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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

What It’s Like On Wednesdays

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

X

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

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Ultimatum

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

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

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

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

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

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

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

I’ll get to the point shall I?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Fuck.

What was wrong?

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

And then out it came…

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

But then came…

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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I don’t know what to do.

Indecision is not something that I tend to struggle with, except for in one aspect of my life: therapy. You all saw that coming, right? The therapeutic relationship and therapy is something I second guess myself about ALL THE TIME! I have a running internal monologue when I think (obsess) about therapy: Should I say this? What would happen if I do that? What will she think if I…? If I ask her for ‘x’ will she ‘y’? Do I need a new therapist? How can I get past this? Why is this so difficult? Does she care? Blah blah blah.

After a week where I have done a great deal of mental to-ing and fro-ing about what I was going to speak about in tomorrow’s session and struggling to get down to writing some prompts to help me talk about what I need to (we’re still not anywhere close to over the rupture from a few weeks ago) it turns out that most of the angst and ache has been completely unnecessary because I can’t now go to session tomorrow.

My house has been like some kind of vomit factory this weekend #thejoyofkids and I’ve spent a significant amount of time clearing up sick off the bathroom floor and disinfecting everything x100. Fortunately I’ve only been sick a couple of times but am now very reluctant to put anything in my mouth for fear of throwing it back up again.

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There’s a bit of an irony there, because at the end of my last post I was wittering on about what my next session might be like. There was the teen acting up wanting to cancel through sheer frustration but also the acknowledgement that the young attach parts needed to go:

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

As much as I have been anxious about what tomorrow’s session might be like there was also a part of me that desperately wanted to go. The last session we had was difficult (again) I had started with migraine symptoms midway through (having had one earlier in the week). My therapist had asked me if I would like her to try something with her moving her fingers slowly up and down – apparently vertical eye movements can help alleviate symptoms (who knew?!).

She moved from her chair onto a stool which was about half the usual distance from where she usually is. I always feel like she is a million miles away, even though it’s probably less than two metres between our chairs and so her moving closer to me felt massive and my body had a huge response to it.

Part of me loved having her within touching distance and part of me knew that whilst she might be ‘within touching distance’ I still couldn’t touch her. The child parts basically fell apart inside. The desire for physical proximity and holding was so strong that I started crying. I felt so sad. When she’d finished doing the eye thing she moved back to her regular chair and then I went completely numb. I felt like I had been abandoned.

Who would’ve imagined that something as small as moving a metre in the room could have such a profound effect?

I really struggled to pull myself out of my protected silent space. Part of me wanted to ask her to sit back on the other chair and part of me just wanted to die of shame and embarrassment for needing that. I couldn’t tell her what had just happened. I didn’t want to be so exposed and vulnerable because I was still on edge about the previous session…and the therapy break.

I found some kind of inner strength towards the end of the session and asked her if she had been cross with me in that session. I’d been sitting on that question all session! I know, it’s not exactly enormous is it? But I am often frightened of asking questions because I am not sure I really want the answer and in this case it was the little ones who were asking.

I’d felt that the last session had been off. I think it was always going to be tricky coming back after the therapy break and the text debacle/nightmare but it had felt particularly distant and all I could think of was that she was cross with me/the little ones for reaching out to her and expressing so much need.

My therapist’s initial reaction was ‘cross with you? No? Why? When did you feel like that?’ I explained that I had felt there was something off for the whole session. Then she said she wasn’t angry or cross but that she hadn’t liked reading the blog post that she’d read before I had arrived. I said ‘I didn’t think you would’ and we laughed. She explained what she had found difficult in the post and basically said that she didn’t want to read any more posts because she doesn’t need to be ‘masochistic’. So, perhaps that post hit a nerve?!

I asked her why she hadn’t felt able to tell me any of this last week, and she said maybe she’d ‘chickened out’. Which actually made me smile inside. She is human after all! haha. Although that’s just a snippet of the conversation what I will say is that the nature of the conversation felt different to what we’ve had before. I felt like she was really talking to me as ‘her’ not hiding behind the therapist persona.

I came away feeling more optimistic than I have in a while. Like there was something to build on….i.e I needed/wanted to tell her about the issue with proximity and the seating, and the feelings that get evoked about ‘no touch’, the need to work more relationally and directly with the young parts, how disappointed I’ve felt about not getting anywhere with the pebbles/transitional object, and tell her that I’d been to see another therapist to try and help me work out what I needed in therapy and how to get through the rupture. Eeek.

