termination

A Letter To My Ex-therapist

rubberbandsandchewinggum20 Comments

* It’s been hellish this last week or so and seeing as I can’t reach out to Em anymore to talk about my feelings around the termination of the therapy I have decided to try and put some of it down in a letter (that I won’t send). I have so much to say here on the blog and yet I feel so utterly broken that I just can’t yet. So.… Em….I wish you could see this.

Dear Ex-therapist,

It’s been almost two weeks since I saw you for our termination session and since then, I seem to have been caught up in and emotional storm that I can’t find a way out of. I am so exhausted and disorientated by what’s happened between us that I do not seem to know which way is up and am clinging on for dear life.

I am absolutely devastated about how we have ended this therapy – our relationship. I can’t believe that when it came down to it the relationship we have built over all these years disintegrated in the course of a few weeks and now there is nothing left. I don’t even feel like we really said goodbye.

Things have been hard for a long time. I know that. I am not an easy client to work with, that’s no secret. I keep a lot of things close to my chest and often the moment we get close to the sore areas in session I dissociate which has made it difficult to get to the work- but we both know when I disappear it’s because more than anything, I live in fear of being abandoned and rejected by you and need to protect myself from getting hurt. That fear has always been behind the times when I have crossed your boundary of no outside session contact.

I have been so frightened of being wholly me with you and really showing you how damaged parts of me are because I didn’t want you to repeat the script and leave just like everyone else. I didn’t want to keep you out. I didn’t want us to be working in the dark. I wasn’t trying to be difficult. I wanted to let you in and be close to you – more than anything I wanted that. And I have let you see a lot of me- you know me better than anyone and that has made me feel really vulnerable and so it’s been slow going in the therapy.

I haven’t been worried about the time because, like you said, this kind of work takes time and even though we’ve been working together a long while it’s not all that long in the big scheme of how much trauma there is. I believed that we were in this for the long haul. I knew that there would be times that would feel like we had reached the edges of what was possible but if we just dug in deep we’d come through and each time we did that a little bit more healing would take place. I thought that’s what therapy was all about.

I have so many feelings around what’s happened between us and losing you really feels like a bereavement. For the second time in my life I have lost the person that knew me better than anyone else and I can’t even begin to explain how crushing that feels. The difference is that you are still alive and you’ve left because I am too much and in some ways that makes this even harder to bear than an unexpected death. I wasn’t ready to say goodbye to you yet.

This is absolute agony because the end of this therapy has confirmed my worst fears about myself and how I am perceived in relationships. Some of the things you have said recently have really hurt me and I am struggling to let that go. You say you weren’t trying to hurt me but the young parts who you see as ‘adhesive’ and ‘like a tick’ are broken . I was breaking my heart and you said, ‘it was a metaphor’ and that I am ‘sensitive and defensive’.

I so wanted to believe that whatever happened with the therapy we could get through it – I mean we’ve done enough rupture and repair over the time we’ve worked together – but somehow we got to here and there was no repair this time.

To tell you what I did in my notebooks over Christmas was massively risky but I figured it was crunch time. I was scared but at least some part of me also believed that whatever I might say now or whichever part was fronting you’d hold the space and try and encourage me to keep working through it even if I was threatening to throw in the towel because you know that me being vulnerable makes me want to run a mile.

You recently said that you thought the teen part was about as well as other young parts. They are always there but that’s been especially so since the lead into Christmas and it’s been those parts that were so affected by the break and you rejecting the gift I gave you, and then being ignored when I reached out. I can tolerate quite a lot but not all at once and not at this time of year.

You’ve said so many times how things escalate around breaks and how it seems to funnel all the fear about being left and forgotten about into something really difficult to manage for those parts. This happened in a spectacular way this year. I cancelled sessions, text you, sent you my notebooks, and disconnected the skype call… things felt really bad BUT at the same time part of me must have felt safe enough to do that, to act out because it is very rare.

You’ve told me it’s ok to express my feelings and that there wouldn’t be any repercussions for that, you have encouraged me to bring my anger to the room, you told me it would be ok …and when I finally did that look what happened. It’s all fallen apart. You felt you reached the limit of your competency to work with me. I can’t really believe it. Honestly? Out of all the complex clients you must see in a week, it’s me that’s pushed you to the limit?

The defences I have built over the years work really hard at trying to keep me safe and yet often you’ve said that perhaps they aren’t needed in the same way anymore and perhaps they could step aside – particularly the critical part. It feels like now they had good reason to be there…which again is so painful to acknowledge. I wanted to believe things could be different and now I feel like I am back to square one.

Our termination session was so hard for me. I have never really cried with you and even then I didn’t let you see just how bad it was. I have been in pieces since you said we had to stop the therapy. I have been a wreck, crying so so much. I dread going to sleep because in the dark of my bedroom it all catches up with me and I cry myself to sleep. I don’t think you have any idea how painful this is for me. My attachment wound is big and I feel like you’ve poked it with a stick.

There is so much I want to say to you. I needed more than one closing session…I needed more than six… I was not ready for this to be over but knowing that I had no choice in your decision what could I do? As you said, it would just ‘prolong the agony’.

Walking away I feel like I have been dropped from a great height and yet there is no safety net to catch me. We’ve gone from two sessions a week to none. What am I meant to do with all that’s been thrown up because right now I feel like I need therapy every single day to try and get through this. It’s triggered all the trauma feelings and my go to coping strategies are lying in wait. I don’t know how I have managed to hold myself together through this and not resort to self-harming behaviours. It’s a battle, that’s for sure.

The saddest thing about this is that I have started to really blame myself for what’s happened. Now, more than ever, the little girl inside me is certain that she is unlovable and that she is too much.

I am so sad and I miss you so much.

x

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Termination Of Long Term Therapy: ‘No More Tricks Up My Sleeve’

rubberbandsandchewinggum38 Comments

Well, what can I say? This last week, or so, since my last post has been an emotional marathon – and frankly, my current emotional fitness levels are really more geared towards a meandering, leisurely stroll interspersed with pitstops for cake than an endurance race in a freezing, barren wasteland with no clue when the finish line might be coming.

What is especially shit is just as I think I might be near the end of ‘the worst of it’ I turn a corner and the sign flashes up that there’s actually another 26 miles to go….I have to do another lap and it seems like it’s an unending fucking marathon…or recurring nightmare. FFS!

It’s really not good right now. I am desperate to crawl into a warm, safe space, and hibernate…shame that life in 2020 doesn’t really allow much of that!

I should probably have a sign that says, ‘approach with care’ or ‘beware- unstable ground’ or ‘caution – disaster zone’ tied around my neck because I am certainly not feeling myself right now. Or rather, the adult fronting self is having a very hard time keeping all the distraught child parts in check, and so my various selves are all simultaneously falling apart. I’m trying my best to hang it together with my trusty ‘rubber bands and chewinggum’ but it’s a gargantuan effort. I am exhausted by it.

When I am on my own it’s felt like the earth has fallen away beneath my feet. The tenuous safety I felt in the relationship with Em has been proven to be a complete sham and I am back to the reality (which I really don’t want to believe) – that nothing and no one is safe, and trusting people with your heart is really an idiotic thing to do. I am freefalling through the abyss. It’s so lonely. (Well that’s what several parts of me feel at the moment…although I know there is evidence to the contrary elsewhere in my life.)

I have cried so much (and we know I don’t do crying!). I’m not talking a few rogue tears escaping out the corners of my eyes, I’m talking about convulsive, gut wrenching, snotty, painful crying that comes like a howl from the heart and soul, soaks pillows through and doesn’t seem to stop without a massive conscious effort. There’s really no point in trying to stop it, though, because it keeps coming in waves….tsunami seems apt.

I am doing grief in a spectacular way. The pain is immense. I know this isn’t just about Em but also so many other losses and abandonments that I have experienced in my life. However, the sudden ending of the relationship with Em in such a cold way has acted as a massive catalyst for me to come face to face with the big wound and I realise, more than ever, that I am still on the bloody endless bear hunt and have absolutely no choice but to keep going, I ‘can’t go over it, can’t go under it, oh no, got to go through it’.

It’s disappointing because I feel like all I have done in recent years is wade through ‘thick oozy mud’, stumble through ‘big dark forests’, battle through ‘swirling whirling snow storms’ and yet at least I had company back then whereas right now I feel a little bit like I am trying to do some kind of lone survival event and it’s not a ‘beautiful day’ and actually I am scared.

