipes me out and by Friday I am dying, but what other option is there? In the ideal world I would reduce my hours and this would stop me feeling so fucking burnt out all the time… but if I don’t see Elle my emotional world unravels.

So yeah…bleurgh..! Receiving this message on a Saturday has totally bummed me out. I wish Elle had have joined some dots and realised that this kind of generic communication might not land brilliantly well. Even, if she’d just sent a quick message with it at the top – ‘hey sweetpea, I hope you’re having a good weekend. I know this is a formal looking email below, but please know it’s just admin and doesn’t change us but I do understand how the mechanics of money in therapy can feel triggering sometimes and  I really don’t want for you to feel like I am pushing you away’. I dunno – anything really but she clearly has no idea how this has landed and is probably having a wonderful weekend enjoying the sun and blue skies we’re finally getting here in the UK.

In true RB style I’ve been stuck in a ruminating brain loop all day and just feel really far away from Elle…let me just say this one last time: impersonal group emails are not for me! – ugh. I feel like they are a pushback… and adult me knows it’s just life…

But right now, just fuck my life! And fuck CPTSD.

x

I could really use a hug right now – and a new brain!

Not Doing Brilliantly Well: Breakdown And Burnout

rubberbandsandchewinggum11 Comments

So, it’s been a while since I have been here to update the blog…months in fact…

I guess it was inevitable, but I had a total breakdown in January, folks, and just couldn’t do anything with it or myself at all. I was barely functional let alone able to write. It’d been coming on steadily for months, well, let’s be real, since May 2023 when everything with Anita disintegrated before my very eyes. Something had to give sooner or later – and that something was me.

I have been muddling through, hanging it together with rubber bands and chewing gum for such a long time, but then, OOooofffffff  November was ROUGH, December was BRUTAL, Christmas was UGH, and January … well… FUCK ME!! …The crash was real!

Somehow, we are almost at the end of February now, and I’m more or less functional again but it’s VERY tentative – cue full blown anxiety attack earlier today and the realisation that I am probably less ok than I think. Yikes.

I am floundering around and trying to put one foot in front of the other and not fall flat on my face again because there just isn’t capacity for me not to be ok any longer. The reality is that work kicks back in tomorrow after half term break (and several weeks preceding this of cancelling lots of work) and people need me to be on my ‘A game’…or at least ‘present’. The GCSE and A Level exams are looming and I simply can’t get away with any more sick days. I need to be the calm and supportive person that my students need – but it takes a lot. Somehow or other I need to pull something out of the bag – even if the bag has a fucking great hole in it and its contents have long been lost.

When things went south last month, Elle and I were on a therapy break (what a surprise)! I wrote a bit then to try and process and make sense of what was going on for me, but then I shut the laptop and it’s been sitting there as an open tab of shame ever since.

So, I guess maybe, I’ll post that here now and then try and get back to filling in blanks of what’s been happening more generally in another post – i.e bring things up to speed and talk about what happened when Elle and I met face-to-face after Christmas and her being sick and all the stuff since…but I don’t have the brain for that right now.

However, I feel like if I don’t try and post something now despite being overwhelmed with ‘everything’ another month will roll by and I’ll lose sense of where I am at. So apologies that the chronology is off but I’ll get back on track eventually.

It’s so hard when my brain stops working properly writing is the one thing that just falls away. I just can’t do it. My attention span is minimal and my ability to hold anything in mind just goes. I feel like I have been stuck in procrastination and freeze for pretty much the last six weeks and it’s been hard. Everything has suffered…self-care…everything.

So… buckle up for what was in the laptop and written in the height of the meltdown.

This was mid-January and Elle was away, it was all kinds of tough with anniversaries and bleurgh – it’s not pretty but is exactly how it was in the moment – my poor poor brain, system, self:

The fast acceleration into the place that is super scary happened this last week again. I could feel the wheels starting to fall off, the nightmares were relentless, the feeling of intense panic and overwhelm were all consuming; my system activated so massively (including all the protectors) and there was nothing I could do to stop it. I couldn’t regulate AT ALL and the spiral down into total meltdown and collapse happened. It’s hardly surprising, though, what with all the ‘shitty’ anniversaries landing: five years since I met Anita (and she’s no longer part of my life) and therefore also five years since Em called me a ‘tick’ and my therapy with her blowing up. There is so much hurt and grief. Like I don’t think I will ever get over this… it’s too much and sometimes it just catches up with me.

I always feel so vulnerable around now, understandably, but it’s been made a million times worse by the fact the Elle has been on a break this last week, too. It’s been two weeks between sessions at a time where, in all honesty, I could have used two sessions each week AND check ins not her absence and physical disconnect.

Instead of a feeling of safety and connection, it’s been the complete opposite of the level of holding and containment I needed. I’ve felt so far away from her and, of course, that’s also further triggered my system around the abandonment and rejection stuff that is already so live at this time of year. I have been certain that something bad is coming on Tuesday when we meet again, and have been in a place where I was really and truly considering leaving before I get left (god I am so sick of this horrid process!). There’s no evidence to suggest anything is wrong between Elle and I, but my system doesn’t understand that, all the alarms are blaring and it’s full-scale panic. It’s a total system malfunction.

Truthfully, Elle being away for this particular week in the year could not have been worse timing. Like it just felt like an absolute sucker punch. I felt my heart sink when she told me she’d be away, but’s it’s been especially tough having this happen on top of all the bumping along and disruption with the therapy pattern around Christmas holidays. Not seeing her face-to-face as planned on Christmas Eve was hard, and finding out that she had this current break coming the same day she let me know I couldn’t see her on the 24th was really painful, and then there was the cancellation on the 31st because she was sick which really unsettled me. Like it’s been a lot…even though we did end up speaking on the phone on Christmas Eve and seeing each other on the 1st January which was so needed (I’ll come back to this ‘good’ stuff next time).

On paper it would seem like not a lot changed, then, like Elle has really done her very best to minimise the disruptions and accommodate me. The fact that she came in on New Year’s day whilst still clearly unwell because she knew how much I needed the session shows she cares and gets it. And sane and rational me really sees it and appreciates it such a lot… but the rollercoaster my system has been on around all this at a hard time of year has been insane.

I’ve been holding on so tightly to what is left of my sanity and coping for such a long time now that I guess it was inevitable that something would give sooner or later. And so, this break on top of all that has gone before has just been too much and the final thread that was holding me together just snapped on Saturday in the BIGGEST way.

I am usually able to keep what’s going on internally (even if it is horrific) fairly locked up inside and suffer my way through alone whilst appearing largely normal and ‘functional’ in my day-to-day life but as this week has gone on my filter between my inner world with the distress I am feeling and my outer presentation has totally crumbled.

My mask has slipped, not just slipped- shattered – and this weekend I just completely fell apart. My usual relative calm disappeared and the snappy, angry, hurting parts of me were on full show and then shortly after that I broke and just sobbed and sobbed for hours – ugly crying, snot, convulsive sobs…you know? Full mental collapse. This wasn’t a ‘healthy’ release of emotion. I was completely out of control.

It’s hard to really explain because I think most of the time, I seem to be pretty unhappy and struggling, don’t I? So how is this any different? The last time I was here I was at a pretty low ebb. I spend so much time writing out my feelings, trying to process, doing the self-care, doing the therapy, blah blah fucking blah tick box of survival strategies, but sometimes I get so sick of how hard everything feels. I try so hard to drag myself through and into a better place but I feel like I am dragging the weight of the world behind me. It’s exhausting.

Like at what point do I just stop and admit defeat? I honestly can’t keep going like this anymore. I do get that I am neck deep in a depressive episode at the moment, and that it’s winter, and that this is the very fucking worst week of my calendar year but ugh…just really, when will it get easier?

As I said to Elle the other day in a message, “surely life isn’t meant to be this hard” and it shouldn’t. To find myself back in a place where self-harm seems like a perfectly reasonable thing to do and suicidal thoughts are coming through my mind like buses- it’s not good. Like it’s really fucking shit in fact. It all just feels desperately bad and I can’t seem to get out of it. I feel like I am screaming underwater.

I was meant to go away this weekend, alone, but I realised that this would be a very bad move and as much as being around people feels intolerable, I am at least safe.

So yeah, I’m having all the fun of the fair right now! I know if I wait it out things will get better. I just wish there was a magic wand I could wave to make all the hurt and distress stop and allow some space to breathe and settle. I feel like I just can’t land in my window of tolerance at all…or letterbox.

I was feeling fairly connected to Elle at the start of this break even if I was overwhelmed but the steady sense of disconnect started as the first weekend approached, the panic kicked in, and from Tuesday (the day of our usual session) onwards it’s felt like any connection we have has been completely severed.

I was so painfully aware of needing my session with Elle on Tuesday because so much was being activated around the old stuff with Anita and Em, so to not see her or even check in via a message felt really difficult. I could have reached out – I am sure she wouldn’t have minded – but then she’s on a holiday and look how many times things have gone to shit with therapists during or directly following a break. I don’t want to do anything that might make Elle get fed up with me and so I have backed right off. The fear of history repeating is huge.

Sadly, my mind can’t seem to differentiate that this disconnect from Elle has come purely from my side. All it knows is that disconnect feels terrifying and that if it goes on for long enough it’s hard to come back from it. This horrible feeling has got worse and worse through the course of this week. I have been steadily drifting away on the ocean in my little boat and now I can’t see the land at all and the seas are getting rougher and rougher and Elle has no idea.

The sadness of the little parts is big but there’s also some anger coming up from the protective parts who I think have just about had enough of feeling ‘left’. It’s hard enough getting through the regular week and only having a single session after so many years of two sessions a week with Anita and Em. It feels like I am always stretching just that little bit too far between sessions and it takes its toll. I wish that I could land in a space where I wasn’t hitting a panic on a Friday each week and then hanging on by the skin of my teeth to get to Tuesdays.

Holidays are very necessary, but my god they suck balls too! That probably makes me too needy or too dependent or whatever else – but it is how it is right now. Parts of me are so mad that it’s like this again but part of me really gets it. It’s all been a lot for too long and there is only so much I can hold on top of the demands of my exhausting day-to-day life.

I feel like I have mentioned this struggle between sessions in so many different ways over the last eighteen months but it feels really hard to ask for more from Elle. I think we need a Friday check in… I mean, I’d love to see her twice a week in person but I don’t think that’s on the cards. I get the sense that she is carefully managing what she can cope with and probably two sessions would feel a lot of me… and that’s hard isn’t it?

Thinking you’re only tolerable for a certain amount of time each week but any more than that risks burning them out is hard. Again, Elle hasn’t said this AT ALL and so it could be my projection given what’s happened before with other therapies but I am just not willing to reach out and ask for something and be told no. Elle has invited me so many times to ask her for what I need and has said she would try and give me what I need.

I just wish it felt easier to make requests but I know right now my reluctance is due to how live the memory of stuff with Em is. Like, all the times I braved asking for things: transitional object (ugh pebblegate), three dots in a text mid-week, sitting next to me, playing games, ANYTHING AT ALL REALLY, and getting no…it’s hard to feel like I want to brave more of getting that feeling of rejection and shame that arises.

Elle is not Em, or A…she’s really great…and I really want to trust Elle – I do trust her- but when I feel vulnerable, I just can’t get out of my shell or ask for help. I hide.

I have been especially conscious of all the soundbites that haunt me during this break, “adhesive like a tick”, “too dependent”, “you want more than I can give” etc and have been so terrified of being ‘too much’ so as I say, I have really backed away from contact with Elle despite needing it. I don’t want her to feel the need to escape my neediness. I really want her to be able to have a break … just not in January 😉.

I think it would have probably helped if when the wheels had started to fall off I’d have been able to reach out and ask for some reassurance that we were still ok…but I was set dead against it in my head. I just told myself to tough it out…get your shit together RB! I see now that that was an error because it’s much harder to get back on track from this point although I guess at some point I am going to have to make a choice – to either continue on in this misery or reach out and ask for support because this isn’t just a small wobble that I can handle on my own, this is a scary crisis point that I haven’t found myself in for several years.

I am trying to hang onto the good… because there is and has been such a lot of it. But it’s hard to remember that when your brain is working against you and all your body knows is terror. I honestly hate how when my system gets hijacked and adult me loses the capacity to hold it all that it gets so bleak so quickly. I guess this really is a reminder of a patterning that must have been forged early on in my childhood. This terror – it’s visceral – and so familiar.

It feels really bonkers to be here because even in the last session before the break, Elle demonstrated that she clearly had my littles in mind and was doing everything she could to settle them before she left. I had been waffling on in false adult moaning about some daily life shit and she stopped me when there was a natural pause. It was about half an hour before the end of the session and she asked me if I wanted a story and a cuddle…yep…

I think in the sessions before a break I am always preparing to be left and almost pretend like I am fine, and coping, and adult … but inside it’s a different story. I’m so glad she knows this about me now and reached for me rather than allowing me to run down the clock and then feel awful and unseen afterwards. I just need to remind myself of this when I feel like I have been abandoned.

After the story, Elle had asked if she could take Baby-Elly and Monty away with her on her break and send me photos of what they got up to, she thought it might be a nice thing for them to do. She then asked me if I would take Hare Bunny (that I gave her for Christmas) home with me so that he didn’t get lonely in the office whilst she was gone. Like that’s really lovely isn’t it? And I really really loved that she thought of that. It’s a world away from the no contact breaks with Elle, or even the texts from Anita.

Like how nice to take our transitional object away, and include the little elephant that’s been held hostage all these months with Anita. Adult me can see how hard Elle is working to keep my system in connection with her… it’s just a lot when I need a big cuddle, some reassurance, and to hear her voice.

Elle sent me a picture of Monty and Baby-Elly waiting to go on their holiday last week and on Monday one from their break. It made me smile. But then as the week went on it felt so so hard for me and I felt so far away and as much as I wanted to reach out and send a message ‘how is everyone enjoying their holiday?’ or ‘I miss you all’.

I didn’t. Because I can’t forget when Anita went on holiday, sent me messages, sent me photos, told me she was thinking of me….and I literally sent, ‘Looks lovely, I miss you’ back…that I was told that when she’d read the message she felt pressured and stressed and that this was probably part of what led her to end the therapy. I know this says more about her than me, and her mental state and how she’d allowed herself to burnout…but it was me that was taken out in the crossfire and it is me that is now terrified of a repeat.

