Letter To My Therapist (That I Probably Won’t Even Show Her!)

So earlier in the week I was really struggling. I always feel particularly unsettled in the first few days after a therapy session. It’s a pattern I am so familiar with now that I’ve almost accepted it as part and parcel of this therapy, albeit an uncomfortable side effect. It’s as though seeing my therapist stirs EVERYTHING to do with my attachment issues up and then I walk out the room with a bunch of inconsolable children inside me and some angry teens and have to survive the week as best I can. It is utterly draining and emotionally all-consuming.

The attachment pain I feel is agony. It’s been especially bad since Easter break where the eating disorder stuff got a bit (ok, a lot) out of control. The ED stuff was certainly triggered by feelings of abandonment and rejection around the Easter break and not seeing my therapist for almost a month. I feel huge amount of shame just typing that. I am so embarrassed that I am so attached to my therapist that not having contact can send me into free-fall and latching desperately onto my teenage coping strategies like a life raft on a stormy sea.

I hate feeling like this. I hate not seeming to have found a way of ‘not feeling like this’ after being in therapy for such a long time. If anything these feelings are getting worse rather than better at the moment. I know, in part, this is because I am keeping a lot to myself.

My last post was about The Elephant In The Room or rather the herd of elephants that are wedged in the therapy room with me! I was largely talking about the eating disorder stuff being a current and big stubborn beast but there are others. One of the most persistent and long-standing (so far as this therapy goes) elephants is the one about being unable to talk about touch and holding in the therapeutic relationship.  We talked very briefly about it last year – basically it’s a no from her- and since then I have struggled to acknowledge this really massive problem for me. In fact I would go so far as to say it is ‘the issue’ that activates all of my anxiety in the relationship.

I need to find a way of feeling ‘more held’ and I know that part of the problem with not feeling held and contained is that I see my therapist once a week. Before my last session I had reached the conclusion that it was time to ask about incorporating another session into my therapy or, at least, a check-in (because that made a huge difference the other week) and so I text her to ask if we could talk about this. I basically said that I can’t do the work I need to do with one contact each week. It’s just not containing enough.

My therapist was agreeable to the idea of an extra session, in fact she had suggested this might be a good idea this time last year, but as things stood financially with me not working it just was never on the cards. I hate that mental healthcare is so limited by your ability to pay in this country! Anyway, since I have taken on some home-schooling and tutoring work it’s just about doable to have another session.

Unfortuantely, my therapist doesn’t have any times available at the moment. Ugh. She has said it could be several months until a slot becomes available and in the meantime she has not got time for a check in. You can imagine how that went down with various parts of me. I sat there and absorbed what she was saying with an ‘it’s fine’ face – I mean it is the way it is, she is busy. BUT omg! It stung.

It wasn’t so much the not having any regular times available for a session that upset me – there’ll be one eventually- as soon as one becomes free it’s mine. No. It was not having time for a check in that hurt the parts that feel like she doesn’t care about me anyway. Like, seriously, she doesn’t have time for a five minute call at the end of the week to settle the parts that are struggling, or won’t reply to a text and say ‘Still here! Look forward to seeing you on Monday.’

I know we don’t have a good track record with texting but I was kind of hoping that if we spoke about it a bit we could reach a mutually acceptable way of interacting that would help contain those feelings that get so stirred up in the week. As it stands I feel stranded and alone and like I don’t matter. I know I should bring these feelings up in session today but it all feels so raw and activated that I suspect it will become another elephant.

I’m struggling, too, because when she told me that she had no time for a check in she said that the other week when we spoke on the phone it was an usual situation because she had had a cancellation. This simply isn’t true. She doesn’t work at either of the times she offered me to talk that week. And whilst I understand she mightn’t want to make it a regular thing working outside her usual hours, that is what she did that week. It felt like a big gesture on her part that she was willing to help me outside her usual working day and now it feels like something has shifted… she did mention that she felt that the dynamic had shifted…so maybe she’s gone back to the usual frame. I just have no idea.

I really want today’s session to be connecting and holding because we have another break next week. I am going away on holiday but my therapist would also have been away so whichever way you look at it we would’ve had a disruption (again!). I am so rubbish with breaks and the last thing I want is to walk out of my session today feeling anxious and lost and little – even if that is the norm.