I’ve been terrified of the mother wound this whole therapy – panicking about being left, rejected or abandoned has felt pretty awful and all-consuming at times, especially between sessions and on breaks, even when I have had my therapist there more or less every week. So now, to be actually living the reality of that fear coming true – I have been rejected and abandoned – well it’s even worse than I imagined it would be. That pain in my solar plexus, the anxiety headache, and feeling like I don’t know what’s going on is awful. I know these are young feelings but man it’s not easy.

I want to just say, too, that whilst it does feel bloody horrendous and lonely and overwhelming a lot of the time, I am really very lucky to have some amazing supports in my life right now (this merry band of mother wounded souls included!) without whom I would be in a much worse place than I am. I have been on my arse and yet I am fortunate to have the support of a couple of close friends (who live fucking miles and miles away – grr!) that I can trust with these feelings and who are holding my hand through it, the start of a new therapeutic relationship with Anita, as well as an absolutely incredible craniosacral therapist who has basically scraped me off the floor and offered so much love and holding in the last couple of months that I can hardly believe it’s real.

I wrote a while back here about having just gone back to seeing my craniosacral therapist, K, after a long long break (years!) because I was feeling more and more like lots of the healing I have to do needs to be done with my body and through touch which wasn’t possible with Em (who wouldn’t even sit near to me!). And I can definitely say, that’s absolutely the case. I get soooooo much from my sessions with K on a body level. It feels amazing when everything starts flowing and I can feel the shift inside myself when I get a bit of internal space and holding. But what I have also realised is that what I have always been seeking is an authentic connection with another human being and through that, a path to healing – it’s not just about the body, it’s not just about words, it’s about two people being with one another and feeling something, cocreating a relationship that feels real.

K is not afraid to connect with me and she seems to feel what’s going on in my body even when I am not saying anything. She gets me and accepts me in whatever state I am in. I’ve always really liked her loved her and felt safe with her but maybe in my late twenties/early thirties wasn’t quite ready to do the work that I now feel is unavoidable and essential. I’ve done the intellectual work with Em but now I am ready for the soul stuff.

K is so present. So warm and accepting. She has steadily encouraged me to be more vulnerable to allow her in which clearly feels so risky after years of being pushed away.  I can actually make eye contact again now which is lovely. Seeing K again has made me feel like I am valued and loved – but not only that, she makes me feel like I am cared about all the more because of my flaws and vulnerabilities. I don’t need to hide with her. It’s scary but also exactly what I need especially given what’s just happened with Em. I don’t think it’s a coincidence that I went back to her when I did.

It’s written EVERYWHERE that the healing of relational trauma takes place in relationship and I have needed this kind of deep, holding relationship for the longest time. I’ve known for a while that Em and I were not going to last (but obviously have clung on to the hope that if I just behaved long enough, didn’t reach out etc she might meet me where I needed her to). In fact having been to see K again for the first time and then gone to therapy and told Em about it, she said, ‘Where does that leave this therapy?’ and I remember replying, ‘I don’t know’. Being with K was such a sharp contrast to the experience I have been having with Em that it really highlighted to me just how badly my young parts were being neglected.

My child parts are so connected to Em and it’s killing me right now, but really it’s a trauma bond – we all know that. There has been no holding. I haven’t really felt her care. I have been ‘like a tick’ to her and it’s basically been a retraumatising experience being in that therapy. I have tried and tried to make what was on offer enough, but it just wasn’t. I probably sound like I am doing black and white thinking here ‘amazing K vs terrible Em’ but it’s not like that. Not everything in my therapy has been bad but it has been really bad for my young parts and this ending has done nothing to help. I mean it’s trauma 101 inside. The narrative I have been trying to escape for all these years that I am too much has been completely confirmed. It’s so painful.

So, anyway, gushing on some more about K. I’ve been talking to her a lot about my therapy since I have gone back – there’s been lots of confusion and frustration, K has patiently held that with me, not telling me what to do, but understanding just how excruciating it’s been to have been so vulnerable and get nothing back….In fact, god, I can even remember popping over to hers for a cup of tea a few years ago and moaning about Em then and she said to me, ‘What is your therapist doing to hold this?’… and even then I couldn’t come up with any answers.

I’ve spoken a lot about feeling like I need to leave but also feeling like it is impossible due to how attached I am. K has been nothing but understanding as I have swung from one state to the other and I am so grateful to have had that space to work through what I feel and also what I need. K has basically made me realise that it’s ok to have needs and ok to want to get some of them met. What a revelation!

As we all know, in the end things came to a head much more rapidly than I had anticipated with Em and suddenly termination was happening – and not in the way I had hoped. The day I got the two line email from Em wishing me well for the future (aka ‘bye then’) I fell apart. It was so painful. I was a mess, crying on the kitchen floor. I text K and told her what had happened and she was so sympathetic but more than that, she did something incredible that I am still blown away by. Sensing my distress and need she offered to move some clients around in order to make space for me to be able to see her the next day.

I can’t even explain what that gesture did for me. I was drowning in abandonment and rejection feeling like I wanted to self harm, and I guess parts of me actually felt like they wanted to die, and here she was making an island for me to come and rest for a bit.

Thinking about it makes me want to cry. She didn’t have to do that and yet she did. It allowed me to maybe believe that I wasn’t actually completely unlovable and forgettable maybe I do matter…

Anyway, since then she has been amazing in so many ways, so kind, supportive and holding, she has repeatedly built me up and tells me how much strength I have and in a way I believe it when she says it. But I don’t want to talk her or it too much here because I feel really protective of the relationship. I feel like I have something really precious but also fragile and so I want to keep it safe inside me a while.

So that’s nice isn’t it?! Yay.

Alongside this I have been seeing Anita – and that’s going well but I will post about that separately later on.

I guess, what most people are wondering is what ended up happening with Em in the end?

Crikey.

Well, I couldn’t make a decision about what to do for a few days. Part of me was so angry and upset that I couldn’t see how it would be possible to go back only to face more of the same. As my friend said, it would be like walking my young parts in to be slaughtered if I went. To a degree she was right. But at the same time I felt like I should try and get some kind of ending and closure because I have had so many endings where I haven’t had a choice in it. If I never went back to say goodbye I’d be essentially left with all these feelings and keep beating myself up about it… because that’s what I do. This is familiar ground to me!

I spoke at length with Anita about it the week before and in the end I decided that it would be best to go to one termination session, try and end well, but then immediately come for a session afterwards with her to try and process it. Basically, a session with Anita after would act like a safety net. Whatever the session with Em was like it was never going to be easy and the pain I have been experiencing has been like a bereavement so I knew I’d need support.

All last weekend I had nightmares and felt sick to my core knowing that I was going to Em to say goodbye. I knew in my gut that it was going to be sterile and flat…that’s partly why we are in this place. But still part of me hoped that it would somehow be connecting, a reflection on the work we’d done and the relationship we have had all these years.

I arrived, and straight away knew it was going to be agony. She didn’t smile. She didn’t even look at me. Just sat in the chair staring off into middle distance. Still face exercise. Fuck. Child parts were scared and devastated. This is not what I wanted at all.

I started with, ‘well this is shit’. I think it was probably a teen part coming out. I literally didn’t know what to say her.

I felt so distant from her.

It was painful.

She felt robotic, using stock phrases, ‘I see you are feeling strong emotions’ , ‘I understand you are disappointed’, ‘this must feel rejecting’…bleurgh. But it felt like a stranger talking to me….when she did talk which wasn’t often.

Early on I said that I couldn’t believe we were in this place but also that this is what I have feared all along that would happen and now it is real. I tried to tell her how much she’d hurt me in the last session by likening me to ‘a tick’. I had hoped she might have tried to repair that but she simply said, ‘it was a metaphor and I stick by what I said about those parts and the unconscious behaviour’. I wanted to leave then. Like wtaf? The last session and she says that? She takes zero responsibility for her part in this. There was a lot of silence from then on. I mean there was no repairing the relationship but man, this was bad.

She said that she was sad that things had got to this point and was disappointed too…but it felt like the kind of disappointment you might feel when it’s raining outside and you’d planned to go out for a walk – nothing more. It wasn’t heartfelt. It felt flat. She said she could see this was painful for me and I said that she had ‘no idea’…as in she had no idea just how terrible this felt for me but no space was opened up to discuss the feelings. She didn’t want to know.

‘I’ve reached the limit of my competency to help you. I have no more tricks up my sleeve’ – I suppose at least she was honest but it also felt crap. Like, to me so much of therapy hinges on the relationship not what’s ‘being done’ and yet it feels to me like she is very much about strategies, ‘try this visualisation’, ‘follow this dot with your eyes’… blah blah blah. And this is always what’s made me feel disconnected. The only strategy she was unwilling to try was putting herself into the relationship. It’s sad really, because I don’t doubt that her ‘tricks’ might have worked if we could have built a solid enough relationship to build from.

