texting

Rainbow Bridge

rubberbandsandchewinggum16 Comments

I’m going to apologise in advance for the rambling nature of this. I’ve a lot to say and yet my mind is struggling to formulate my thoughts in a clear way. I guess that’s what grief does to me. So, you’ve been warned, if you choose to stick with me, here’s wishing you some good luck for bouncing along and coming out the other end of this with some kind of picture of what’s going on in my brain. I can’t make any promises though, you may reach the end and still be none the wiser.

What’s up?

I am heartbroken.

Devastated.

So very sad.

Why?

Yesterday I had to send my lovely golden retriever off to play in the fields on the other side of the rainbow bridge. On Thursday at a routine check for his steroids (he has a long term skin problem) we discovered that he had a large tumour on his stomach (when will cancer please just leave me, and those I care about, alone?). The vet allowed him home with us for the weekend, to spoil him and give him the best few days of his life, and he was booked in to be put to sleep this coming Monday at 9:30am.

There was nothing that could be done for him. He was an old dog, we knew we were on borrowed time with him before this, but it hasn’t made the feelings of loss any less severe. Just because you know you are going to lose someone it doesn’t it any less painful than when it’s an unexpected loss. I should know. I’ve experienced both now and I’m not just referring to the dog here.

Knowing we were to be saying goodbye on Monday we all went out for a special walk with just him (not all our other bonkers hounds) to his favourite spot and took photos of him with the kids. The amazing thing about this dog is that even when he isn’t well he never really lets on; he’s stoic. Had we not already known he was unwell we’d never have suspected anything inside him was wrong on the walk: he swam in the river; found and destroyed a tennis ball; was able to jump in and out of the car; his tail wagged throughout. He was happy.

We had expected to have the rest of the weekend with him, giving him lots of love and cuddles, and generally just being with our super soft old boy and slowly saying our goodbyes. It wasn’t to be, though. I woke up yesterday morning to find him lying on his bed with a reasonable amount of blood on the fur round his back end and he was looking very sorry for himself. I think the tumour had perhaps started to rupture his stomach as the vet had said could happen – I wasn’t going to take any chances if that was the case.

I called my wife down and she cleaned him up while I called the vets to take him in. It wouldn’t have been right or fair to keep him here until Monday. I would never have forgiven myself if he’d have started haemorrhaging or been in pain. I spent the next two hours waiting to go to the vets sitting on the floor with his head on my legs, stroking him as he drifted in and out of sleep. He was ready to go even if I wasn’t ready for him to leave.

The time at the vets was calm and peaceful. My dog likes the vets and was none the wiser as they catheterised him ready for his injection. I cried and cried knowing what I was about to do, even though I knew there was no choice. It’s part of the responsibility of owning animals, knowing when it is the right time to help them die and ensure they are not suffering or in pain. I told him that he was the best boy and that I loved him, stroking him as the vet administered the anaesthetic. And then he was gone. I can’t get over how one minute he was there, the next not.

I’ve never had to euthanise an animal before. This dog was my first dog, and even though we have four others now this boy was my favourite. He was special. He’s been through the mill with me. I’ve never had to experience the loss of losing a dog and I really wasn’t ready for the hit of grief. I thought with an animal it’d be ok. Turns out it’s no different to losing a human you love. Some people may think that sounds insane but grief is grief and love is love. And I bloody loved that dog and the grief is huge.

I was never allowed pets when I was growing up and had always longed for a dog. I remember that I used to leave notes round the house begging my parents for a dog when I was about ten years old! As I child I desperately wanted/needed something to love that would love me unconditionally and would always be there (looks like that need hasn’t gone even now).

I remember that I used to have a video of cartoons that I would watch over and over. One of the episodes was of a child being given a bouncy puppy by its parents – a yellow dog with a red collar. The child was really happy. And that was what I wanted. I wanted a dog and to be happy.

Being an only child with a mum that was away when I was small and a dad that was away when I was bigger, I craved that consistent presence of an animal that would be there through thick and thin. I didn’t want to be perpetually alone and I knew that at a really young age even if only subconsciously. That hole that I have inside, the mother wound, the deficit in love and care, developmental trauma, call it what you will has been there a long time and I think back then I though it could be filled by a dog.

Once, when I was almost eleven, and believe me this has stayed with me as a particular kind of trauma and grief, my mum agreed that we could get a dog. YAY!! HAPPY DANCE! EXCITEMENT! JOY! She took me to the local dog rescue centre and I found ‘the’ dog – it was a medium sized, short haired, cross-breed – to be fair any of them would have been fine! We took him out for a walk round the compound and I was delighted with him.

We went home and I waited until the day we could bring the dog home. You can see where this is going can’t you? The dog never came home. My mum had changed her mind and didn’t want a dog.

Ouch.

Grief.

I was going to be alone still.

It’s no surprise to me that one of my child parts is an eleven year old girl who has basically given up hope.

Anyway, flash forward 13 years and I finally owned my own house. The moment (ok the day after) I got the keys I started filling it with furry creatures – as you do. I got two kittens and then started searching for a litter of yellow pups. I found my boy’s litter down in Cornwall just a mile from my dad’s house on the beach. Seemed like fate.