My therapist said to write stuff down and bring it to session last week and so that’s kind of what I have done. I splurged on the page on Wednesday – a five page handwritten letter – and have copied it below. Today it feels unimportant, or less potent, somehow. I don’t know whether or not I will take it with me and hand it over. I guess it would prevent a silent session but I am not sure I want to be so vulnerable.

I find this whole process so bizarre. I struggle so hard for the majority of the week, the feelings are huge, it is so painful, and then I get to the weekend and things semi-settle down. I guess part of this is because I know I will have my session on a Monday and so the parts that struggle settle a little in the hope/knowledge that they may get what they need in session. I think there is probably also a bit of resistance from some of the parts. It’s almost like ‘you weren’t there in the week, so why should I care or talk to you now?’ I know!! It’s not all coming from an adult place!

Anyway, here’s what I wrote. No idea what I’ll do with it!

What It’s Like On Wednesdays

Wednesdays are notoriously the worst day of the week for me. Something horrible happens in the pit of my stomach when I wake up and it stays all day. It’s hard to explain how utterly crushing this feeling is and to anyone that’s not felt it, it must seem crazy. I know, however, that I am not alone in this and at least a couple of my friends understand.

Every week in session I struggle to talk about these feeling because they are totally mortifying. It seems so stupid that a grown-up can feel so small at times and so unsafe. What’s even worse is that these feelings are triggered in relation to you. I can’t tell you how awful that feels. I don’t want to feel any of these emotions and I certainly don’t want to feel them about you. I don’t seem to have a choice, though. Believe me when I say have tried to rationalise out what I’m feeling, to make sense of it , in the hope that it might go away…but it doesn’t.

You tell me that the young parts have done nothing wrong and their feelings are ok. Sometimes I believe you. Sometimes the way you say it makes me trust that actually you aren’t freaked out by this and you can handle whatever I am feeling. Sometimes I can feel the barriers coming down and there is a sense of connection. The problem is that a lot of the time I don’t believe what you have said, either because it’s been a while since you’ve said it (I hate that I need so much reassurance) or because I sense something is different in you. I might be oversensitive but I notice when your voice is different and how you are sitting – and even if those changes are only subtle, the parts of me that have always had to be on guard start applying a narrative to what might be going on. I don’t know how accurate it is because you rarely tell me how it is for you.

I know that my ‘worst case scenario’ thinking doesn’t do me any favours here ,but if I feel like you are annoyed or frustrated with me I shut down even further. I do, absolutely, feel helpless when it gets like that. I wish you were able to actually see what’s going on inside me when we are sitting in near silence and I feel like you are giving up on me. I know it’s difficult to picture a set of small children all alone and separate from one another suffering varying degrees of upset but that is how it is.

You said before that sometimes it’s like being blindfolded with me, and you don’t know who’s there – for me it’s like being trapped on the edge of a ravine. I can see you, just about, on the other side, but I can’t reach out to you. You cannot hear me crying. At least I don’t think you can. The critical part of me thinks otherwise and believe that you simply don’t care that it is so difficult for me and despite what you may say, are as embarrassed about how I feel as I am and choose to ignore it. It’s easier that way.

So, frequently the session is fine-ish. I talk-ish. You probably think things are ok-ish. And yet more often that not I walk out of the room feeling sad and deflated. I am frustrated that I can’t tell you how bad things feel. for the young parts. I’m still not really sure you get what I mean when I say I worry about you giving up on me. It’s not a mild sense of anxiety, it is utterly debilitating. And sure, I get it, therapy will end one day, but the youngest parts of me don’t even feel like you’ve really seen them yet and so the idea of an ending feels hideous.

I walk away feeling all sorts of agony. I really believe that it is only a matter of time before you pull the plug on the therapy. I understand what has happened lately with all the GP stuff and eating disorder stuff. I know it’s important to have a safety net but I can’t help but feel like you’ve started backing away from me because actually it’s all too much. This confirms what I have been thinking for such a long time and that is painful.

There is, of course, a bigger more horrible side to these feelings and this is what causes me so much difficulty from week to week, and on breaks. I know that I’ve said it a million times before but I don’t think you really understand that I am not being dramatic or over the top when I say that for parts of me it feels like you are completely gone – like dead- in the week. I feel panicked that you have disappeared and are not coming back.

Adult me knows that this is unlikely to be the case but the child parts have had a lifetime of people disappearing: my dad was ‘gone’ when I was nine months old until I was three and a half; and then my mum was ‘gone’ Sunday to Friday between the ages of five and eleven – and even when she came back she was often ‘not really there’. Top that off with my dad dying when on holiday – it’s little wonder that I struggle when you are not there and on breaks.

