The End Of An Eating Disorder.

TW: Eating disorders and self-harm.

So, it’s Eating Disorder Awareness Week (EDAW), apparently. I don’t mean to sound so blasé or critical, but I guess like many people who have suffered with an eating disorder and mental health issues I am left feeling a bit cold when ‘awareness’ is mentioned. I think there is a lot of awareness out there but what we really need is adequate funding and investment in training, in order that there is proper provision to support people who are suffering and struggling better (or at all!). We all know that it’s a postcode lottery with what treatment is available not to mention the waiting lists…oh and, of course, the ‘time-limited’ interventions. So, forgive me if I don’t feel all that enthusiastic about this week, or any of the others that come along raising ‘awareness’. I guess I’m just old and over it and would rather see some tangible action so that people like me get the help they need at the time they need it – and don’t spend a lifetime tangled up in pain.

I’ve been saying for a while that I would find some time write about the end of the long-standing ED and so this is my contribution to EDAW – but really, it’s for me, a written acknowledgment, to myself, to honour the journey I’ve been on. I don’t really know where to begin, if I’m honest, but this week seems an especially apt time to finally close the book of many many MANY chapters.

So, I guess I begin at the beginning?… all those years ago when the crafty bastard came along and took root? I suppose that’s as good a place to start as any…but inevitably this will take me back to the very beginning because everything that came before the active anorexia fed into the development of the ED (excuse the pun!).

This is probably going to be a pretty long piece – so perhaps go grab a cuppa. I suspect it will be a bit ‘bitty’ and disjointed here and there, too, as there’s lots to say. It has been such a fragmented experience that I can’t see how it will ‘flow’ but I guess if I keep some kind of loose chronology we’ll get to the end and into March 2022 where I am now sitting with a big bar of chocolate and cup of hot milk as I type – and enjoying both with no hint of “I shouldn’t” or “I’ll have to pay for this in exercise later” or hating myself for not having the willpower to resist these treats. I never for one minute believed this would be possible – but here I am…and contemplating a cheese toastie in a bit!

So, deep breaths, ready for vulnerability download:

I have been battling with anorexia since I was 15 which, sadly, is almost 25 years of my life. My goodness, that’s depressing when it’s right there in black and white. 25 years wasted….

Looking back now I feel so much sadness and compassion for that poor young woman (that was me) who found herself deeply distressed, struggling so badly with soooo many different issues, who took to starving herself in order to cope, and was barely holding it together with rubber bands and chewing gum. I feel so upset that no one paid attention or saw beneath my coping exterior. I was like a swan to everyone around me, gliding along on the surface whilst desperately kicking legs beneath it in order not to grind to a halt or fall apart. It was exhausting trying to appear ‘fine’ when I was anything but. Parts of me longed for someone to ‘see’ me but my protectors were so strong that no one was ever able to penetrate my defences. No one tried but then I wonder if I’d have trusted them even if they had?

I wish I knew then what I know now about myself, and about the destructive nature of eating disorders. But then I was a kid in the late nineties – information wasn’t readily available, the internet and social media weren’t ‘things’ back then (sending a simple text message took ages repeatedly pressing number buttons to get to each letter) and so much was ‘taboo’  – having said that, I don’t think the internet or social media was what I needed, or more ‘awareness’, as I say, I wish back then there had have been someone, anyone, who would have noticed and helped me through what I was experiencing, someone who could have helped release the strangling grip of the eating disorder and allowed me space to breathe and recover and learn how to be me and to accept myself.

Basically, I wish I’d have had a K or an Anita when I was 15 because there’s so much evidence to suggest that eating disorders that are addressed early have the best success rates for people getting through them and moving on. Unfortunately, I wasn’t one of those people who got support at the right time, but I feel so blessed that I have support now and I definitely think that my relationships with A and K have done wonders for me, helping me grow stronger. It’s through having their love and care modelled to me that I have learned to love myself and see my own worth. And this is the thing, for me, my eating disorder, when you boil it down, was actually not a great deal to do with food or body image. It focused on those things, but they weren’t the primary drivers.

There are loads and loads of reasons why people fall into eating disordered behaviours, but I can only speak from a personal perspective here, and say how it was for me. Anyone who has followed this blog for a while will know by know that my growing up experience wasn’t exactly what you’d call ‘optimum’. From the very beginning it wasn’t brilliant. I was an accidental pregnancy, a pregnancy that turned out to be fraught with problems, a pregnancy where my mum spent the final three months of her pregnancy in hospital with pre-eclampsia. Poor little me was stuck in a toxic womb environment and then had to be induced 6 weeks early because I ‘was in distress’ and so I wasn’t exactly onto a winner…and have been distressed ever since. Lol.

After a long and difficult labour, I was born, and reportedly didn’t make a sound. They’d pumped my mum so full of drugs that they weren’t sure I was alive or if I would survive. There’s no doubt, now, that I ought to have been delivered by c-section, but this was the early 80’s, on a Sunday, in a hospital that is renowned for its poor practice over the years. Apparently, the doctor on-call was on the golf course and insisted on finishing his game before coming in to assist with the delivery…as you do.

Tiny baby me was whisked off to an incubator which is where I spent the first three days of my life. I’ve written about this before, here, but every time I think about it, no matter how much therapy I have, it still stings. My mum’s ‘go to’ birth story as I was growing up was, “I thought the baby in the incubator next to you was mine, I didn’t even recognise you.” Undoubtedly, my mum was traumatised by both her pregnancy and her labour, and I am not surprised she went on to develop post-natal depression…but what has any of this got to do with my eating disorder you might ask?

Those early hours and days after the birth of a baby are so important for bonding and attachment. The moment my children were born they were put on my chest, and we had skin-to-skin contact. In fact, the moment my son was born he was skin-to-skin and began to breastfeed immediately. Both my babies were elective c-sections so their births were as straightforward as they could be: my daughter was breach presentation, and my son was enormous so I’m glad I was given the option both times to choose what I wanted. I am certain that a calm birth experience meant that I was very able to respond to my babies and bond quickly. I wasn’t in pain or distress, and neither were they.

I know how important it was for me as a new mum to be close to my babies and to bond – I didn’t put either of mine down except for nappy changing in the first twenty-four hours and they slept on me skin-to-skin – not even in a baby grow. My mum was barely in her twenties when she had me, and didn’t have any of that, or any decent antenatal support prior to birth. I can’t imagine how upsetting it must be to not see your baby because it’s been whisked away, not know if its ok, and then not to know which baby is yours when you finally are allowed to see it. My mum used to retell the story like it was funny, but I think, now it must’ve been her way of coping with something awful.

Anyway, the post-natal depression undoubtedly didn’t help with the bonding process. My dad used to come home from work to me and by all accounts I don’t think I was massively well-attended to during the day. I understand it, but it’s still hard to know that as a small child I was not getting what I needed. I don’t blame my mum PND – it is what it is, and there was next to no understanding of it or support for it really then. But if I was left in dirty nappies then I think we can probably infer that there wasn’t a great deal of feeding going on either.

When I was 9 months old my mum left the country with me. Her relationship with my dad had completely broken down and she basically ran away from an intolerable situation with him and my wider family. Again, to be taken from everything I knew at that time must’ve been disruptive for little me. I don’t know much about the three years abroad but I know we moved back to the UK when I was nearly four. I have only a handful of memories before I was seven: one is being sick after my preschool vaccinations, and the other burning myself on a barbecue but being too scared to tell anyone about it when I was just four. I have no recollection of my first day at school — or anything.

My memories only really kick in when I moved house I and started a new school midway though year 2 and the week of my seventh birthday. Before I started therapy, I thought this was normal. I thought most people had no idea about their lives before that age. Apparently not. Sometimes I wonder about what might have happened or what it was like, but I know what it was like from when the memories actually begin, and I can’t see it being very much different. I imagine that my clever young brain wiped out a lot of what was there to make it survivable.

When I was working with Em, I remember a session where I told her about the burn on the barbecue (I still have the scar now). I’d said how I had been told to stay away from the barbecue because it was hot. My dad had put the tongs on the grill to disinfect them in the flames and then taken them off and hung them on the side of the frame. I was alone in the garden and was inquisitive, like children are. I can remember it clear as day…the searing pain when the boiling metal hit my skin and then peeling the tongs off my leg, taking the skin with them, leaving a long burn on my inner thigh.

Em wondered aloud what might have led little me to be in a position where I was too scared to tell an adult that I was severely hurt in that situation. My daughter was about the same age I had been at the time when I was recounting the story, and Em asked me what my daughter would do: run to me crying and seek assistance. There was no doubt in my mind that that is exactly what she’d do. That’s the natural reaction, right?

So, what stopped me as a little girl? Why was I already so terrified of the consequences of being told off for doing something I had been told not to do, doing something ‘wrong’? It didn’t take much to join the dots, but I can infer that I must’ve at least once before got into trouble for something and the reaction been bad enough for me to go into hiding rather than risk a similar response from my mum.

My children do stuff I tell them not to ALL THE TIME but they ALWAYS come and seek help and support if they hurt themselves, even if they’ve hurt themselves after I’ve warned them not to do something. How does all this stuff link into the ED you might be wondering? Like come on RBCG get to the point! Well, I think from the very beginning my needs have not been met, both emotionally and physically, and I think early on I detached from my needs.

As I child I remember being hungry a lot of the time. I was the kid that never had a snack at breaktime at school. It wasn’t that there wasn’t money for it, there just was never anything in the house to take and I genuinely don’t think it occurred to my parents that breaktime was a time when kids had something to eat. Or maybe they were just consumed in their own busy lives and didn’t keep me, or my need in mind…(sigh)… And so, I used to watch while other children tucked into bags of crisps and chocolate biscuits. Again, I never went home and asked for these things to be bought. I didn’t feel like I was worthy of it, I guess.