I remember the day, five weeks after I met him, when it was time to pick up the little golden bundle (red collar at the ready) and how instantly I fell in love with him. We stopped in at my dad’s before going home in order to introduce him to the pup. The doglet peed on the rug but dad didn’t care! He was as taken with the boy as we were.

He’d always wanted a dog but his work and travel commitments hadn’t allowed for it. He was delighted, however, to now be a ‘grandad’ and would be able to have the dog for us when we were away. The last photo I have of my dad is of him holding my seven week old pup – I have it framed in my house and it is all the more special to me after yesterday.

My dad died on holiday abroad less than three months after I got my puppy and that unexpected loss sent my world into freefall. I have CPTSD and that month after my dad died did nothing to help that. I still feel sick when I think about it and have horrible nightmares even almost ten years later. I didn’t know in May 2008 when I collected my furry beastie that this puppy would be the dog that essentially saved my life.

Three months after my dad’s death I had a massive, and I mean MASSIVE mental breakdown. I don’t know how I had managed teaching the term between September and December – all I can say is that I think I was in complete denial about what had happened. I was surviving pretty much on thin air and looking back now I can see how poorly I had become.

My fuse had been getting shorter and shorter and my tolerance for the kids’ usual behaviour was lessened as the term went on. I had started to dread going to work. I didn’t have the resources to hold everything together. I made it to Christmas, somehow, but life outside work was crumbling because I was having to throw everything I had into surviving the day at work.

Between Christmas and New Year I had been steadily working on marking GCSE mock exams. I had gone down to my dad’s (now my) house to do my work because my wife was working long days in the hospital and I thought being at the beach with my dog would be soothing. The beach was great and the dog, my constant companion, was all the company I needed. I am a bit of a loner but I never felt alone with him.

I had just completed the marking and planning and was all up-to-date and ready for the next school term with a couple of days until term started and then reality hit. When I actually stopped and looked around me I realised what had happened and it felt instantly as though I couldn’t function any more. I crashed.

I can remember my wife came down after she had finished her block of shifts; we’d planned that I’d get my work done so we could have a relaxing couple of days walking along the coast and snuggling up by the fire before heading back home to work. The moment she arrived I burst into tears in the kitchen and started shaking. I couldn’t stop.

It was then that she told me I wasn’t fit for work and that we’d be going to the GP when we got home to get me signed off. So January 2009 was when I entered into the world of NHS mental health services. I was so desperately anorexic, suicidal, and terrified that it all became a bit of a circus in the end (I’ve written about it before). From that point I started living on a cycle of appointments which actually just massively increased my stress and anxiety levels.

The interventions with my GP, crisis team, psychiatrists, oh and bloody ‘wellbeing at work’ really did very little to help me heal. Part of the problem was worrying every other week that my GP was going to ‘make me’ go back to work as she only ever signed me off for two weeks at a time. I used to feel sick leading into the appointment because I categorically knew that I was not safe to go back into the classroom but was terrified that she would only see the high functioning articulate person in front of her and not hear the words I was saying.

I have never been the ‘stereotypical depressed person’ (which, by the way, is a complete pile of shit anyway). I don’t stay in bed all day, cry in front of people, or fail to shower and neglect myself (as if that’s all that is valid) and I think in part that’s why I’ve never really got the help I have needed. I have been ‘too ok’ when actually it’s just a front I put on for that ten minute window and it takes an enormous amount of effort. I wish I had the insight I have now back then about being seen or not being seen, about trauma, and about my coping strategies!

I didn’t feel able to advocate for myself back then and got swallowed up by the system and was beholden to it. It’s weird how these things work but I think when you don’t know what to expect that you just imagine that the system can do things to you and that you have no choice in it. I was young and all I knew of these services was that they locked you up… my auntie was in and out of psychiatric units her whole adult life and I just assumed that I had to comply with whatever was being thrown at me.

I think, too, that I was so desperate for things to get better that if I kept attending appointments then somehow things would just somehow get better, that they could ‘do something to me’ and it would take away the pain and I would be able to go back to normal.

I wanted my life back.

I wanted my dad back.

I saw my GP every week but wasn’t until about four months into being signed off on a two week rolling basis that I was able to tell her that it was really stressing me out (I’m crap at expressing my needs…nothing has changed!). I had lost about another stone in weight and I could see that she was wondering what the hell was happening with me.

I still remember when she said, ‘people as young as you don’t usually need so much time off work’… but agreed then to sign me off for an eight week spell and referred me for an eating disorder assessment as the graph on the computer showed that things were not going well. I can’t tell you how much the anxiety lifted at that point (not having to go to work) but landed on me at the same time (ED assessment).

Anyway the mental health stuff is neither here nor there really it’s just part of a narrative about my current feelings of loss.

I was off work for a total of 17 months and I can categorically say that had it not been for my dog I would not be here now. It was the routine of walking him every day along the canal that kept me here when all I wanted was to disappear. It was sitting on the sofa or lying in bed and him being beside me that helped me feel safe and understood and loved when humans weren’t capable of making me feel that way. It was my dog that sat with my tears when everyone else got silence or ‘I’m fine’.

I shut everyone out at that time but I feel that dog knew my soul and accepted all the broken parts of me. I loved him unconditionally and I know he loved me too – in the only way a dog can. I realise that to a non-animal person this all sounds really saccharine and over the top. I guess before I had him I would’ve thought something along the lines of ‘yeah it’s sad but it’s just a dog’ but I know differently now.