So there we are – some big stuff…and then my children conspired against me and had a sick fest. Whilst they are fine now they won’t be able to go to school until Tuesday – 48 hours clear and all that and so I can’t go to therapy tomorrow even if I wanted to.

So that leaves me with today’s quandary: should I ask for a Skype session tomorrow?

I already text my therapist yesterday morning to tell her I may not be able to make it as that’s her cancellation policy. I literally do not have a clue what to do for the best. We’ve done a Skype session  before and whilst it wasn’t my preferred method of conducting therapy, it wasn’t totally dire either.

I’m torn. I know I was fixed in my adult and didn’t dissociate in the Skype session. And maybe that’s what I need, an untriggered adult conversation about moving forward together. Maybe if we are not in the same space I’ll feel more able to express the concerns I have and the things that have been bothering me?

I’d like to think that’s how it would be, but I am aware that I might just small talk my way through the 50 minutes. Not connect. Feel cut off and distant. And then feel bereft all week and as though the whole thing is a waste of time.

I can’t afford to find myself in that activated/distressed place where the attachment pain is rife and I’m left with it until the next session. I’m not sure how to avoid that eventuality: Skype or cancel the session until next week?

I don’t know what to do for the best. Which part do I listen to? The one that would walk over hot coals to have contact with my therapist, or the one that fears that a Skype session might send everything spiralling?

I hate indecision!

 

 

Flashback Friday: conversations we never had

When I re-entered therapy in 2016, long before I started blogging, I religiously kept a ‘therapy journal’. Although I would like to pretend the journal is beautifully handwritten, on handmade paper, and bound in leather, it soooo isn’t! It’s a Word document. A massive 120,000 words saved in my laptop! It may not be pretty but the format does allow for a bit of copy and pasting and therefore can, in part, be shared here.

My diary kept a log of what happened in therapy but mainly I spoke about how I felt in and about the therapeutic relationship. Isn’t that what they say? Therapy is all about the relationship?! I used my writing as a way to help me stay sane(ish) between sessions which is basically why I blog now!

I knew from having seen my therapist from 2012-13 that time between sessions wasn’t always easy but I never wrote about it back then. I wish I had because I have always found that my writing has helped me work through things.

So this time around I knew I should write, if only to be able to survive what I knew therapy was ultimately going to become again. When I left therapy last time I was in a really bad way: a self-harming, anorexic, attachment pain suffering mess. Had I not been seeing my therapist on a time limited basis in the NHS there is absolutely no way we’d have terminated when we did.

Anyway back to the journal. I pretty much always wrote it as though I was talking to my therapist, in some way trying to have the conversations that I needed to have with her in person. These diary entries were the unfiltered, honest conversations that (frustratingly) so often failed to make it into the actual therapy room.

I’ve just been looking back over my writing to see what, if anything, has changed in the last year. I think this time of year is often a time of reflection but also know that I always wobble before Christmas. I’m like an oversized emotional jelly being shaken on a rapidly vibrating plate right now- and so I wanted to see if there were any parallels to be drawn between then and now.

And, yes, I think it is fair to say the issues around holding and containment, fear of abandonment and rejection, and suffering with attachment pain are still there just as they were last year!

This healing is a slow process!

I know I am far more aware of my defences now and, of course, have been properly introduced to the younger parts of myself which was what made Christmas a frigging disaster zone last year. I wanted a spa day for Christmas and instead, to join with my Inner Critic, I got up close and personal with a bunch of traumatised children, turned out my Inner Child is comprised of: Little Me, Four, Seven, Eleven, and The Teenager and they had a total meltdown last therapy break.

The horrible sense of shame and embarrassment I feel about having feelings for my therapist is as raw as ever. The attachment pain is still rife. I guess the big difference now is that I know what it is and why I feel the way I do. We have slightly touched on hugs in therapy, or rather my therapist has told me, ‘it’s a boundary that I will not cross’ and since then I have shied away from discussing it because frankly every time I think about it it physically hurts.

Anyway, let’s call this ‘Flashback Friday’ and take a look at December 1st 2016:

At the end of the last session I really wanted to ask you for a hug – but didn’t because I couldn’t face the ‘no’ that I knew would ultimately be forthcoming. Rationally, I know that you not granting a request for a hug is not a rejection of me, it’s just one of the therapy boundaries – or at least that is the kindest way I can come up with for explaining it to myself because, of course, I actually have no idea how you actually feel about me, at all: bored and indifferent tend to feature quite strongly when my Inner Critic is in situ and when she’s shouting at her loudest. 