She said she was glad I had come to end in person…and it shows how much I have grown to be able to do that and face the feelings. But again, it just felt like she was going through the motions. I noticed her eyes repeatedly glancing at the clock. I guess she was wishing the time away because it wasn’t exactly easy in the room.

I started crying.

I wasn’t beside myself (externally) because even in that moment when my heart was absolutely being torn in two she just didn’t feel safe to let it all out with. Big, fat, silent tears rolled down my face and I felt like I was going to explode trying to hold back the flood and started shaking. She said nothing for ages and then said, ‘I can see how full of emotion you are about this’. Like no shit! This is huge to me –  I HAVE NEVER LET OUT MORE THAN A SINGLE TEAR IN THIS ROOM….but clearly all this was only big to me not her.

She didn’t look at me or make eye contact and I felt so alone in my pain as I cried and she just sat there. It felt so abandoning. She was not prepared to meet me in that moment at all. And I get it, maybe she can’t.  I guess this has been the problem all along. Maybe she was trying to hold the space and that’s the best she could do. But it felt awful. Like I wasn’t expecting warm hugs and smiles because that is not where we are at (nor have we ever been!) but it couldn’t have felt worse really.

The only good thing was that I managed not to dissociate – I could feel myself trying to disappear and kept bringing myself back. I wanted to be present and in the room with her for the last time even if it felt like she had left the relationship already.

The icing on the cake was at the very end. I was still silently crying and sniffing she said, ‘We have to stop. I wish I could have done better for you, but it is what it is, and I honestly hope for the best for you’.  Through my tears I managed to say, ‘thanks’ and I got up and that was it. There were no more words. No ‘take care’, no ‘goodbye’ just the shutting of the door behind me. And that’s when the dam finally gave way and I broke down…

…on my own again.

 

Abandonment and Rejection: Part 2

rubberbandsandchewinggum67 Comments

Earlier in the week I had planned to transcribe Monday’s session with Em and put it in the blog but given how things are now, how the week has evolved, how my feelings have intensified, I can’t even bring myself to listen to the recording and be reminded of what’s happened. I can only summarise and paraphrase was said because I can’t even bear to hear her voice – it hurts too much.

I suppose it doesn’t really matter what was said now, because somehow or other it is now Sunday and we are no longer working together. I am beyond devastated. As the week has gone on I have gone through so many waves of this torturing grief interspersed with periods of denial and anger, and yet last night something shifted and the reality probably hit for the first time.

Suddenly, I feel like my whole life has been thrown into chaos. I feel like I am breaking in two. I am fearful of everything. Like I honestly feel like I can’t fucking cope with anything. I’m scared of what’s to come. I feel like I don’t want to be here anymore.
I know these must be the feelings of the young parts because I feel so powerless and small but my god it feels real and huge right now.

I am also feeling stupid and embarrassed and so much shame about how badly this ending has affected me. I am heartbroken and yet how am I meant to tell anyone about this because it’s clearly fucking mental to most people in the real world. She is/was just my therapist…but she was important to me. And as my therapist, if she is only someone to work out transference with, whoever she represents from my past – clearly my mother (#motherwound) – I am now feeling the full force of what it is to be rejected and abandoned by someone you love.

It’s no wonder I couldn’t withstand these feelings as a kid and dissociated them because feeling this, fully, in the here and now, is enough to make me want to die… this is annihilation.

I’m trying to keep one foot in adult but it’s hard. I need to process this. I need to write. But also, putting this down on the page must mean it’s real. I can’t try and pretend that it’s actually going to be ok, now. That it’s just a rupture and we’ll repair it and things will be better.

It’s over.

I guess, you’re all wondering what happened? Well, it’s been a cumulative process over months but it all sort of came to a head on Monday. Em had read the email where I had laid myself bare where I had explained how it feels to be ignored when I reach out, to have the Christmas gift rejected, and how hard it is to feel like there is a wall between us. The email ended by telling her:

It feels like we are on completely different pages right now. It feels like all the things I have worried about, about being too much is exactly right. It feels like you have taken a big step back from me when actually that’s opposite of what I needed. I can’t seem to fully explain what I mean but what seems really complex is actually really simple.

I need you to help me hold the feelings I have and normalise them and actually accept them. I need you to help me break through the shame I feel about needing connection to you and work with me to find workable solutions to the problems I have with outside contact when things get bad because it’s not going away. I need help to make breaks feel better. I need to feel like I am in a relationship with you and not in an observation tank. It just feels like we are perpetually re-enacting what happened when I was little. My mum and wider family were so emotionally and physically withholding that just being in the room with you feels traumatic because you feel so distant and even though you say that you aren’t, it’s still my experience.

I understand why you think that by trying to ‘think’ about where all this is coming from in the past might make it feel less horrendous with you in the present but so much of the time I am not able to access that ‘thinking’ brain and am caught up completely in my emotions. I can see where this stems from, I know why it gets triggered, but this doesn’t actually process the emotion in the moment. If it was about the logical, intellectual stuff I’d be fine…but it’s not.

I’ve read so much about this but it just isn’t moving because until I feel like the young parts are held safely and contained with you I think I’m going to be stuck in limbo.

I need you to know that despite how ‘much’ there is in those notebooks and here, and how intense my feelings seem I am not suddenly going to start texting you all the time, ringing you, turning up on your doorstep or whatever else it is that you think might happen because I would hope by now you would see that whilst there is a lot of trauma and the attachment stuff is massive, I’m not that crazy and I don’t want you to be anything but my therapist.

I have no idea what I am going to do on Monday and wonder if I am actually just beyond help…some reassurance would go a really long way right now because it’s a complete disaster inside.

Anyway, I walked in on Monday and I really hoped that things would be ok but I could tell that they weren’t, not really. Em had a huge clipboard and notes she had written with reference to the email. She asked me if there was anything I wanted to talk about or whether we should discuss the email. I agreed it made sense to talk about the email.

She started talking about it in a paragraph by paragraph way – well, picking out bits from the areas she thought were important. It was very factual and I felt really distant from her.

It wasn’t too bad until after about ten minutes she basically said that she feels like my young parts are ‘demanding’ and she feels like they are ‘adhesive’ (see adhesive attachment in psychoanalytical theory), that it feels like I ‘want to get inside her’, that I am ‘intruding’ when I contact her, ‘pushing the boundaries’, and that it feels like my need for her is ‘all the time’ … ‘like a tick needing a constant supply of whatever it wants’.

My brain got wedged on ‘like a tick’ but there was more, about if she were to give reassurance (which she ackowledged she doesn’t) it would be like ‘feeding an addiction’… ummm it just went on and on. She said the stuff about politics before Christmas (because I had written about it in the email) was actually her talking how the election was about democracy… I have the recording…that is not how it was. She made no mention of how I felt about the rejection of the gifts even though I’d written quite a bit about it, and flat out avoided talking about the bit I have added above about trying to find strategies that work for both of us to not keep getting in this mess.

I could barely talk once she’d compared my child parts to adhesive ticks – she said as much, ‘it feels like I have talked at you and you haven’t replied’…which is when with five minutes to go I managed to say, ‘how would you feel if someone you cared about likened you to a tick?’ She apologised, sort of, but said that I am very sensitive and get defensive, and it was just a metaphor. I said that it was a ‘shit metaphor’ and she apologised and said that perhaps she should have stuck with the word ‘adhesive’ as if that’s any fucking better!!

She said she was sorry if she had offended me and that she wasn’t talking about me as a person, or who I am but it’s how she sees the young parts… which is even fucking worse. The young parts that have been so terrified to trust, to open up, to let the feelings out – and when I finally do the kick back was spectacular.

She has retreated from me in the biggest way – I have felt it and yet she’s made out like it’s me and my attachment picking up stuff that’s not there…but it is!

She said that we can concertedly work with these parts but that it’s going to take hard work and maybe I just want to act out this stuff and not work out why this is happening. I felt devastated by what she was saying. Of course I want to work on myself…but I just don’t feel safe in the room. Surely there are ways of talking about this stuff without crushing someone’s sense of self.

I was clearly not in a great place when the session came to an end and to add insult to injury as I got up to leave she said, ‘that took me about an hour to read’. When I had sent the email I had said to let me know how long it took and to bill me for the time, but to be honest her telling me at that point wasn’t great timing. It just felt, yet again, that this is all about a transaction to her. I was breaking my heart and she was telling me I owe her and extra £60.

I left that last session in a complete mess. I burst into tears the moment I got in the car and cried all the way home. When I got near to home I pulled over into a layby on the single track lane and I spoke to my friend on the phone and cried at her, broken, desperate, and the child parts wailing. Then I sat and cried some more in the layby and waited for the tears to subside before driving home. My wife was working from home and the last thing I wanted was to have to explain why I was so late back and also why I had rivers of mascara running down my face.