I know that my grief is magnified, too, because this loss is not just about my dog. Losing my dog has activated all the unprocessed grief from nearly a decade ago when I lost my dad. The grief from back then that has been fairly settled but not fully processed. All of a sudden my dog, my protector, isn’t here and all the emotional pain is flooding in. I knew this would happen and have been dreading this time coming for the last couple of years.

I have therapy tomorrow and even that has been an emotional rollercoaster! Initially I had thought that I’d be taking my dog to the vet on Monday and so I text my therapist late in the evening on Thursday to tell her what had happened and that I wouldn’t be able to get to my session. I didn’t ask to reschedule or Skype even though I wanted to see her. Why do I do that to myself?!

She responded almost immediately with a very understanding message (far better than anything she’s sent previously) and said she’d see me on the 26th. The message was containing enough but I went into a meltdown about having to wait until the 26th to see her!

I knew I couldn’t see my therapist in person but the idea of not being able to talk with her for another week with Easter around the corner was just hideous (I found out I have a four week/three session therapy break this Easter in the last session), particularly as I left the session on Monday telling her that I was annoyed with her about the pebbles/transitional object and felt like she was avoiding talking about our relationship!

Ah, this is a bit of an aside but now I am talking about it I may as well bring things up to speed…

The session had been ok and then she’d brought up talking about the pebbles and she said something along the lines of: I find it difficult to tell her what I need and perhaps if we tried a different angle talking about nurturing, protective, and wise figures rather than about us then we might get some useful material. I shutdown immediately (not that she’d have known) but I could feel the rage rising in me when she said that.

I was annoyed for a couple of reasons: 1) that she was asking me to engage with the pebbles when actually nothing I say really matters. It has no impact whatever I say because if she doesn’t feel it to be genuine on her side then she won’t say it or write it. I said as much and she picked up on the fact that I had lost trust in the process after the texts at Christmas; 2) I feel like I spend such a lot of time avoiding talking about the therapeutic relationship that I didn’t want to do it again, ie talk about ‘figures’ rather than ‘us’ because when we do talk about us it might be hard but it is way more connecting.

I guess it’s the thing I was talking about last post again about what I hear and what is said. She was trying to find a way for us to connect with this stuff in order to move forward with the break coming and all I heard is that we weren’t going to be talking about us and that she was fucking off for a month. Ugh. RAGE!

Anyway, I sat there silent and stony and listened to what she said. Basically she wanted me to tell her what qualities I associate with different kinds of figures. We began by talking about nurturing figures. I came up with two points and then sort of gave up and sat there.

She asked what was up and told her I was annoyed because we are avoiding the issues in the relationship. She tried to explain why she thought what we doing was good idea and that it wasn’t ‘instead’ of talking about the relationship and asked what I thought was going on between us. I said I had no idea. The session was up and I left feeling disgruntled and pissed off. As I left she said, ‘it’s ok to be annoyed, and it’s ok to be annoyed with me’. I didn’t respond and walked out the door. Petulant teen? Or disappointed child? Frustrated adult? ALL OF THE ABOVE!

I drove home feeling grrrrr and arrrgghhhh and then went through the usual shit about feeling like she doesn’t care and that I am wasting my time and ….

… and then I came out of that (!) and thought it might be worth engaging with what she had asked me (don’t roll your eyes, I’ve already done it for you!). So I came up with this and then sent it to her:

9debea08-e264-4991-982b-d3de276aaaea

 

I don’t know exactly know what will come of it but I would like to think the text exchanges we’ve had the last few days haven’t come about by chance. They feel warmer and more responsive…but it could just me being more willing to see care where there is some. I don’t know!

Anyway back to the communications via text -I waited until Friday morning to text her (usual rambling style!):

I’ve gone into total meltdown overnight (bad dreams etc) about not being able to see you until the 26th alongside the reality that dog is actually going to die. I really want to talk to you on Monday (I’m not annoyed now) but as Wife is home all day on dog leave I don’t think it’d feel very easy doing Skype with her in the house – although I would be home from the vets by our session time so maybe it’d be ok. Wife says I should just go to our session and let her deal with dog but I think I’d feel awful if I’m not there at the end with him. I don’t know what to do. I don’t really know what I am asking but if we can find a way of talking on Monday I would like to. I feel so sad right now but also completely pathetic that I am not ok with not seeing you…which makes me feel anxious about Easter too. Ugh. The shame! X

She responded quickly again and said she understood my dilemma and maybe we should just try skype anyway and see how it feels. That she’d be there and to let her know what I would like to do.

I downloaded the Skype app to my phone and thought worst case scenario I could Skype in my car. When I told my wife I was going to do my session by Skype she said she’d go out and meet me in town afterwards. It’s weird. It was no bother for her to do it and yet I felt like if I had asked her to go out I would have been asking too much or in some way making the therapy seem a secret. I don’t know. I mean ultimately what goes on in my sessions is secret but I don’t know….

I text my therapist and told her I’d like to Skype and she replied again. Good. That makes things feel easier. It doesn’t take a lot for me to feel settled and contained when she is responsive.