I still wonder how I was supposed to glean from the messages from A that we were in serious trouble and that she was going to terminate. Before she left, she told me everything was fine, that we were going to be ok, that she would come back… and even the night before that hideous ‘I need to bring the counselling with you to an end’ session she sent me a message telling me she was looking forward to seeing me…. Looking forward to seeing me so she could end???? Like make it make sense!

So it’s little wonder that I am reluctant to reach out – because even when things look fine on the surface, the amount of times I have walked back into a problem is… staggering really.

On top of the absolute emotional hell I am navigating my way through during the day, I’ve been absolutely plagued by nightmares. They’re really something and don’t take a lot of unpicking. One particularly distressing one that apparently had me screaming in my sleep was me standing on a cliff near my house and the waves were ENORMOUS. It was grey and stormy and lashing it down with rain. Despite the cliffs being at least 100 feet high the waves were flooding over the top and the buildings were flooded and being completely attacked by the sea.

I commented to whoever I was with that “I have never ever seen it as bad as this before” and that’s when I heard screaming to the right of where I was standing. My attention had been so focused on the town and the buildings that I hadn’t noticed what was going on to the right of me. A child about four years old, was clinging on desperately to the rocks and crying. There was no way down to it and I saw it get washed off the rocks and into the sea. I reached for my phone in order to call the emergency services and no matter how I tried I couldn’t unlock my phone to make the call. No matter what I did it just wouldn’t work. All the while I could see this tiny kid being pummelled by the sea and hitting up against the rocks. I felt so completely powerless.

It’s hardly surprising I woke up screaming and crying and in a drenching sweat. I can still feel the complete panic I felt just typing that. As I said it doesn’t take a genius to figure that one out but it is a real indicator of just how distressed I have felt.

The week has been lots of that sort of thing and by yesterday I had worked myself up into a right state. The protectors were so vocal and honestly, I just wanted to know that I wasn’t going fucking mad…because that’s what it’s felt like.

I just want to say, too, that I haven’t just been head in the sand this break letting the shit come at me, knowing Elle was away I booked in for a two hour massage, I have really careful to take proper breaks, eat well, sleep (!), and get out in nature…but you know, sometimes there is only so much you can do. My system is in freefall, it’s been flashback galore on top of regular therapy break shit… I just … well… didn’t have enough resource in the tank to get through it.

I ended up sending Elle an email yesterday:

I’ve got myself stuck in a deep hole and as much as I’m trying to claw my way out there’s some really vocal and aggressive bastards stamping on my hands. I’m sending this now because I think by Tuesday I might actually not turn up at all.

Elle usually responds with pretty holding and containing stuff and I hoped so much that she would send something like, “I am sorry that it’s so tough Sweetpea. Tell Brian and the bastards to behave themselves. I am looking forward to seeing you on Tuesday but until then the biggest of hugs to you.”

Or any variation on the kind of thing she usually sends.

But this came…and honestly I just felt so sad.

I really really hope you do. Elle xxx

Like, it’s not terrible is it? Not by any means, but I guess having not seen Elle for a while, or heard her voice, or any of the things that we usually do to connect, and my being in such a desperate headspace it just felt distant and triggered total panic.

Like, this is it then – she’s had enough hasn’t she?

And then because I felt so upset about it, the protectors have really stepped up their game – of course they would.

Sometimes if I have felt a response from Elle has missed the mark I will email her back and clarify how I am feeling and she generally replies with something holding. I held off this time and continued to suffer. This really tells me how scared I have been feeling. I had been messaging a friend all week and she encouraged me to reach out to Elle again and let her know exactly what was going on. On Sunday I did… I screenshot some of my conversation with my friend and sent it…and this is what came back almost immediately:

Oh my poor love, I’m so sorry you’ve been struggling so badly this week, and I feel very grateful that you trusted me enough to send me all this.

We are always ok, and I promise you with my hand on my heart, I would always talk to you if there was anything going on between us that I felt needed addressing. I see you struggling here with the idea that you can do the same, and you can, and I will do my best to offer you what you tell me you need in terms of reassurance and care, however that looks like for you. 

I’m imagine you feel asking me for specific things that would help you to feel more cared for feels unreasonable, and I would really love you to ask me for them, and let me decide if it feels like something I’d be willing to do. I know that probably feels like a very risky thing to do, and I want you to know you can ask and I will do my utmost to offer you what you need. You are loved and respected and giving you whatever you need to feel safe is my priority.

Please do come in on Tuesday, and we can try and talk through what might be helpful to you in future, or you can just snuggle up to me and cry for a full 90 minutes and be broken in complete safety.

And honestly, that’s the Elle I have been trying to find inside myself all this break.

I responded to her:

💜 thanks. 

I’ve just got really panicked because coming back from Christmas break and into this time now in 2019/20 was when it all went to shit with Em – sometimes I think it would be useful for you to see what happened back then but anytime I even think about going back to dec/jan posts to send you the links to what I wrote it has such a massive physical reaction just remembering that time and how bad it felt that I can’t do it… And as much as you might think it’s ok to ask for things it’s hard to really put into words what it feels like to ask for actually not much at all and get hard nos. There’s a lot of really shit stuff that’s happened over the years and my brain doesn’t let it go. 

And breaks are bad for lots of reasons – I mean it doesn’t help that after a few days there’s a panic that people are actually going to die on me – I’ve got my dad to thank for that one, dying three days into a holiday… and then there’s all the shit from my mum being away from Sunday-Friday when I was small and how insane and volatile she was when she came home…like those things have always been problematic… but breaks have certainly been exacerbated by the fact that three times I’ve been on a break and come back to discover that actually:

Em – Nothing is too big that we can’t work through it

A- I’m only going away for two weeks, nothing is wrong with us and I promise you nothing will change and I’m coming back 

H- I think it’s great that you write, I’ll take how I’m feeling to supervision and see you in a couple of weeks

Were all lies. 

And as much as things might look ok … apparently they weren’t. Like I don’t get how I was ever supposed to know that there was a problem, particularly with Anita. But apparently my saying I missed her felt overwhelming (see the screenshot)… but then literally the day before I saw her to be told she was ending she said “I’m looking forward to seeing you tomorrow”. I don’t really know how that works.

So it’s not easy navigating anything when my experience is that people say things that suggest one thing and then the reality is quite different… and not only that but it’s me that’s misread the situation or been too much despite CHECKING so as not to end up being a problem.

It’s all just a lot and so live right now and it’s hard because I try really hard to not get things wrong and somehow still manage to fuck things up. And it’s hard to not think it’s a me problem.

I could really use a big hug and a lobotomy 

X

And once again the Elle I know and love came back with such care and holding that my system just settled right down and I wondered how I had got myself in such a fucking mess again:

My lovely girl, will you believe me if I say I always have all of those things in my mind whenever we have a break? 

I think about how A gave you no clue about what was going on for her, and how Em reassured you, and how H wasn’t confident enough to say how she felt, and I think “what can I do differently?” And the only answer I ever come up with is to just be consistently me; honest about how I feel, open to hearing anything you believe will help and support you, and reassuring you that I am capable of telling you if I feel anything other than happy and calm about any of it.

And I am genuinely confident that – in time – you will trust that what I say is what I mean, but that earning that trust is going to be that much harder – both to build and maintain – due to all of that damage that was done. 

And enormous all-encompassing hugs are always available and in plentiful supply.

Lobotomies however, are only available on request every second Weds.

Elle xxx

PS I read the message you sent to [friend] about you finding the automated texts triggering, and so tomorrow…I will send you something just for you! 😀

And so, since then in January…I’ve had no more automated reminder texts about sessions and perfect personalised ones…and our sessions have been lovely (as always) and I’ve muddled along.

We’ve literally just been on ANOTHER BREAK now because I have been on holiday but I’ll get to that next time.

So yeah – big meltdown was had since I was last here. I am steadily finding my feet again…and ugh…life eh? Thank you for everyone that has messaged to check in and I am sorry I haven’t had the bandwidth to even reply. And amazing work if you got to the end of this – it’s almost the length of my undergrad dissertation!! xxx

“A Memory-cake Covered In The Sparkly Frosting Of Multiple Crushing Disappointments”: The Last Face-to-face Session of The Year,  The Phonecall, And A Cancellation…

rubberbandsandchewinggum43 Comments

When I was staring down this Christmas period at the start of December it looked like it might actually be one that would be almost doable – or at least one where therapy and the therapy break would not be complicating factors. Elle and I had a session together booked in the room for Christmas Eve (I was so excited about this) and then we’d be back in on New Year’s Eve…so really there was not even a break (yay!). This year, I’d only have to get through the Christmas stuff with family and all the mess that entails, plus the usual hell of the crap with Em and Anita being thrown into sharp focus…but otherwise it should be fine, right?!

Having had my therapy with Em blow up so spectacularly in December ‘19/January ‘20 I now suffer really bad anxiety about my therapy ending, or being rejected by my therapist after a break…this hasn’t been helped at all by Anita ending our therapy when she came back from a break, either… but despite all this, I felt like it would be ok this year because Elle and I are ok…I think. I was ready for what was inevitably coming, but confident that the scaffolding that was around me with the sessions with Elle would be strong enough so that I didn’t fall apart. Or that was the plan… only… you can so guess where this is going can’t you?

Elle wasn’t wrong when she referred to the Christmas period as “a memory-cake covered in the sparkly frosting of multiple crushing disappointments.” This insight came a few weeks back in response to the email I sent with the extended metaphor about the roundabout of death that I seem to be stuck spinning on. I have been struggling a lot after getting the box of things back from Anita and if I am honest, I’ve been hanging on by my fingertips for most of this year. I certainly can’t do another year like this one. I simply don’t have it in me.

I sent that message about my struggling to Elle the night before the news that we wouldn’t be able to see each other on Christmas Eve as planned. It was bad. Like what timing! I obviously had my massive meltdown when I found out I wouldn’t see Elle face-to-face (fuck me that was a rotten few days) but recovered a bit when we scheduled in the phone session for Christmas Eve instead. It’s obviously nowhere near the same as being together in the same space, but it was something at least…and of course we’d still have the final face-to-face on the 17th.

On the day I learnt that Christmas Eve was off I also got the added and unexpected news that Elle was going to be away in January – neatly coinciding with the time when it all went to shit with Em, “Like a tick”. Eek…never my best week and honestly, I can already feel a massive sense of dread being ‘alone’ that week. It’s hard to put into words the kind of response those words trigger in me even now but I find January really rough because it was such a horror show ending with Em. And what if Elle doesn’t come back?

I know that I am really bad with disruption and change, anyway, but I had no idea back in early December just how fucking many crushing disappointments would materialise in this window of glittery Christmas hell… but Elle’s words have continued to ring so ear-piercingly true it’s not even funny. Like really? Is the universe taking the fucking piss? Or do I just have a ridiculous amount on negative karma that I am working out in this lifetime because really, sometimes, it just feels so unfair.

It’s that bleurgh period between Christmas and New Year, the time where I traditionally fall into a bout of deep depression and freeze…and guess what? Yep. Here I am again. Same shit, different year. I’ve had the laptop beside me for a couple of days thinking that I would write…I’ve got plenty I could be working on (including my story for Elle) but nope. I’ve been completely stuck in overwhelm and instead of being productive or actually just being at (much-needed) peace – I’m doom scrolling and fitfully sleeping and generally beating myself up for yet again not making the most of my time off work.  More than anything I really need proper rest and care – and I don’t mean more of the self-care, I actually just need taking care of. I could really use a week of mothering rather than being the one doing the mothering… that’s it.

I know I am not alone in finding this time of year tough. Christmas is a lot. And even though I actually managed to pull off a pretty decent Christmas Day and Boxing Day, I have both emotionally and physically crashed and burned since then. I am in the place where I want to be completely away from people – at the beach in my hideaway but know also that I can’t go and escape and run away because ‘it’s Christmas’. The only person I want to see right now is Elle…and I think that is because I have done such a lot of adulting that the parts of me that need a bit of nurture and attention are starting to get really restless….they’re desperately upset, in fact.

These last few days I have been riding massive waves of anxiety. It’s got so bad that I have dreams that I am being physically sick and throwing up and the experience is so visceral that it wakes me up and I am instantly aware of the sick feeling of high anxiety in my body. If I didn’t have an empty stomach, I most certainly would be sick at that point. Talk about somatic response to emotional upset. Ugh.

As much as I have tried to keep my mind away from the usual triggers, it’s nigh on impossible not to be reminded of what happened with Em or to drift into thinking about all that has happened with Anita at this time of year. I don’t miss Em in the least but I am still reeling from the hurt she caused. And Anita, well, I miss her but I have let her go now. This year I didn’t bother to text her over Christmas. Although I know she’d reply there’s no point in trying to keep any channel of communication open with her. Her behaviour towards me this last year tells me everything I need to know about her feelings towards me and I need to find a way of moving through the pain of it all.

Parts of me have wanted to reach out to Elle and forewarn her that I am not in a great place. I have been really conscious of wanting to see her the last few days, especially having not seen her in person last week, but there is also another part that’s really prominent and activated and is just full of shame and terrified of reaching out because what if something has changed?

I have been really conscious that when I see her, I could end up being totally shut down and avoidant and pretend like everything is ok when it really isn’t. I haven’t told her how it is, because it’s Christmas, it’s a break, and also…there’s that heightened awareness of everything that went wrong with Em playing out in my brain. I so badly don’t want to be perceived as ‘adhesive’ and ‘like a tick’, ‘pushing boundaries’, ‘trying to get inside her’ being ‘demanding’ and ‘intruding’ and make her feel like she can’t get away from me because my need for her is ‘all the time’ etc. And I know none of these are Elle’s words but they are branded into my brain…thanks Em! But maybe I am ‘too dependent’ (the words that Anita denies ever having left her lips) and so I have stayed quiet and suffering.

It feels like with all this being so live at the minute it would be a really good time to talk to Elle about it when I see her – because the feelings are right here on the surface rather than pushed down in the depths. Of course, Elle knows a bit of what happened with Em but largely we’ve been firefighting the Anita stuff. Part of me was almost tempted to share the blogs from the time when Em and I ended with Elle so she can really see exactly what went on…but I haven’t…because it’s a lot.