Just to clarify – I am not a crier; I have found it impossible to let anything out in years… but the fucking dam is broken now and I have been bursting into tears IN FRONT OF PEOPLE! IN PUBLIC PLACES! WITH NO CONTROL! I am soooooooooo upset.

On the positive side of this, if there is one, is that this rupture/ending has tapped into my core wound in the biggest way and all the grief is flooding out now. I know this is not just about Em but right now it is and right now she is not helping me process any of my feelings or grief so if feels like this loss is just going to go on the pile of other rejections…which is not really what I had wanted from this therapy!

I had really struggled to stay present during the session because all I could hear in my head repeating over and over was, ‘she thinks you’re like a tick’. It was hideous. A tick? A fucking parasite? I mean why would you ever make that analogy about anyone, let alone someone you’ve known intimately for eight years in a therapeutic relationship? At a time when I really needed to be adult in the room and fight my corner I was gone and deep in the trauma and she just kept talking. It felt like every sentence confirmed that she has had enough of me and feels like I am too needy and demanding.

I felt like I wanted to die. The child parts were reexperiencing the feelings that are so familiar and were so devastated that it was Em that had made them feel this way. I was in a relationship with her to try and rewrite the narrative and yet somehow here I was being pushed away again for being too much. I felt unseen. Or maybe I was seen but now she’d seen me, as I am, with all my need, and was disgusted by me and wanted to get away from me. Maybe I have to accept that the person I think I am (trying to believe I’m not a needy freak) is actually not what everyone else sees and maybe they are correct after all.

I think maybe if I listened back to the session it mightn’t have been as bad as it felt in the moment, but the problem is, spouting theory at me is one thing (like perhaps it is adhesive attachment) but my feelings are still involved and how this is talked about is important. Somehow Em doesn’t frame things in way that doesn’t make me feel ashamed. I do understand that so much of what happens is down to my attachment problems and the parts but there surely are ways of saying things that don’t make the client feel worthless and crap. Like, surely she must’ve known I was struggling to be there and hear what she was saying?

I know at the end she tried to apologise but the thing is, the damage was already done. I was so far out of my window of tolerance that I couldn’t hear her…

Having spoken to my friend after the session and feeling so unbelievably hurt, I had resolved to take a break from therapy with Em for a while because it’s just getting worse and worse with every session. Something big is playing out and I don’t seem to have the capacity to side step it and look at it objectively when I am in the room with her. I basically walk in, look at her, and bam it’s trauma time.

As I pulled up on my drive I looked at my phone and an email from Anita had come in replying to the email I had sent her before the weekend:

Recap of my message:

Hi Anita,
Thanks for getting back to me and thinking about this. I suspected this is what your supervisor might say and do understand. It’s a complex dynamic.

I need time to think about what to do next. There are so many competing parts inside right now and it feels overwhelming. I really want to move forward and away from this horrible place of feeling rubbish all the time but the fear of the vulnerable parts losing Em is enormous – like annihilation and it’s not going to be a simple transition to another therapist after eight years with all that’s been triggered in the relationship.

The reality is that I don’t trust people easily and so it is a real barrier to leaving. I guess it’s something about better the devil you know and whilst I sense that you would be a good fit for me from what you have said there is definitely a voice that is saying, ‘what if she’s just the same and you get hurt again – at least Em knows you’.

I know, ultimately, it’s going to take a leap of faith now but any change is unsettling for me. I understand, too, that there’s a possibility that by the time I have managed to leave Em you mightn’t actually have availability or capacity to see me…which makes the whole process feel daunting. I guess I’ll just have to trust the universe on this one.

I don’t really know what else to say but I am grateful to you for trying to help find a way forward.

I’ll be in touch…soon… I hope.
RBCG

Anita said:

I really do understand RBCG and feel you need to look after the vulnerable parts of you.
My sense is you have done some really valuable & positive work with your current therapist and now ready for the next part of your journey and it’s hard to let go of one and to continue with someone else you don’t yet know.

I can also hear your concern regarding my availability which is also a valid concern but I will add Mondays & Fridays are usually my quietest days so I should be able to fit you in as and when you feel ready.

With very best wishes,
Anita

It felt a bit like the universe was aligning in that moment. On the Friday session with Em I had driven home and driven past Anita driving the other way. I would never usually notice oncoming vehicles or cars and yet I looked up and there she was and now, on Monday after the shit had hit the fan in came a message from her again. I jumped on the opportunity and emailed her immediately to see if I could arrange a second session:

Hi Anita,
Thanks for this. It couldn’t have been better timed, actually, as I have left therapy today in tears – the last two sessions have been hell (on top of the stuff that happened before) but even my really damaged, vulnerable parts that will tolerate almost anything can’t cope with my child parts being called ‘intrusive’, ‘adhesive’, and… ‘tick like’. Needless to say I feel like I want crawl into a hole and die right now but it’s given me the push I needed.
So, when can we arrange to meet?…and I honestly don’t think I am any of those things Em said.
RBCG

She responded and we scheduled an appointment for Friday.
I spent a lot of the day crying and speaking with my wife, which is unheard of, but I couldn’t hide how bad I was feeling. And even, she, as an unfeeling ‘man brain’ could see how the ‘tick’ reference would hurt.

Later that day (Monday) I drafted and email to Em, typing through my tears knowing that this was looking very much like the end of the road. I was in such a state.

Em,

I need a break from therapy with you for a while. Whilst I understand some of what you have been saying lately from an intellectual perspective – I get the theory – my feelings are still wrapped up in all this. I am not just some kind of case study to be analysed and hypothesised about. I can’t just absorb the stuff you’re saying and it not have an impact on me. To hear, today, that you feel that I am ‘intruding’, ‘demanding’, ‘trying to get inside you’, ‘pushing boundaries’ and that my wanting to be close to you or asking for occasional reassurance is me behaving like I have an unhealthy ‘addiction’ that shouldn’t be encouraged, and that I am ‘like a tick’ well, it really, really hurts.

I don’t ever really cry and yet today I spent an hour crying in a layby after the session because what you said hurt me so much. Saying that it’s not about me as a person but how you see the young parts doesn’t really make it feel any better because it’s the youngest most vulnerable parts that are tied up in this, it’s them that need to feel like they aren’t too much. I get how uncomfortable I have been making you feel and I am sorry that it’s feels so negative. Being thought of as adhesive is bad enough but parasitic is a whole other level of pain for me. I feel so stupid for letting you in and allowing myself to be vulnerable with you…to love you.

I know you can’t keep my session times free and until I can step outside my relationship with you and look at things without feeling anything there’s no point in doing this week in week out. So I guess we’ll just have to see what your schedule looks like in the future.

I am so sad that it’s got to this point.

Take care

On Tuesday evening at 7pm I received this reply:

Dear RBCG,

Thank you for letting me know about your decision and I am sorry that I was not able to help you. I wish you well for the future.

Em

And just like that my world fell apart. I had been crying on and off since the session but stupidly still held out some hope that she might read that email, see how hurt I was (even if she didn’t mean to hurt me) and meet me where I was at, in all the messy, confused, young, hurt feelings. But instead I got this. I’ve known this woman eight years and worked together with her for five of those…and this is how she ends it?? Two sentences? I was pretty much hysterical all night. Sobbing my heart out. I fell asleep crying and woke the next day with the sorest head. My body was killing me…and all I wanted to do was hurt myself.

Clearly, I was right. She really doesn’t care about me and there never was a relationship. I mean…wtaf? What should I be thinking here? That’s it? No termination sessions, no goodbye? She knows me. She knows how big a deal rejection and abandonment are and yet how could I possibly see that email as anything else but rejecting and abandoning?

I managed to formulate some thoughts in an email even though internally I was freaking out and again sat at my laptop crying my eyes out as I typed. I sent this on Wednesday evening:

Em,
I’m really confused and panicked by your email. Am I meant to read it as we’re actually done forever and not having a break/leaving door open so I can regroup and get myself together? And if this is the case (this is termination) that we are not going to have any time to create a reasonable ending to this therapy? I really wasn’t expecting to terminate via a two sentence email after all this time – it’s not what I want. I’m shit at endings anyway but this is not how I would choose to mark the ending of a significant relationship….which is what it is to me.

I know things are in a complete mess, hence wanting to take some breathing space but it seems like you’re finis hed. I know there’s a lot of negative countertransference here but I don’t think it’s ideal if this is how this ends.

Of course, only you can make a decision for you and if you’ve had enough you’ve had enough.