As it turns out none of this is an issue now because I now don’t have to go to the vet tomorrow. I am looking forward to seeing my therapist in person. I just hope that the session is as connecting and nurturing as I need it to be. I hope I can show her how sad I am and not shut her out like I did when my friend died last year.

I know part of the issue is that I want to be held by her and to let my emotions out but am scared of doing so knowing that she’ll just leave me sitting there crying. I’d rather hold everything in than feel like I’ve been left alone with it when it’s all coming out.

I know that if I could ask her to sit closer to me then that would help, but unless I am able to tell her that I know it won’t happen because the last time she moved closer to me I dissociated and started crying….and although I was crying because I wanted her to be close, closer than she was, I know she thinks that she has intruded into my space and upset me. Ugh.

So that’s about where things are at right now.

My darling boy is gone and I am bereft.

img_2799

Artwork above from: RedandHowling

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

rubberbandsandchewinggum7 Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 She replied almost immediately:

‘Ok, I’ll read it. See you on Monday’.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

img_2363

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

rubberbandsandchewinggum61 Comments

img_2313

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.

IMG_1530

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.

img_1528

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:

IMG_1518

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.’

*

img_2319

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:

IMG_1475

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.

img_2311

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.

img_2309.jpg

 

 

Remain Sane This Christmas

rubberbandsandchewinggum4 Comments

So, it’s rapidly approaching the start of my Christmas therapy break. Eek! I have one more session on Monday and then that’s it for almost a month. As a therapy addict, the last thing I respond well to is a break in the supply of my drug/therapist (argh attachment issues!). As of Monday I’ll be going cold turkey (and it’s not even boxing day yet which is really the only acceptable time to be facing cold cuts) and that is actually pretty terrifying.

Despite there being a huge part of me that has been dreading the Christmas break since returning from the loooong summer break (I tend to do this – work on a cycle of dread counting down to each inevitable separation from my therapist) there has also been a part of me that has also tried to pretend that it isn’t going to happen, or that it will be fine, or that I don’t really mind that there is a break at all…denial, basically!

A couple of weeks ago I said to my therapist that ‘I think maybe the break will be a good thing as maybe a bit of distance might get me out of this rut of silence and being awkward with you’ and I meant it at the time…or, at least, whichever part of me was talking did.

Simultaneously there was a voice inside my head losing it, shouting, ‘What the fuck are you saying this for?! The break is not a good thing you stupid moron! Why would you say that to her?! Why can’t you tell her how bloody awful it is and how much it hurts just thinking about not seeing her? Why pretend that a month with no contact isn’t going to have you crying into your pillow every day?! You do my head in! FFS!’

I think, maybe, what was happening was that part of me, possibly the teen, was basically trying to tell my therapist, ‘I don’t need you, I don’t want you, and I can cope without you’. Breaks stir up a lot of feelings in me and really affect the therapy for quite some time both before and after a break. They really absolutely are the pits. I can’t help but feel abandoned and rejected.

I (adult) know that therapists need holidays just like the rest of the population but the child can’t really understand why her safe adult is fucking off for almost a month and leaving her to fend for herself when she is at her most vulnerable. It hurts a lot.

Every time there is a break and I can’t see my therapist it dredges up some really painful feelings from when I was little. My mum used to disappear from Sunday through to Friday. She was away at university studying, but as a four year old there is no rationalising that information when all you want is your mummy at bedtime….and this is what plays out time and again with breaks, and actually the time between weekly therapy sessions. When I want/need safety, nurturing, and care from my therapist and can’t access it, it feels utterly crushing. I have another ‘mummy’ that isn’t there when I need her and so I feel abandoned.

How I communicate how I feel about ‘being left’ to my therapist varies. Sometimes I am able to be vulnerable and open and tell her how I feel before a break.  More often than not, though, I shut down. I think my saying that the break was ‘a good thing’ to her was my way of shutting her out from my emotions. It was almost me saying, ‘I have to manage it regardless. I have no choice in this, so I am not going to let you see how much it bothers me’. 

The Teen part of me is so hurt, angry and rejected that it seems sensible that I stonewall her or say stuff that I don’t really mean. In some way if I don’t let her in then maybe it shows her how it feels to be excluded too. Yep, it’s not totally rational, but this is an emotional response and it’s just how it is sometimes.

Anyway, the following session my therapist asked me again how I was feeling about the break after her having read the 10 things I wish my therapist knew… post which clearly indicated that the break was a problem for me! She asked if I felt the same as I had suggested the previous week’s session. My simple answer: ‘No!’

The remainder of that session became a huge splurge about why Christmas break is so hard for me … but nothing about missing her or any of the therapeutic relationship stuff – just my life: my dysfunctional family; the weight of expectation to be someone who I am not anymore; missing my dear recently dead friend whose birthday falls a few days before Christmas; the anniversary of my spectacular mental health breakdown; two years since going through radiotherapy over the Christmas period; fear of spiralling down into self harm because things feel tricky….it went on and on and on but I kept tight lipped about the biggest issue: managing all that stuff without her support and the vulnerable parts of me struggling to maintain connection to her.

So then it got to Monday, and this week’s session. I’d been struggling all week with feeling lost and alone. Basically the attachment pain stuff had really kicked in massively. I’d shed the cloak of denial and was fully immersed in the reality of the feelings that go with a disruption to my weekly sessions. I knew that I couldn’t bury my head in the sand any longer, and I had a choice to make when I sat down: avoid or connect?