I had decided last night that when I woke up this morning I would send Elle a text after I got her reminder text about our session and let her know that I needed her to stay close tomorrow because things are hard. I’m sure she knows this already. I had a terrible night of nightmares and was up a lot through the night so didn’t end up waking up until 10:30 this morning. I looked at the clock and mentally felt the relief of knowing it was only just over twenty-four hours and then I’d see Elle. When I checked my phone Elle’s normal message wasn’t there. Instead, there was a message telling me she was sick and that she didn’t think she’d be ok for tomorrow.

You can only imagine how that landed.

Of course, I am really sorry that she is poorly and I more than anything hope she gets better soon because she’s not immune to how fucking hard this year has been either, and I think she desperately needed a break. There’s some horrible viruses going around at the minute and it’s not exactly restful being sick even if you are laid up in bed is it? It’s just like being pummelled. Adult me wishes there was something I could do to help her feel better. I hope there is someone looking after her but I get the impression she is the one who looks after everyone else.

Aside from my big feelings of care for Elle there is absolutely the hugest feelings of sadness and disappointment again. To have hung on so tightly to get to tomorrow to see her and for it be taken off the table at the last minute is just gutting – especially after what happened with Christmas Eve. I had just about got myself in a place to handle the January break thinking we at least had two sessions before that to reconnect and put something holding in place…and yet here we are… I feel like I am running on a track that keeps crumbling just ahead of me.

I just can’t.

I am really out of coping at the moment.

I wish I could say it wasn’t like this, but I’m devastated. I just want a cuddle.

And then of course I feel ashamed and embarrassed that this has affected me the way it has because I know that none of this is intentional. I know Elle can’t help being ill. It happens. But the little parts of me that so badly needed to see her on Christmas Eve are still hurting about that, and here we are again…another disappointment. The littles don’t understand the ‘reasons’ that they haven’t been able to see Elle they only feel what it is to be ‘left’. It feels abandoning and rejecting. AND I KNOW IT ISN’T but we’re not dealing with Adult Me, are we?

Elle even told me in her message this morning “please don’t see this as a sign of anything more than the worst kind of luck […] I know this is horrible timing”… like I know she will get how this has landed…or at least, she might have a bit of an idea…but it’s just so painful. This sort of thing taps deeply into the bit when I was a kid always waiting for my mum to come back. She was away Sunday through to Friday and I would always feel so disconnected and lonely in the week. And this is the same. I am always on a countdown to see Elle, and it’s hard, especially as I only see her once a week and that feels it’s too long as it is.

I just feel like I am stretched so far beyond my capacity right now…because Christmas did, of course, throw up shit. My wonderful mother failed to acknowledge me or my kids for the third year running, and didn’t even send a text to acknowledge the gift I had sent her. I just can’t even. What kind of person doesn’t even send a ‘thank you’? Or a ‘happy christmas’? Well, I know the answer to that, but it doesn’t stop it from hurting. The original wound was right there with the spotlight on it. My mum doesn’t care about me and … well what more is there to say? Well, plenty, actually, just not today.

Ugh.

So, this has all got a bit out of chronology, hasn’t it? I was meant to talk about the last face-to-face session and the phone call. What can I say. Feeling like I do right now? And please don’t read this as ‘spoiled brat’, it’s ‘desperately sad and hurt little parts’.

Actually, I don’t remember a whole lot about the last time I ‘saw’ Elle. I know that I was massively conscious that it would be the last time I would see her for a while and it triggered the smalls a lot which meant that False Adult was pretty present for a fair bit of it, I think.

In the few days leading into the session, I had finally begun writing the story I wanted for Elle but it was nowhere near finished or even edited by the time it got to Tuesday. Despite this, I printed it off and wrapped it with part of the gift I had bought Elle for Christmas. It was all in my bag but there was a part of me that feared giving Elle the present – yet again another throwback to Em when she rejected my gift of a snowflake and copy of ‘The Velveteen Rabbit’. Again, there was absolutely no reason to think that this would happen with Elle. I have given her all sorts of stuff over the last eighteen months but this time of year is so ridiculously triggering – ESPECIALLY after recent events with Anita.

It was quite a bit of time before I allowed myself to relax into being with Elle in the session. I always find it hard when there is going to be a break. Part of me longs for closeness and connection but part of me is so painfully aware that it/she is going to be taken away that I rarely ask for what I need before a break and pretend like I am fine. I think this is also a hangover from working with Em where my needs were never met and so I stopped asking.

Still, I did eventually cuddle into Elle and stop jabbering on about meaningless shit. I felt sad. And empty. And far away…even though I was now close to Elle. I could almost feel the clock running down and with every passing minute the deep sadness seemed to get bigger and bigger.

I hate breaks.

LOL.

After a period of quiet, Elle told me that she had something she wanted to give me, a present to open on Christmas Eve when we would have our call. She said that the thing she had given me is very special to her and that she really liked the idea of my having it and that she also really wanted to talk to me on Christmas Eve to check that I was ok.

I could feel tears coming in my eyes but pushed them away. I don’t think I said anything to Elle. She must think I am really rude sometimes. Like she had been so thoughtful and taken a step towards me and there I was silent. If anything, I was completely overwhelmed. There is always such a lot I want to say but I can feel myself pulling back…afraid of being ‘too much’.

Can you all see how much the young parts are struggling right now?

After a while I told Elle I had something for her and that she could open part of it then. I felt really exposed and stupid handing over the present – which is really really sad. I suddenly felt really idiotic having tried to write Elle a story and embarrassed giving her the soft toy that went with it. I gave myself a really hard time all the next week about it.

There wasn’t time for Elle to read the story in what was left of the session and she asked if she could read it at her leisure. Of course. I didn’t hear anything all the last week about it in the few interactions we had but it wasn’t surprising, that week was like groundhog week and I think everyone was hanging on by a thread. It didn’t stop the inner critic having a good old taunt, though. The erosive power of that part of me is so strong and it takes away anything good.

I had really badly wanted to write the story – and it got fucked by my wonky brain having a meltdown over the change to Christmas Eve, then what I did finally write was ‘ok ish’ but not ‘good enough’…and so my brain decided to really go to town on me. Elle’s silence seemed to confirm that I was a fucking moron for trying. I am trying to think where all this comes from but all I can think is that there must’ve been times when I have tried to do something like paint a picture, or write something, and it’s been disregarded. Highly likely tbh.

So yeah, that week leading into the call was a bit rough.

Because everyone was at home and sound travels in my house, I couldn’t do my session at home. The ideal would have been to have been alone in the house, snuggled up in bed. Instead, I made up a little den in the backseat of my car with pillow and blankets and Monty and my soft dog toy and took the car across to the park to where there is a reasonable mobile signal. Sadly, the signal isn’t really strong enough for a video call – or at least I didn’t want to ty that and it not work, so opted for a voice call.

It was ok- certainly better than not talking at all that’s for sure. Elle mentioned a couple of times how it was not to be able to see each other…and it was hard because I really would have liked to have seen her face (and hold her hand!). Although, tbh there’s a chance I might have dissociated. I work 100% online in my job and video calls are all that I do, and yet I think seeing Elle over a screen might have made me feel even further away. I don’t know. I don’t exactly have a good track record with Em and Anita but then I don’t know how it would feel with Elle and maybe I need to try.

Again, I don’t really remember much of the call. Elle said that she liked the story – I think – although don’t really know what she said. I think I may have said something dismissive or shut the conversation down. I think I was probably embarrassed to talk about it – especially as I had convinced myself that it was utter shit and that she hated it in the week since I had given it to her.

I think I told her a bit about how sick I have been feeling and the anxiety stuff. I think there was mention of my mum… and some past Christmases but honestly, I don’t know. I know there was a huge part of me who was trying very hard to stay present but kept wandering away. There was a part of me that felt very very sad. I think November and December have just been really hard and I so badly wanted to be near Elle…and whilst she was trying really hard to be there…it’s just not the same is it? I have spent so many years on the phone as a kid trying to connect with my mum on a Wednesday when she’d call home but never being really given space to express how it felt. I was ‘fine’…. But I wasn’t.

Anyway, there’s a lot stirred up and going on BUT I was really glad to have spoken to Elle because even though it wasn’t the same as face-to-face, it was still contact, I could still hear her voice, and know on a level that she was still there even if I couldn’t see her and it made me think that this is an option for the future for sessions if they need to be moved or maybe just check ins. I actually think if we could talk on the phone in the week just for ten or fifteen minutes it would make things feel a whole lot easier than they have been.

Near the end of the call, I opened the present that Elle had given me and it was just lovely. It was a beautifully bound folio copy of her favourite childhood book…and really it was just one of the most special things anyone has given me. This was especially the case this year where Christmas was the usual of me arranging my own presents – and this year even wrapping them. It felt really lovely that Elle would share something that felt so meaningful and important to her with me. She directed me towards her favourite chapters and I read them on Christmas Eve and Christmas Day which felt really connecting.

It was surprising how fast the ninety minutes went and I could feel a massive pang of sadness come as I realised it was time to hang up. Elle told me she would message me on Christmas Day when she had opened the other things I had given her and that she was looking forward to seeing my face next week…

It was lovely to receive a really warm connecting message on Christmas morning, then. She seemed genuinely to really appreciate what I had given her and so that felt nice.

I am trying really hard to hang on to all of how this lovely connecting stuff has felt today and am really trying not to let the sad take hold…but it’s hard. Tomorrow is going to be hard.

I won’t get to post again before the new year (relief!)…but I guess I will just round off with the Counting Crows lyrics that always resonate so much at this time of year:

A long December and there’s reason to believe, maybe this year will be better than the last. I can’t remember, the last thing that you said as you were leaving, now the days go by so fast.

Procrastination? A Therapy break. And Musing On The Cost Of Failed Therapies. Part 2

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Right – so – part 2 – ummm so this actually ended up being 4500 words on its own and I don’t have the mental wherewithal to break it further… so…yeah…maybe grab a coffee or something?! Here’s the stuff about what’s been going on recently with therapy as we headed into a bastard therapy break…which ends today…PRAISE THE LORD! Phew. Man am I ready to see Elle…anyway, let’s fill in the gaps!

*I went into a freeze hole with with the US election so this is a bit delayed posting.

A little while ago I was writing about how I was struggling with the therapy container with Elle not feeling big enough – or me basically ‘being too much’ and having ‘too much to process’ and not enough time and space in which to do it (same old same old! I was actually thinking of getting myself a t-shirt made with ‘same shit different day’ on). I can’t lie, I have been in an absolutely horrible place with it all. And it’s not Elle – it’s ALL of it. EVERYTHING has flooded all at once and there is just TOO FUCKING MUCH TO COPE WITH.

The last month heading into this therapy break (me being away not Elle – pray that she isn’t going to spring a break on me anytime soon, please!) I really did start to unravel and it was bloody awful. I mean I literally was sliding downhill on my arse, at speed, and it was fucking painful despite sessions with Elle having been really good. Like really good and holding…. and just lovely, actually.

I mean it’s really brilliant that we aren’t lurching from one shitty rupture and misattunement to another and that sessions feel safe and calm and useful – but it’s really hard when therapy is really going well that things outside the room feel so fucking hard. Complex trauma – as I have said soooo many times – really is the gift that keeps on giving.

Elle and I seem to have connected in a really deep way (or at least it feels that way to me) and it feels very safe and just nice when we are together…but the problem with that is that it’s really brought the young parts up to the surface and when they’re here it’s a LOT. There is so much need (and grief) and as I keep saying, the week between our sessions is tough going.

I think part of it, is that it’s almost like everything with this young stuff has been on hold for the last year-and-a-half since everything went south with Anita and it is only now that the trust is really there and the solid foundation has been built with Elle that my system is prepared to let it all be seen again. Until relatively recently much of this stuff has been in hiding or protected (and understandably so!).

So, whilst it’s starting to feel a bit like an emotional rollercoaster inside again, I do understand why. I’m finally letting the lid off a pressure cooker that’s been madly boiling away for too long a time and it’s not surprising the contents are a bit hard to handle. Elle seems to have a good solid set of oven gloves so I don’t appear to be burning her in the process which is really good, and I do, at least, feel like my sessions are useful and not fucking traumatising or triggering which is great!

Sitting together on the new and bigger sofa all the time has been a game changer in how I allow myself to be – or who I let be- in the room with Elle…it’s so much better than her being in a chair across from me. I know all I needed to do was say, because any time I have asked for her to come closer to me she has, but it’s been a real slow and steady process after everything that has happened before with Anita and Em, and I haven’t always felt able to ask express what I need. There’s always been that very real fear of not wanting to be ‘too much’ or come over as ‘too needy’. Elle assures me that I am fine however I am, but of course it’s not only her voice I have rattling round in my mind, is it?

It’s very hard having a need for someone who ‘appears safe’, now, because I thought Anita was safe and it turns out she absolutely wasn’t – or she was, and then she wasn’t. It really is like doing tiny baby steps with Elle – thankfully she is a very patient person and she meets me where I am at and doesn’t push me too hard, but is right there ready alongside me when I want to go to the hard places…I think it’s really clear to her that this is delicate work and I am very fragile after all that has happened. We aren’t in any great rush and I am determined that this time I do not end up worse off than I went in.

I mean basically this is like exposure therapy, isn’t it? I’ve been bitten by three separate dogs in the last four years and here I am, in a room, with another dog. Fortunately, this latest one is a golden retriever trained as an assistance dog and will just sit beside me calmly for as long as I want them to. Well, that’s the impression I’ve been given. I can’t see Elle suddenly becoming vicious or running off…

I wonder what breeds Em, Anita, and Hannah would be? Em?…are there any dogs that just genuinely hate people and savage them for even wanting to pet them? Anita?… something that looks soft and cuddly but in actual fact is nippy and has a tendency to bolt- but when you find them they’ve snuggled up to new people and pretend they don’t know who you are? – some kind of terrier perhaps? And Hannah?…ummm… maybe a dog that isn’t very used to humans yet and is flighty and doesn’t trust?!

Anyway…back to the story-

My system settles so much quicker at the start of sessions than it did because of the physical proximity I now have with Elle and I am not bothered by the fucking table between us because it isn’t between us! I still do the internal safety checking at the start but it’s nothing like as bad as it was. I don’t think that will ever go away with a history like mine. I am always going to need to scan for danger before letting my guard down because the reality is people change, people drop bombs on your heart, and I would be foolish to not be cautious.