The critic does a good job of convincing me that you are repelled and irritated by me – therefore a therapy boundary is far easier to cope with. Emotionally, however, a ‘no’ last week would have felt like a knock-out punch to my stomach and total rejection when I have shown myself at my most vulnerable.

I so badly wanted to tell you how much I had missed you last week and how part of me had wanted to run and find you in the Psychotherapy Department and just hide out with you on Wednesday instead of having to put on my armour, be brave and face the Haematology Outpatients Clinic for my cancer check up.

I didn’t say these things to you because I know it sounds mental. I know it’s too much. I recognise that this is not a need of my adult self but I am struggling to give the child a voice/space because it is just too needy and ultimately highly embarrassing. Just typing that, I could curl up and die of shame.

It is so clear to me now, having gone through this cycle over and over and over (it’s like a broken record now)… that on the occasions where I let my guard down and let you see some of the real ‘me’ in session, I pay a ridiculously heavy price afterwards. When I gamble and make the shift from being closed off to more open it causes utter emotional carnage in the week.

I try and be authentic, build trust and emotional intimacy and it feels great in session to get closer to you….. and then I have to go and whoosh!- it’s like the flood gates smash open, I’ve lost control, and suddenly I am in massive amounts of pain because I am flooded by feelings and a bunch of needs that can’t be met by you.

I know there are boundaries but of course, that doesn’t stop the longing, and then the grief I feel about not being able to see you or reach out between our sessions. I can’t tell you how much it hurts, but there is a tangible physical pain in my stomach and chest.

By Wednesday evening even if we have had a good session I find myself feeling stranded and abandoned. I feel totally conflicted. The ache of wanting to tell you how it is for me and just express how I feel juts against the fear of what doing that would really mean: the potential of a huge rejection. So then I am back in this loop. I close off in session, I try and detach, and endure the discomfort of keeping my feelings to myself – which, actually, is probably almost as painful as the rejection I am so frightened of.

So yet again, it’s the same old story, I am terrified of you abandoning me because I feel like I care too much about you and that you are too important to me. My adult self knows that 50 minutes a week should be enough to work through what’s going on for me- but it’s not- and then I spend the week feeling like a toddler having a tantrum because you aren’t there. I need more of you than I can have and that’s horrible.

Most frustrating of all, is that I ultimately know that this is transference. I do like you a lot,  actually, if I am honest you know that I love you, but I also understand that what’s going on is not completely of the here and now – and so I keep trying to reason it out with myself.

I’m fine when my 33 year old self is holding the keys to the house; but often the 3 year old has got hold of them and is about to flush them down the toilet; and then sometimes the angry 17 year old feels like gouging a big chunk out her arm and then forcefully chucking them out the window- and that’s when it all feels unmanageable.

I know that we need to talk about where this fear of rejection has come from in emotionally intimate relationships but I feel really stuck! I don’t even know where to begin with trying to tell you this.

Something has to shift, though because I can’t carry on like this. I am dreading the Christmas break because I know that these feelings aren’t going to lessen. I barely made it through the Summer and that was after only seven sessions back in therapy….

*

So there it is, a year to the day, and it really feels like I could be writing it now.

I don’t really know how I feel about it. I guess part of me is disappointed that I still struggle with these issues and that I am not totally able to be fully open with my therapist for fear of her rejecting me.

We’ve just had two great sessions back to back on consecutive weeks where I really did talk and open up after months of being too scared or too dissociated to say anything about the therapeutic relationship. Last week I shared the 10 things I wish my therapist knew… with her in session and although it was scary and exposing what came out of being that vulnerable with her was massive. I felt really connected and held….

But as I said in last year’s diary entry, often it is the deepest, most vulnerable, containing sessions that stir me up the most. When I feel safe, secure, heard, and held it is agony going back out into the world knowing that I cannot see her for another week and that I cannot reach out for her in between.

This week my little ones are so activated that it is physically paining me. My stomach hurts and my chest aches. In the ideal world I would be held close in her nurturing cuddle right now but as that is a total impossibility I’d settle for being able/allowed to send a text message that says: ‘I really miss you and it’s hard’ and get back ‘I know it’s hard. I’m still here’.