This week, I am delighted to report that I chose to connect. It mightn’t seem like a big deal but after months of being really closed off it was huge.

I’d had a quite disturbing dream earlier in the week where I had killed myself and so took that in to talk about. It was a good way into the session and stopped me just sitting there getting anxious and saying nothing! We did lots of unpicking and then once I thought we were done with it, she said, ‘I also wonder if this has anything to do with the break?’ I looked at her incredulously, ‘how?’ I asked. And she said something about how I have told her that I feel like she is dead when I can’t see her. I felt myself shut down and hide.

She noticed immediately and asked me what had changed? I explained that my body was really tense and she asked me when it had happened. I told her, ‘when you mentioned the break.’ She did one of those really warm and understanding ‘ahhhh‘ sounds and said, ‘breaks are massive and stir up loads. We need to pay attention to this so it doesn’t get ignored. We need to give it more attention than we have done in the past, I think. The break maybe feels different this time?’

Then she asked about the pebbles (honestly, those frigging pebbles will be the end of me!!) and we talked about how it’s been hard to get to it/them on both our parts. I think after the failed internalising visualisation that she sent me for the summer break that I had a had a meltdown over she’s probably worried about getting it wrong again.  She asked if I had any ideas about it and what kind of message she could write that would help and I said ‘I don’t know. I don’t know what you can write to make it feel any better’. She agreed and said she didn’t know either because it was complex.

She said that she was aware that the adult didn’t need these pebbles (transitional object) but the young ones who are more fragile really did, and maybe a few of those young parts, not just one, needed a particular kind of message. She asked me what it was that all of them respond to. I wanted to say ‘knowing you are here with me and aren’t going anywhere’ but sat still and said nothing (look, I can’t always say what’s on my mind!!). She said, ‘I think maybe they need to know they are kept in mind and are held, something along those lines?’

Basically from the moment she had mentioned the break when unpicking my dream my little ones inside lost it. It was tears and tantrums. I could feel at least three separate child voices inside me screaming. Usually I keep that kind of thing to myself and banish the inner child to the corner of the room or gag her, but seeing as my therapist seemed to be inviting a conversation about what the young parts needed and knowing the break was coming I said, ‘it’s really noisy in my head’ and somehow from that we got moving along a path that I have been wary of treading before now.

She asked if I recognised the voices of the children? Were they my children? I said ‘no’. She asked if it could be my inner child/ren in distress? And I said ‘yes’ (I am sure you are all marvelling at how eloquent I am in my therapy sessions!). She said that these types of conversations really stir up lots of difficult feelings and overwhelm me. I said it was ‘hell’. She asked me if the voices felt contained inside my head. I said ‘no’. She said ‘it’s huge, isn’t it?’ I nodded, ‘I hate it’. She looked right and me and gently said, ‘I know you hate it, but there’s a need, there’s someone inside that needs a lot of care. She is very distressed.’…and then the doorbell rang!

Embarrassed, she quickly answered it (the therapy room is right next to the door and she had obviously seen her neighbour coming up the driveway) and came back in. She asked if the crying noise was loud still in my head? And wondered if the disruption to my session had amplified the noise?: ‘The little one doesn’t understand why there has been a disruption, she just doesn’t like them and it mirrors what happens in the break.’ She said that I (adult) know what’s going on but the little one can’t understand why she is not there with me.

I felt really exposed but equally really held and contained and said, ‘I don’t know what to do with this’ and she said ‘I think this is where we often get to. It’s really hard to talk about it. It’s overwhelming. It’s hard to find the words to talk about it. But the need is huge. The little one inside you, however old she is, she needs something, and so if one of your children were telling you this, what would you give them?’

And then I replied (a bit – a lot- frustrated!) ‘I know what you are trying to get out of me but it’s not as easy as just giving myself a hug and holding myself. It doesn’t work! I’ve tried really hard. It’s great knowing that there is that need but what the hell am I supposed to do with that?’ and she was really understanding. It’s one of the things that I really struggle with, knowing there is a all this sadness and pain inside and yet not seemingly being able to do anything to make it feel any better. I just feel like a powerless spectator watching small children suffer.

I told her about how I had emailed my friend some activities for our child parts and said ‘as nice as all that is, and as aware as I am about needing to attend to the needs of those parts, it doesn’t hold them, it doesn’t contain them. I try really hard but it just doesn’t work. I can’t make it feel like there is holding’. She said she understood and suggested trying something different.

She said ‘these little ones need an adult to be with them and soothe them and settle them down emotionally. It might be you or another adult. The little ones need holding and probably so do the teenagers. Maybe that is something we could develop together. It’s not just about knowing about it (holding), it’s about feeling it bit by bit. Can you imagine how that would feel?- starting with the youngest, most needy one, because she needs it. The adult can kick in and organise everything but the little one needs to feel held and loved and emotionally there with someone’.

I said, ‘yes, I get that, but the little ones don’t even know I exist. The smallest one doesn’t want me!’ In my head I was willing myself to say, ‘she wants you!’ but didn’t. She said ‘they can meet you and we can work together to help introduce you to each other. We need to be able to soothe the little one, just a tiny bit to start off with’. She asked if I thought it was possible. I said ‘no‘ because I know that little me really only wants to be cared for and held by one person…and we all know that right now, that isn’t me!