A key difference being beside rather than across from Elle is that I am less likely to let False Adult front the show. In fact, that hasn’t happened at all since we’ve changed things up. When Elle was in her seat I could sometimes find it hard to figure out where we were at and so talk endlessly about stuff (that was relevant but didn’t leave space for the vulnerable parts to connect) and this would sometimes mean that I would head into dissociation (very well disguised and still carry on like nothing is wrong) because I’d feel like I wouldn’t get what I needed until we said goodbye and could feel the session slipping away.

Goodbye hugs are not really enough and would often leave me feeling bereft that I didn’t get more of what I needed in the session (even though we would have talked about useful stuff for at least some parts of my system) and now had to wait until the next week to try again. This really is one of the crappy things about one session a week. It seems to put a lot of pressure on the session being ‘enough’ whereas two sessions means that if things don’t feel quite connected enough that there isn’t an age until the next contact which means there’s less time to catastrophise and for Brian to go wild.

I like that now, instead, I will come in, sit on the sofa and already be close to Elle… The other day I was having a bit of a freeze and shut down (anticipatory dread for the upcoming break that was still a couple of weeks away). Elle had got the playdoh out that I had brought with me and left with her at the end of the previous session. She had it all set up when I got in the room which should have delighted me but instead I was just sat still, I didn’t even reach for the play doh but did discuss colours and textures and was generally chatting so hiding the extent of the hell I was feeling inside – like it wasn’t obvious I was having a hard time.

Why was I upset? Because it was a day where I just wanted to come in and cuddle into her and sob. I had been totally overwhelmed and in a panic, and I didn’t want to play at all – or not right then, anyway. I think Elle sensed something was up even though I was doing a good job of hiding because as she was making a frog she moved her leg over a bit and rested it against mine so we were touching so that I could feel that she was there.

This was enough for me to come out of wherever I had gone and made me realise (again) that I am safe and Elle doesn’t mind me being close and that we are connected. I really need that almost continual reminder that I am not unpalatable and disgusting at the start of each session because that’s the message so many parts of me now carry. They feel that I am easy to discard and it must be because there is something wrong with me…like I have always felt that from the beginning but it has been heavily reinforced by Em, Anita, and Hannah and it’s hard.

So, being next to one another, I can edge my way closer to Elle as and when I want to. I can reach out and hold her hand, or shuffle over for a hug, or I can just lean up against her and be in physical contact whilst we talk. It REALLY helps…and makes me realise how bloody awful it was all that time with Em when she refused to come anywhere near me… it was sooooo terrible for me and my nervous system. It’s bizarre to think that in all the years we worked together we never touched once, not even a handshake. For someone that struggles with feeling unlovable and untouchable it did a whole load of damage – especially as there was no emotional holding either. Crikey.

Elle and I talk in a way that I haven’t been able to with any of my other therapists. She is smart and insightful and funny and kind and makes it very easy to just be me with my jump around brain that is always changing direction. Sometimes I talk a lot and other times I say little, or nothing at all – and not because I am being withholding, just because it’s nice being with her and feeling my system rest a bit.

So therapy with Elle feels really comforting and connected but also like I am wading through all kinds of stuff in a very safe way. It’s different to with time with Anita – although it probably sounds exactly the same. I feel like Elle has a much better sense ‘the work’ and me, like, she’s not just phoning it in and having an easy time if I choose to ask for stories or cuddles or whatever. I get a sense that she is thoughtfully in the space with me. I think Anita really used to be at the beginning, but I think towards the end when she was on her slow spiral into burnout and breakdown, she was just grateful if I turned up and didn’t want anything from her but a hug because she could zone out and I wasn’t being challenging or difficult.

I would sometimes ask Anita what she was thinking when we were having a quiet time, imagining that she’d say something like “I was just thinking about when you said x or y” but often her brain was on things like taking the dogs to vet, or what she had to do later that day or… empty and nothing at all. And this always felt a bit shit. Like I get our minds wander but I think when we are paying someone to be in our experience with us, you’d think they’d be tuned into us and what was going on for us…not mentally making their shopping lists. Again, this was not how Anita was at the start – she couldn’t have been more attuned in that first 18 months or so.

Still, back to me and Elle because fuck me – what else can I really say about Anita? (Loads I am sure, but fuck it for today!). A really lovely thing that has happened in the last couple of months (basically after I shared the post I had written about what a perfect therapy room would be like with Elle) is that she seems to have really taken it on board. One day she came in with new packs of colouring pens and asked if I wanted to draw a version of something I had sent her in an email. She has also brought in story books she thinks I would like, that she liked as a child, and has read them to me so there’s been some lovely sharing of things we’ve liked back and forth. Elle is really good at reading too – and does such good voices – and the little parts of me really love this.

I think after how it all ended with A I didn’t imagine that I would ever be in a position to be safe with someone in this way again. I am now really hopeful that when I eventually get my stuff back from Anita that Elle and I will be able to do some work with the stories and maybe move that all on for the little parts of me. I know there will be a lot of tears if Elle reads me ‘No Matter What’ or any of the books, actually – but I think it’ll be a safe grieving process and something that really needs to happen. I need those little parts to be able to reclaim those lovely messages and have them held with Elle because right now it all just feels really upsetting.

Sooo…the break? Shall we venture into that shithole territory?! Well, it was fast approaching and there was just a lot of stuff coming up especially after Anita’s most recent message about how her life hadn’t been as she’d imagined and how she was now working that came around the time I noticed her website had changed. Talking through that was really helpful but stirred up a whole world of pain.

Then the next week I had left a session that was soooo lovely (the same one with the playdoh) but also really opened up a lot of deep emotional stuff – we’d read a new book ‘Following The Moon’ by James Norbury and both of us cried at the end of it. It is really moving. I had told Elle how much I hated my brain because I had been so anxious about coming to the session and had feared something bad was going to happen (the only bad thing was the upcoming break but my brain was having a meltdown).

I asked Elle if she was real and she had said that she absolutely was and reminded me of the bracelet on my wrist that she had given me. She said that I could message her to check she was real anytime I liked and said she might get another bracelet to remind herself that she was real too – or that I am real – but then corrected herself and said, actually she has no problem remembering me at all. It was all very connecting but I was immediately aware that I was going to experience a fucking huge therapy hangover from the session You know when it’s so raw and vulnerable that it is hard to put yourself back together afterwards because part of you needs that stuff to be exposed but safely in the room and shoving it all back down and carrying on with everyday life feels impossible?

When I got home, I sent an email and asked Elle if she got a cancellation if I could see her. She said she would let me know but if there was going to be a cancellation it would most likely be Friday…because apparently, she’s now working Friday mornings too.

For some reason, that week I didn’t check in with her like I would usually. I don’t know why. Perhaps I was trying to prove to myself that I could do without her and that as a break was coming, I needed to be less needy… I don’t know. So because I had disconnected (despite absolutely needing to remain connected) I was already not in a brilliant place by the end of the week and so when I didn’t hear from Elle until late afternoon on Friday I was pretty awful. Obviously, no space had opened up to see her and honestly, I felt like utter shit. I don’t ask for extra sessions if there isn’t a reason for it and even though it wasn’t Elle’s fault, I felt like I just wasn’t seen and it felt abandoning to the parts that needed her.

Elle messaged me saying she was sorry that no space had opened up and attached picture of the Russian doll set from the room – apparently the little one had been returned (months back she’d realised it was missing but didn’t know where) as an outgoing client had left that day.

This was absolutely a million percent not the right kind of message to have sent me. I am so fucking sensitive to ‘other clients’ but that day in particular it just felt like Elle totally didn’t get it at all. But then why would she – for the first time in months I had not reached out in any way at all. I was probably fine, right?!

Nope.

As I stared at the picture and the lack of anything that felt personal to me and her I just felt at a complete loss and I replied. “I don’t even know what to say to this. I am million miles away from ok. See you Tuesday”

She clearly clicked that shit was hitting the fan… (it totally was) because I am not really a three short sentence type of a communicator – lol – and replied:

I’m so sorry to hear that flower. I hate to think of you feeling so far away from safety and warmth. 

I wish I could hold your hand right know, and tell you how loved and important you are, but please know that I’m thinking it.

Elle x

When Elle sends me messages that use affectionate terms like ‘flower’, or ‘sweetpea’, or my best favourite – ‘lambkin’ it cuts through to the places that really need to be seen and heard and everything that feels very wrong sort of just melts away. I want to tell her this at some point but it just feels a bit cringey!

Of course, the disconnect had felt fucking awful that week alongside my panic about the break and so I bloody did a running bomb and decided to be brave and send her the post I had written about the container and asked her to read it.

Shiiiittttt. Go big or go home RB!!:

🥹😭❤️‍🩹

Can you read this because it’s got much worse even since I wrote it. I feel like a snow globe that’s been shaken so violently that even the scene inside has come unstuck and is tumbling inside the glass. I’m going to bed because I’m sick of myself x big hug 🤗

So, I took myself off to bed and tried to sleep…in the morning when I woke up, I had such a thoughtful and holding reply – I don’t think Elle would mind me posting this here and actually it’s one of those things that would be useful to have here so I can find it quickly in the future when I am wobbling because it was exactly what I needed in that moment – she is soooo good at these kinds of messages when I let her know how I am actually feeling rather than hiding behind random memes:

Oh lambkin. My heart proper hurts after reading all that.

And the first thing I want to say – to maybe give you even a tiny corner of reassurance – is you cannot burn me out. 

I never say things I don’t mean, and burnout is not something you need to worry about with me. I did burnout on a grand scale about 12 years ago, learned some very hard lessons from it, and will ever allow myself to approach burnout ever again. I take very good care of myself, and part of that care is making sure I never work harder or give more to people – friends, family and clients alike – than I know I have to give.

People who burn out do so because they try to give more than they can, usually because they feel they have something to prove to themselves (or the world), and I have nothing left to prove to anyone. I know who I am, inside and out, and I’m enough as I am.

You carry this story that you’re so very much, so messy and overwhelming to deal with, but all I see is this lovely human with many many facets. 

I don’t see confusing jagged ugly parts and separate fun sunny delightful parts, I just see RB, in all her beautiful complexity. And I think she is amazing and brave and smart and vulnerable and sweet, and sometimes she’s terrified and frozen and shutdown and hiding inside herself, and all of that is equally beautiful to me. Because it’s all you.

So you can tell your followers that you let me read that entry, and I said it was wonderful, and that I am super proud of you for putting all your confused thoughts into such eloquent words and then being brave enough to tell me to read it.

And I feel like some of the suggestions they gave you in comments were great, but let’s talk about what else might be great when I see you on Tuesday.

Tightest of all possible hugs and the biggest of all loves to you beautiful girl.

I hope you sleep well.
Elle x

And honestly, that just settled the shit inside right down. It felt like a massive cuddle in an email and every time I read it is has had the same settling effect.

I replied to this when I woke up and we exchanged a few messages over the weekend about other things. I tend to do the big ‘hoorah of vulnerability’ and then head back to adult and hide in normal life not the emotional mess that is my inner world. It’s an interesting dance and it’s hard because I think Elle generally responds to what I put in front of her.

When I am clear about what I am feeling and needing she never fails to respond how I need. The issue comes, then, where I reach out with something fucking random and innocuous like a meme and expect her to know that I am not really ok. I do get this is something I need to work on and clue her into…and I will.

So, what next? Well, that weekend was fucking awesome as I got a sick bug and was absolutely wiped out. Fortunately, by Tuesday (the last session before the break) I was well enough to go see Elle but also just totally on empty. She came to get me and I hugged her immediately in the corridor, she commented on how washed out and knackered I looked, we sat down in the room and I just snuggled into her in a kind of floppy heap. She asked me if I’d like to read a story that I had brought in previously but we hadn’t read yet and I said actually I would like to read a different book instead so that’s what we did.

I was so exhausted and done in that we didn’t really get on to talking about the blog or the struggle between sessions or any of the big stuff but what we did do was a tonne of containment and holding. We read some stories and Elle brought up my dreams (something I had mentioned in the blog) and how I have been struggling with the ones I have where she is horrid to me or pushes me away or gets angry. She said she’d seen something about dream completion, which is something where if you keep getting stuck in loops of horrible dreams that you can try and rewrite the ending so it feels better and maybe we could do that together?

I was cuddled into her and the reminder of the sort of dreams I have set me off and I just started crying. I think I was also really aware that I would be leaving the room and her in about twenty minutes and just didn’t want to be out in the world for two weeks. So, Elle just talked to me in a really soft, soothing voice, and told me what she would say to me if we were continuing the dreams and honestly, I just cried and cried. It was so lovely and so reparative (even though she’s not actually done anything to hurt me!) and made me realise just how many of these conversations I have needed with my mother over the years…but will never have.

As well as this, we made a plan for how to get through the break and how we would check in every couple of days…and we have. The break hasn’t felt great because…it’s a break…but it’s not felt horrendous either. We’ve had a lot of ‘light touch’ contact – I’ve sent her photos, linked her to Monty’s page and shown her what he’s been up to, and had general ‘hi’ type messages – but then on Friday when I got home, I crashed. Totally out of energy. I’ve got a stinking cold. And the wheels came off…but I think I actually have done pretty well given how much crap has been swirling lately to get nearly through the break in one piece!

I sent Elle a message saying ‘it feels very very Friday today and Brian is wreaking havoc’ with a picture from a page I follow and asked for a vibe check. She sent back another totally perfect reply and it’s carried me through the weekend…

Crikey, this is soooo long so I’ll leave it here for now…there is a lot to get through and process…if I can ever get my brain to fucking work.

One more sleep! I really hope I don’t go in and be a distant weirdo tomorrow…which is very possible! x

(I do totally get these two were having an affair btw – and it’s NOT meant this way for me with Elle!)

An Updated Website Full Of LIES And Glowing Testimonials, Triggers RB’s Rage As Well As A Significant Wobble!

rubberbandsandchewinggum17 Comments

Can I start yet another blog post with, ‘well fuck’? Because WELL, FUCK!… FUCK ME!… You just can’t make this shit up. I’d love to say that this blog was a fictionalised version of an imagined experience of therapy with serious levels of embellishment to make it all the more appealing to the reader…but it’s not. It’s just the sodding truth of what ‘therapy’ can look like and an insight into how some therapists ‘work’ and the untold damage that they can do. *Not Elle, she’s great (thank goodness).