As for not being able to help me – that just isn’t the case at all. You’ve helped me with so much in the time that I’ve been seeing you. I am not the same person as I was when I saw you in the NHS or even a few years ago. I actually feel things now when I never could access my emotions at all before. I am actually making choices in my life that work for me rather running myself into the ground (ok this is new for 2020). I am still so grateful to you for being alongside me on my journey so far and whilst things are really hard right now I don’t think that the whole therapy has been useless or unhelpful.

Getting this email last night felt like I had suffered another bereavement – I can’t just have you gone with no chance to say goodbye.

x

By this point I wasn’t even sure if she would respond or not…I mean that last email felt pretty final.

But she did reply with this on Friday (talk about dragging this agony out all week!):

Dear RBCG,
Having thought a lot about the therapy with you, I have sadly come to the conclusion that we need to end the therapy, because, in my clinical view, I have come to the limit of my competence in my work with you. I would very much prefer to end in person and, would therefore suggest that we meet for between one and six weekly sessions at your old Monday time and starting at your earliest convenience. Please let me know whether you would like to have these sessions.
Em

More tears came. All I have fucking done this week is cried. And this just felt cold again…and perhaps like she was covering her back since it’s kind of protocol to offer termination sessions with clients to try and have a decent enough ending. Had I not emailed her querying what was going on, whether we had terminated, and if so what was happening, I think I would never have heard from her again. I had always hoped that my therapy would end positively and it would be a relationship that I would be able to return to periodically in the future.

I suspect I will always dip in and out of personal therapy throughout my life – almost like a car needs servicing. It might not be regular, and it might not be many sessions, but I had hoped that if any significant life events happened that caught me off guard or I had the occasional wobble in the future I would always have that door open to be able to return to Em. This is how I imagined I would get and exercise that earned secure attachment we are all seeking. The relationship can still exist years later even if we don’t see each other much at all.

But here I am staring down the barrel of another shut door.

I literally do not know what to do.

Should I go back and have a termination session or a few sessions? Or is it likely just to be more of the same?

Any ideas would be great because I have no fucking idea.

I don’t want to go in, cry like a baby and have her sit there and watch me in all my pain and go, broken again but equally if I don’t go and say goodbye will this just be another ending where I am left holding all the feelings and never getting any closure.

Thank you everyone for your support through this. It’s funny, I was reading my year ahead horoscope at the beginning of January and it said something about internet friends being massively important in the coming year… looks like that’s right! x

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Crash and Burn

rubberbandsandchewinggum7 Comments

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I guess it was kind of inevitable that a week like this would happen again sooner or later. It feels like I have been running along a cliff path fairly successfully for a while now. Sure, it’s been challenge, a test of endurance, I’ve turned my ankle over a few times but have generally been making progress in a forward direction with only occasional minor scratches from brambles that have overhung the path. I have felt my fitness level improving. It’s been ok.

Then it happened. Just as it always does. This week I’ve unexpectedly fallen down an exposed mineshaft that was overgrown with weeds and grasses. I wasn’t looking carefully enough at the ground as I was running along, probably  had my head up to take in the scenery. I guess I was slightly distracted/daydreaming, and I just didn’t see that there was no safe ground in front of me, and BAM! Here I am battered and bruised down in the dark cold hole. I’m not sure if anything is broken but I have a pretty sore head.

I’m not alone down here either. There’s a couple of distraught child parts and a fucking livid teen part too. I don’t know how long they’ve been here but they are cold and hungry – well the teen isn’t – she doesn’t eat. It’s cramped and uncomfortable and we need to get out.

Unfortunately there’s no phone signal down here and I can’t call anyone for help. If I shout no one will hear so there’s little point in wasting my energy. It’s not ideal for sure. I need to find a way of getting out of here on my own. I am a good climber. I’ve been in similar places before (I really do need to start looking where I am going don’t I?!… stop tumbling into these dark places and over ledges) but right now I am just too tired to start trying to find a route up and out of here because it’s not just me that has to get out; I have to find a way to help the young ones too. I simply don’t have the strength to carry them on my back right now.

I’ll try and avoid extended metaphor overload today but basically that paints the picture.

Things feel shit.

So, yeah, it’s been a tough, emotional week since my last post. Actually the weekend was fine – or at least I think it was. I don’t really remember! My memory sucks at the moment.

On paper my therapy session on Monday was fine too. I was firmly in my adult. I talked a lot. I didn’t dissociate. I didn’t feel sick. I didn’t start shaking. I could ‘sort of’ look at my therapist. It was fine. I’m sure she was delighted to have the normal adult version of me sitting in front of her for a change. But it was just like having a chat for 50 minutes – or a bit of a moan – no real work was done.

I know that not every session has to be agonisingly hard work, attending to child parts, or dredging up past trauma. I know that the easy sessions have their place too, and to be honest, I really didn’t want to do any of that hard stuff on Monday because it was my wedding anniversary and that evening my wife and I were having a date night and I just couldn’t have a session that floored me.

I suppose, in part, Monday’s session was about protecting myself from getting stuck in the child parts’  pain and trauma. I wrote the other week that I have been struggling a lot with being dissociated outside of session and I didn’t want to be emotionally unavailable to my wife in the evening which so often happens on a therapy day. I usually have to go to bed early and sleep or just be on my own. So much gets activated in session that I feel like I am in survival for the early part of the week.

I know that I was avoiding stuff in session, though. I have been avoiding returning to the letter I gave her before Easter and going through it properly (ugh! Like what is the bloody point in writing this stuff and then not discussing it?!). And I also avoided giving my therapist a thank you card until I left the session.

This week marks two years in therapy with my therapist (this time around). Generally, if I have something to give my therapist (like a card at Christmas) I hand it over at the beginning of the session but for some reason I couldn’t give her this one. Why? I dunno. I guess it’s because whilst it said exactly what I wanted to say it just felt too exposing in the moment.

The front of the card said ‘I know you’re not a hugger but I am hugging you in my mind right now’ – see my problem?! HA. Like whilst it is the perfect card it is also just absolutely cringeworthy and horrendous because the touch issue is still so massive for me. It really is a biggest fat-assed elephant now. There is barely any space for any other of the others in the room now. How many elephants can you fit in a therapy room?!

I didn’t really even know what to write in the inside of the card. I think in the end I put something really boring like, ‘thank you for the last two years’ – which is not at all like me, but the words just wouldn’t come. Maybe I should’ve taken that as a signal to not give her the card at all. I dunno. But she is important to me and I do value her and the work we do together (or at least adult me does!) and I wanted to acknowledge that. So, yeah, I awkwardly handed her the card as I got up and left and walked back out into my real life – straight to tutor.

Monday evening was glorious. My wife and I had a great meal out in the centre of town and then walked the ten minutes down to the riverside (we are really lucky to live in a such a nice city) and had dessert and coffee in a bar with a terrace overlooking the water. It was 26 degrees. A perfect summer evening. AND childfree! Yay. So, I guess doing therapy like that on Monday at least afforded me some quality time with my wife.

Unfortunately, the rest of the week has sucked. I could feel the young parts stirring on Tuesday. They hate it when they don’t get to seen by therapist and then really struggle. I think they also feel exposed now because I gave her that card and what happens if she rejects them for it because it’s ‘too much’. I won’t lie. I am also sad that she hasn’t acknowledged it now she’s opened it. Not that she ever would. We don’t do the outside contact thing so it wasn’t ever on the cards – but still, there is a part of me that feels a bit hurt. It’s not rational but there we go. I know she’ll say something on Monday…but…ugh!!

Wednesday was my cancer follow up appointment at the hospital. It’s a day I always dread and requires a great deal of effort for me just to rally myself enough to go. I have to go, though. There is no choice. But it is not easy being repeatedly plunged back into the place where I had 12 rounds of chemo and memories of all the associated feelings (both physical and emotional). It triggers all sorts of stuff for me being there surrounded by people who are very ill and waiting to go have their treatment. I feel sick to my core.To make matters even worse my consultant was running two hours behind and so I ended up spending three hours in that place feeling anxious and triggered. Ugh.

Another thing that really doesn’t help matters when I feel so anxious and alone is that I know my therapist is literally only a three minute walk from me when I am at the hospital as the NHS psychotherapy building is just round the corner (she does three days a week there and is where I first met her).

Knowing she is almost within touching distance but that I can’t see her is completely hideous. I so want to be able to reach out and yet, obviously, I can’t. Ouch. I can’t even text her to check in on these really hard days. And they are hard. Sitting waiting to be told whether or not my cancer has come back is not an easy appointment to have to go to every couple of months. The build up to it is bad enough, but the day itself if awful. I feel so alone with it.