We talked about what the little girl was feeling and how it would be if I tried to sit her on my knee and hold her. I said, ‘she doesn’t want me. She doesn’t trust me’. She asked who she trusted. I said ‘no one’…which is kind of true. I want to trust my therapist but since the no touch thing I don’t fully feel like I can say ‘my little one wants to sit in your lap and for you to soothe her and tell her that she is loved‘….because it just feels toooooo much. But that’s what I wanted to say.

She asked me if the ‘little one could imagine being cuddled?’. I said ‘no’…because I have no memory of it. Holding and touch have been so lacking in my upbringing that I honestly can’t tell you of a time when I remember being ‘held’ by mum. Of course we’ve had awkward hugs now and again when we say goodbye, but there’s never been any of that closeness that I crave. There has been no snuggling at bedtime after a story and softly saying ‘I love you more than anything’  or ‘you are the most special girl in the world and I love you’ which is what I say to my daughter every single day.

It’s a running joke. Each day when she comes home from school I say to my little girl, ‘guess what?’ and she laughs and rolls her eyes at me, ‘I know mummy- you love me- you say it all the time!’ And do you know what?-that fills me with utter joy because that is exactly how it should be. She is so secure in knowing that I love her that it is almost boring to her. Win!

After my therapist’s ‘cuddle’ question – big ouch – please, please cuddle me! I jumped out of the situation, detached from the young part and wondered aloud, ‘why can’t the little part of me trust?‘ and she said some affirming, validating stuff about how things have been and yet I had somehow survived it. She said, ‘this is the place where the change is going to come. it’s a lot of work and effort and it hurts but when you take your mind to this place this is where things change. the more you can be in touch with your need and your feelings, as hard as it feels, the more possible it feels for things to be less bad’ and she is right….because despite how tough it was it was a great session.

BUT. Oh and there always is a giant BUT isn’t there? Since having such a deeply connecting session I have been left with the most enormous therapy hangover. It’s Thursday now and I am still feeling it. I’ve been so sad all week. I can’t tell you how many times I have considered picking up my phone and sending a text to tell my therapist that I miss her, am struggling and try and get some kind of reassurance that things are ok.

I haven’t sent that message because I know that she doesn’t respond to texts that are about anything other than scheduling. I literally cannot bear the feeling of being so vulnerable, reaching out and then being ignored – it feels so rejecting. I’ve done it enough times to know that texting doesn’t end well but god, this place that I am in right now is hellish. I really cannot bear the thought of the break.

So in order to try and get some extra support and sense of holding during the break I have just signed up to Sane’s Text Care again:

http://www.sane.org.uk/what_we_do/support/textcare/?task=thankyou

It’s a really great service. Basically you fill out a really quick form online with some info about what you struggle with:

img_2108

 

and then they send a weekly support text message to you at a time of your choosing for five consecutive weeks.  I’ve done this over several of my therapy breaks now and I have to say it really helps:

With the Christmas break coming up I figure it’s worth doing everything possible to try and make the weeks without therapy a little more bearable. Having my feelings acknowledged in this way is really helpful because, like a lot of you, it’s not easy to share these feelings with family and it can feel incredibly isolating struggling in silence with attachment pain. Of course, you can get support with whatever your issue because all texts are tailored specifically to what you write in the text box on the request form.

Usually they only need 72 hours notice to begin the text messages but I noticed when I filled out the form earlier that the deadline for requesting Christmas messages is 10th December. So if you are thinking this might be something that’d help you over the festive period to stay sane then get online quick.

Anyway, that’s about all for now. School run calls! …

‘It took me so long to get here, but here I am’ – on sharing my blog with my therapist.

rubberbandsandchewinggum2 Comments

 

IMG_1460

Last week was pretty terrible for me by all accounts. I felt like I was on a slippery slope and heading towards a really bad place mentally. I was completely caught up in my internal hurricane and devastated by the damage it was doing to me, but by the time I had finished writing the last post ‘I’m watching the weather channel and waiting for the storm’ I think I had gone some way towards processing what is/has been going on for me and felt a little better about it all.

Sometimes just having a bit of clarity on the situation eases the pressure even though nothing is actually resolved. I know I am not out of the storm yet. I have been batting away some pretty negative and persuasive thoughts about my body and am trying not to slip into not eating or self-harming.

Despite this, it does feel like the storm is losing its power: it has been downgraded from a category 5 to a 3, or something like that. The anxiety that was completely overwhelming me has ebbed and now I just feel a bit flat – less anxious more depressed- I suppose. I don’t feel sick and my headache has gone. It’s not great, by any means, but it is certainly a good deal better than it was.

I mentioned at the end of the last post that:

‘ I feel that overwhelming need to contact my therapist and tell her how bad things feel but know there’s no point because she won’t respond to my messages and has told me to write it all down or draw it and bring it to session to talk about. I just don’t really know what to write or draw. I have so much to say but also don’t know how to say it.’