I used to go to childminders before and after school at when I was at primary school and the childminder used to feed both her children a snack after school but would never offer me anything. My dad didn’t collect me until almost seven most nights so most days I would have just my school dinner which given how crap things are now for kids in the UK with 1/3 in poverty I feel stupid for moaning because I was at least fed and when I got home, too. But what I am trying to say is that for years I was hungry, my stomach would physically hurt, and yet there was no way of getting rid of that feeling and it was horrid.

I guess I got used to it in the end and something switched off, I no longer ‘felt’ hungry although I guess I must have been. I didn’t feel much of anything at all, actually. And it was the same with the emotional stuff. When my mum would come home at the weekends it was horrible most of the time. She’d argue with my dad, sometimes be violent, and generally make me feel like I was in the way and an inconvenience. For years the shouting and the violence scared me and then I learnt to feel nothing.

Everything was numb.

And so fast forward through to my teenage years, my parents had separated again so at least the yelling had stopped. I lived with my mum during the week, and she was stressed and unavailable or vile. By now I had become so self-reliant that I don’t think you’d know I existed in the house. I washed my own clothes, made my own lunches, cleaned the house, and stayed in my room doing my schoolwork. I was no trouble at all. My reports were outstanding. My grades were top. There was nothing you could moan at me about.

Only she did.

Over and over.

Eroding my self-esteem bit by bit over and over for years and years, “I wish you’d never been born”, “You think you’re so perfect”, “You’re so boring”, “You’re just like your dad”, “Who the hell do you think you are?”…on and on and on…

And then when I was about fourteen, I started to realise I was gay and this neatly coincided with the “Don’t hold my hand, people will think we’re lesbians” from my mum one day when we were out and crossing the road. I have no idea why I reached for her hand that day. I guess maybe it was an unconscious throwback to a time where she would keep me safe as a child. I don’t know. But her reaction was nuts. The laugh is we never really touched anyway, there were no hugs, no kisses, no physical signs of affection and certainly no verbal expressions of love or care…so this was the final nail in that coffin for our relationship in lots of ways. It sits in the same pain zone as Em’s ‘tick’ analogy, another complete and utter rejection of me and my ‘self’.

As I’ve said, my mum was rejecting so much of the time, and I’d felt physically abandoned when she was away through primary school, but that sound bite also felt so loaded for future ‘gay’ me. Being gay clearly was ‘bad’, and now something to be hidden, and so I did… but that was yet another burden, another secret, another thing to feel ashamed about.

I fell head over feet in love with an older woman when I was 15 too (big eye roll now I know all about my attachment stuff and mummy issues!) but that felt awful, too. I wasn’t out the closet, she wasn’t gay, and I couldn’t tell her how I felt for fear of being rejected. As I’ve already said, it was the late nineties and things weren’t as they are now (that’s not to say LGBTQ+ kids have it easy, now – they don’t) but there was no space for kids like me particularly in the part of the country I was growing up in. There were no role models. There wasn’t even mention of same sex relationships in Sex Ed for goodness sake … I felt thoroughly alone…weird…an outlier. It was hard. And then the GCSE years really got going and as a perfectionist who was expected to get straight A’s I crumbled under the weight of it all.

The first time I didn’t eat was a day during a school holiday. There was ‘gifted and talented’ evening trip to the Opera that had been arranged by the Head of English and me and a couple of friends had been chosen to go. I don’t know why I didn’t eat that day, but I didn’t (probably no food in the house). I can clearly remember after the interval feeling, sitting in the dark, waiting for the singers to take the stage, and feeling lightheaded and stars going round in my vision. I felt kind of out of myself too (dissociated) and, honestly, it felt such a welcome relief from the usual agony in my solar plexus and feeling on the verge of a breakdown and suffering with that horrible sense of ‘unrequited love’ (ahhh which is not dissimilar to the mother wound) and being thoroughly miserable at home.

I’d never been someone who had eaten breakfast or snacked (that bedded in young!) but I was definitely a solid ‘pasty, chips, and beans with a can of apple Tango for lunch at high school’ kind of a girl. But then I stopped that in year 11. I would maybe have something small or skip lunch altogether by going and working in the school library ‘revising’ (sitting alone with my head in a book trying to not fall apart). It was about this time that I’d started self-harming too. It was getting bad. And yet what could I do? I couldn’t speak to my parents. There was no school counsellor. There wasn’t anyone. And of course I was an ‘outstanding’ student so teachers had worry about me.

Things got worse and worse and one day I made myself a GP appointment in the middle of my GCSE exams and went to see the doctor because surely this would be someone to help. I felt so nervous going into the consulting room. I’d never been to the GP without a parent, and I was about to tell a complete stranger about my secret destructive behaviours. I thought I was going to be sick, but I knew I couldn’t carry on as things were. I was miserable and destroying myself. I trusted that a ‘professional’ would offer me the support I so badly required. So, I told the doctor how I was feeling and what I was doing to myself…and…he dismissed my issues saying, “It’s a phase” and that “everyone gets stressed round exams” and that my self-harm scars were “superficial” and he sent me on my way.

Wow.

Again, I look back at that memory and I have so much sadness and compassion for that brave sixteen-year-old girl who was going through so much and was left unsupported, not ill enough to warrant support and instead left feeling like a time waster and a hypochondriac. I kept quiet after that, but things got worse and worse.

By the time I started A Levels things had really escalated. My mum had taken to being absolutely vile all the time. I was a substitute emotional punching bag now that my dad wasn’t there. And how did I cope? Well, I didn’t eat breakfast or lunch and would purge after all my evening meal which was in the region of 500 calories. I exercised ALL the time, weighed myself daily, and self-harmed at least twice a week. The cuts weren’t superficial anymore and my weight had plummeted. It was absolutely awful. It was completely exhausting, I was completely exhausted and the ED felt like a full time job occupying so much of my headspace…but thankfully it pushed the other horrible stuff – feeling unlovable, untouchable, and not good enough to one side – albeit temporarily.

One day I went to visit ‘the older woman’ who now lived a couple of hundred miles away from me. She took one look at me and cornered me about my eating disorder when we were sitting watching a movie. The dramatic change in my appearance in the 18 months since I’d seen her was unmissable. I was honest about what was going on (for the first time). She asked why I had never told her when I spoke to her on the phone (twice a week). What could I say? It’s not easy to tell someone that you’re not eating, puking every time you eat…and the reason for it… you hate yourself and have unmanageable feelings for the person you’re speaking to!

I felt like I had taken a big step towards H that weekend and then when I got home, and we next spoke on the phone it was like the tide had turned. (The irony is not lost on me with how much this reflects what happened with Em all those years later when I finally told her how bad things were). H delivered me an ultimatum: tell your parents or I will. I begged her to give me time and she agreed. But when she pressed me the next week and I told her I couldn’t she cut me off, told me that she was wrong to get involved, and I could call her in three months but she needed space…

Ouch.

I came out the next day and was in bits and things continued to get worse.

My mental health got so bad that I stopped attending college regularly in the second year of A levels (after a patchy first year) and think clocked up an impressive 30% attendance overall. I was told I shouldn’t sit my A levels as there’s no way I could pass them and to come back and redo the final year. The idea of this felt unbearable – another year at home and no escape to university? I begged my tutor to allow me to at least try the exams and they conceded. Fortunately, I came out with AAAB and it meant I had the grades to move forward.

Essentially, though I spent the years between 16-18 feeling thoroughly depressed and hopeless. How I passed those A Levels I’ll never know, but I am just lucky I guess, to have been academic enough to not need to go to lessons or try too hard. I know that sounds big headed – it’s not meant to be-  I am just so aware that had I have flunked my A Levels rather than getting a string of A’s and B’s life would have been considerably more difficult for me because it was getting away to university that allowed me to escape the worst of what I was going through.

My eating disorder was a crutch, a coping mechanism. Anorexia was something I was good at, too. It took the focus off all the shit I couldn’t deal with – didn’t know how to deal with. I could escape from my mother, from my sexuality, from exam pressure and watch the scale go down and down. As, I said, I learnt not to feel hungry and enjoyed the feeling of being almost delirious. I likened the heightened anorexic state as like being up a mountain above the clouds, one day. to Em. Like it can be swirling shitstorm down below and somehow not eating enough for long enough takes you up to where the air is clear, and the sun is shining. Or at least that’s what my calorie deprived brain believed. Coming out the other side I can see how fucked up that is, but anorexia really messes with your body and brain chemistry.

I think my eating disorder went some way to shutting down the Inner Critic, or appeasing it a bit…only you can never really please that sadistic fucker and so really it was just a vicious cycle. I’d go through phases of my life where the ED would be in the background, subdued – usually when things were going well, I was ‘happy’ with friends or in a relationship and life wasn’t too trying but then there were other times where it would rise up and take over. The irony is, what I needed when things felt overwhelming was care and support and what I delivered to myself was abuse. The world outside felt threatening and too much and I had no sense that what I should be doing was ‘self-caring’ and not ‘self-harming’. I sort of thought that’s how it would always be. I never felt like I deserved love or care from anyone, and certainly not from myself. I literally had no idea how to care for me.

(I am so glad this has shifted!)

I’ve always been body conscious; I could never look in the mirror and be ‘ok’ with what I saw but there were stretches of time when I wasn’t actively restricting or purging which felt like a kind of progress. I just ate once day….which I guess is still restricting because there’s no way on earth I could not eat until the evening now. I get to about 10am and breakfast has to happen…I can tune into my body and respond to it, but it’s taken a lifetime to get here after years of dissociation.

Ugh.