Most people don’t understand how truly terrifying it is to live in the shadow of cancer. They sympathise, of course. But they also think I should be delighted to have ‘beaten’ it. And I am. But it never truly goes away. The fear of it returning is always there. And it all becomes very real again as I sit in a packed waiting room full of other cancer patients.

Actually, the other day my therapist and I were talking about maybe doing some EMDR in relation to health trauma as a way in to maybe working with the attachment stuff in the future. She’s been suggesting EMDR on and off for about 16 months now! I am a bit reluctant/sceptical about EMDR because I get so dissociated and have so many parts and I know several are not on board with the idea and I think that could make the early trauma difficult to work with. She said that choosing something like the cancer/health stuff to work on might show me how things can work and might give me a little bit more confidence in the process. It’s worth considering because I find these hospital weeks completely agonising.

So EMDR could be a good shout for that. That is, of course, if I keep going to therapy!!… because on Wednesday I lost the fucking plot. Like spectacularly lost it.

Thankfully, this time I didn’t actually act out any of my thoughts/feelings like I might have done in the past but I am not sure if that’s because actually I can’t be bothered and have mentally shutdown/walked away or whether it’s because I have managed to self-regulate a bit. No, actually, it’s probably because my friend absorbed it all via WhatsApp as I fired off angry message after angry message to her instead. We do this sometimes! Just vent that stuff to each other rather than jamming our therapists’ phones. The outcome of all that is that I didn’t end up sending an ‘I’m done and won’t be coming back’ message to my T which is suppose is a good thing. Ha!

How did I find myself in a place where I was ready terminate with my therapist having only two days previously given her a thank you card? Well, no surprises, this all comes down to the fragmented parts and the different feelings they all have. It’s bloody exhausting, for sure!

Sitting in hospital, feeling scared, my mind automatically went towards my therapist- as it always does when I feel vulnerable. I wanted to be able to text her and tell her how things were. I wanted to be able to reach out to her and her respond in some kind of reassuring way. I needed some of that care that she shows me in session when I talk about how awful the hospital stuff makes me feel. But I couldn’t reach out. Or I could. But she wouldn’t respond. And that feels like a huge kick in the teeth…especially on a day like that….it’s bad enough on a normal shit day! So instead I had all these feelings and nowhere to put them. And then I started to get angry. Like properly got the rage. Hello teen part!

Episodes like this send me through a horrible cycle. The youngest most vulnerable parts are scared and need support, they need to reach out and get some kind of emotional holding. They can’t. It’s a boundary. Things feel really overwhelming. The need is huge. And yet there’s the stark reminder that the person I have come to rely on for emotional support is not really there. She is only there in the paid for time (actually the ‘paid’ time isn’t so much an issue, I want more contact time but she just doesn’t have it). And whilst adult me understands (sort of), the child parts don’t AT ALL. They can’t understand why the attachment figure is unavailable. They can’t understand why she can’t check in once during the week via text. They can’t understand why she doesn’t care that they are falling apart because they worry she is gone. They can’t understand why she is how she is in session but is not there at any other time. It feels really abandoning. It hits that deep core wound, the mother wound. Here I am again on my own, struggling, and no one is there who cares.

Fuck.

Then the fun really begins because before too long the teen part comes online. And OMFG she is boiling with rage (because she is so hurt). She’s got so much to say! She is ready to unload. She wants to scream at my therapist for being a ‘fucking liar’. She wants to tell her that ‘we don’t need you’ and ‘you are making things worse for us’. She is raging that the relationship is a ‘complete sham’ and that ‘whilst you (T) might think the little ones are stupid, that I can see exactly how this all fucking works, don’t pretend you care.’ Basically what it comes down to is that the teen part has been through this shit enough times now and will not be hurt any more. Therapy is an agonising and constant reminder that ‘I am not good enough, not important enough, and no one really cares’ and so ‘I’m fucking done with having it shoved in my face’.

Obviously, it’s completely horrendous when I am stuck in that place. Part of me so badly wants to let rip and let it all out. I want my therapist to know just how fucking awful this stuff makes me feel. She tells me that my anger is important and that I need to let it out… unfortunately I usually only really feel able to express it at moments like these. And it is not acceptable to let it out via text. I have done it once or twice before and then felt terrible afterwards – shame and embarrassment overload.

I have even ‘quit’ a few times and then the little parts freak out: ‘What have you done?’ So yeah, it’s a bit tricky to say the least because I have all these horrible feelings and yet she has no idea how consuming they really are. I don’t really know how to go in and tell her just how bloody awful it feels, how utterly crushing it is for the young parts to feel ‘left’ week in week out and then how angry it makes me that she is not there when things feel bad.  I hate feeling like she doesn’t care. Given how session was on Monday it’d feel like a completely different person turning up this coming week if I really said what was going on.

So anyway, I’ve spent the week since Wednesday alternating between rage and sadness and completely sunk in the depths of depression. Yesterday I stayed in bed all day between school runs. I just couldn’t do the day. There we things I was meant to do. We have guests arriving tomorrow and I really could’ve done with cleaning the house and getting on top of chores but I just couldn’t.

I had a long phone call with a friend which helped to make sense of things a bit so that was good but I still can’t quite get over the feeling that I’m at an impasse with my therapy. I feel more and more like the little two year old girl stuck in a huge grey space on her own clutching the ear of a soft toy bunny that so often comes into my mind. There is no adult to help her.

I mean, I guess, this week might also, in part, be me hitting self-destruct as we approach an enormous summer break and the anniversary of my dad’s death. I will see my therapist in person on the 30th July and then again on the 3rd September and whilst I should be able to do a Skype session somewhere in the middle of that. I. CAN’T. EVEN. GO. THERE. I can’t even explain how thoroughly overwhelming the idea of another long break is right now.

Maybe all this anger and wanting to quit is about me leaving her before she leaves me? I am shit on long therapy breaks.

Part of me is scared I’ll end up in another bloody horrendous anorexic mess like at Easter. I don’t want that. And even though I don’t want that I don’t even feel like it’s a conversation we can have now after all that happened recently around not eating.

Basically, I just don’t want to care anymore. I don’t want to feel like someone else has the power to impact me in this way – or rather their absence has the power to. I don’t want to feel abandoned or rejected anymore. I don’t want to feel so painfully alone and inadequate.

Man. I so bored of feeling shit about this.

I KNOW!

I know it’s the work.

But jeez. The work is hard isn’t it?!!

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Ultimatum

rubberbandsandchewinggum32 Comments

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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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Rupture. The cold, hard truth: my therapist doesn’t care.

rubberbandsandchewinggum59 Comments

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I really didn’t expect to be blogging about a rupture in therapy here today. I thought I’d be saying something about almost surviving the therapy break and being nervous about my session on Monday, but also being amazingly glad I’d be seeing my therapist in person soon. That was the plan, anyway. But that isn’t going to happen because, as things stand right now, I will not be going to therapy on Monday, or possibly to my current therapist ever again.

I know. Spare the drama, right? I’m sure some people read that and think ‘put your toys back in the pram and get over it’ but I also know that there a few of you, especially those that have issues with attachment and feelings about abandonment and rejection, who will read this post and wince.

This isn’t going to be a neat, well-constructed post because right now my brain is scrambled and the various younger parts of me are in meltdown…actually, the adult part is devastated too.  I literally feel like I have been annihilated and that’s not an exaggeration. God I wish it was!

In fairness now is probably not a good time to write, I haven’t had chance to process what’s happened yet, I feel raw and activated, but actually right now my options are: sit here and type or do something horrible to myself – and so this surely has to be the better option.

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My last post talked a lot about how I had been feeling depressed and generally not quite right. I have been struggling really hard this week to keep my head above water. I’ve been plagued by therapy dreams where my therapist has rejected me in one way or another, or simply not cared about me and I have woken up feeling heartbroken.

Yes, I know. They are dreams not reality, but the dreams I’m having tap into the insecurities I feel in the therapeutic relationship and end up intensifying the worry and anxiety I feel when I am awake.

I can’t count how many times I have said this now, but I really struggle when I am away from my therapist. No matter how I try I can’t maintain a sense of connection with her when I can’t see her it seems almost impossible. It is bad managing from week to week but it is always really very challenging during breaks.

All the fears I have about being left or abandoned come up, but equally there is a real anxiety that something bad has happened to her. I can’t seem to get my head to a place that can accept that she is out there, safe, and that the connection is still there. It is weird because this isn’t a problem that I experience in other relationships.