It should feel like I am onto a winner if I can hang onto the sense of you being out the somewhere but even that isn’t straightforward because when I can’t see you I miss you. And because I miss you I feel massive amounts of shame and embarrassment. It really is like having all the sadness and pain of my childhood playing out week after week and it is really hard to manage. I am convinced that you find me irritating and think I am deliberately keeping myself stuck and you are reaching saturation point.

I don’t like feeling this way. I want to find a way to make things feel better between sessions. I want to find a strategy that helps to contain the feelings. That’s why last summer I asked you to send me a message. You said after the break perhaps writing a message on a card would help and then the fucking pebbles disaster happened. I really wanted to succeed in making a successful bridge to get through from week to week and it’s not really worked because I still have no real sense of you, which I guess should not be surprising when the words were not yours.

So when I feel disconnected, like today –hellish Wednesday- I cycle through all kinds of emotions. The little parts feel completely alone and unseen and the older parts want to run away and give up. The smallest ones want to be close to you, to close the space between us, and the older ones want to tell you to stop hurting the small ones.

I completely get what you are saying about therapy needing to take place in the session and that sending long messages isn’t a good idea. I don’t want to ‘do’ therapy outside the room but really every time I send you something it’s to check you’re there. Obviously getting no reply doesn’t help matters in the least. I don’t know how to get round this. I feel like I am drowning with this stuff and can’t see how to make it better. How am I meant to feel secure when my brain conspires against me all the time?

I get to session and all the little parts want you to notice them and yet you don’t for a really long time. I try not to disappear when I see you because I want to be able to connect but there is such a huge fear of being seen and then being rejected that something happens and I don’t behave in a way that I recognise as even being me. I feel embarrassed when I sit there saying nothing because I feel like you are automatically judging me negatively. Sometimes I want you to come closer to me because my head is telling me that you can’t bear to be near me. I’ve said before that the space can feel enormous and when things are bad it feels awful.

I have no idea how to get around this. Sometimes I want you to sit near me but I don’t ask and then shut down because the shame and embarrassment of needing physical proximity feels awful. So when this happens it triggers another level of hell. It’s like I must be utterly disgusting to you, you can’t even tolerate being near me. This feels horrid, especially to the parts that want to be able to touch you and can’t. I don’t think you have any idea how big an issue this has become for me. Week in week out I feel like I am re-enacting the relationship I have with my mum. Every session we have confirms to me that on a fundamental level I am untouchable and unlovable.

I struggle, then, to trust in the relationship because on a basic level I have confirmation that you don’t want me anywhere near you. It feels so confusing because I feel like therapy did ought to feel more nurturing and connecting and yet I can’t help but feel like it is impossible to get close to you. And then I wonder what I am actually meant to be doing! Like what on earth is a therapeutic relationship?

You said once that boundaries are not barriers and I have never really been able to get my head to make sense of it because if they are inflexible then how can they be perceived as anything but barriers? I seem to keep banging hard into boundaries and feeling like I simply cannot get therapy right.

I can’t help how I feel. It’s doing my head in. I hate that wanting to feel close to you causes me such high levels of anxiety but I hate, too, that I seem to be caught up in wanting something that isn’t available. Right now I have a lot of children’s feelings and nowhere to put them and so, instead, have been trying to shut them down by attacking myself. It’s not sustainable but there feels very few options out there.

I think I still want you to read the thing I wrote about ‘The Mother Wound’ because I think it sums up just what we’re dealing with. But perhaps not now….

And lastly, finally (phew)… last week you said you would expect that perhaps I’d be relieved to have a break next week given how things have been. This really surprised me. I’m staggered that I give off such a strong sense of not wanting to be there or that I discern nothing useful from the process – but I guess that’s because I rarely show you the vulnerable bits that actually want to be there, to be seen, and to connect because they don’t believe it’s possible and are scared of showing up properly only to be told to go away.

X

Oh, and actually, I’d much rather know the truth about how things are – I might not like hearing that I am annoying you or that you think this isn’t working but it’s actually better that I know. I can’t keep doing things the way I am/we are and so something has to shift. I can’t currently work out whether that is changing things and ‘colouring in’ or ‘leaving’ – because I have no clue where we are at. All I know is that the levels of anxiety and physical drain is really hurting.

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