At this point I feel like Anita is the equivalent of a drunk driver in charge of an ambulance. She’s ‘driving’ whilst on her phone or half-asleep, not paying attention, and is veering all over the shop. The rear doors keep opening and closing at intervals and people keep tumbling out onto the road, sustaining further injuries, but she doesn’t care or even notice. Instead, she continues speeding along the road totally oblivious to the carnage she’s left in her wake, believing all the while that she’s doing a sterling job.

There’s a reason that paramedics work in teams (for the safety of the patient!), but Anita is seemingly operating as a one-man band and her co-pilot is actually a magic fairy that lives up in the Shetland Isles! I imagine her co-pilot fairy has little idea what kind of driver Anita actually is because for all intents and purposes she appears to have a clean license. “I’ve never had an accident” she’d say and I’m sure the co-pilot would take Anita at her word because why would you doubt someone that waxes lyrical about the importance of ethical behaviour and safe driving?

There are quite a few bodies lying injured in the road now, though… it’s not just me, apparently, because it turns out other ‘paramedics’ are picking up the pieces of Anita’s mistakes, and talking to each other. Anita is getting a bit of reputation in our area which is both validating and absolutely fucking terrifying…because even though people know what she’s doing/done there seems to be no effective mechanism to deal with these rogue paramedics unless the injured person goes through the long and arduous act of reporting to the governing body that actually seems to be completely on the side of the paramedic and dismisses the injuries of the patient – maybe even suggesting that they threw themselves out the ambulance on purpose and are overplaying their injuries.

It might be different if all the injured patients could get together and take on a class action but sadly, none of us know who each other are, and this is why these people like Anita (and all the other people you guys tell me about) keep getting away with what they are doing.

Ok let’s stop with this metaphor shall we?

We all know she’s not a paramedic (thank god, can you even imagine that?!) but it seems that Anita is now getting a name in therapist circles.

She’s hurt a lot of people.

It’s shit.

Fuck her.

Still, I am not here to talk about that because I don’t know them, but I do feel for them…because I know what she’s done to me and how much damage it’s done and I wouldn’t wish it on anyone.

I’ve been thrown through a few loops again this last month or so with all this ‘stuff’, ‘shit’, ‘disaster bollocks’…but the good thing is I am, at least, safely supported by Elle. She is helping me loads. We’re bandaging the wounds and waiting for the broken bones to heal and gently sitting with it all. Elle’s really looking after me and when I am not triggered out my brain I can see it so clearly. I feel really lucky that I have someone like her to help me manage whatever fallout there is with Anita and I feel like the steady work we’ve been putting in over the last year, or so, is really starting to pay off now. It’s been slow-going on my part but I’ve needed that time to build trust and safety with Elle – it couldn’t have been rushed.

Anita can’t do me too much damage now, the worst has already happened, but there is lots of processing to be done. Our sparse interactions pretty much always feel upsetting in some way, but it’ll be over soon because there is movement with it all (finally!)…I am just mad that this ‘end but not’ hash-up as dragged out for as long as it has. I wish that when we hit the three-month mark back in September 2023, she’d have met with me as we had agreed, to end properly, rather than saying she wasn’t “in a good enough place”.

Chasing her on and off for the next six months and being fobbed off or totally ignored until I mentioned bringing in her supervisor or a colleague made things much harder than it needed to be. It’s been such a long, drawn-out process simply trying to get her to even agree to meet with me that it’s felt exhausting and upsetting and it should never have been this way. Like terminating is bad enough but ending without a proper end is awful! Surely, this isn’t how you treat a long-term trauma client that you’ve been seeing twice a week for three-and-a-half years…? But apparently you do if you’re Anita…and sadly, it looks like I am not the only one who’s suffered her…what’s the word?… Carelessness?

The whole thing sort of ebbs and flows so far as my coping goes around this stuff. It’s been a fucking mess these last few weeks again, and it’s totally impacted how I have experienced my relationship with Elle outside the sessions. I have been so anxious and fearful — and it’s ALL because of Anita and nothing to do with Elle at all…and I can completely see that now.

It’s nice to be writing from a reasonably calm place today rather than from deep in the hole or spiralling through anxiety like my last post. It’s Friday today, and I haven’t yet hit the panic of ‘disappearing Elle’ … at the moment she still exists in my mind, I just miss her a bit. She reminded me on Tuesday (a huge erecting of scaffold around me and shoring up my foundations sort of a session) that the bracelet she gave me that I wear all the time is “evidence” that she “exists” and I can literally see that…and Monty, too, like I just need to use my eyes sometimes. We all know it’s not quite as simple as that, though, don’t we?!

https://www.instagram.com/montys_awesome_adventures?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==

It’s been hard being really massively triggered lately, and I feel really sad that my brain (Brian) hasn’t been able to differentiate between real life threats from Elle (there aren’t any), and the fears that feel massive but are not rooted in the here and now about Elle hurting me in some way. I am terrified of being abandoned and rejected and it’s because all the feelings of being abandoned and rejected have been reactivated by my recent interactions with A – like I say none of this is anything to do with Elle.

So, what’s caused the utter chaos in my system this time? – You know, aside from my being fucking mental?!

Well, turns out I really don’t do well with the feeling I am being lied to.

You might remember I had my own health stuff going on earlier in the year just as I had been in the process of trying to negotiate a meeting to end (remember Anita’s ‘walk and talk’ suggestion?!) but as it happened, I got shoved onto the rapid pathway referral for cancer investigations (all clear – phew!) and had all the blood tests and hospital stuff to do instead, so told her I’d be in touch to arrange to meet once things were more settled and my work had settled down after the crazy exam period in May/June. Then of course my son got very very sick and has been basically in and out of hospital since May and that has been an enormous amount to hold and cope with.

The summer just evaporated into medical appointments and caring for my little boy and then somehow, I found myself in mid-September, term had started again, and I realised that I still hadn’t got in touch with Anita to end but also realised that I was in no place to deal with her/us/this with so much stress in my daily life. I would have to be feeling pretty robust to see her and also have a degree of confidence that she wouldn’t make a total balls-up of any meeting which would actually set me further back.

I’m now basically 90% sure that I am just going to arrange to get my stuff back and not bother with a meeting at all because I have zero faith that she can end in a way that honours the work we did or our relationship but it’s taken this last few weeks of shit and also talking with Elle for that to really crystallise…so how did I get here?…

On the 15th September I sent Anita a message to say that I had been going through a lot of shit over the summer in one way or another and didn’t feel like I was able to meet with her just yet -this is the last bit of it:

None of this is really important but it’s just that I don’t really know what to do with meeting and getting my stuff back from you because I don’t feel like I have much capacity to hurt any more right now and actually that’s all there is. I feel so sad that all that we worked on over the years has been reduced to a sick feeling and another rejection added to the pile.

Like literally everywhere I look, it’s abandonment and rejection or just fucking horror and I think seeing you will only compound that right now. So, I don’t know what to do really. I feel like something has to shift because it feels like limbo and it’s painful but I am out of ideas on how not to make this feel any worse than it already does.

She replied a couple of days later with another of her stock feigning personal but actually pretty blank replies:

O my goodness, I am so sorry to read your message. I really do understand and will wait to hear from you to decide what would be the best way for you. Thinking of you with love and care, Anita x

When it came in, I didn’t really have much of a response internally. It is what it is. More of the same. I didn’t reply. What was the point?

So, lord knows what got into me on the 27th but I decided to check out her website – you know as an act of active self-harm it would seem.

Anita’s website hadn’t changed at all in the entire time I was working with her (since 2020) and low and behold it’s just undergone a MASSIVE overhaul. This would make sense seeing as she’s changed how she’s working wouldn’t it? It would make sense to update and remove any mention long-term work, or trauma work, or face-to-face sessions if you have stopped with long-term and complex clients, and are moving your practice online…so of course she’d need to do that, I’d say it’s well overdue 16 months after she dumped her long-term trauma clients.

Only this isn’t what’s happened to her site at all.

I suspect you might already have joined those dots and noticed a hint of sarcasm.

So, what’s the site like then?

Well, there’s lots of new/additional pictures of her looking really smiley and happy. There’s a fuck tonne more ‘glowing’ testimonials (I could fucking puke!). There’s an updated listings around her work etc. But absolutely no mention of her plan to move to online sessions only or the fact she won’t do long-term work or work with trauma anymore – in fact it’s the complete opposite.

I’d love to type up some of it here verbatim, but I know that could be searched in Google and despite everything I won’t compromise Anita’s confidentiality even though it is sorely tempting to at times.

To summarise, she waxed lyrical about being a member of the BACP governing body in the UK, her commitment to creating a “safe environment” and the importance of ethical working (warning clients about a local therapy organisation that has therapists practising who have been struck off from BACP). She mentions her ability to be flexible with appointments both face to face and online, even at weekends, as well as working on an “open-ended basis”. She then explained how “passionate” she is about her work and her commitment to providing a safe and caring space…

Ha!

It was particularly galling to see listed among the issues she works with:

  • Past and childhood issues
  • Abuse past or present
  • Post-traumatic stress disorder

Perhaps the most hard to swallow thing was a quote by Jung:

Know all the theories,

master all the techniques,

but as you touch a human soul,

be just another human soul.

Is she fucking serious?!

I swear at this point I was incandescent with rage.

The only soul Anita is right now is an arsehole.

Too much?

I told you I was mad!!

I basically lost my shit, and fortunately a good friend of mine who knows all about this saga was there to let me rant on Whatsapp. It was a lot! A useful bonus to this ‘unravel at speed’ and ‘rage’ was that it was all there ready to be screenshot!

Despite the big feelings and the embarrassment I felt about it (not with my friend, she totally gets it) we decided that it might be a good idea to let Elle see what I had written and how I had felt because it gave a really good ‘real time’ insight into what I was feeling and was a really good springboard into starting the conversations Elle and I have been having lately which have started to really metabolise this stuff.

Of course, reading Anita’s website made me feel so angry but also just really let down. Because all this time I have been patiently waiting for her to be ‘well enough’ to see me to end and then here she is with the time and energy to go into massive personal promotion, extolling how much she enjoys her work and what a privilege it is…and here I am in the fucking black pit of doom, battered and bruised.

So, well, umm, I decided to reply to her message:

I think the problem is there is no best way because however you look at it, this is not what I wanted or ever imagined would happen. All the years of work just feel like a joke and the words of love and care mean nothing because I don’t get how if you actually loved or cared about me we’d have ended up here.

The fallout and damage that’s been done is enormous and that’s especially the case because you didn’t just stop working because you were sick you stopped working with me and continued on with others. Even if I sometimes can get my head around needing to end so you could have space to recover, I’ll never recover from how big an abandonment and rejection this has been.

I’ve never been so emotionally upset for such a protracted period of time and it’s made me really ill. I’ll work through it but it’s been utterly awful and completely impacted my ability to trust in anyone but especially my therapist because I’m just waiting for the same to happen with her.

I know this is a big rant and I’m sorry. I just can’t believe that we ended up here.

I obviously didn’t mention her website or anything like that – there was no point- but after having been such a ‘good girl’ for so long I just felt like I had to say something. Because I feel like she’s pretty much washed her hands clean and feels like we are ok now – and we just aren’t.

I didn’t expect a reply. Anita has a habit of burying her head in the sand when I bring up anything remotely challenging.

And ten days went by and there was no response. Not that it really asks for a response. If there was going to be one it would have been nice to hear something like:

I know that our ending has really hurt you and I understand how much pain this has caused and I am sorry. I never would have wanted this for you but I accept that I have hurt you in a way that has tapped into your original wounding and I know that this is incredibly painful. I would like for us to come together and spend a proper period of time working this out so that we can move on from this with a degree of repair and get some proper closure. I have been thinking we could meet in my office for 1-3 sessions to enable us to properly tie our therapy up and to give you the space to collect your things. I know that this won’t be easy for either of us, but I want to honour the work and relationship we had, too, and feel in a place to be able to do that now. I know that this is not what you wanted and I understand that this we need to take this gently.

I mean that’d be hard but fine…

So, this is what came in last week just before my session with Elle literally a week and a half later:

I know it’s hard to believe but my life has not gone the way I planned. My practice has completely changed and, yes, I am still working as I can’t afford not to. I am in the process of moving to online only, and I don’t work with complex trauma anymore. I am unable to give my clients myself as much as that work requires and I can feel the protection of myself as a survival mechanism is very much there because it needs to be, whether I want it or not. My website is still the same as it gives me a platform to inform clients about the lack of regulation and [therapy practice] in an effort to try to keep clients safe even if it’s a very small way. So yes, I am still working but not in a way that you feel I am and I had to end with the deep emotional connecting work as I just can’t do it anymore.

This message came in a 4:50pm and I immediately sent it to Elle. When we were talking about it in our session this week, she said it had the feel of a 2am WhatsApp message not something written in the working day because it seems so defensive. I laughed. Defensive and reactive!…and yet again nothing at all to do with my experience of what’s happened.

I think it’s interesting that she made reference to her website, though – because as I say, I never have. I wonder if she was aware that it’s changed and that I may have seen it. But why lie about it? It’s not the same. It’s updated and yet also inaccurate.

Imagine finding Anita’s website, contacting her, and her saying something like “I only have online availability at the moment” but thinking you’d start like that and then hopefully move over when she freed up space – only to discover she doesn’t, in fact, work face-to-face. Or thinking you’d go and see how things go but with a view to there being long-term work and you’ll eventually get to your childhood trauma and PTSD once you’ve addressed some immediately pressing relationship issues and work stress if it feels safe to go there and then finding out actually that’s a no go zone.

I don’t for one minute think she’d end with those clients. I actually think she’d just a fucking massive liar.

It’s hard reading her message because as much as it isn’t personal – it is . I am ‘Complex Trauma’ and apparently, it’s that (me) that is triggering her need to protect herself as a “survival mechanism”. I know she would be horrified to think I would read it in that way, but that’s basically what she’s saying. And ending with “deep emotional connecting work” isn’t an abstract concept. She ended with me. She abandoned me when we were right in the thick of the work because she just couldn’t do it. All the words of “It’s not what either of us want” and “I love you so much but I have to get well” feel utterly ridiculous don’t they?

Anyway, that’s why I have been a colossal wreck for a few weeks. Elle has been steady and available and actually really just helpful. We’ve looked at this stuff quite a bit and that’s huge given how much I have shied away from bringing it to session over the last year.