This morning I emailed my friend a list of activities that our various aged inner children were going undertake today to feel cared for and looked after: finger painting and messy art followed by a picnic for the very youngest ones; story time and a special ‘big girls’ lunch for the four year olds; shopping and then onto cupcake decoration for the seven year olds; cinema for the pre-teens; chatting over hot chocolate and pottery painting for the young teens; rebellious acts of tattooing and piercings for the not quite of age teens; and a spa day and drinks in a nice bar for the older teens.

In my mind I absolutely know that my young ones need really looking after. They need their needs acknowledging and attending to. But as I have said before, it’s not me (even in nurturing Mummy mode), that the young parts of me want. They grieve for the mum they wanted but never had, and they desperately long for the therapy mummy to come fix the hole.

Why am I having such a hard time accepting the fact that The Mother Wound cannot and will not be filled by my therapist? Rationally I know it but emotionally I just can’t accept it. And because I can’t accept it, her being a therapist and acting as a therapist feels like she is rejecting me. I feel like she doesn’t care about me and that ultimately no matter how much love I feel it will not be reciprocated because there is something wrong with me. It is absolute agony.

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Not waving but drowning

Things aren’t easy right now. I mean, they’ve never really been ‘easy’, but lately it’s really felt like a huge struggle to keep going. I am increasingly turning inwards and shutting the world out. Life feels more about survival than living right now, and if I am completely honest, there are days where I am not all that bothered about the survival side of things.

If it wasn’t for my kids I am not sure I would be here…and that is sad because surely, by now, I did ought to feel like I have some self-worth and value. I should be able to look around me and see the love that surrounds me, the family I have created and the support network of friends who truly value me and think, ‘do you know what? I am still here. I survived some horrible things. But the past hasn’t broken me and cancer hasn’t beaten me. I need to live for now and appreciate what is here right in front of me. I am a good person. I am loved’.

But, and there’s always a ‘but’ isn’t there? When I am stuck in this dark place I really struggle to see what I have. When the little ones and the teen are present (which is pretty much all the time right now) they can’t see what’s right in front of them because they are not of the here and now. They can’t understand or trust the safety that I have built for all of us because they live in a constant state of fear and hypervigilance that is playing out on a loop from decades ago. They don’t need a wife and children they still need a mum. They feel unloved and unimportant. It is that wound that is festering and overriding my ability to feel like I matter. It is my job to fix that but I’m finding it really hard.

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So when it is crappy, like now, if someone says anything like, ‘you need to live for now. You’re not a child anymore. You have control. You don’t have to be hurt and upset about what happened when you were little. You are the adult and you are not a victim. You are healthy, you beat cancer….it’s time to move on, Let it go’. I literally want to smash them in the face and tell them to f*ck right off because they have no idea. I think maybe that’s the teen and her anger coming up? Or perhaps it is my adult who is just sick to death of being told how and what to feel.

Whilst I know it is true I just do not need these messages from other people. I have had my feelings invalidated my whole life by my family, and often by myself (I hate that Inner Critic) and sometimes I just want a bit of empathy. Sometimes I need to hear that it’s ok to feel sad, let down, abandoned and that it’s not possible to be strong and together all the time. Sometimes it’s ok to need someone else to help make things better. Sometimes it’s ok to not be self-sufficient. Having needs is normal.

I don’t really know where I am going with this. My head is a mess. I’ve been steadily losing faith in the idea that things can and will improve and that I am not destined just to be battered by every storm and wave that comes in. It gets to point sometimes where I am just so damn tired of battling with myself that I just think, ‘if this is how it is going to be then I am done with it’. I just don’t have the energy to keep putting on a brave face.

I have always struggled with my mental health and when I feel like I do right now it’s sometimes hard to recollect the good times. The times when there was fun… and LAUGHTER. Oh my god! I need to laugh again soon. I am naturally quite a serious person (or maybe I became serious because I had to be a grown up from a young age?) but I am also funny…when the mood takes me. But it’s been such a long time since I laughed, I honestly feel like I barely smile these days. Is that just depression? Or not having a decent social life? Or have I simply forgotten how to have fun?