It’s weird, I look back now at photos and can really ‘see’ that I wasn’t well but at the time would have sworn blind there was nothing wrong. In fact, the ED mindset can be so dismissive, defensive, and angry that it makes you almost delusional. The number of arguments I have had with my wife over the years when she’s expressed legitimate concerns to me is staggering. The denial that I built around myself and the eating disorder was insane but after so many years it was like I was brainwashed, or brain-damaged. I genuinely couldn’t see the issue anymore and other people’s concern was an intrusion. How dare they suggest anything was wrong? But also, why would I admit it when doing so might mean I get rejected again?

Again, I just feel so sad that I have spent more than half a lifetime attacking myself – and why? …because the self-image I’d had placed on and in me was so wrong in the first place. I find it so depressing that I bought into the idea of being unworthy of love and care and the only way of coping with it was to make myself smaller, to disappear, to dissociate my needs away. But those needs were still there, lying dormant because look where I am now in my therapy: #1 Neediest Client In The World!

God.

I read somewhere once that ‘we are only as needy as our unmet needs’ and basically this rings so true…does anyone else relate?! Unfortunately for me, A, and K there are quite a number of unmet needs!

Anyway, back to the story and the early naughties: I’d got through my degree, my MA and my PGCE just about in one piece (I do wonder how!). I started teaching and I’d get through the day on a can of coke and then go home and eat a meal. Again, I can see this isn’t ‘normal’ but it was the most normal I had even been in my life to date. I was painfully thin, but I wasn’t deep in the throes of the eating disorder either. I guess what I would say is that my eating disorder would go through phases- never fully gone, but not always massively active either. At this point I could eat and not gag when I put my toothbrush in my mouth so that’s a win.

Then of course, my dad died suddenly and there it was again, my trusty friend ready to help me. My coping mechanism was back front and centre. I got very ill when that happened. My BMI was 14 and I was like a walking skeleton. Only I couldn’t see it. And yet again, despite having medical input for my mental health and weekly weigh ins with the GP I was able to deflect and distract from it. Having been told at 16 that there was nothing wrong with me I had basically learnt that health professionals don’t believe me and that I am not worthy of care and so never told them how bad things were. What was the point? I ran rings around anyone that tried to come near.

I clearly remember one day my GP telling me that “Happy people don’t have eating disorders” and “was there anything I wanted to tell her?” I wished so badly in that moment to be able to share even a tenth of what I was carrying but what can you do in a ten-minute appointment? And how do you hold your hands up as a 26-year-old professional person that you are still stuck in your ‘teenage coping strategies’? Eating disorders are so often framed as a ‘young person’s issue’ because that’s when they often begin, but there are thousands and thousands of people who have continued to struggle well into their adulthood… and so, I said nothing. I was ashamed and embarrassed.

And on and on it went for another few months until she referred me into eating disorder services. The initial appointment with the assessor was a farce. She asked me a series of questions about my eating habits and body image and the part that was fronting that day answered in way that meant I wouldn’t get help, “Do you think you are fat?” – “No” etc. The part that so badly needed help was gagged and bound. I was so deeply in the denial zone at that point that really the person just needed to use her eyes to see that I was FAR from ok but of course she didn’t. It was another example of my being intelligent and articulate enough to be escape the system. I don’t know why I was so terrified of ‘getting help’ but the idea of being made to eat and go to day patient just felt like a huge no. I didn’t want to be scrutinised. I didn’t want to lose control. I didn’t know any other way of coping with what I was feeling and having my ED taken away…well, I needed it to survive.

Still, none of that ever happened because I never got specific ED help but I was put on the waiting list for psychotherapy after writing a letter to my GP and her calling me in to say she thought I was suffering with PTSD! Three years later and I finally got to the top of the waiting list and was working with Em… and the ED kicked in AGAIN about three months away from when we were meant to end, just as the realisation that I would have to stop seeing her became really real and the attachment stuff had become massive. I had genuinely thought I was over my ED by this point, I’d had a baby and things were going well in my ‘adult’ life. So, what the hell was going on? Ahhh the young parts were activating but I had no idea about any of it at this point, I just felt like I was losing my mind.

So, there I was again, sitting with a BMI of 16.5 and not eating ‘normally’ but also ‘normally enough’ to not draw any attention. I was exercising away my ‘baby weight’ (overdoing it to attack myself and escape the emotional pain). I couldn’t tell Em then what was going on. I was too ashamed and embarrassed that the thing that had triggered me trying to ‘cope’ was approaching the end of our time limited therapy on the NHS and the reality of losing her – and besides, there was no time left. It was all the stuff about being alone, left, abandoned, rejected, not being worthy of love or care…it was the mother wound. It totally fucked me up for a long time and I was so distressed for months after that ending but didn’t really understand why.

Yet again, it was a relational ‘injury’ triggering the eating disorder. Yet again it was feeling emotionally out of control and not good enough that sent me into the pattern of trying to gain control – of what I put into my body and what I did to my body, and over my emotions. The older I got the easier it was to spin my anorexia as a ‘health kick’. I’d buy new trainers and sports kit and RUN AND RUN AND RUN away from all that was upsetting me and eat salads and drink smoothies when, really, I wanted cake and chocolate and roast dinner.

I simply wasn’t able to sit with my feelings of pain and loss and all that’s associated with the mother wound because, as I said, I didn’t fully understand it. I just knew that the thought of losing Em felt unsurvivable because of course that is what it felt like to the young parts who were being triggered. It felt like annihilation. Ugh. And how do you tell anyone about this? It’s embarrassing and loaded with feelings of shame. You’re meant to get ‘better’ after sixteen months of therapy not worse…and yet here I was feeling desperate and heartbroken…

HELP!!!

And so that therapy ended, and I bumbled along for six months feeling untethered, having nightmares, and not eating and trying to shift my focus away from the pain I felt inside. Time ticked on, then I got pregnant again and sorted myself out, put on a stone, had my son…it was all settled and going well…and then I got diagnosed with cancer…and had a year of treatment. Steroids saw me balloon, but I didn’t care at that point. I was fighting for my life not my size six and the steroid weight soon fell off when I had finished treatment.

The wheels came off after I finished the chemotherapy and radiotherapy– the PTSD response to the cancer treatment being lumped onto so many other previous traumas meant that I knew I needed to seek support – and I made it back to Em privately…and OMG…as you all know…the mother wound got triggered in the most massive way AGAIN. I thought going back to her would ease some of that ache that I’d felt in the three years since I had seen her, but it didn’t. It ignited again in a flash. Seeing her, as I have said so many times, was perpetually like being a kid stood peering through the window of a sweetshop- I could see what I wanted, smell it, almost taste it – but I couldn’t have it. It was so painful.

Working with Em meant that I became fully aware of my inner dynamics, my attachment style, the dissociation ALL OF IT. And whilst this information was really useful in helping me understand myself better, it didn’t help with the endless triggering of my little selves in the relationship with Em. Her being so emotionally and physically withholding just exacerbated the situation. And then there were the breaks that triggered the abandonment stuff- and my go to coping strategies- when I needed some kind of relational holding with her and it wasn’t forthcoming – think Pebblegate! Oh man!!!!!!

Some of you that have been here for the long haul will recall the Easter break where the shit hit the fan a few years back and I just didn’t cope AT ALL and fell into a really severe period of not eating and over-exercising. I took a leap of faith and told Em what was going on when we got back from the break – all of it, from the beginning, like the stuff in this post and I genuinely felt like I had taken a huge leap forward in being honest and maybe, finally, would be able to get support with this ED that had been plaguing me for years. Only those of you who have read for a while might also remember that it was straight after this that Em delivered me an ultimatum “Go to your GP or we’ll have to work towards an ending.”

I still feel physically sick when I think back to how that was handled. It had taken such a lot of bravery and a leap of faith to trust Em with this vulnerable and sensitive secret and everything I had worried about – being rejected or abandoned because of it- was panning out. It really was a replay of the GP at 16, and H at 17, but in a different way. I never really spoke to Em about my ED again and I genuinely feel like a massive opportunity was missed there.

Flash forward again…the ending with Em two years ago. Another relational injury and back to my trusty friend the ED. The Inner Critic loves the ED, it makes it feel strong, and powerful, and in control, and it likes to punish all the parts of me that suffer. Thankfully, I wasn’t alone when it all went wrong with Em. K was incredible at this time, so holding and caring, and UNDERSTANDING which zapped some of the shame away from the situation. I also met Anita just before it all went catastrophically wrong with Em, and from the get-go I was able to tell her all of the ‘stuff’.

The great thing about starting with a new therapist is you have a window of time before any of the attachment shit really kicks in in the relationship with them, and you can map out all the issues without the fear of judgement or lots of parts being involved. I started working with Anita in January 2020 and it wasn’t until June/July time that my littles switched allegiances to Anita and the attachment stuff felt really live with her. You’d have thought that the need for A becoming live would also trigger the ED, because the fear of rejection and abandonment would come alive and so I’d have gone into hiding and repeated the pattern…

However, the big change this time was that I was able to tell Anita how I felt outright, rather than skirt round the edges and be living in a vat of shame like with Em. Anita has always handled my feelings with such care and sensitivity that I’ve been able to tolerate feelings that I have never been able to before. It’s always felt like Anita is holding my hand – both literally and metaphorically and so I have felt much safer in the relationship even when big things crop up or a rupture happens. I have enough faith, trust, and confidence in what we have built together that I can experience difficult feelings without the need to go and attack myself.

As you guys know. This therapy hasn’t been plain sailing and ‘nicey nicey’-  my god – Anita and I hit rupture territory regularly enough! But what is sooooo different is the speed at which we repair the ruptures. I don’t sit for weeks and months on end ‘building up’ to telling her I’m hurt, wondering whether she’ll flat out reject me, or terminate me, for feeling upset or dissatisfied…for wanting to be close. Of course, my fears of rejection and abandonment get triggered a lot but how Anita handles this is transformational and I do think this relational healing has gone a long way towards me moving away from the ED.