Having had a lot of space to turn this over in my brain with Elle, and seeing how much it’s all upset me, I have pretty much decided that I am going to ask to get my things back and leave it at that for now.

As much as I would love to go and meet Anita and really lay out how badly this has all affected me, I have absolutely zero confidence in her ability to hear that and not somehow throw it back in my face. I don’t need her reacting defensively. I need for her to be able to hold the space.

A while back Elle suggested getting another therapist to hold the meeting with us and act as a facilitator. I think this might be a good idea but I can’t see Anita ever agreeing to it.

So, the next plan that Elle and I are figuring out at the moment is finding a way to get my things back. Again, Elle has suggested using someone as an intermediary – so she wouldn’t meet her. I am wondering if she might be thinking the person that shares her office on the days she’s not using it. To be honest, Anita works over the road on a Thursday and she could just drop a box of stuff in to the hall/reception and it could be taken in at some point during the day if they knew it was coming. Still, this is something to think about…

Ooofff. This is long again… x

When The Container Isn’t Big Enough: How Much Therapy Do You Need?

rubberbandsandchewinggum25 Comments

I’ve been struggling a lot with therapy, lately… Actually, no, that’s not quite right -therapy is fine, good, really good (when I am there!)… but what isn’t so good is the *time between sessions* and the shitstorm that can (and does) blow up in the gaps between seeing Elle.

My system seems to be perpetually activated these days, and I find it thoroughly exhausting and stressful navigating the nightmares (usually with Elle in), the intense panic, and the heightened fear of being left or abandoned that escalates in intensity as the week goes on.

There’s always the huge separation anxiety that builds and builds during the week before triggering the protectors at the weekend which sends me through a whole other set of loops. I don’t know what’s worse, the small parts sad, lost, and crying or the angry protectors wanting to burn everything to the ground.

Like today, Monday, I feel like I just want to quit therapy altogether because this emotional cycle feels so painful and too hard. I feel thoroughly disconnected from Elle and the idea of even going tomorrow feels impossible because my mind has convinced me that I am set for rejection and that there is no solid base or relationship and so I am wasting my time.

The sensible thing would be to reach out and tell her that this is happening but what’s the point? (Is that the teen? Probably).

I will go because I know that I need to, but pushing through the wall of protectors to even get there means that there will there will be consequences. I will struggle to sleep tonight, mind you my sleep is appalling anyway so I guess that’s nothing new. When it feels bad like this, there is always a total and absolute physical terror in my body. Sometimes it’s just on the day of the session, but today it’s really live, too, and I feel horrible.

To get to my session I have about a ten minute walk across town from where I park my car, and the whole time my heart races, I feel physically sick, and my mouth is dry even though parts of me are desperate to see Elle…it’s honestly fucking horrific. When I am waiting for Elle to come and get me, I feel completely terrified and like I will burst into tears and often my body trembles. It’s so hard. My entire system is in chaos at that point – and yet you’d never know. Externally I appear completely fine – but that comes from years of hiding how I am really feeling in order to survive in the world.

Let’s be clear, this hellscape isn’t because of anything that Elle is or isn’t doing – like there’s no suggestion that she’s suddenly going to end, or leave, or suddenly be horrible and attacking and do something to hurt me (I need to make a big sign with this on!) – it is simply because my system has been triggered off its tits after what happened with Anita and Em. Because of what’s happened with them I can’t get a sense of feeling safe or ok in myself at all – let alone safe with Elle when I am not with her – and of course I am not with her for quite a few days at a time. I know it’s only a week between sessions, but my system just doesn’t cope at all – it’s too long.

Part of the problem is that I struggle a lot with ‘forgetting’ Elle between sessions even though we have a reasonable amount of contact during the week. When I finally see her after a week it can feel like I don’t really know who she is, or whether she’s safe, or… basically it’s the object constancy stuff isn’t it?! Not only that, even if I can hold onto Elle as someone who is safe there is the constant worry that she might change…I think probably we need to do some work with the scared parts so they understand she isn’t Anita or Em…teens particularly just see her as ‘therapist’ and therapists cannot be trusted.

Because of all this, it can take me quite a while to settle into the session because I feel like I am doing my fifty-point check to assess where we are at. Thankfully, generally speaking, when I am actually with Elle it feels fine – especially now that she sits on the sofa beside me rather than in the chair across the room. This, at least, removes the need for any additional mental gymnastics about whether or not she feels disgusted by me and wants to keep her distance which of course are all part of the internal narrative that gets super loud during the week.

I am really glad that we do a ninety-minute session because it can take a good half an hour to relax into the space when I have got myself so worked up (I have no idea how I used to cope with 50 minute sessions with Em- oh of course, I didn’t cope at all!!!) .

It obviously takes a while to trust that the person in the room with me is the same one that I saw last week (and for the previous fourteen months) and that nothing has changed – because therapists do change and drop unexpected bombs (mentioning no names!). I guess to the protector parts it’s important not to remove my armour prematurely in case I get an unexpected grenade launched at me – you know the type that rolls and lands just under my ribcage and stops just where my heart lies – Boom! It’s happened before and I really hope it doesn’t happen again.

If False Adult doesn’t take my session, then it’s all good. At least in the session it feels safe and connected. But no matter who turns up to the session, I feel like when I leave, I almost instantly fall into a panic, not because anything is especially wrong in that immediate moment, but more because I know what’s coming. I only see Elle once a week despite us having a really decent length session (and I really know that I am so lucky to have that), by the time it gets to Friday it’s really not great inside. The wheels on my mini-bus have pretty much fallen off and all the littles have unclipped their seat belts and someone has to take charge – and that’s the dream team of protectors. It’s awful.

Basically, by Friday, my ability to hang it together feels massively reduced and the days until I next see Elle seem to stretch out endlessly. I feel like I am always stretching that bit too far between our sessions and so never really feel properly settled/safe. It feels a bit like a fuck tonne of water is building up behind the emotional dam but the release valve is never activated early enough and so there’s always going to be a flood – despite the high-tech flood management system I have in place.

I am really conscious of not being ‘too needy’ or ‘too much’ or ‘too dependent’ and I really don’t want to run the risk of burning Elle out or, probably more apt for this metaphor, drowning her! So, what do you do when the container isn’t big enough to hold everything from week to week?…or rather, what do I do when I seem to be too much for the container I’ve got?

I have no fucking idea.

It feels like an impossible bind. I don’t want to stop the therapy because actually what all this is telling me is that I need more therapy at the moment, not less…but making what there is ‘enough’ is a challenge especially when I am already exploiting every self-care strategy I have available to me. I don’t just sit and mope about in the week (well, perhaps I did a bit this weekend!) and still this stuff is activated in the biggest way.

I guess part of it is that it feels like there is never quite enough time to get through all the things that I need to talk about or that need space and attention. For example, it might be that we do some really great work on big important stuff. Last week we spoke at length about Anita (which stirred a lot up on its own), but because of this, the young parts that need a degree of reassurance and a different kind of interaction weren’t attended to (even though I was leaning against Elle the entire time and she held my hand…ugh…make my Brian function better please!) and that has unleashed carnage inside this week!

Whereas the week before last, I was in a right fucking mess and so we read a lovely story and had a really calm, nurturing session. It was absolutely what I needed, but then there was all sorts of adult stuff that didn’t get space that really could have done with some time, too. Neglecting adult is far less problematic than neglecting the little parts – and it’s not even neglecting, it’s simply time – but it all needs space and time and there just isn’t enough…even with ninety minutes (talk faster and get to the point sooner, eh?!).

So this is why there is always too much building up behind the dam wall… then throw in the hideous attachment shit on top and frankly, I’m fucked.

This would be a really useful conversation to have with Elle, wouldn’t it? But the problem is, I can’t see a solution to my problem. Elle only works face-to-face two days a week and is always busy. So, what I think would help (i.e another session) and what is actually possible just doesn’t align at the moment and so I have to keep trying to make this work as it is.

The feelings of shame are huge right now. I am so sick of being like this. I hate that I seem to need so much more fucking input and care than everyone else. Like, part of me gets there’s been a lot of trauma and then all the more recent shit on top with therapy going wrong really hasn’t helped…but still. Like why can’t I just be relatively fucking normal and behave like a fucking adult and be bloody fine on a session a week. Why do I seem to spend my life in the fucking hole? Like this week I feel like I have got my legs dangling over the edge of another trapdoor and rather than edging away from it, the protectors want me to jump in the next dark pit.

Ugh…

I used to see Em and Anita on Mondays and Fridays and that spacing felt really good. Like there was enough time between the sessions to process whatever was going on, but there wasn’t too much time until the next session for things to get too much or go too wrong.

I feel a bit like a toddler that’s learning to walk. I can do quite a few steps on my own but by Friday I need a hand to hold for a minute to stop me falling on my arse before I can carry on again. But there is no hand on Friday and so I find that I fall down and it is pretty painful over the weekends.

Every now and then when things are hard, I have asked about seeing Elle for an extra session on the Wednesday but she is always booked up. To be honest, Wednesday probably wouldn’t really help with this problem long-term, as it’s the longer time between sessions that is the issue and this would still leave a big gap the other side.

Elle has offered to so a Zoom session on a Friday before – but I have a feeling (given my online therapy track record) that this might actually make things worse. When I am struggling with distance and connection seeing Elle through a screen rather than in person would likely only intensify the feeling of being far apart and left and lost and all the other shit. Perhaps I need to suggest it here and there, though, because I don’t think I can do many more weeks like this one and perhaps I am only basing my expectations of what online sessions were like with Em and Anita.

This weekend has been terrible. I’ve felt so tired and overwhelmed but I couldn’t seem to rest or sleep because it’s felt like all the little parts of me are crying. There is no soothing that. And I have really tried. I get that this week has probably felt harder because Elle and I properly ventured into the Anita territory in the session and of course that would send seismic waves through my system because there is such a lot of pain there that needs to be looked at. The saga is ongoing with A and it’s just so upsetting.

It feels really difficult. Like I know when I avoid the ‘big’ stuff I am much better equipped to manage the week between sessions. The thing is, I am in therapy to work through this ‘big’ stuff and it feels really helpful to look at it with Elle. I can’t avoid it for much longer because it has a way of catching up with me, anyway. I don’t really know what to do though, because the moment we go there the whole fucking place is underwater as a result. I’m equipped to deal with high tide but this is a fucking tsunami heading my way.

I have no idea what to do. Maybe I should write more? Try and process more that way? Although that doesn’t solve any of the internal panic about Elle, does it? The more we look at Anita and Em the more wobbly I am going to feel about Elle.

I just don’t know. what to do.

What I do know is that this level of activation and upset is crazy-making and exhausting and scary because when this stuff isn’t contained enough I know that I am much harder work, more demanding, more likely to end up in rupture territory because everything is out of control inside…and you don’t have to go too far down the path to see where this can lead. I don’t want to be difficult or create a dynamic where Elle dreads seeing me… I just wish I had a different brain and the ability to make one session and a week between enough!

Right, that’s enough of that… I don’t think there’s much more I can say tbh. Does anyone have any ideas to help with symbolically increasing the capacity of my container??…Any ideas that don’t actually involve me having to bring this to Elle and see me die in a big pit of shame and embarrassment would be lovely! 😉

I get that at some point I am going to have to bring this up because I know the longer I don’t the worse it’s going to get… ffs! HELP!!

A Year With Elle – Now The Fun Really Begins!

rubberbandsandchewinggum9 Comments

Well, fuck, I’ve got so far behind with this blog and everything again that it’s hard to know where to begin – such a lot has been going on, in various ways, and part of me just wants to bring you up to date by saying ‘same shit different day’ and be done with it! The ‘same shit’ being my impressive ability to live as an emotional kangaroo and trying to navigate all the mess that goes with bouncing around like that.

Things are still an absolute colossal steaming pile of shite in my everyday adult life and the last month or so has really been all about survival and wading through the general bollocks that is my existence! My son is still sick, it’s back in the full flow of term and teaching, and then last week my estranged grandmother died so it’s felt a lot just to keep my head above water.

Of course, alongside this there’s all the stuff that hides beneath the surface that’s always pulling at my ankles dragging me down – namely the crazy mental health stuff, the attachment stuff, and trying to move through all the pain from, well, all of it really…

I imagine a lot of us feel like this, but I find I am way more capable of managing my inner world when the day-to-day stuff in my actual adult life isn’t going down the toilet. If daily ‘life stress’ picks up and reaches a critical point then it starts to get super bumpy on the inside. The safety features in my internal mini-bus seem to be a bit hit and miss, and would certainly fail a MOT, when the road gets lumpy and full of pot holes. Like sometimes all the seatbelts just unclip all at the same time and then I’m completely and utterly deep in the emotional shit.

Usually, if one or two parts of my system are in a panic I can just about hold their hands, keep them safe, and remain broadly functional…but if everyone is unstrapped – including the driver (me!) then…yikes. I mean big YIKES!

Some things never change, eh?!

I guess, there are some positives to be had … maybe? I feel, these days, when my system gets triggered, I am far more able to move through it and get out the other side of the worst of it in a ‘reasonable’ time frame…whereas, back in the day I could get stuck for weeks and weeks in the emotional hell zone and be totally hijacked by my system. Now, it’s a bit like doing the hokey cokey – and having one foot in then one foot out on repeat!

I’d like to say that I know myself so well these days that I don’t get upset or triggered by ridiculous things, but that would be a total fallacy. Small things can still act like a massive wrecking ball and send me sideways. I think it’s probably this kind of thing that I struggle with most-  knowing full well that whatever is upsetting me is tiny in the big scheme of things – but my system feels like it is enormous and runs off into catastrophe canyon. I still have an impressively speedy set of runners who bolt when things feel off.

Knowing my response is sometimes like that of a toddler having a big tantrum because they can’t get ice cream evokes feelings of shame and embarrassment but it is what it is and it is all information isn’t it? I suppose, now I am far more accepting of my system no matter how it is presenting in the moment. Like today I am really aware of the needy little ones who desperately want a cuddle and to connect with Elle…and that’s fine…just hard to feel because it’s so visceral.

So, where to begin with this catch up?

I guess I should mention the fact that Elle and I made it to a year working together back in August without any serious mishaps or ruptures (go us! … although it’s the three-year mark that things generally go to shit with my therapies so let’s watch and wait!) AND immediately after this birthday/anniversary we also got through another therapy break without me completely losing my shit (I only partially lost it – small triggers and big reactions again!).