When I was at university my best friends and I were fans of  Finding Nemo, or more specifically, the character of Dory. (Nothing like a bit of Disney and cold pizza to work out a killer hangover)I mean, her life story was pretty tragic, she’d lost her family and was all alone, but she had this blind optimism and a mantra to rival any motivational guru: ‘just keep swimming, swimming, swimming’ and not only that, she could speak whale! What’s not to love, right?

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I sometimes wonder if I should be trying to be more like Dory? Just keep going/swimming, try and make the best of a bad situation, and wait for something positive to happen. Maybe I am just not trying hard enough to be happy? That’s how I feel sometimes and it’s how people close to me sometimes make me feel too.

The thing is, Dory has one thing I don’t, and that’s memory loss. This is a big problem for me. My memory is crystal clear (ok, it’s all a bit of a blank before I was five years old… but then there’s a shit load of repressed memories in that blank space that are only now coming to the surface!).

I wish I could forget some of the things that have happened to me over the years. I wish I wasn’t haunted by my childhood and dysfunctional relationship with my mother. I wish I could simply block out some of the later trauma in the way that I blocked out the horrible stuff as a small child…but my brain doesn’t work like that. I have an almost photographic memory for events and conversations and so I can bring them to the front of my mind in an instant.

I might forget when I have a doctor’s appointment that I booked a few days ago, or what I’d agreed contribute to the PTA school Christmas party (yes, really, you’d be suicidal too!) but ask me about the time my mum woke me up and then instantly flew into a rage when she noticed I had put some laundry on the radiator in my bedroom to dry, and literally threw me out of the house wearing nothing but a nightdress/large t-shirt without underwear or shoes or when I was sixteen, then I can tell you word for word how that went down. I can tell you what it felt like walking half a mile to a friend’s house pulling my t-shirt down as low as I could, praying that I wouldn’t be seen, and that she’d be in.

That’s not a big thing event by any means, it’s just one of many odd things that happened, but has just come to mind as I am writing this in bed wearing similar. I can tell you how the regular, ‘I wish you’d never been born’ statements hit me deep and yet how over time I learned to stand there and take my mother’s onslaughts, unaffected, stony still. It used to drive her wild being unable to evoke a response in me. I guess that’s why I struggle so hard now to tap into my emotions, I learnt how not to show and not to feel emotion.

I remember so clearly the first time I deliberately threw up after eating and the satisfaction of how easy it was. The relief of an escape to the bathroom a few times each day to purge away some of the hurt and pain I was feeling. It doesn’t feel like 18 years ago that I was in the bath, razor blade in hand carving intricate criss-cross patterns down my forearm and watching the blood drip into the water and disperse. All these episodes are there in the archive just like it was yesterday.

What I am trying to say is that unlike Dory,  I remember how shit went down…every…tiny…detail of it. My brain has a video vault that plays periodically (sometimes when I sit in therapy) of episodes where I am terrified, neglected, uncared for as a younger child or flat out abused and victimised as a teen. I try not to think about it but sometimes it just comes up. It’s hard to escape it.

Sometimes when I am silent and blocked in session in one of my younger states my therapist asks me what I might need or needed back then – some form of holding usually…and asks me if there are any memories I can draw on to remember that feeling. I think she thinks I am being difficult when I say ‘no’ but it’s the truth. As I child I cannot recall even one occasion where my mother held me either when I was in pain or just through the sheer desire of wanting to hold me because I was her child and she loved me.

There has always been an invisible barrier between us. I’ve said before that my mum doesn’t touch me, even now. It’s not a new thing. And that’s partly why I am finding the ‘no touch’ boundary in therapy so hard. It really is just highlighting how sad I feel about not being held by mum. It really reinforces that sense I have of being untouchable and unlovable.

I keep hoping that things will change with my mum. I keep giving her opportunities to step in and step up but she doesn’t. When I text her the other day to tell her that my friend had died and how upset I was, she didn’t call me, she managed a text reply, ‘Sorry to hear about your friend. Work is really busy at the moment and I’m tired. Mum’ That was it. I was instantly hurt by the message. Why couldn’t she for once take herself out of the equation and just be there for me? Why is it always about her? I couldn’t care less if she’s tired right now….it’s not a competition, rather tired than dead eh mum?

My wife says I need to stop reaching out because I am always disappointed. I know I have talked about waiting for hope to die. But when I am sad, and my god I am devastated about my friend dying, the emotional part of me is so present and that part is young. That part hasn’t grown up yet. That part still wants mum, even if she is not the mum I want or need. It’s tough.