The level of love and care that I feel with both Anita and K is massive and it’s building an inner resource that is supportive. I realise now that I do have needs, that my needs are valid, that there is nothing wrong with me having feelings and that I do not need to punish myself for experiencing BIG emotions or having relational needs. I do want to be loved and cared for – and that’s normal. And it’s normal to hurt when that hasn’t adequately happened growing up.

I don’t need to feel shame or embarrassment for having young parts that need Anita (of course I still do, a lot!) and I know that Anita has invested a lot of time and energy in building a strong therapeutic relationship with me, as has K. More and more I can internalise their love and care which means I am more and more able to tolerate my difficult feelings as I have these steady, consistent compassionate voices telling me I am loved and good enough both in real life and in my head. Those voice counteract the Inner Critic somewhat. I know why the Inner Critic and other protectors have been so vocal – they do not want me to get hurt. But I also understand that their way of ‘protecting’ me has hurt and isolated me at times.

Basically, these last couple of years working with Anita and K have changed my life. Because I now feel compassion for myself and all my parts because I have had it modelled to me by them I want to nurture myself now rather than punish myself. For the longest time I have looked for a home in other people and now, through being loved and cared for I am starting to find a home in myself. I know there’s still a load of work to do, the young parts still need what they need from Anita, but I do feel optimistic that I am a lot closer to a healthy state than I have ever been before. More and more frequently I can find the resources within myself to start to soothe the young parts that are so upset and lost.

The end of the ED (if there is ever a truly an end) has been a steady, slow, barely perceptible bit by bit change in me and how I think about myself. The body work with K has made me so conscious of my body’s reactions and nervous system that I simply can’t not eat at least three meals a day. I register my hunger and I feed myself where before I didn’t ‘feel’ hungry and then if I did feel it, I’d resist it. Over time I have learnt to tune into my body, and I give it what it wants- sometimes that’s a load of fruit and other times it lots of cake…I just intuitively eat what I fancy when I fancy it. I also realise that I am nurturing my adult body, but in taking care of the basic needs to eat I am nourishing that hungry baby and the other small children inside, too.

And this doesn’t just extend to food. I am now, more than ever in tune with what I need emotionally, and I do what I can to meet those needs. I wrote recently about taking a day off to try and regroup, sometimes I don’t try and force ‘adult me’ into carrying on, and if there’s time, I might grab a teddy and watch a kids’ movie when the young parts are massively activated…there’s all kinds of things I do. What I guess I am trying to say is that I don’t run from myself anymore, I try and look at what’s going on and figure out what the need behind it is and if possible, do something to meet it.

But back to the eating disorder stuff – or the food and body bit. Of course, stopping unhealthy eating habits – or lack of eating habits, has resulted in a significant weight gain. I no longer fit into the clothes I’ve had since I was eighteen, and I am not a size six or eight anymore but then I am nearly 40 and have had two kids so that’s perfectly reasonable! Perhaps the hardest thing about moving on from the ED was ‘growing out’ of clothes. I can’t wedge my arse into my wardrobe anymore and that was a bit triggering but it wasn’t enough for me to want to ‘do’ anything about it. Instead of slimming down, I bought some size ten clothes instead and they fit comfortably. Eating what I want when I want has led to my body sitting at a solid 54kg for months – which for my height 5ft 7 is perfect for me. I never thought this could happen. I used to live in fear of 48kg and now…here I am.

Omg this is massive. If you’ve made it to the end with me – kudos to you. As I said at the beginning this was more of me needing to close the book than write a new chapter…and I think I have done that. It’s taken a long time, it’s been a massive struggle, but I am so fucking proud of myself to be where I am today. And I hope, if anyone reading this is experiencing a similar struggle that they can see that it doesn’t have to remain the same and things can change.

x

Ultimatum

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So I realise that my blog has fallen by the wayside a bit these last few weeks (but I’m back now with a humdinger of a post!). I usually try and write something here at least once a week in order for me to keep some kind of regular record of what’s going on for me. I used to write a journal on my computer following each therapy session I had; the blog became a bit of a replacement for that – a sort of diary that the public can read (although I have been having some thoughts about that, lately, too – weird paranoia maybe? Or just a need to draw close and be private…I don’t know).

I’ve been so busy running around like a headless chicken or maybe, more accurately, with my head wedged up my vaguely anorexic arse, sorting my kids out, and tutoring most days that now there is very little time to actually sit down and reflect on what is going on in my internal world on the page (currently writing this from the edge of a swimming pool while my daughter has her lesson!). I haven’t not been writing because I’m short of things to say- far from it- my mind is all over the place and overflowing with the usual angsty crap: attachment pain, therapy worries, bad dreams, health, the eating (or not) stuff… and now, in addition to all that, I’m in a spin over my therapist’s ‘ultimatum’…

I have really missed my writing time. I so need it! Hence stealing time where I can now before I explode! A couple of hours each week to ponder and process, I am discovering, is more important to me/necessary than I thought. I need to try and find time for this but like so many of ‘my’ things, it doesn’t take precedence when there are so many other pressing things that actually have to be fit into the day. I do need to prioritise time for me, not just for writing, before I sink even further into quicksand I seem to find myself in.

Even if I write reams (maybe piles!) of emotional diarrhoea here (and having just proof-read this it does turn into a big splurge- sorry) and it makes no sense to anyone but me, I find the writing process really cathartic. It helps me get my head above water/out the sand a bit. It’s a good way of letting stuff out when all too often I feel overwhelmed or full of emotion.

I think some of why I find it so helpful might be that I actually sit down in one place for a block of time and have a hot (rather than luke warm/forgotten about) cup of coffee – it certainly can’t hurt! I was speaking to a friend the other day and I likened myself to a bee stuck in a jar. I am always buzzing around like a crazy thing. I don’t really stop.

Of course, I also have my therapy session on a Monday which is where I should get stuff off my chest, slow down, decompress, but more often than not the session stirs up more than it lays to rest and then I am left trying to make sense of it all on my own during the week. I find the first couple of days post-session extremely hard going and it’s no secret that I feel emotionally at sea and struggle for a good part of the time between my therapy sessions. I really haven’t got to grips with that emotional containment thing yet.

Actually, I’m having a hideously rough time this week and it’s crap right now, so I am looking forward to Friday and feeling like I am over the worst of the week. Having said that, usually I am pleased to get to Friday because it means it’s actually almost Monday…but this week I am not sure how I feel about my session on Monday. I am not sure if I am going to go yet. I don’t know if I can face it. Of course the little parts want to go and have some chance of reconnecting with my therapist but right now my teen part is off the chart raging, angry and let down. Underneath that, there’s also a real fear that I have broken my therapist and it’s all going to be downhill from here.

I’ll get to the point shall I?

Last week’s session (1st May) feels a really long time ago now. I can’t really remember what happened. I sometimes get this weird amnesia following a therapy session. Does anyone else? Like I have a vague idea of what happened or sense the general feeling of the session but it’s not clear exactly what happened. I usually have a very good memory for detail in my life and remember all sorts of useless information so I wonder if I am so frequently dissociated in session that I lose what’s gone on?

I do know that we talked about the eating disorder stuff – again. My therapist asked me how things were going and said that although I may not like her bringing the subject up, that it was too important for her to just let go – indeed she couldn’t/wouldn’t let it go. The session was fine. I told her how things were and filled her in on what was going on now (level of exercise, what I am eating, how I feel about my body, and the physical symptoms I was experiencing) and what it’s been like in the past. It was ‘the no-filtered version’ of life with an eating disorder.

I think she finally has an accurate picture of what it’s like  for me and she seemed to get it. I guess part of me was quite relieved for her to show she cared and build on the phone check in we had had on the Thursday night. I felt exposed but also like I wasn’t completely alone with this burden anymore. Yet again, I failed to bring up any of the issues about the attachment and the feeling disconnected from her but on the whole it was ok.

The week was a bit wobbly between that session and the one I just had on Monday (8th) – but when is it ever not wobbly?! I can’t suddenly let the cat out the bag about the anorexia and not be impacted by it can I? So, yeah, it was very bad in the early part of the week again. My tolerance levels were shot, my temper was short, and I was beating myself up in a big way. It wasn’t good. Some of it was undoubtedly hormonal but I know a larger part came not having really eaten properly in weeks: my blood sugar was low, fatigue was massive, and all the stuff that I just about have a handle on from week to week was suffocating me.

On Wednesday evening things felt so utterly overwhelming that I almost just got in my car and drove away….you know, just wanted to leave everything? I was done. It wasn’t good. I’d been having dreams about all the stuff surrounding my dad, friend, dog, all dying – upsetting as hell. I had also dreamt that my therapist had left me – nooooo. Oh and then I had a dream about my very good childhood best-friend, the one with metastatic breast cancer, and planning her funeral with her. It was a week where my sleep was filled with death and loss. The feelings crept into my waking life and I felt on the verge of tears every time I woke up, and every time I felt a bit tired.

Thank god for good friends with an ability to talk me down is all I can say. A twenty minute phone call was the difference between me falling off the edge altogether and regrouping and having another stab at moving forward. Things are on a knife edge.

By the end of the weekend I had reached a place where I wanted to really talk about ‘big stuff’ with my therapist and had steadily been eating a bit more each day which undoubtedly helped with my mood. Don’t get me wrong, there was still the voice telling me I was fat, and lazy, and can’t even succeed at an eating disorder… yeah, really!…and that is not easy to have doing the rounds in my head. But there was a part of me that was trying hard to hang on and not sink down into the place where I would, before long, have been passing out. Dizzy spells, cold hands and feet are enough. I was pushing myself too far. I know that how things have been since Easter is not sustainable. I was losing the battle with the eating and it wasn’t good. I wanted to unpick this properly.