I don’t know what possessed me to do it, maybe I temporarily took leave of my senses (very likely!) or perhaps, finally, after a total 31 months of therapy something in me feels that now is the time to be a bit braver and stop hiding the really awkward and difficult stuff from my therapist. Like I said, I don’t know what happened, but a few hours after publishing the post online I was thinking about what I should write to take in to therapy but I kept drawing a blank. I didn’t feel like drawing anything. There isn’t enough black and grey paint to express how stormy and shit things felt!

I knew that that the post I had just written basically told it like it was, there was no concealing anything. I wasn’t avoiding the bits that are hard to say in it because, although there ‘is’ an audience for what I write here, the blog is also just a space for my thoughts. I don’t really have to face any judgment for what I say, think, or feel. Or so far, at least, the feedback has been positive, kind, and understanding.

What I wrote in the post was brutally honest – the truth. It was exactly what has needed to be said in therapy and what I have been steadily trying to articulate over the last few months but struggling to. I feel like I get so far but somehow the overall picture gets lost. I don’t know why that happens. I think there are just so many parts of me competing for attention and space to talk that sometimes nothing gets said.

I’ve been aware that a blog is a great space for letting stuff out and that’s why I finally got myself together during the break to start writing –I definitely needed an outlet when my therapist was away. (I guess it was one positive to come out of the break!) I am mindful, though, that some of what I write is really what I should be discussing in session, in person, with my therapist. Some of this is the stuff I might be running from saying in session because it is too hard, too painful, too exposing. I know I need to be careful not to splurge everything here and then not talk to her. So, what did I do? I sent her a text with a link to my blog and said that I’d bring my laptop in to go through it together in session.

The moment I sent the message I was like, ‘Oh fuck! What the fuck have I just done? She’s going to really think I’m really mental now. Oh god. What a fucking idiot. Shit! Fuck! Shit!’ But at the same time there was a sense of relief having put it out there. There was a part of me that felt a bit more pragmatic about it and was almost kind to myself, ‘What’s the worst that can happen? If I’m going to work with her long-term she needs to know about this stuff or I’m just wasting my time. This is how it is. This is how I feel. I can’t hold this for myself and I need help with the little ones. It’s time to tell her, really tell her how it is.’

There is one positive (ha, I can’t believe I’ve just written that!) about the agreement that we have about outside of session contact, which is that if I text her she might scan read it but won’t take in the detail or read fully, and she won’t reply unless it’s something about timings or session changes – admin basically.

This boundary was necessarily reinforced after a big rupture via text that happened a few months back leading into a break. We’d had a really good therapy session but I guess it had subconsciously stirred up a lot of stuff. The next day, on the surface, I was feeling positive and buoyant and so I sent her this picture text:

IMG_0608

What happened next was deadly. She responded to it but I thought, from what she said, that she was talking to someone else and had somehow messaged me by mistake. I got totally pissed off because SHE NEVER RESPONDS TO ME when I message her (only this time she had!) and so suddenly I felt like I didn’t matter and that she didn’t care about me as much as some other client. The Green Eyed Monster came out in full force. It wasn’t good.

She thought the picture was like an epitaph or something and was concerned enough about my safety based on what I’d said in session and from the message to check in with me. Whereas I saw the image and words as a positive, a sort of ‘I may be going through hell but I am in control, fuck you Inner Critic’, and therefore I assumed her message was a miscommunication.

I ‘calmly’ replied to tell her that I thought she’d sent me a message intended for someone else but then heard nothing back from her to confirm either way. Basically after a couple of hours all the stuff about being abandoned, not worthy of her care, being unimportant, and that it’s a fake relationship just reached boiling point. I ended up firing off a massive rant, I threw all my toys out the pram and said I was terminating therapy! I was so hurt and sad. Obviously that exchange just tapped into a really deep wound that I hadn’t been fully aware of until then.

Fortunately, she handled it really well, apologised for the misunderstanding and didn’t acknowledge the ‘I’m done’ bit and offered me another couple of sessions to work things through. I still cringe when I think about it all. It was embarrassing but it totally highlighted how sensitive I am to change and breaks. It also showed me how important face-to-face communication is and how easily even well-intended messages can cause upset. Written communications, particularly texts, lack depth and all the subtle nuances of face-to-face communication.

Part of the reason my therapist says it’s best to keep things in session is that she can pick up on the feelings and vibe in person even if I’m not saying anything. She can check her understanding and clarify with me. She says that there is always a danger in written communication in her honing in on the wrong thing or missing the point entirely which can make me feel like she isn’t attuned and that I am not being heard and that is best avoided. As an English post-grad and English teacher I can’t really argue with that.

Don’t get me wrong. I do completely get it and the adult part of me is in total agreement with what she is saying BUT I’m not going to lie, I don’t find this outside contact boundary easy at all. In fact, I’d got so far as to say I HATE IT. I find it incredibly painful most of the time. This is because the bit of me that needs her, wants her between sessions isn’t my adult, it’s the young child parts and to them it feels like she just doesn’t care about them at all and is perfectly happy to leave them in emotional limbo between sessions drowning in attachment trauma and feeling totally terrified and abandoned. It feels cruel.

I wish there was the occasional ‘we’re still ok, and I am still here’ message midweek. Maybe I’ll get round to asking for that again. That’s all I really want. I don’t want to enter into a huge dialogue outside session. I don’t need check in calls. I just want a simple reassurance that nothing bad has happened and that she hasn’t disappeared. My object constancy is crap and so I genuinely feel like she is gone and has left me during the week and even after all this time I am never really sure that she’ll be there on a Monday.