I know I am a grown up. I have survived. The wrinkles, grey hairs, and radiotherapy tattoos show me that I am not a child anymore. But my adult is struggling to keep afloat as I try to carry the weight of several younger parts, that can’t swim, on my back. I really want therapy to go well today. I want to be able to relax and just be how it is but I fear I’ll do one of two things: shut down and freeze through sheer overwhelm or pretend like everything is ok and put a front on. And that’s the danger, for so long I have done such a good job at waving that no one sees that I am actually, now, drowning.

 

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10 things I wish my therapist knew…

I have had this title in mind for a while now and yet haven’t really known what to write because obviously my therapist ‘knows’ a lot about me already. It’s not as though I am new to therapy, sitting here with a locked box, holding onto secrets that I can’t share  with her.

Indeed, after all these years I know that she knows ‘me’ better than anyone. She’s seen it all. She knows my patterns. She’s repeatedly come up against my defences. She understands my coping strategies. She sees the vulnerable parts. She is a step ahead of me a lot of the time…which is a little frustrating for someone who likes to be in control!

As I say, there’s not much she doesn’t know.  So this post is not ‘I want my therapist to know about the time that x, y, z happened’ it’s more about what’s happening for me in the therapeutic relationship right now. It’s the things I sometimes find hard to articulate. Lately I’ve really struggled with feeling connected in sessions. I’ve struggled to say what I have felt and so it’s almost like I need to reiterate this stuff (to myself as well as her).

I was reading a letter that I wrote to her just before the summer and I cannot believe that I  was so open with her. It’s almost like I was a brave tortoise for a while, stuck my neck out for a bit and then something spooked me. (The therapy break is the tortoise’s predator and I’ve been languishing in my shell ever since).

All the momentum we built up between Easter and the summer break seems to slowed and I feel like I have steadily been grinding to a halt. Well, not quite that, it’s just that my confidence has sort of dried up and with that my barriers have gone back up. Of course there have been some good sessions, lots actually. I have shared some of these blog posts with her so it’s not like there hasn’t been work done. It’s just I don’t feel the same as I did. After Easter I felt motivated and like things were moving in the right direction. I felt like I could absolutely trust my therapist, but now I feel like I am treading water a bit, ok hiding, and am reluctant to let her in. I’m nervous again… Ugh.

I shone a light on the issue about containment and not feeling held between sessions and yet, even now, four months down the line, it still remains a huge stumbling block and it impacts massively on me from week to week both in therapy and out of it.

In some ways there is so so much I want my therapist to know and in other ways what it boils down to is very very simple. So, I’m going to avoid the usual 3000 word splurge and keep this short-ish.

Yesterday’s session was fine. I talked about a lot of things that are going on in my life but nothing about the therapeutic relationship. These things needed to be aired and worked through because they are impacting me so much right now. But every time I don’t face the therapeutic relationship stuff I really pay for it afterwards. It remains to be seen how this coming week will pan out but I’ll guess there’ll be a few upsetting dreams and a sense of feeling generally uneasy and on high-alert.

Here are some of the things that are huge for me right now and I wish my therapist knew:

  1. You are incredibly important to me and even when I am resisting in session or being flat out obstructive and saying ”I hate this’ – it’s not about you. I just can’t show you how I really feel because I am still so scared of you rejecting me. It’s easier for me to shut you out than let you in because you can’t hurt me that way.
  2. When I say ‘I don’t want to be here’ actually, I can tell you there’s no place I would rather be than in the room with you, but I just can’t handle how my brain shuts down and leaves me floundering like a fish out of water when I am with you. I don’t like not being in control. I feel so stuck.
  3. You feel so far away at the moment and so I keep retreating further and further into myself. Sometimes I don’t want to be seen, and having discussed this with you I know that’s why you don’t look directly at me a lot of the time because it has been a trigger. But actually, right now, I need you to see me, the little ones especially need to be seen. I need you to look at me, I need the direct eye contact. I need to feel connected to you.
  4. When I say ‘I don’t know’ when you ask me a sensitive question, I do know – often I just feel embarrassed and exposed and so hide behind that stock response! Please push me a bit harder.
  5. I really struggle between sessions and feel like you are gone or dead. We need to work out a way to make this feel better/less scary because it’s awful. Perhaps it is time for the pebbles? I know I have been resisting this because I feel like you don’t really get what I want/need but I think we need to have that conversation now, anyway.
  6. Last week’s conversation about physical holding and containment has really shaken me in a way I wasn’t prepared for. I have felt the little ones retreat and shut down. I know that this boundary is there for a reason and it isn’t going to change, so can we please actively work on the emotional containment and holding because right now I feel like I am totally unanchored and the Inner Critic is having a field day .
  7. I am already dreading the Christmas break – have been since September. I don’t feel like I have fully found my feet since the summer break and so the thought of the upcoming disruption fills me with dread. Last Christmas was really tough and so I think partly I am frightened of ending up back in that place where self-harm seems like a sensible option. I don’t want to go there.
  8. Despite my really hating therapy breaks I am worried that you aren’t taking enough breaks for yourself. You haven’t taken any time off since the summer and you don’t plan to until Christmas. You look tired to me and I hope that you are looking after yourself properly.
  9. I hate that I have so much to say to you during the week (but can’t), and yet when I finally see you it disappears or gets frozen. There’s still part of me that isn’t convinced that I am safe with you and I worry that you are fed up with me. It’s a negative cycle because when I feel like this I retreat into myself more and it perpetuates the cycle.