I don’t freak out if I don’t see or hear from my friends for months at a time…but then I guess this might be because I don’t have this kind of complicated attachment to other people in my life and therefore the triggers that I have from being a child don’t play out anywhere else because the child parts of me aren’t active with friends. I don’t know.

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Those of you that follow this blog will know that we’ve talked about trying to create some kind of transitional object (pebbles/note) but not got anywhere with it…and now I understand why. I know, too, that I ought to trust my intuition. I see now that my reluctance to engage getting a message written on the pebbles because I was scared that she actually wouldn’t be willing to write anything that would soothe me is right. She isn’t willing to say anything to confirm that there is a connection in the relationship or that it is any way important.

These last few days my anxiety about the therapeutic relationship reached a whole new level of hell. I felt so ill that I couldn’t function. When I say it took me three hours to load and reload the dishwasher and that I didn’t shower or get dressed until two in the afternoon on Tuesday (and that was only because I had to run an errand) because I just couldn’t face doing anything it might give an impression of just how debilitated I felt. I felt utterly crippled with anxiety.

I felt sick to my core, at times was physically shaking, and felt like a little boat of a very choppy sea. No matter what I did to try and ground myself or channel myself into a place where things felt better I just couldn’t succeed. I knew on Tuesday when I was standing in the kitchen with a massive knife against my wrist that something had to give. I knew that not eating wasn’t doing me any good and that I needed to get out of this headspace. I needed to try and get the adult back online, settle the child parts, and power down the critic.

So after three days of debating with myself what I should do: reach out to my therapist or continue down the path of self-destruction, I thought the most sensible option was to simply tell her how it was, ask for reassurance and then hopefully just settle this sick feeling down and then go discuss it all on Monday and try and work out why it has felt so terrible this break.

I know that we don’t text or email generally unless there is something about scheduling. Most of the time that feels ok-ish but sometimes it feels really persecutory. When I feel like I have reached crisis point (which actually isn’t very often) the no between session contact thing is really difficult for me. Because there is this boundary in place, it means that I can’t just reach out when I need to and ask to get a need met, instead I spend a great deal of time beating myself up for having the need for reassurance which makes it all much worse. I’ve always struggled to ask for help when I need it and so this feels impossible.

I beat myself up for breaking her rules. I beat myself up for not being able to manage on my own. I beat myself up because I know that it’s annoying her. I basically drive myself mad and all the while the anxieties I have about making contact exacerbate the concerns and worries I already have: i.e she really doesn’t care or want to know when things are bad and that I am an inconvenience, and whist she can’t openly say it that frankly she wishes I would just go away.

So, if I do pluck up the courage to reach out I end up feeling sick and guilty that I have done it. It feels utterly impossible no matter what I do. I don’t know why it should feel so bad to express a need for someone but it does.

When I was writing my text yesterday, I had debated sending the link to my post Why do I always dream about my therapist when we are on a therapy break? in my message as this is where the spiralling into anxiety began, but in the end I decided against that in favour of taking it in and talking about it on Monday. I didn’t want to do a big mind dump on her, I simply wanted to check in and re-establish the sense of connection in order to settle myself down until Monday’s session.

Simple.

Or at least I thought it would be.

Only things don’t seem to work like that.

In the past if have reached out I haven’t always been clear about what my need is and so when she doesn’t respond part of me feels upset but part of me thinks that maybe I am expecting too much of her to read between the lines of something fairly innocuous. So I endeavoured to be straightforward this time. Tell it like it is but don’t drone on!

I didn’t want to go on about the self-harm, or the slip into anorexia, how much I missed her, or how very bad it has felt recently because I didn’t want to make the text about trying to do the therapy outside the room. I get why it’s important to do the work in the room. I just wanted a sticking plaster in order that the wound didn’t get any deeper or infected before our face-to-face session next week.

So at 11am I sent this:

‘I started having vivid dreams about therapy on Boxing Day. I wrote about it when it started happening because I thought it would help, but the dreams are happening every time I sleep and I just feel completely overwhelmed now. No amount of deep breathing, visualisation, distraction, or sitting with it is helping. It’s escalated to a crippling level of anxiety now and it’s making me not even want to come back on Monday. The critical part of me is delighting in how bad it feels. It’s taken three days of battling with myself to send this:

Please can you tell me that things are still ok.’

*

I forwarded the message to a friend,  because having sent the text I immediately felt sick and started shaking. I was worrying about whether it was too much and too needy, and she assured me that it was fine and that she’d sent similar messages in the past to her therapist and all that would probably happen would be that she’d reply to say, ‘she’s there and you’re both ok and it will feel better’, which is exactly what I had hoped for.

So after anxiously checking my phone for an hour I left it upstairs and went and tried to get on with the things I needed to do. In that time I was thinking about what it might feel like if she didn’t reply to me, which is what I expected, and how that feeling of rejection would probably make me rage. I went upstairs at 2pm and there was a message from my therapist:

‘From my understanding of what you are saying, I think that it is very common for people to have dreams about therapy and for people to have strong feelings about such dreams and I hope that you will be able to continue with the therapy and come to your session on Monday.’

*

I won’t lie. I was a bit taken aback by the message. Perhaps it’s just me but it felt so distant and cold. I sat with it for an hour because I thought maybe on rereading it later my feelings would change I’d be able to find some kind of sense of connection in there and sense that she actually cared…

I didn’t.

I messaged my friend this because I was still trying to look on the bright side:

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I wondered then whether what I had sent was too much about the dreams and not enough about stating that I needed a sense of her being there and things being ok. Perhaps it’d got lost in text? So after some thought I sent this at 3:15pm:

Yeah. I get therapy dreams are normal and can evoke strong feelings. What I’m trying to say is I feel like you are gone and that there is no connection, and now this is being reinforced every time I sleep which is just horrendous. What I wanted was for you to tell me that it is just anxiety, not based in reality, and that actually things are ok still and that you’re still there.

*

I felt a bit eeeeeeek sending it but thought, if  I don’t clearly communicate my needs then there’s no chance of getting them met. I thought she probably wouldn’t reply to the text but a message did come in:

‘Thanks for clarifying. See you on Monday.’

*

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And that’s where I felt like I had been annihilated. Even just typing that I feel a kind of shock in my body and utter confusion in my brain.

I mean what the hell am I meant to feel about that response?

Well. First was utter devastation and then that was quickly followed by:

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My gut reaction was to fire off something like ‘Seriously? Fuck it. I’m done’ but  I didn’t. Again I waited for a while to see if my initial feelings would settle down or whether I’d go back to the message and read it differently.

Nope.

At 5:15pm I sent this:

‘Honestly don’t know whether to laugh or cry about that message. I’ll let you know about Monday but right now it just isn’t going to happen. I know you need 48 hours so I’ll let you know by Friday.’

*

And that’s where it’s been left.

I don’t even really know what to say to her now. I mean where do I go from here? I want to feel like I am overreacting or something because that in some way makes those messages seem less, err, what? Abandoning? I dunno. But I am not entirely sure that I can convince myself that I am making more of it than there is.

It’s not like my therapist isn’t acutely aware of my issues with disorganised attachment, being unable to maintain a sense connection, and the problems that therapy breaks cause especially for the most vulnerable child parts of me- and to not be willing to offer up the most basic amount of reassurance when I reach out feels pretty cruel actually.

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I don’t know if I can come back from this.

I’ve spoken to a couple of friends about what’s happened, both are staggered by the exchange, and one suggested that maybe now is the time to find another therapist because repeatedly not getting my needs met or even validated is hurting me A LOT.

The rigid nature of the therapeutic frame doesn’t seem to be helping and there appears to be no flexibility in it. I had just about come to terms with the fact that touch was out of bounds but actually not even getting the most basic level of reassurance when things are about as bad as they get…well, what do I do with that?

I don’t know.

I feel like I was trying to find a better way of coping with difficult feelings. I was trying to get help. It backfired and now I am back to square one. Maybe there’s a reason that blades and starving myself have been so long part of my existence. Maybe deep down what I have always felt to be true is true: I am not worthy of care and I do not matter. On the plus side, I don’t have to worry about the Christmas weight gain now. Stress of the last two days and 2kg has just dropped away. I shouldn’t be pleased about it, but fuck it. I am done.

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What happens when you’re no longer here?

rubberbandsandchewinggum4 Comments

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I said to my therapist on Monday that I felt like the house in The Wizard of Oz when the tornado hits. I feel so up in the air and out of control. It’s as though I am perpetually spiralling all over the place, being battered by high winds and debris… it’s not good and it feels dangerous. I know the house survives the journey to Oz but it’s a bit touch and go whilst it’s being whipped up in a whirlwind isn’t it?