I needed to explain why the attachment stuff feeds this kind of damaging behaviour and relationship with food and how things need to change – although I have no idea how to get round this myself but if my therapist at least has an accurate picture of just how bad it can feel we might be able to put a plan in place. The eating disordered behaviour simply masks other issues. Sure there is a large dose of body image stuff thrown in the mix but primarily not eating allows me to focus on something other than feeling the pain of neglect and abandonment. It temporarily shifts focus away from the Mother Wound.

Despite feeling embarrassed – mortified, even- that my young parts are so traumatised and get triggered every time I see my therapist, I think it’s time she heard the truth about how affected I am when I can’t see her…the real truth, not just the watered down insinuated version of things. I wanted to explain how I long to connect with her but part of me feels distant and like I can’t trust her. I want her to know that when I am not with her in session the young parts cannot cope at all and it is utterly overwhelming. I need her to know that breaks aren’t just ‘a bit difficult’ they are ‘a fucking disaster zone’. I wanted her to know that touch, or lack of it, has become such a huge issue for me that it’s massively impacting my ability to function in the relationship and is attacking my self-esteem.

I sit in session every week feeling like there is something wrong with me because we are so physically distant. I need more proximity if I can’t have touch because my mind tells me that my therapist doesn’t want to hug me because there is something disgusting and repulsive about me and she is only tolerating me because she has to. It must be the idea of touching me, even holding my hand, that is nauseating to her. It’s not the first time this physical rejection has happened to me and it’s hardly surprising it’s coming out in the therapeutic relationship now when so much of the work is about my mother. Yay for huge whacks of maternal transference with my therapist! Ugh!

For me, the ‘no touch’ boundary feels just the same as my mum refusing to touch me at fourteen saying ‘don’t hold my hand. People might think we are lesbians’. We’re twenty one years down the line and since then I’ve never had any holding from my mum (I mean there wasn’t much before that point either!) and the sense that ultimately ‘being a lesbian’ is a bad thing has stuck. Little did my mum know when she said her casually homophobic remark that I would turn out to be gay and those words branded into my brain.

I know it’s not my therapist’s job to physically hold me but I am not sure she realises how traumatising not being touched at all is for me. Every session with her reminds me that I am not worthy of her physical care – and might it be because I am gay? Is that the problem? I know it’s not rational. Adult knows this. But there are plenty of others inside that feel it to be absolutely true. The young parts of me want to be physically close to her and not being able to be feels utterly rejecting. How can a young three year old part make any sense of why an attachment figure won’t come close?

To my therapist, no physical contact is just a therapy boundary but to me it confirms everything I believe about myself as being unlovable, untouchable, and repellent to be true. That’s how it is. It’s hurting me. It properly makes my stomach ache and my chest feel tight and I want to cry when I think about it. It’s a big wound.

So yeah, with all that ready to air it was going to be a big session! I had reached that ‘now or never’ place. I was feeling brave. Go me!

So, I walked in, sat down, made some passing comment about the lovely weather and how I wanted to go to the beach – I’d actually been considering asking if maybe one day we could have our session on the beach seeing as it’s only about a five minute walk away. I looked at my therapist and immediately sensed something was up.

Fuck.

What was wrong?

My internal system went on high alert. My poker face went on. I steadied myself. I waited.

And then out it came…

We needed to talk about the eating disorder stuff and she said it couldn’t wait until the last few minutes of the session. She’d been thinking a lot since the last session about what I’ve told her since coming back from Easter break. She said that she was very very concerned about my well-being. She was worried about my low BMI. She was worried about the fact that my body is clearly struggling and shutting down. She was aware that the dynamic between us had shifted and that she’d fallen into being more like my mother and almost policing me by talking about what exactly I’m eating and suggesting strategies to eat more [sounds fair enough]

But then came…

She was not prepared to hold this level of risk and be so worried about my physical safety. It was not her job. She wanted me to go to the doctor, get bloods taken, have an ECG, and get weighed. She wanted the doctor to confirm I’d been seen and communicate with her. Or if I wouldn’t go of my own volition she wanted to write to my GP and ask for these things to be done. She wanted someone else to be responsible for my physical well-being. She needed a safety net.

She said I was either agree to all that or we’d have to work towards an ending.

After the words ‘work towards an ending’ I didn’t hear a great deal more. I shut down. Properly shut down. I was a mess inside, though. Like utter full-on flat-out panic. The young ones wanted to burst into tears right there and then. It felt like a hole had opened up beneath me and I was falling. Not seeing my therapist anymore would be akin to a bereavement. This. Cannot. Be. Happening.

The Teen part stepped up, though and waded in. Her thoughts?:

There we are then. Confirmation that when I let stuff out and trust someone with my shameful secret it backfires. I am too much for my therapist. I am too much for everyone. She isn’t prepared to work with me alone. She said she would be here for as long as I needed and now there are conditions attached. Why did I trust her with this? I’m an idiot. I fucking hate her.

Look. I (adult) absolutely get that what was said, and what came afterwards in the rest of the session, was coming from a place of care and it wasn’t only about my therapist covering her back. It is completely reasonable that she would need a safety net for if things get bad so she has somewhere to touch base and get me help if I needed it. It’s no different from when I saw her in the NHS and she had my details on record. But that wasn’t how it came across at the beginning of the session. To be given an ultimatum within three minutes of sitting down where the choice was ‘go on record about your eating disorder and enter into the NHS circus again or we’re done’ didn’t feel like much of a choice if I am honest.

I’m glad that she didn’t leave this stuff until the end of the session because we needed an entire session of talking about this stuff back and forth – as painful as it was. The moment she mentioned the possibility of ending I felt so sad and scared.

We like to convince ourselves that our therapists will be there no matter what. Well actually, I struggle to believe that is the case and am always feeling as though shit is going to blow up at any given moment so I best be vigilant. For me it’s been about trying to believe she is as good as her word. That she is reliable. That she won’t abandon me when the big stuff comes out. I was starting to believe that maybe she won’t leave and that as long as I need her she won’t let me go – hence finally telling her fully about the eating. It’s not true though. When it comes down to it, she can and will sever the tie. It is just a job to her. Sure she cares but she has to work within a framework and that means being hard line sometimes.

I get that she wasn’t actually saying ‘you’ve said x and now I am terminating you’ far from it, she said it isn’t her job to be neglectful and I’ve had too much of that from others in the past. She isn’t trying to let me down, in fact it is the very opposite… but the very mention of the ending sent me into orbit. I know it was probably a bit of tough love and she was maybe riding on the fact that my attachment to her is strong that I would help myself rather than lose her. I dunno.

Even though we’ve left things on ok terms I still feel massively unsettled now. I mean things were already a bit all over the place and now it’s like I am on very shaky ground. Unsurprisingly the eating is feeling really hard again now…because I feel out of control and like I am going to maybe lose the person that I need to help me.

The initial request/insistence that I must go and get checked out or work to ending has changed a bit/been negotiated over the course of the session we had. Somehow in amongst the teen shut down there were periods were I strongly advocated for myself. I have now given her my GP details and agreed that she can contact my GP if we discuss it beforehand. I’ve said that if she thinks things are bad she can act but I have to know about it first; I don’t want to suddenly get a call from my GP asking me to come in because my therapist has contacted them and me not be aware it was happening.

The reasons we got to this point are that I had been eating and had been looking after myself a little better this week. I was honest with her and said that things haven’t gone away but that I am not in immediate danger right now. I probably was the week before and so her reaction was entirely reasonable. She had cause to be genuinely worried about me last week. I was genuinely worried about me too. I told her I would tell her if I was slipping. I know that this is going to be a challenge because part of me is worried about ever bringing up this topic again.

I also reminded her that as part of my cancer follow up care I get full bloods taken every eight weeks and I get weighed (which I hate but I can’t really argue with). They monitor me very closely and so I said that if they are not overly concerned about my BMI (it has been mentioned but nothing done) or my blood chemistry then I think that’s good enough. She wasn’t aware I had such a thorough work up at the hospital so this went some way to settling her concerns.

I said that my eating disorder is definitely an issue, has been massively active, and it is absolutely something I need to work on but the idea of going back to weekly weigh-ins and GP appointments would actually make things worse for me. I don’t want to run away from this stuff anymore (hence letting her know about it) but equally I know what hasn’t worked for me in the past. If I get weighed all I want to do is chase the scales downwards – not maintain.

There were times in the session where I was really reactive and grumpy and shut down and dismissive and ‘I don’t care’ and ‘what’s the point?’ but she could see it was all a reaction to what she’d said. I’d sent her my post about the Mother Wound and asked her to read it because, actually, I know that this is where so many of my issues stem from. She didn’t have time to read it before the session and so I felt a bit irritated about that. Remember I was in pissed off Teen 😉 and when she offered to read it in the session I just couldn’t bear the idea of her sitting there reading the vulnerable stuff and then having no time left to discuss it.

I left the session. I didn’t want to go. I wanted to settle things properly and leave feeling better. Doesn’t work like that though does it?! Time’s up. We over ran by five minutes but I knew I had to leave. I drove home and had a good think about what had happened and then sent this text to her about one o’ clock:

Today felt really hard for me. Having had some time to reflect and untangle – actually the request for my GP details really is a non-issue and had you just asked for them and explained that it was because you feel like it’s important to have back up, I would’ve given them to you. I completely understand why it’s a good idea that you have them and it’s fine if we agree communication beforehand if it becomes necessary. The thing that shut me down/activated stuff was how what you said was delivered. It felt like you were giving me an ultimatum along the lines of – ‘see your doctor or we’ll have to work towards and ending’. All I heard was ‘we’ll have to work towards an ending’ and so every vulnerable part felt the rug come out from underneath me. This is the sort of thing I dread happening but am always sort of expecting, and why I am always reluctant to let stuff out. When it feels like things are so tenuous my instinct is to leave before I get left- hence how I was today. It’s been really hard opening up about all this stuff especially just after the Easter break when I feel like trust is an issue and still feel disconnected (I really missed you) – and to feel like that was essentially being me with ‘it’s too much’ (even if that’s not what was intended) is not easy. Unfortunately, there is a part that struggles to believe that this isn’t actually just about getting rid of me and there are other parts that feel completely bereft. Trying to be rational but it’s not always my strong suit. Anyway, that’s about it I think.