And lastly 10: Deep breath in…this is hard…because I know you know it…or at least I hope you do! (although clearly part of me doesn’t want to have any feelings at all!)

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Do not touch!: therapeutic holding and containment…or lack of it!

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So, the ‘holding in therapy’ conversation sort of came up on Monday. It was only a matter of time before it made it into the room wasn’t it?

Spoiler alert!: hugs aren’t going to happen in my therapy.

Part of me is like, ‘meh, this is old news! I already knew this, even if we hadn’t actually discussed it’ and another part, actually, several of the little parts of me are so devastated that they think they may die of grief.

Sounds melodramatic doesn’t it? – but it’s how it is. I’m not going to dress it up or downplay how this feels because I just need to let it out in whatever form it comes….which is probably going to be messy just like my mind.

I’ve now had a chance to sleep on all that happened in Monday’s therapy session twice, and to be honest my brain is still all over the place about it.

I wanted to post something yesterday but found I couldn’t write. As I so often say in therapy, ‘I don’t really know what to say’… but there’s also something about not knowing how to formulate my thoughts clearly on the page when I am still trying to work it out.

I’m hoping that today, writing will help process it all a bit.

Anyway, I’ll start at the beginning and work my way up to the end…

Before I even arrived I knew that my session was going to be difficult (again). I have totally come out of the breezy, rational, coping, adult state I have been in for the last couple of weeks and have landed back in ‘shit has hit the fan, child parts running loose’ state. I guess the emotional bit of me is back in the driver’s seat and the rational bit has done a runner. It’s quite scary really because the current drivers are way too young to hold a licence yet and so it really feels like a bumpy ride right now.

As soon as I sat down in the room I was super aware of my body. It felt like a strong electric current was passing through it. I felt shaky and buzzing. It was horrendous. It’s so unnerving walking into such a calm, quiet space only to be fully confronted with my body’s reality: it was neither calm nor quiet.

I am always really aware of the physical sensations of my body when I am in the therapy room. I guess part of it is because, for so long, my therapist has directed my attention towards how my body is feeling in session. I wish I could say, ‘it’s fine, calm, and settled’ rather than the usual, ‘anxious, buzzing, and jumpy’ response.

There were a few problems with the session for me from the outset. Firstly, I had decided that having not really ‘talked’ for a few weeks about anything that was really bugging me, I’d take in my laptop to go through the last blog post I wrote. There was plenty of content to work through and I needed to get some stuff off my chest – or try to, at least.

I didn’t end up taking the blog post into session. Something had happened with my computer in the car and it meant I couldn’t access my blog offline. I wasn’t too phased, I thought it’d be a good opportunity to try and talk and bring that content into session. I could tell her what I was worrying about rather than showing it to her on a screen.

Obviously this sounds straightforward. It should be, shouldn’t it? Talk about the fear of her being gone and how terrifying it all is? Speak about feeling uncontained and being unable to be there fully with her. It would be easy to discuss those things had my brain not emptied the moment I sat down rendering me mute. It happens all the time. Whenever I need to speak about the therapeutic relationship I lose myself and my words go….I dissociate.