So, anyway, that’s a bit of a detour! Back to Friday, based on the outside session communication rule/boundary, I knew that she’d see the text but wouldn’t have read anything in the blog or even followed the link – she’d just be aware of something coming on Monday. Because of this ‘not reading stuff outside of session’ thing, I also know that I can still write freely here because she won’t read this blog unless I am there with her and want to share a specific post in session.

I’m not sure how I feel about that, actually. I guess it’s good because there are certainly things I’ll probably want to share on here that I don’t necessarily want her to see yet… but at the same time I guess the very fact that I have now given her the link to the blog, and the content of it is purely about the therapy, indicates that at least some part of me wants her to really know what’s going on. It’s complicated! I know if it was me and I discovered that someone was writing about me and my relationship with them I would just have to know what they were saying. My therapist just isn’t that interested, I don’t think.

So, finally, to Monday…

My adult (she’s quite good at this kind of thing) went to session with the laptop and handed it over for my therapist to read the post. I had thought I would be nervous or anxious when it came down to it, as previously when I’ve taken things in that I have written I have felt a bit sick or worried, sitting wondering how what I have said will be received. When you are in the room there is nowhere to hide except in silence.

I know that the fear that I might be rejected or abandoned by my therapist for expressing my feelings stems from when I was small. It’s a kind of negative maternal transference, but it absolutely doesn’t make it any easier knowing this. All the rationalising in the world about why I feel this way doesn’t change the fact that I am attached to her in the here and now, and all the fear about potential abandonment I feel is real in the here and now. The worst of it is that those feelings that have been dredged up from the past still carry the intensity of my inner child’s feelings that were hurt so badly when I was little. The adult can’t get round it.

I’m not sure why Monday felt less intense and less stressful, then. Perhaps I’ve done it enough times now and have always been met with a positive response that it feels a little bit less scary showing her my thoughts in writing. Perhaps it’s because in my head I’ve reached a point now where I know that I have to push things forward because I just cannot keep getting caught up in emotional hell over and over due to how I feel about her and the therapeutic relationship. I’ve got to stop expecting her to be psychic and know what’s bothering me.

I think a lot of the time I feel like my therapist should know what’s going on with me because so many of my internal thoughts are taken up with thinking about therapy and about what I want to say to her. I have to remember that she is not in my head and so unless I explicitly say what’s going on for me she won’t have the full picture. She is very intuitive and gets it right a lot of the time without me having to say anything but the finer detail needs spelling out. I am glad I did it.

So, bit by bit we worked through what I’d written. She asked how I felt about letting her see my writing and how it was different from speaking to her. I said that I have so much going on in my head that the detail often gets lost and my head turns to mush when I try and speak, whereas with writing I can process what I need to say beforehand and then build on it in session.

I often get blocked in session, especially after a break and so we agreed that maybe writing is a good way to get round this before the connection is fully restored and that I should/can bring things in to work through.

We talked through possible ways of trying to make things better, especially when there is a disruption, i.e trying a different strategy with a handwritten message on a card maybe and work on the content together in sessions so it works for me. You know I still want a teddy, though, right?! Lol.

She seemed to understand how and why the visualisation had missed the mark and how it hadn’t helped the little ones feel safe at all;  the language wasn’t right and that a visualisation was just too much at the moment. She said it is complex because she also needs to talk to the adult (that’s what she was trying to do in the visualisation) to try and integrate all the parts but by the end of the session acknowledged that it is really difficult because there are so many parts in play and they are all hearing and taking different things from what she says. She said that she knows she needs to talk to the little ones.

One of the best bits of the session, for me, was at the very end listening to the song that I had attached to the post. I love music and I often find that I get a song as an internal soundtrack that reflects where I am emotionally; it was Fleetwood Mac’s Landslide the other week, Sheryl Crow’s Weather Channel last week and this week there are a couple of Counting Crows songs doing the rounds…read into that what you will! So listening to the song and the lyrics together gave the session another dimension for me. Not only did I get to share a song that carries a lot of meaning for me and essentially summarised the feelings in the blog post, but it was a bit of quiet reflective time too after what really was quite a lot of processing and discussion.

I’ve been really struggling to settle down in sessions lately and we’ve talked about trying to find some strategies for calming me down and making me feel safe in the session at the beginning to enable me to talk. Based on how I felt on Monday, I think that maybe listening to a track together at the start of our sessions each week would be a really good starter – partly because it allows a few minutes to settle but also functions as a talking point. Usually the song of the moment has some kind of relevant emotional meaning. So, I think I might suggest this on Monday and see what she says.

God, this is long again and I haven’t written that out very well. To be honest, the session all feels a bit of a blur now. I guess what I can say is that we talked through loads and it was positive. I didn’t feel awkward or too embarrassed. She made me feel safe and as though all my feelings have a place in the therapy and that she isn’t going to reject me because of them. I know there is still a long way to go but as a result of sharing that blog post I now know that we are on the same page. Or at least, she knows what’s in my book

In the words of KT Tunstall, ‘It took me so long to get here, but here I am!’