Of course there was no reply to that. And then I started second guessing myself. Texts haven’t gone well for us and after what happened at Christmas where she thought I was criticising her and nothing was good enough I wondered if what I had text might be read as another criticism of her rather than just saying how it felt for me. So at six pm I sent this (groan….when will I learn to just shut the fuck up and manage for myself?!):

And none of what I said in that message is meant as a criticism – in case it comes over that way –it’s definitely not my intention. It’s just what happened in my head when you said what you did. What I hear and what is meant can be quite a distance apart…which highlights to me just what a mess my head is. I wish this young attachment stuff would just go away but it gets triggered so easily. That part is always there listening, and then it doesn’t settle down and becomes another jumble of mess to manage. On the plus side, I’m delighted that you don’t feel I’m psychotic.

(We’d had a bit of a joke at the end and that was what the end bit of the text was about.)

Obviously, it’s been complete radio silence since those messages on Monday – which sucks. But it’s the boundary…another that I seem to have no say in. Ugh. It’s felt pretty rotten at times over the last few days and yet now I feel I can’t reach out to my therapist for help or support. I can’t text and ask for a check in or an additional session like I did a couple of weeks ago because I feel like I am already too much for her. It’s horrible. I need to work this stuff out with her more thoroughly and yet it feels impossible and so I am sitting on it all, brooding, and cycling through the whole range of emotions. I don’t like rollercoasters but I seem to stuck riding one right now.

This morning I woke up at 5am feeling sick after having another dream about my therapist leaving. I’m just about hanging together with rubber bands and chewing gum but it feels like I have done it now- I have broken the therapeutic relationship. I am frightened that I will go back in on Monday and she’ll terminate me. She’ll have had some more time to think and that’ll be that. It’s a complete head fuck. I’m trying not to get worked up about something that is unlikely to happen but unfortunately some of the parts have different ideas!

So that’s that. Nothing earth shattering or insightful – just how it is in the therapy and life of yours truly!

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Letter to my seventeen year old self.

Dear Seventeen,

I’ve just read your diary. Please don’t be mad. Wait and hear me out a minute. I know how angry you were when you woke up to find dad reading your diary on holiday in Mexico and how violated you felt back then; but please know that I am not deliberately prying into your private life or being nosy. I’m just trying to understand you better. And honestly, I am good at keeping secrets, in fact I’ve been holding onto yours for the last seventeen years of my life. I’m not here to judge you and I promise that you can trust me.

We haven’t met before. Well, I know all about you (more than you realise) but I don’t think you are aware that I even exist. I’ve been watching you stuck in your own private hell for a long, long time now. It’s like Groundhog Day for you in the year 2000 isn’t it?

Too often I have turned away from you when I should have reached out to you. I have ignored your pain and your suffering because I haven’t known how to help you. Sometimes I have wondered if you even want to be helped.

I don’t know if you know it, but sometimes you take over my body in the present (which, by the way, is 2018 and means you’re often roaming around a stretch-marked 34 year old bod’ – yeah I know, it’s not great – and to think you hate your body now is incredible!) and react to my current day issues as though you are being hurt again in the way that Mum and H hurt you. It’s like my life triggers flashbacks from your life and you (and I) are reliving the pain over and over again.

I can feel your anxiety and fear coursing through my veins. I can’t speak and I go numb. I shake. I feel your frustration. I haven’t know what to do and neither have you. I’ll admit that I have felt overwhelmed by your feelings. I know you have things to say but I also know that you are very very frightened. I understand how desperately alone you feel. It broke my heart reading your account of the pain you feel inside. I know how hard it is. I remember it well.

You feel like you have no one to listen to you and that no one cares. It feels so difficult to trust anyone. You fear getting close to people and letting them in because you think you’re going to be rejected or abandoned or ridiculed – and you don’t think you can survive it again. This year has been the hardest one yet, for you, and I am not at all surprised that you just want to run away from everything and anyone that might hurt you.

So you isolate yourself in order to avoid being hurt but you can’t be alone forever. In your heart, deep in your soul you know you need love and connection. We all do. I know it feels risky seeking that out. I know you fear annihilation. I get how scary it feels to consider opening up again after what’s happened. You are still heartbroken but the only way your heart is going to mend is through letting someone heal it with you; currently you have a handful of shattered pieces and no glue.

There is no shame in wanting to be loved. You needn’t be embarrassed for feeling love either.

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You probably won’t believe me (who can blame you after all you’ve been through); but if you can find a way to trust me, I think that I am the person that you have been waiting for. I can help you, listen to you, and love you…if you’ll let me. I really want to make things better for you – for both of us- because right now your pain is my pain and it’s crippling the pair of us.

I’m so sorry, so very sorry that circumstances have made you feel like you are not worthy of love and care. How things have been with mum are not a reflection on you. None of how she has been with you is your fault. You are not unlovable or untouchable even if that’s how you’ve been made to feel over the years.

How things have been for you growing up isn’t normal. I think you know that but really acknowledging that is devastating. You have suffered emotional abuse and neglect at the hands of the person that should have loved you and protected you the most. I assure you that there is absolutely nothing you could have done that would have changed how things have been for you.

I know that’s hard to hear, but I think you need to hear it and try and take this in. You carry the weight of the world on your shoulders. You feel responsible for everything. And darling, some things are simply beyond your control. No matter how good you are or how much you achieve, there are some things you cannot change or control. You can only be responsible for you and not for the actions of anyone else.

What I will say, though, is this: it won’t be long until you are able to start getting away from some of the horrid stuff. Next year you will leave home and go to university, you’ll fall in love (really!), and things will start to get better. I promise you it won’t always feel this bleak. Until then, though, I’m afraid you’re just going to have to hold on tight and keep putting one foot in front of the other like you always have. I know it feels impossible sometimes.

Despite everything that has happened you are still here. You are a fighter. I know there have times when you have been very close to the edge. I know there are days you have thought about driving your car into a wall or overdosing or paddling your surfboard out to sea and never coming back. I felt the pain of each cut you made, and every burn on your skin. I know how you starve yourself. I see how regularly you purge everything from your system. You are punishing yourself over and over again for something that is simply not your fault. I don’t hate you. Why do you hate yourself?

You’ve lost sense of your value – or maybe, more accurately, you have never felt valued or loved. You feel worthless. Don’t get me wrong, I know why you feel this way. Steady and systematic emotional abuse does this to people. Now you feel like you are acting your way through life. You have little idea of who you are because you’ve spent so long trying to be what everyone else wants you to be that you really don’t know how to be yourself. You’ve struggled so hard against yourself for the last couple of years not wanting to disappoint anyone but inside you were dying.

I am so unbelievably proud of you. Coming out was massive. I know right now it feels like the worst thing you’ve ever done and you feel more lonely than ever; but those people that walked away from you, called you names, and bullied you were not your friends. I am telling you that even though it was scary and is still having a huge impact on your day-to-day you have made a huge leap forward into living authentically as who you really are. I know it takes a huge amount of courage to stand up and speak your truth but six months from now, you’ll be surrounded by people who love and accept you for exactly who you are and those people will become lifelong friends – chosen family.

I also want to say thank you. What for? For looking after the little ones. You are a force to be reckoned with, for sure! They are very lucky to have you as a protector. I know it’s difficult living your life when you continually have distraught children demanding your attention. It is not your job to hold them. It was never your job to look after them, but in the absence of an adult to care for them, you’ve done a brilliant job.

I have children (a boy and a girl). I see a lot of you in them because I remember you as a child, too. You were innocent and vibrant and full of life. You had so much love to give and then something happened and you started holding everything inside and that light you exuded steadily faded until it is now barely a flickering flame inside you. I know right now you feel bereft because, to you, coming out equates to you never having children and you so desperately want to be a mum. I’m not a time traveller but I am telling you this – children are going to be part of your future and that flame will burn brightly again in the love you have for your babies.

You are incredibly strong and I recognise just how much effort you put in to surviving. Sometimes the best you can hope for is just to keep on keeping on. You’ve done amazingly. Don’t roll your eyes! I mean it. The fact that in the face of so much pain you have still somehow held it together, passed your exams, can drive, and are alive is testament to your spirit. You are so driven and this is a good thing. It’ll take you a long way in life. But do you know what? You need to learn to relax too.

You need to let your hair down every now and again and have fun. You are so serious – so grown up- because you’ve had to be. As I said earlier, I am here now, for you and for the little ones – if you want me to be. So I am giving you permission – please relax and start to heal. The adult you all need/ed is here now. I’m not super woman but I promise you that if I can be there for you when it starts to feel scary then I am going to be there – and I am not going anywhere.

Things aren’t going to feel better overnight, I think we both know that. If things are to improve then we are going to need to work together on this. And so there’s something I need to ask you to do for me. I know you know about the therapist that I see each week because sometimes you hijack my session and stamp your feet a bit; or sometimes sit there silently raging and planning how you’re going to hurt yourself when you get the chance. Between you and the little ones there’s not a great deal of space for me in the sessions. I am, in no way, complaining about this, but I was wondering something.