She probably thought I was specifically referring to how I felt about my friend dying on Sunday but I wasn’t. Yes, of course, this recent bereavement has knocked me off my feet to an even greater extent than before but if you read this blog you’ll know that I have been stumbling, tripping and then sliding along on my arse for a good while now. In any case, the ‘being caught in a storm’ metaphor is not new.

Everything has been a mess for a really long time. And yet, I doubt up until the point when I made that analogy she’d have had any idea that that is how I have been feeling more recently.

Since Christmas I’d say that my therapy sessions usually follow one of a few patterns: I fluctuate between speaking round the edges and not hitting the main point, trying to clue her in but feeling too exposed and vulnerable to really spell out how I feel – my body language and facial expressions make it pretty clear that stuff is bothering me, though; sometimes I am so overwhelmed by my feelings that I become quiet and withholding and it’s like we’re swimming through treacle; sometimes I dump my writing on her (letter/blog post/poem) and then retreat into myself as I watch her read my thoughts and feelings and then we try and unpick it all; and sometimes I get so frustrated, raging and upset that my silence is less benign and I wonder what the hell I am doing in a room with someone who simply couldn’t care less about me.

My fear of rejection and/or abandonment makes therapy a really difficult place to be.

But none of that is how I have been presenting over the last few sessions we’ve had. Don’t get me wrong, I don’t enjoy any of those ways of being I’ve listed above, but I do feel like when I am in those states I am in the moment and connected with some difficult emotions even if I can’t necessarily articulate how I am feeling in words. I do get the sense that I am there with my therapist and we can hopefully peel back the layers to get to what’s underneath.

When I am like that I feel like I at least trust her enough to show her in a non-verbal way that things are hard. So I am a bit cross with myself at the moment because I feel like I’ve almost gone back in time to the very early days of therapy- you know, the bit where you meet them for the first time and then steadily try and suss them out over a few months, behave yourself, and don’t show them too much of the crazy!

She commented in session last week that I have been different in the two sessions we’d just had (Monday/Friday). That’s true. I hadn’t taken the vulnerable bits with me to talk because I couldn’t. I had retreated into myself and was trying to go it alone, to an extent. I’ve been sitting neatly in my adult, chatting away like you would to anyone. There haven’t been many long, awkward pauses or any really difficult emotions spilling out. In fact I’d go so far as to say there has been no emotion at all. It’s all been very matter of fact. I’ve been speaking from the rational side of my brain and have been totally disconnected from the emotional part. And yet when I am not in that room it feels like I am drowning inside…

Only the other day I was blogging about how big a deal it would be for me to potentially move away from my therapist and I wrote that highly emotive piece about how it was feeling for me. SHE HAS NO IDEA ABOUT THOSE FEELINGS because I haven’t told her about them! She has no reason to suspect that actually things are no different than they have been in the more gruelling sessions because I’m not showing her any of that. It must look as though the anxiety and depression have magically evaporated. They haven’t. It’s all still there. It hasn’t gone away. It’s just buried. I’ve put my mask back on. For some reason I am not comfortable showing her anything other than my game face at the moment – the one I wear in the outside world.

Despite having been a complete emotional wreck since Friday when I learned my friend was receiving end of life/palliative care and then completely crumbling when I received the news of Sunday that she had died, for some reason I couldn’t stay with those overwhelming feelings and bring that desperately sad and vulnerable part of me into session on Monday. The bit that is devastated and needs support and holding was left in the car. I had been crying the entire journey driving to therapy but my tears promptly dried up as I headed up the driveway to my session. Why is that? Why can’t I let her see that part of me?

The other week my therapist told me that she had an image of an iceberg with lots of bits broken off it come into her mind – that I’m really fragile and precarious. I’ve been thinking a lot about that, and wondering if that is how I am? Isolated, icy cold and unreachable? There’s an irony in this because whilst I don’t at all doubt that’s how I come across, at times, it is the complete opposite of what’s going on underneath ….or maybe it’s that thing, we can see what’s on the surface but about 90% of an iceberg is beneath the surface of the water. I guess we need a submersible or some extreme dive gear!

I also wonder if part of me has been shutting down/backing away from her in the last few weeks because I knew that someone I really love, who I was very emotionally close to, was dying in hospital. Maybe, in some way, I was trying to protect myself from loss. I’ve told her before how there has always been a huge part of me that panics and worries that she is going to disappear. Sometimes it’s a fear of her leaving/abandoning me because I am too much and sometimes I worry that she is actually going to die. It seems ridiculous doesn’t it? But it is how it feels.

The long summer break is always really bad for this as it mirrors what happened with my dad: he was on a month long summer holiday and never came back. It’s awful. I genuinely feel sick the entire summer. Part of it is about her and obviously part of it is about my dad. My therapist has repeatedly told me that she isn’t going to give up on me or leave and that only an event beyond her control would mean our therapy would end. The thing is, death is beyond her control isn’t it? My dad had no control over his death and neither did my friend…and that’s terrifying for me.

And this is why, in part, I have been wittering on about the need for a holding message or a transitional object for such a long time. I am not exaggerating when I say that I operate from a place of high-anxiety in the week wondering if something has changed in the therapeutic relationship or if something bad is about to happen. As far as my brain is concerned, if I haven’t been abandoned yet, then it is only a matter of time. It is thoroughly exhausting.

I guess I should have got my act together and done something with the pebbles I collected from the beach. It’s not as though they haven’t been sitting in the room waiting from week to week. The thing is, I kind of don’t want to do anything with them now. It’s not because I don’t need something to hold on to. I totally do. This week, in particular, has been really difficult and I am struggling to hard to hang on to any positive sense of the relationship right now.

So what’s the issue? Why not spend some time working on and writing on the stones? Well, I don’t want to because I don’t want to have to write them myself. My therapist keeps encouraging me to think about what I want her to write on them,  and whilst I have an idea of the kind of thing I would like her to say, if I have to generate the content then it kind of negates the whole thing for me. It’s like buying and then dictating the message in your own birthday card – whilst the handwriting is someone else’s the feeling and the message is not theirs. They are not in it. What’s the point in that?

The whole idea was to try and create something that makes me feel as though there is something real and genuine between us, that therapy is not just some clinical exercise I put myself through each week, and that maybe she does care about me…because I really have no idea. So I just can’t be bothered with it right now. I feel terrible but this is not making it better, it’s actually highlighting the feelings I have about not being worthy of care and generally being unimportant. The idea of having a transitional object was to try and alleviate these feeling but even getting round to creating it has just reinforced them. I give up.

Maybe subconsciously I have also been withdrawing because I have realised just how caught up in needing my therapist I have become. I’ve said many times now that I feel like I need her just to survive at the moment and that the time between sessions feels like everything is falling apart. It’s not good. I don’t like feeling dependent on someone else because when I am it means that what they do, and how they are, impacts on me emotionally. If I need her then what happens when she isn’t there anymore?

Rather than allowing myself to get closer to her and seek comfort and support in her, perhaps I have been retreating because I can’t cope with the idea of her not being there anymore. And one day that is going to be the case isn’t it? The therapy bubble is going to burst somewhere down the road and I will be on my own again. A pebble isn’t going to change that! Isn’t it stupid, therefore, to get attached to someone that you can’t actually maintain a lifelong attachment to? Isn’t is just ultimately seeking out another heartbreak? Why am I doing that to myself? Why deliberately set myself up for an emotional loss?

I truly hope nothing happens to her and she lives a really full and long life but actually one day she will not be there for me any more just like my dad and my friend are no longer there for me. She may as well be dead when I walk out of therapy for the last time. I know technically I can always go back if necessary, but essentially the idea is that once it’s finished and terminated that is that. End of. Bye bye.

Right now I cannot imagine, or bear to think about, that day….because I am not ready and therapy has a long way to run yet….but it’s almost impossible for me to imagine a day where I will be ok with the idea of not seeing her, not being with her, having no contact.

It makes me feel ill.

It feels like the equivalent of a bereavement and that’s all too present in my mind at the moment. I am keenly aware of how it feels to lose someone. I am in complete denial that my friend is gone, that I have to attend her funeral next week, that I will never hug her or speak to her again. How will I never get a text message ping on my phone? How on earth can that be?

Of course I understand that by the time I get to the end of therapy I should feel differently and by the time we terminate I shouldn’t need my therapist or be impacted by her in the way that I am now. BUT right now I struggle to see how I will ever tolerate not having her in my life. I still can’t accept that my dad is gone. I still need him. It’s nine years down the line. I’m a ‘proper’ grown up with children of my own I shouldn’t ‘need’ my daddy… but I do. And now my friend is gone, and I have plenty of friends, but I need her. I want her.

So tell me please how I will be ok the day my therapist and I are no longer working together…