I wish I was better at keeping up-to-date with the ins and outs of my sessions because the content of it all sort of melts away pretty quickly afterwards and then I can’t remember what happened when. I guess, this might be seen as a positive – like nothing really massive and disastrous is going on and my brain can let the sessions go rather than filing into my long-term memory bank alongside ‘like a tick’ and ‘too dependent’! However, it feels more like an unwanted amnesia tbh because I lose all sense of EVERYTHING.

Elle more or less falls out of my universe altogether when I can’t physically see her and it’s tough going. The object constancy stuff is just fucking dire. I feel sorry for Elle. I don’t imagine for one second that when she first met me, she would have thought the person she sees now was in there hidden away! I think at this point she must be wondering what the fuck is wrong with me. Like I leave a session, appear completely fine, and the next minute I am freaking out and texting her, asking her if we are ok or not. It’s horrible.

I hate that I need such a lot of reassurance…but I am not really surprised given how people (therapists!) go from being ‘ok’ to ‘not ok’ in the blink of an eye. As much as Elle gives me no reason to think she’d just fuck off one day without warning – my system doesn’t trust anymore after what’s happened to me, and because I am invested in the relationship and am attached to Elle now, all this crap has gone live… I hoped it wouldn’t but it has… with alarm bells on!

This round of therapy has my brain doing something that has never really happened too much before. I don’t know if it’s dissociation or what, but I find that not only do I forget the sessions and lose Elle to a degree – but even if I can hold onto the fact that she and I exist and have a relationship, I have zero recollection of the times when I have been really vulnerable/open/honest with Elle both in the room and outside it. So, I lose her, but I guess my brain thinks that she loses me too. It’s hard to explain this…

Like sometimes I’ll email her the unfiltered version of what’s going on in my brain and when I see her, I have no sense of that big stuff being in her field of vision at all. My brain likes me to think that she has only ever experienced the capable, together person …and that is SOOOO not the case!

I wonder if it’s a protective thing? My system somehow needs to feel in control and so hides the bits that make me feel exposed when I get to session? It’s frustrating, though, because I think I waste a lot of time edging my way closer to being how it really is underneath, tentatively peeking out from behind the sofa, and Elle already knows me and all this stuff. In the moment none of that is there, though.

Isn’t it amazing what our brains do to try and stop us from feeling unbearable feelings. I think I am so sensitive to rejection and abandonment that my system is doing all it can in person to prevent that happening and sadly, it must feel like the young parts of my system are a liability and need hiding away until we figure out what is happening on the day in the session.

I can’t lie, it is incredibly difficult doing therapy in the wake of what has happened with Em, Anita, and Hannah. I think my poor system was sent spiralling off into orbit last year. The string catastrophic fails in my therapeutic relationships on top of childhood trauma have done something terrible to my onboard circuitry. Elle and I are trying to do our therapy with a busted circuit board and wiring system and we’re desperately trying to rewire as we go but it’s a challenge. If we were just dealing with childhood trauma I think we’d be ok but things are so massively complicated by the shit that has happened with therapist…what shall we call it? Shithousery??!!

The problem is when lights should be green my system shines red…and the smoke alarm feature is constantly screaming because there’s a hair or cobweb over the sensor. I can’t differentiate between true danger and a malfunction now. Sometimes Elle feels like she’s a decent enough electrician and sometimes I worry she’s just another cowboy tradesperson (this isn’t because she’s done anything to suggest that though!) and I’m about to have my tentative renovation project demolished again.

Anyway, there have been some really lovely times with Elle – the problem is – I forget! So, instead of building on something great from week to week, I instead, seem to not notice that works have been carried out already. I seem to yo-yo between False Adult and days where my armour is off. Still, there have been quite a few ‘armour off’ days over the last couple of months and I guess these are important to recognise.

You might remember a while back I was brave and told Elle that I loved her in an email (!) which was a huge deal because I’ve been guarding my little broken heart very carefully this last year knowing that it doesn’t have much hope of withstanding very much more hurt and wounding. The problem is, I feel like the only way to really heal a broken heart is to let love in (and out) but if you’re always in hiding and armoured up how can you? I guess this is where my texts and emails have been doing some heavy lifting behind the scenes.

I’d been slowly gaining some momentum here and there in my sessions … you know, one step forward three steps back, four steps forward…and so on. But in one particular session I must’ve been feeling particularly safe and connected, or unguarded. I was cuddled into Elle’s body (I know I have said it SOOOOO many times over the years but physical touch sends a clear message to my system that things are safe – I don’t have to do any guesswork at all). and a very quiet, “I love you” crept out.

Fuck!

It’s one thing typing it into a screen and hitting send (and then wiping it from your consciousness and having several days until a session) and something altogether different saying it to someone when you are right there with them and being physically held by them. And even though parts of me know how Elle feels about me BECAUSE SHE’S TOLD ME ENOUGH TIMES in various ways, I nearly cried when she replied, “I love you too”.

Like…thank fuck. No rejection there. No bristling. No change in body language. No “I’m just your therapist”. It was all just really fine. Like yep, of course there is care between us – duh! I wish I could hold onto that better. Now that I have Monty I do have a constant reminder of Elle with me and that does help a bit, but there is a little part of me that fears that Elle will change how she feels towards me if she really ‘sees me’ and that is scary.

I think it was that session- I’d been in a bit of a state (although can’t remember why) and stuck in my own personal hell until I managed to ask for her to come sit with me and have hug. She’d been gently stroking my head and it was almost time to go when she asked me to give her my arm. She took the bracelet she was wearing off and tied it around my wrist. She said it needed to be on my left wrist as it was closest to my heart … honestly, it was such a lovely gesture and I wear it all the time (although in this picture Monty was wearing it as a necklace!).

https://www.instagram.com/montys_awesome_adventures?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==

So – I may have more evidence than ever that Elle is real and we are ok enough AND YET STILL I FUCKING HAVE TO ASK WHETHER OR NOT WE ARE OK!!! – but this is because people change (Anita) and one minute you’re safe with someone and they say they care about you and love you and the next they are completely gone.

I was quite excited about getting to a year with Elle because about a month beforehand I had stumbled across something I thought she would really like and was desperate to give it to her as a gift but it really was something that needed an occasion. I wouldn’t necessarily say that gift giving is one of my primary love languages but I think in this case it was a definite expression of love. I can’t really say what the thing was here because it is sooooo niche that it would be pretty identifying. She seemed to like it, though, if an excited “holy shit, you’re kidding me!” and “this might be the most impressive thing anyone has ever got me!” is anything to go by.

I think I have probably been so cagey this year that she couldn’t really miss that this was a huge expression of care and thanks. Like so much goes on in my head but I realise I’m like an iceberg and Elle only gets to see a bit of what I show her.

And then it was summer break.

Damn!

The break itself wasn’t desperately bad. I had a lot going on with my son and as much as I missed Elle, we did have some contact whilst she was away. The morning of our first session back I must’ve been on a roll with bravery because I had text Elle and asked her if she might spray Monty with her perfume when I saw her. I had pretty much figured out that that is what she had done when she gave him to me and so decided to ask. Elle didn’t bat an eyelid and at the end of our session sprayed Monty and me and that was that.

You’d think that would be proof enough that things were really ok between us and that the little parts were acknowledged and more than welcome too… but the age-old problem of physical distance had proximity cropped up the moment I saw her and it sent me spiralling.

Breaks are hard because they are a total severing of physical connection, so when I return to the room, I am looking for evidence of what might have changed or if things are still safe. Elle did nothing wrong by sitting in her chair (because that’s her fucking chair!) the first couple of sessions back – she, after all, at that point had no clue that I read so much into where she is in relation to me and how difficult I find it to ask for her to come closer to me – especially if there’s been a break. But for me, her being across the room and behind the coffee table sent the littles into a panic.

As a result, things in the bus were getting more and more dicey, seat belts were unclipped and the terrain was getting bumpy…and we were travelling much too fast. I think when I was leaving and hugged Elle at the end of the session (like always) I hung on for a reaalllly long time because I was devastated to have missed the chance to actually be how it was and connect in that physical way during the session. I’d done a tremendous job with False Adult and it was only at the end, when I was clinging on like a baby monkey, that I think she picked up that I wasn’t ok and said something about having a really long hug the next session.

I cried on the way home and ended up texting her when I got back because my system was in freefall. I think we can just about hold it together in breaks but it puts a tremendous amount of pressure on that first session back. If that session isn’t ‘enough’ then the water that has been building up behind the dam during the break floods out. I actually feel like sometimes I could do with two sessions the week following a break in order to ensure that I feel properly reconnected.

This is what played out that day:

I feel like I can’t find you at the moment and I’m lost. I know it’s a post-break thing – because I find them really hard and the disconnect feels like a total severing of connection. It feels really bad now and scary x

She replied almost immediately with a heart and:

I feel sad hearing that because you felt very connected to me before you left the room. Let’s think about how to use the time better next week. I wasn’t joking about the hour-long hug btw…

It was a quick message between her sessions to not leave me hanging and it was enough to open up the flood gates. Now came the ‘how it really felt’ message… brace positions everyone!:

I’m really a long way off my ok place at the moment. Like, yep, my life is a complete fucking shitshow on the outside so it’s understandable, but it’s much more than that. My internal world is in meltdown and week on week it’s getting worse. I feel as though I’ve been furiously spinning plates this last year and now, I’ve just reached a point where there are several crashing to the ground all at once as I don’t have energy or capacity to keep it all going and it feels like I’m watching everything go wrong in slow motion.

I feel really far away from you – or like I can’t find you – and I get that this is me and not you, but it doesn’t make it any easier to navigate even knowing what the problem is. It feels really terrifying being in this place and it’s not just emotional – it has a massive physical quality to it, too. 

I find breaks really hard and actually I find the time between sessions hard on its own and so coming back off a break is always really hard for me. It feels like I’m starting from the very beginning and lose all sense of things being ok or safe or actually that you have any idea of who I am at all or that we have any kind of relationship- which is obviously really shit and I feel really dysregulated. I can’t really put into words how bad it feels.

I don’t suppose this is evident at all. I probably appear ok, calm, present – but I’m anything but. Inside I feel panicked and fearful and like I’m going to cry. I struggle a lot with feeling like you are far away in your chair – even though you’re not- and my brain tells me it’s because you don’t want to be near me and that it’s because I am too much and it just spirals.

Occasionally, I can find a way round it and ask you to come sit with me but I find this especially difficult if there’s a sense of being very disconnected and it will always feel like this if there’s been a break and so I need to find a way of quickly reconnecting after breaks- and actually, really, just week to week. 😞

I hate feeling like this because it totally derails me and then just getting through the usual life shit feels extra difficult. And I get that it’s a lot and it’s really hard to not get engulfed by shame. Lots of the time I am just about capable of outrunning this stuff … and then other times I get caught up and start to drown.

So, yeah… another one of ‘those’ messages that I wipe from my conscious mind.

Elle replied with some very holding messages that really soothed my system and that week we had quite a lot of contact as I limped my way through the week and into the next session where she sat with me from the very beginning and asked me if I wanted to hug.

Around that time, I wrote my last blog post about what a perfect therapy room would look like and I sent it to Elle. She seemed to like it and replied to the message and at the same time asked if it would be ok to share with her supervisees and people starting their own practice which is nice…what was less good was that she also told me that the bear I had seen in the room one day (that I had mentioned in the blog post) actually belonged to someone else and that it was still there in the room but put away – and I am guessing we don’t need to detail how that landed.

OH MY FUCKING GOD!

The runners were in full Usain Bolt mode. It was really fucking awful. Like of course I knew that’s what it would be – but ugh. Any mention of any other clients just sends my system into a full-blown meltdown. Adult me is fine (just about!) but eek – the littles just weren’t. I think it’s because I have found it sooooo hard to get anywhere near my young parts in the sessions with Elle and then I learn that actually the very things that would help she’s already doing with someone else.

Fuck my life!

I had just about gathered myself back together by the time I saw her, because of course there are other clients working out their own shit in a way that works for them and if I was a bit braver then I could too…and I swear to god, next week I am taking my bloody elephant out the fucking bag even if it kills me! (it won’t kill me).

The session after all that I walked in and she said, “I was thinking of moving the table but seeing as I’m going to sit right here with you, I haven’t, as it’s not in the way between us.” And the second clock was gone, too! And then she said she’d ordered a new couch for the room and was wanting to get a load more cushions! I don’t suppose the new couch was off the back of my blog but it felt nice that she had really listened to what I had said. She said she was really keen to get the space right for me and this felt … lovely. And the irony about that whole blog post really, is that the space doesn’t matter at all so long as I feel connected to Elle.

This is getting really long so I’ll end it here for now – but let’s just say, we’ve leapt forward quite a few steps… I guess, I just need to be myself in all my messy glory so Elle can respond to what’s there!

What Would Your Perfect Therapy Room Look Like?

rubberbandsandchewinggum18 Comments

The other day I was chatting with a friend who has recently qualified as a therapist about therapy rooms. She’s about to embark on creating her own space and asked me- as a seasoned therapy goer- what I thought makes a good therapy room and wondered if I might write something that she could share with other therapists starting out.

Having sat (and dissociated!) in many different spaces over the years, I have some pretty strong opinions on what have and haven’t been the kind of environments that have felt conducive to good therapy. Here are some of the ideas I have had over the years with my other wonderfully mental friends about what we’d like to see in ‘the room’ – other than our lovely (or not so lovely) therapists of course!

I’ve seen way too many therapists (!) to talk about every room I’ve been in – although I do remember each of them clearly! (fucking Brian brain never forgets shit!) and will talk about some of the best and worst bits from some of the more recent ones here.

Something that might seem a bit weird, is that a big part of what I recall about the rooms isn’t actually visual at all. I’ve come to realise that I am quite a sensory person…and some of the things that can really bother me/make a difference are smells, sounds, and textures…! Like these things are a really big deal in addition to what I can see and how the room is laid out.

Oh but of course it would be this way, wouldn’t it?! I am, after all, the client who has her therapists spray her transitional object with their perfume or wash my stuffed elephant so it smells safe and familiar, and likes everything to be snuggly soft to touch and the lighting to be ‘just right’ and… and… and… (I could be an extra in Goldilocks And The Three Bears!).