I know you really like therapist but it feels risky to have feelings for her. You are attached to her just like the young ones are, ok perhaps in a slightly different way, but you do love her. And that’s ok. You want to be known by her. The idea of her really seeing you is both appealing and terrifying. Sometimes you let her see you, the real you, and other times you shut her out. When you feel close to her the alarm bells ring and you instantly back away.

Look, I’ve known this woman for six years now and I’ve been in therapy with her for three. I trust her but it’s not me that needs to talk. I’m ok. Do you think that maybe you might tell her how things are for you? Or if you can’t, do you think maybe I could tell her for you?

You’ve been holding onto this pain for such a long time, and I have been sitting on your secrets for as long as you’ve been alive and I think it’s time for us to move on.

What do you think?

Sending you so much love,

X

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Don’t worry about it until it happens…

Don’t worry about it until it happens.

I am frequently on the receiving end of this nugget of advice. Clearly it’s well-intended and generally comes from an oracle who is extremely blessed not to struggle with anxiety or, indeed, any form of mental health difficulty (my wife)! Maybe she’s right. There is little point in getting wound up about things that are completely beyond my control and worrying about an eventuality that may actually may never happen- but just going on my experience, quite a lot of what I worry about seems to end up happening somewhere down the line!

I saw this on Pinterest earlier:

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And whilst I completely get the sentiment, my reaction to it was, ‘well it always rains sooner or later so surely that’s just being prepared!’

I can’t tell you how much I’d love to be able to live in the moment and not have every one of my internal cogs working double time, under huge strain, formulating ‘what ifs’ but that’s just not how I am built. I stress about the past. I stress about the here and now. I stress (a lot) about the future.

Anxiety is exhausting.

I fret a lot. I know that I think about things too much. My sprouting grey hairs are telling me that if I needed evidence! I sometimes wonder if the saying ‘ignorance is bliss’ is really true. I never really switch off and find it almost impossible to relax… it’s hard work being me. That’s not a cry for sympathy, it’s just an acknowledgement that running on turbo charge takes its toll after a while. It’s not sustainable.

I keep myself very busy (avoidance tactics) and then periodically end up burning out and drowning in whatever it is I am running from. The problem with the ‘busy’ tactic is that the stuff that I am avoiding is still draining energy somewhere in the background. If I were a smart meter there’d be a level of energy drain that is persistent and continual. It’d be a really good idea to unplug those energy guzzling elements but I have no idea what is plugged in or where in the house those items are located (that’s what therapy is about). So instead of conserving energy, knowing that there is this continual drain, in my frustration I just overload the system and plug in some bigger items so that the underlying stuff is just a buzz in the background.

I’m not sure about that analogy. It made sense to me when I thought of it!

Over the years I have tried all sorts to switch off, calm down, relax…and not much has been effective. I can be in a really tranquil spot alone and still my brain whirrs. I have repeatedly tried guided meditations and my brain fights against it and starts compiling shopping lists or suchlike midway through. I’ve tried visualisations in therapy and whilst my brain can take me to snow capped mountains or gorgeous beaches my body has other ideas. It’s always on edge. I’ve tried body based therapies such as craniosacral therapy (love this but more the therapist than the process!) and reflexology. I’ve been for massages. Done deep breathing. I’ve exercised. You name it, over the years I have tried all sorts.

The hypervigilant, anxious, part of me so far has proven stronger than whatever I have thrown at it…. and I am beginning to wonder if it’s because somewhere deep down I know that those bits are still needed as somewhat unlikely protectors. If I dare to relax too much then when something bad happens I won’t cope because I won’t be ready for it.

Since my dad died I have been especially on guard and that was heightened even more after my cancer diagnosis. I’ve been stressing out for the last month (have you noticed?!) and whilst a lot of it is clearly based in the attachment stuff that gets thrown into sharper focus on therapy breaks (and subsequent ruptures with my therapist – sigh), none of this has been helped by the continual worry about hospital check ups and never being able to rest easy with my health.

I see my consultant every three months for a follow up to check I’m still in remission. For about half of that three months I feel passable, i.e I just about hang tight to the knowledge that my body is on my side at the moment – but as the appointment draws nearer the sense of panic sets in, sleep deteriorates, and I am cranky as hell. What if I’m not ok? What if my bloods show something? What the hell would I do if I get bad news? What about the kids?

It all starts to swirl in my head. The memories of undergoing treatment edge towards the front of my mind and I get increasingly worked up. Again, logically there’s no point in worrying about something that might not happen…but then at the same time I know there is a fairly strong possibility of things going wrong within the next few years for me. It’s just how it is. My original treatment was ‘kill or cure’ and because I know that, I am almost unbearable to live with the week leading into my appointment.

It’s been especially bad this time round because I have been ill with a cough/cold/flu thing on and off since September and I just can’t shift it. I have no energy at all. I wiped the kitchen surfaces down today and it totally wiped me out. I wish that was a joke. It makes me nervous because I was heavily radiated to my chest following chemo and I know that a potential problem in the future is lung damage and possible cancer. Great.

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Anyway, I went to hospital with my game face on and the appointment was ok. I got a really good prod and poke and there’s no need to worry right now. The doctor was satisfied with me…apart from my weight…but that’s nothing to do with cancer is it?

My wife was right (on this occasion). My bloods are as they were – no change. They’re still not perfect, i.e infection fighting capacity is rubbish, but there were no markers for cancer. Good. I went and had a chest x-ray done to check there’s nothing untoward going on in my chest and I’ll hear back about that next week.

So that’s all good. Last night I slept a little easier.

Perhaps that should be a lesson in not worrying. But I do worry. Because as I said, there usually is something lying in wait round the corner ready to shit on you. My friend getting myeloma and dying when her treatment failed was heart breaking. How is that even real???? And today, my wife has been fast-track referred on the two week cancer pathway to dermatology as she has several confirmed skin cancer lesions by the GP. So, there we go.

I was right to ‘worry’ about the ‘dry skin’ patches and nag and nag for her to go to the doctor after months of her saying it was fine. Fucking healthcare professionals are the absolute worst at looking after themselves.

She’ll be ok. She is brave. She might have to have her face dug out and/or radiated but she’ll be ok….won’t she? She has to be.

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So yeah, that’s some what’s going on here.

I’ve also got a therapy post to write at some point having seen both my therapist and the other one again last week – but right now I feel a bit overwhelmed and can’t even deal with thinking about what last week’s sessions were like or, indeed, what therapy will be like this coming Monday.

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

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I haven’t listened to Travis since I was about 17…and yet today this song came into my head. Says it all!

 

 

 

‘Breathe Me’…when things fall apart.

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

*

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

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

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

(Sia -Breathe Me)

*

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

*

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

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

How the hell did I end up here again?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

*

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

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

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

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

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

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

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

*

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

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

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

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

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

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

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

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

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

I felt so betrayed.

*

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

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

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

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

 

Recovery from self-injurious behaviours (self-harm and anorexia): Can it ever really happen?

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I apologise if this is difficult to read or triggering for anyone. Just to be clear, I am going to be talking about eating disorders and physical self-harm here. If you think that this might upset you or compromise your recovery, please don’t read it.

From personal experience, I know that if I am feeling on shaky ground with regard to looking after myself often reading someone else’s story can get right inside my head. Rather than encouraging me to keep eating or avoid harming because I see the damage it causes for others it somehow does the exact opposite. When I am in a good place, however, I am not impacted in that way. I’m trusting that you’ll make the right decision for you. (Hmmm, looks like my teacher persona wrote that last bit doesn’t it?!)

I have been wondering about something a lot this week in amongst all the other crap that takes up space in my brain and that is: is it possible to make a full recovery from an eating disorder and to stop wanting to use physical self-harm to cope long-term? Do the attacking thoughts and drives to harm oneself ever truly disappear or is the best you can hope for the strength to be able to ignore the voice that tries to persuade you to starve yourself or harm yourself? Can you really silence the Inner Critic for good?

I haven’t really got my thoughts together on it so this is really just thinking out loud.

To be honest, I am not in a great place emotionally/mentally at the moment and so I guess this is why this question has been circling in my head this week especially. The last few months have been hard for me. I have been opening up more and more in my therapy sessions and getting closer and closer to the core wound. Sometimes I have been staring it right in the face and it is total agony. At the same time, it has felt, week on week, as though I have been gradually edging my way closer and closer to a precipice.

This week I feel like I’ve finally reached the drop off and am peering down into the deep, dark, watery abyss where my old companions anorexia and physical self-harm reside. I’ve banished the pair of them to this place many times over the years at those times when I’ve managed to free myself from their shackle-like grips. There have been so many occasions over the years when I have found the inner strength to run screaming as far away from that place as my legs and mind will carry me. I’ve sought solace in activity, distraction, and the thought of ‘please let me make a proper recovery this time. I am going to change’ and managed a period of time where I function almost normally… BUT there is always something that draws me back to them and to this place. No matter how resolved I am to move away from this hellish spot I always seem to find my way here, as though on autopilot.

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As I said, this week it’s felt as though I’ve been metaphorically standing on the edge of the precipice and have seriously been contemplating diving down into the darkness again to join my terrible friends because frankly, what I am running from in my head feels too painful, too hard, too devastating. I need to escape from it all. I can’t cope with how bad things feel. I can’t just ‘sit with it’ and wait for these feelings to pass because it is all-consuming and it’s been going on for months and months now. My sense of inner strength and desire to keep fighting has been totally eroded. I just can’t do it anymore.

I am stuck, frozen, between two terrible choices – which damaging, crap friends do I hang out with now? Ahead lie Anorexia and Self-Harm. They’re more than ready to welcome me into their shitty mind games. Behind me lies Attachment Trauma. The question now, is which option hurts less? Attachment trauma is steadily destroying me. Right now I feel like I have been left. I feel so sad and little and lost. I am screaming out for holding and containment and yet no matter how loudly I yell or how many different ways I say it there is no one coming. No one cares about that little girl. There is no one who cares enough to scoop her up and tell her that it’s all going to be ok, that she is safe and loved and that it’s all over now, that she doesn’t have to hurt herself anymore.

I have tried to do that for myself time and time again over the years, but my adult is so overwhelmed by the intensity of these feelings that are coming up again that l am scared stiff and not sure I can keep going down this path, facing that demon, and essentially feeling increasingly anxious and traumatised. I just cannot continue feeling like this and so what lives in the depths of that black void is familiar and, in some sick way, comforting. Given the choice right now, I’d rather spend time sitting with anorexia or self-harm than be caught in the grips of abandonment trauma.

I developed an eating disorder when I was 16 and began physically self-harming (cutting and burning myself) at 17 and so, tragically, it appears that I have spent more than half my life (on and off) attacking my body in one way or another. I’ve never got my BMI up over 17 apart from when I was pregnant and feel very uncomfortable weighing any more than 46kg. In my head the magic sustainable in control place is 45kg and a BMI of 16.1. Yep. Fucking insane. But it’s the borderline weight where I feel ok and yet still able to conceal how unwell I really am. I don’t draw too much unwanted attention or concern as I can hide at this weight – or at least that’s what I have convinced myself. I’m not sure it’s really the case.

The one thing I know and hate about eating disorders is how skewed your mind gets. I hate the secretive, weird place I inhabit when I start focusing on my body in an extreme way. Everyone who ever tries to demonstrate care or concern becomes the enemy and I resent them commenting on my body or what I am or am not eating. I think it’s probably because so few people truly understand that it’s not really about food – eating cake won’t fix things. The eating disorder is a really shit coping strategy. For me it always starts off as trying to control something at a time where I feel like I have no control/am out of control.

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And yes, in some ways for me it is about my body image too. I am critical of my body and when I am really unwell I just cannot see how skeletal I get – how grey, tired, and just poorly I really am. The thing is, when I am caught up in full-blown starvation mode it’s a focus, a distraction from other terrible painful issues.

I know that starving myself or cutting/burning my skin doesn’t take away what is tormenting me and that’s why I know that jumping off the edge and into anorexia or self-harm isn’t a good option (really, I do know that!) because whatever I choose to do attachment trauma will only jump in after me.

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This, then, is not a good proposition because then the three of them will gang up on me and I will end up drowning again. I know I am literally only a few steps away from a complete breakdown and I need to try hard to back away from all this. I need to find a better way to cope. I just don’t know what that is. Therapy doesn’t seem to be helping much right now, in fact it’s just created the melting pot for all this stuff to truly emerge.

Recently, I threw out the scales in a bid to stop that part of me that gets obsessed with numbers. It was just starting to get bonkers inside my head. So, I have no idea what I weigh right now but I think it must be about 47kg because I feel fat and people tell me I ‘look healthy’ … yeah, that one! It’s insane that being told you look well is a frigging trigger isn’t it? Ugh.IMG_1474

I should be pleased with myself really as I have actually been working hard to pull myself back into a better place lately – this is largely through eating large tubs of Hagen Dazs each night and sharing bags of Galaxy Counters. Which, I suppose isn’t especially normal! But it has resulted in a stable body weight for a good few months. It’s not binge eating. It is systematic feeding of high calorie foods whilst being distracted by TV. I hate it.

My brain has the most brilliant inbuilt mental calorie counter. Several of my newish friends (those that have no idea of my history) are doing weight loss programmes at the moment and when they talk about it to me and I am able to launch into some detailed conversation about the nutritional value of something or the calorific content I think they must think I am strange. I often get the ‘you’re so lucky to have that kind of body that doesn’t put on weight. I only have to look at a cake and put on a stone. You eat whatever you like and you’re so slim’. Little do they know that I am fighting my own body battle, telling myself ‘I must eat the cake, the ice-cream, the fattening stuff so that I don’t fall into the place where I eat pretty much nothing and spiral downwards’.

Another reason that I have had to try and maintain a reasonably sensible weight is because (and here’s where I should be writing that I value my health, care about myself enough to look after myself, and that I am not plagued by negative voices) part of my follow up cancer care is that I see the consultant every three months and part of that check is getting weighed (rapid weight loss is a marker of active Lymphoma).

Last October I went in for my check and there was a flurry of concerned questions from the nurses as I stood on the scales because I had lost 6kg in the three months between appointments. I knew that the weight loss wasn’t down cancer but I also couldn’t tell them what mess I had got myself into with not eating and over-exercising. So since then I have tried to get myself off their radar and creep back to a more acceptable, if still too low, weight.

Over the years I have crawled back up out of the abyss more times than I can remember. I’ve sort of joined the rest of the world masquerading as someone who is ‘fine’ and has it all together. But I won’t lie, even when I am ‘well’ or as well as I ever get, the voice inside my head that tells me I am not good enough, that my body is disgusting, and that the only way to feel better about myself is to not eat and self-harm myself is always there. The only thing that changes is my response to that voice. Sometimes I have the strength of mind to say, ‘fuck you! Leave me alone. I am not listening to your shit anymore’ but then other times it just doesn’t happen and that’s where I am at today.

I have to be especially careful with exercise when I am in this head space. For me exercise is a double-edged sword. I have always been fit and active, sporty, and competitive. I really like to get out and run or cycle. It gives me an escape from being my head. I zone out. It feels good. When I am ‘well’ exercise is fine but it can quickly turn into something negative and self-destructive, like it did in the summer: I got back into my running in the Spring having not really done any since finishing my cancer treatment. I was determined that I was going to get my fitness back (despite the consultant telling me that I would struggle because of the radiation to my chest and weakness in my lungs).

My exercise plan started off as a healthy twice weekly thing: a quick 5km run. But it wasn’t long before I threw in a 40km bike ride, then upped my running distance to 15km each time. By the middle of the summer I was up to running 15km on alternate days of the week, cycling 40km on the other days, and walking my dogs 8km most days. Oh, and let’s not forget to mention the 30 day arms, abs, and plank challenge app that I would do in the evening. It’s literally all or nothing with me.

I liked getting out. I liked feeling super fit again. I enjoyed knowing that my speed and stamina were improving and that my friends, who have always been healthy and active, were posting significantly slower times than me. It’s so addictive watching your times on the Strava app…but then it soon became something to beat myself with, always needing to go faster. The only positive at this point, was that despite the ridiculous amount of exertion I was sensible enough to keep eating properly. I was attacking myself with exercise but I wasn’t attacking my body by not eating which is what I would have done in the past.

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Then one day it changed, just as it always does. Big sigh. I had started skipping meals again. I rarely have breakfast anyway, but on this day I hadn’t eaten at all. I decided to go on my 15km hill run. It was a hot, humid evening – 23 degrees according to the car thermometer – and I pushed myself hard. It had been a stressful day and I need to run away. I posted my quickest time by miles. I felt pleased with myself. The voice inside my head that berates me incessantly was silenced briefly. But by the time I got home and walked in the door I was dizzy and sick. I blacked out in the hallway. I had a bath and the room began spinning in the way it used to after drinking too much alcohol at Uni. I was so unwell that I had to ask my wife to help me up the stairs and put me to bed. I felt awful.

I really scared myself and since that day in May I have only done one short 8km run. Part of me wants to go out and run hard and fast and push myself but there is another protective part that is telling me ‘NOOOOOOOOOO’. I feel stir crazy and lethargic not moving and I have too much time to think but it’s the only way I can think of to keep myself relatively safe and right now that’s the best I can do.

So that’s the anorexia covered, what about self-harm, then? At Easter things were feeling particularly precarious with regard to wanting to self-harm again. I had self-harmed straight after the Christmas therapy break having not done so in several months. The break had stirred up a lot stuff: it’s when I started to become more aware of the different parts of me and how much the little ones were impacted by the separation from my therapist. I didn’t feel able to tell her about any of it at that point and so took to hurting myself instead.

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As the Easter break approached I could feel myself getting stressed and anxious about not seeing my therapist and I that’s when I decided that I would make a commitment to myself that I wouldn’t cut or burn myself again no matter how bad things felt. Tall order, I know! I decided to book in for some tattoos on my wrist, forearm, and ribs – the places I would generally hurt myself. I was going to get something symbolic in place of scars. There was three month wait for the artist I wanted and so in this time I knew I couldn’t damage my skin because it would affect the tattoo and tbh I didn’t want the artist seeing new cuts or scars either.

So for three months I didn’t hurt myself at all (even though I wanted to at times) and since having the tattoos I haven’t cut or burned myself either. Instead I have meaningful reminders that I can survive and that this is not the end: Lotus flowers, unalome, semi colon, root chakra etc. So, these tattoos have worked as a symbolic protector. I haven’t self-harmed but it hasn’t meant I haven’t wanted to. And that’s what I am pondering in the title of this post; will that desire, need, whatever it is, to harm ever disappear fully? Will there be a time where I feel anxious or depressed and my brain won’t take me to this place? It won’t cross my mind to cope in a negative way? I don’t know. I hope so.

So for now, today, at least, I am digging my heels in as much as I can and leaning away from the edge.

At the start of this I wondered if it was possible to ever really recover from an eating disorder and the desire to self-harm?

Perhaps the real question is: will I ever feel good enough? – because I guess underneath it all, that’s what it’s all about.

I guess maybe it’s time to bring this to therapy…again.

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Alanis Morrisette’s, ‘That I would be good’ has been stuck on an almost constant loop in my head since Wednesday. It’s another of those songs that I haven’t heard in years but I guess is a reminder of having been in this place before, in my teens, and so it’s come up again now.