It’s no wonder that I’m going to notice every fucking detail then is it?! Honestly, I don’t think many people or therapists have any idea about the sensory overload we can be dealing with just from being in the space, and that’s before we even get working with the human sat in front of us and all the interpersonal shit that brings up…it’s a wonder we ever get to talking about what our issues are – or maybe not – I certainly take my fucking time. Elle and I have been working together a year now and I think it’s safe to say I’ve been going at a snail’s pace after the fuck tonnes of preceding shit with therapists.

Right, let’s do this! I literally have no idea how to approach this -space by space or issue by issue…? We might bounce around a bit…just like my mind…so sorry!

I remember vividly the smell of the therapy room when I originally started working with Em in the NHS – it was that kind of hospital smell mixed with a sort of ageing decay and staleness of a space that desperately needed gutting and redecorating. The Psychotherapy Department was in a gorgeous old, stone building but one of the downsides of it was that the tiny rooms were set north facing. The windows were almost like arrow slits and didn’t open and so it was always cold, dark and kind of damp feeling.

I think over the years the brown, utilitarian, super hard-wearing carpet (that had the texture of a brillo pad) had soaked up years of grime and had that sort a pervasive musty smell. The smell became familiar but never comforting but it was not entirely offensive either.

The rest of the room was no better. Because there was no natural light, or air, we always had to have the light on – and of course being the NHS it was one of those fluorescent overhead office lights (no floor standing lamp with a soft glow here!). To add insult to sensory injury, the room was painted a lurid yellow colour – it almost looked like gloss on top of the woodchip – and was just totally jarring and seemed to not only reflect the harsh light from above but magnify it. The walls were bare and the whole room just felt sterile and devoid of life.

Like many therapy rooms I have been in, the seating was just two pretty uncomfortable chairs facing each other about two metres apart. I am lucky that I am reasonably average build but for anyone plus sized the seating would have caused real issues as the seat was narrow but had moulded high arms.

I know this two chairs facing each other is not unusual but, honestly, I find that set up really triggering for lots of reasons. I struggle to settle and feel comfortable in a therapy room and so being stuck in a narrow rigid seat is hard. I like to take my shoes off and tuck my feet up under me. And… as you all know by now, there are times when I absolutely need my therapist to sit beside me, hug me, hold my hand etc and single chairs just don’t allow for this at all.

I can’t tell you how many times I have drifted away into a painful dissociative state because I have not felt in close enough physical proximity to my therapist. Having said that, if you are a therapist who has no intention of ever getting physically close or offering that kind of reassurance to your client then stick with that set up because fuckkkk it’s painful to be on a sofa and have the therapist tell you that they’ll never sit beside you when you build up the courage to ask them to.

This is what happened to me when, a few years after finishing in the NHS, I made the catastrophic choice to go back and see Em in her private practice in her house.  Initially, she had the two-chair set up – you know the trusty Ikea ones that almost everyone has? Those chairs were more comfortable than the NHS ones but still felt distancing and I felt like I couldn’t move.

Em also had the matching footstool and would place it between us – so it felt like another barrier to being near her and like she was trying to barricade herself in. (I have lots of issues with positioning of furniture – even now with Elle!). Sometimes the feeing of disconnect and distance would make it feel like I was staring at an empty chair – like the little girl in Oliver Jeffers’ book ‘The Heart And The Bottle’ and that was really hard too.

About 18 months into the second round of therapy with Em, she changed up the room. It was better – previously she had really grim dark red curtains that weren’t quite long enough for the window, some pretty shit net curtains again that didn’t quite reach the window sill by about three inches, and odd green walls but it was ok enough. The window was behind me, so I never really had to look at the curtains or see anyone passing by in the street. Although if anyone ever came to the door to deliver something to the house I’d jump out my skin because the front door was essentially next to the window…and I couldn’t see.

The room itself was filled with lovely, reclaimed bookshelves and so I had plenty to let my eyes wander over when eye contact or even looking in Em’s general direction felt too much which was better than the sterility of the god awful NHS room.

Em’s revamped room was nicer, the shelving and books stayed and there were now neutral walls and curtains, and a much more comfortable cornflower blue leather sofa. It wasn’t very cosy, though – especially in winter! I think one of the things I would say is that Em’s room mirrored her personality type – cold and austere! A couple of cushions to hug to my body when things felt shit, or a blanket folded over the back of the sofa like Elle has, would have made it feel like there was some comfort to be had – especially as she was so anti offering anything of herself.

Another thing that was there throughout my therapy was a sick-looking spiky houseplant that was in good need of a repot and feed. Bearing in mind I saw Em for three years that poor plant never got any care and looked like it was at death’s door the whole time. Now, sure, it’s only a plant, but I think as a therapist if you are going to put plants in the room make sure they look healthy. If you can’t look after a plant, how will you care for your clients?!

The room was the room, though – and it was a marked improvement from anything I had been in before in college, university, at a local charity, and the NHS. But as I said, sensory stuff is an issue – and it was very much the case at Em’s house. Sometimes I would arrive and the lingering smell of the previous night’s cooking had made it into the therapy room – her kitchen was next to the therapy room and I think she must have been a fan of Thai Red Curry and Fish! Occasionally, the smell would be really strong and totally off-putting the moment I walked in the front door.

That’s not to say I am advocating for air-fresheners, plug-ins, or sprays or whatever else in the therapy room. I think people have quite strong preferences and reactions to smells and I’d be really cautious of trying to have any noticeable smell at all tbh. I think airing the place out is a good move, though, and the room should feel and smell clean just not strongly of anything in particular.

OMG! An aside… I remember one time (fuck me I am so fucking picky) but there was a crumpled up, used tissue under the book shelf beside Em and it was there for four weeks…

Anyway…

Back to the story!…

One of my friend’s therapists has scented candles that she asks the clients to smell when they meet and if there are any that they like they light that one for them in the future sessions and I think this is a really nice idea – as it gives the client the choice…to have something or nothing.

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Another thing that would be a bit distracting/off-putting was external noise at Em’s. She seemed to like to put a load of washing on first thing on a Monday and Friday morning – I guess cashing in on her private practice wfh days – and the machine would always reach its spin cycle in my session. As I said, the kitchen was next to the therapy room and sound really travelled around the house, so it was very noticeable and not ideal. There was that, but what was worse was her husband wandering around in the hallway outside sometimes and often I could hear him chatting on the phone.

I’d like to say that other people coming and going is an unusual event in therapy but in my experience it isn’t. This has been way less of an issue with Elle because I see her in an office away from her home and so any footsteps are only from people who work in the building, but with Em and Anita I had too many uncomfortable experiences with family members.

You might remember me mentioning that when Anita’s adult daughter moved back in, she worked from home in her bedroom that was just down the hall from Anita’s therapy room. I could often hear her wandering around to go to the bathroom next to the therapy room or when she was on work calls… not good! If I could hear her, then there can be no doubt she must be able to hear me. The have been times I haven’t used my session time as I’ve wanted to knowing that I might be overheard – and that just should not happen.

It’s not just what’s going on in the house. It’s what happens when we arrive and leave, too. Do you remember the month where I met Anita’s daughter twice on the doorstep?…the second time we had a conversation whilst waiting for Anita!!… FUCK ME THAT WAS BAD!! Or the time I ran into Em’s husband as he mis-timed coming back from his bike ride?? Yeah, that was crap, too, and really unsettling especially at the end of the session which had been really difficult.

I think therapists who work from home need to be really careful about protecting their clients’ privacy and anonymity and need to have clear boundaries with the people that they live with to ensure that when they are working the family understand the importance of client confidentiality and expectations of therapy.

I feel like I am really moaning now and being critical – but this is my real experience and I’ve spent fucking thousands on therapy over the years so it’s probably worth saying!

Do I need to talk about barking dogs? Or can we just agree that this shouldn’t be a thing…particularly not three of them for half an hour at time!

Umm…what did I like about Anita’s room then if not the outside world? Lots. The room was light and airy.  She had a sofa and a chair in the room – which meant that she could always sit beside me if I wanted that. The room had stuff in it but I guess what you might call therapy stuff: rocks, crystals, shells, books…things that would/could be used as transitional objects. There was a nice picture on the wall, too. The space was clean and uncluttered but felt warm and welcoming.

She had a small fish tank in the room too and I used to like watching the fish. Although, sometimes if I was silent and/or dissociating I would become VERY aware of the sound of the filter running! But that’s probably just me. Essentially, the room had Anita’s personality in it but wasn’t personal – no family pictures or stuff like that (thank god!). It was the opposite of sterile, though. There were tissues in easy reach – although I never used them, as I would only ever cry when she was cuddling me and so she would end up with a damp top instead – lol!

If I ever went for an evening session the room was lit with a couple of salt lamps and a soft side light…at my request. I once turned up and she had the ‘big’ ceiling light on and it just felt way too bright and so instead we put on all the low lights and it felt way gentler. I think basically I am always needing to be in a space that goes softly on my nervous system.

Downsides to Anita’s room were that it was pretty small and so there was not much space to be anywhere but the couch. I quite like sitting on the floor sometimes. I like to draw, or write, or do activities with objects (like when Elle and I did the buttons) or maybe do breathing/grounding exercises and it would have been really too cramped for that and so it could feel a bit rigid being on a chair all the time.

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Obviously, she couldn’t make the room larger and honestly for such a long time that room was such a sanctuary and holding space that other than making it a few feet bigger, there’s not a great deal I would have changed.

I was thinking recently again about rooms before my friend asked about it and I think a really good way of approaching therapy room set ups is to imagine you have a neurodiverse child that you’re tailoring the space to because actually most people would benefit from some or all of the provisions. Lots of therapists only work with adults and so gear their room up as an adult space and I think this is a massive error.

I like that Elle’s room has fidget toys and some games on the shelves even if I choose not to use them. I think having things like paper and colouring pens visible in the room is a nice idea, too (Hannah had that – I’ll give her one positive as the rest was utter shit!) as it lets the client know there is potential for all sorts of work to be done in the room.

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All my recent therapists have had Russian dolls in their therapy rooms- it must be a thing! Ha – if only more of them actually entered into doing active parts work, eh?! I think having little figures or maybe a variety of toys would be a great idea for this.

A while back there was a teddy bear sitting in Elle’s therapy room one session, but I don’t know where he is now. I think one of the things I would really like to see in therapy rooms are a few soft toys. I think signalling to the client that their inner child is welcome is hugely important as so many people new to therapy have no idea what therapy can be…and soooooo many people have work to do with attachment and yet believe that it’s only ever their adult that is welcome in the room!

How nice would it be to see a friendly bear in the corner or sitting on a chair? Especially if you need a hug…and especially if the therapist is not necessarily a hugger. I can imagine how holding it would feel to be feeling vulnerable and small and a therapist asking if you’d like a bear to hold. Like what an invitation to that small part to remain in the room rather than flee. So many of us try desperately to push that part away – especially when we’re new to therapy – as we often associate those feelings as being shameful and unwelcome.

I think seeing a soft toy in the room would also let the client know that they could bring their own soft toys to session too (if that’s what they want – obviously some people would totally not want this at all!). I can’t tell you how many years I went to therapy with Elephant in my bag when I saw Em and not once did I feel brave enough to get her out … and there were times when I seriously could have done with being able to self-soothe with her soft ears as Em would never reassure me or try and get me back out of a dissociative state and would instead leave me in agony.

It would be lovely if sometimes therapists would say, “If you wanted you could bring a blanket or a teddy in – I’ve got these here and you’re very welcome to use them, but I also know sometimes we have our own special items and they are most welcome here.” Because even now – as an almost pro client I sometimes find it difficult to open the bag. Elle has not met Elephant yet – and there’s huge work around this plushie.

I mean I am edging closer – and am actually amazed that I asked Elle for Monty (transitional object) and then last week after a month brought him back and asked her to spray him with her perfume. All these things are possible, but it’s taken me YEARS to get here, and I think therapists could really help with this.

It’s not only about toys, though, is it? Ok, I’ll put my inner child to one side for a minute!

I like Elle’s room – it’s a nice size and feels containing and private. I like that her room has nods to what kind of person she is. She has a little pride flag in her pot plant (which is very much alive) and I think that this visual cue let me know immediately that I was safe with her. I know therapy school would probably say “don’t give away anything about your political beliefs or views on contentious issues” but finding out Em was a tory Brexiteer late on in our work was hideous. I would NEVER have worked with her had I have known our feelings on particular issues were so far apart and knowing Elle is an ally is really important to me.

But that’s a whole other story.

What don’t I like about Elle’s room?! I have mentioned it a few times now, but I fucking hate the coffee table that sits between us. Like I want to literally throw it to the side of the room…unless of course we are using it to do something with buttons or whatever! It’s something to do with feeling like there’s a deliberate physical barrier between us – can anyone see a recurring theme here?! I think also it stops me sitting on the floor.

I think the longer I have been in therapy the more I want to not be always stuck in a chair. Over the years, friends and I have said how nice it would be to have an area of the room that is deliberately floor based – whether that be floor cushions or beanbags – just a different kind of a space. I guess sometimes I would like to almost be in a nest! But just sitting comfortably cross-legged on a cushion would be nice, too. I think the more options there are the better as you never really know what you’re going to want or need when you go to your session.

If there was space in the room, I think it would be totally awesome to have a blackout tent with cushions and blankets and little fairy lights inside – again – think neurodiverse child need. Lol!

Elle has two clocks that seem to tick at alternate times – sometimes I can tune them out and other times they are all I can hear. I imagine most people wouldn’t even notice these things, but I have always been hypersensitive and hypervigilant and so literally EVERYTHING that goes on inside and outside the room registers with me…and it’s frankly exhausting!

There’s loads more I could say but I think I am more of less done here for today – 3500 words – yikes!

So, I’m going to undo everything I have just said in a paragraph!

Of course, the room is really important in creating an environment that feels containing and safe enough for us to open up in but, you know what? I would happily sit outside on the cold concrete in the pouring rain so long as I could sit beside Elle and be with her and talk to her. Because, you could have the absolute most perfect therapeutic space to work in but if your therapist isn’t a good fit and the relationship isn’t there – it’s a complete waste of time!

True stuff.

I’d love it if you could comment with some of your own ‘hits’ and ‘misses’ for therapy rooms as I’m sure this would help my friend a lot. There’s so many things – like drinks? Elle has water out if you want it. Some therapists do cups of tea. Some think you shouldn’t do any of this. What a frigging ridiculous minefield!