This partly why I resorted to taking my writing into sessions around this time last year. I would sit not really talking and feel incredibly frustrated when I knew how much I had to say and how affected by what was happening in therapy I was. I know how ridiculous it sounds, but honestly, my mind loses its ability to speak, the words go. I get caught up in all the feelings I have but I cannot talk about them and vacate the space. It’s kind of a bummer!

My therapist has recognised that part of the problem is that it is my emotional brain that is most dominant when I am like this and not my rational one (where the words reside). She often makes reference to what’s gone on with me as a ‘very early injury’ and so those young parts actually don’t necessarily have the vocabulary to talk it through in the way I would want. When she acknowledges these vulnerable parts of me I seem to disappear. It’s too much. I can’t stay.

For that part of me, being seen is incredibly uncomfortable. It feels so exposed and scared that I just can’t stay with it and with my therapist. And yet, at the same time, those young parts want more than anything to be seen, held, and contained because they never have been before. I didn’t get enough physical or emotional containment as a child but I know I need/ed it. I know that’s where this fucking huge hole in me has come from. It’s agonising, really. I desperately want to feel safe and secure and yet, at the same time, allowing someone close enough to me to be able to feel contained TERRIFIES ME.

She commented on the fact that I have told her, in the past, that she sometimes reminds me of my mum. I agreed but said that it didn’t feel positive and that actually sometimes I feel frightened of her. I loved (note the deliberate past tense) my mum more than anything but she scared me as a child. She was so volatile that I never had a clue when things might kick off. I was always desperate for her care, love and attention and yet so often things would erupt at home that I could never feel relaxed of safe with her.

This is what happens in therapy: I long for closeness and yet am always on guard waiting for something negative to happen because part of me feels it is inevitable. In therapy I fear my therapist’s judgement, mockery, rejection, and abandonment even though she’s never given me real cause to think she would be anything other than kind and empathic.

It is so difficult to have such conflicting feelings. Part of me wants to run to my therapist and part of me wants to run far far away from her. We spoke about how I struggled to trust that I was safe with her, and how it was alien for me to feel and trust in the fact that someone might care or want to know what’s going on for me. She said something about the nervous system and how the brain is wired and that it’s difficult because the body is involved not just the brain. It’s hard to calm my system down.

She spoke about how I have been with my kids and how I try and hold and contain them in order for them to feel secure but that repeatedly hitting the contrast between how I am as a parent vs what I received growing up is incredibly painful and it’s something we are aware of.

And then it happened, the holding and boundaries talk came out of nowhere (well that’s how it felt!). It went something like this:

‘If we can understand it and know that that bit needs to feel contained and held here…and I know that, here, it’s not about physical holding. I know that you are clear about the boundaries, but it has come up in your dreams. You want to be held. It’s understandable because it’s what you needed and it wasn’t around enough back then. It’s ok to feel like that in therapy. You know I have this boundary and won’t cross it, but it’s still the idea about needing to feel a bit safer in this space, emotionally safe. It is important. It’s not the same as physical holding but it’s what we can do here bit by bit and that might feel quite frightening because it’s so alien’

I was a silent for quite some time after that.

As she was speaking I could feel the little parts of me crumble on the floor. It was a sucker punch. I froze and went somewhere else. I ended up where I always go, a huge dark grey space where there is absolutely nothing at all and I am totally alone. Only it’s not me, the 34 year old adult, standing there in the emptiness, it’s a tiny two year old little girl standing there in her nightdress holding a well-loved soft toy rabbit by its ear wondering why she is alone and there is no one there to pick her up and make her feel safe.

My therapist asked me what was going on for me, but it was close to the end of the session and I knew I couldn’t say everything that had just been triggered in me. How could I articulate any of what I felt? Her bringing up ‘the boundary that will not be crossed’ (touch) has made me certain of all the things I have always felt about myself. Having shown her the real me it is clear that there is something wrong: I am unlovable, untouchable, and repellent.

My mum couldn’t bear to touch me or hold me and it’s the same with this ‘therapy mother’. I guess I sort of hoped that it was my mum’s problem and her inability to connect with me but having this conversation on Monday makes it feel like it’s me. I must do something that puts people off. My Inner Critic is having a field day:

Why don’t you ever listen to me? I’ve told you time and again that you are a loser. No one loves you. It is you. It’s not your mother that’s the issue. How could she ever have loved you? Just look at you! Pathetic. No one wants to be around neediness. It’s so boring. You are boring and disgusting. Why are you so shocked that your therapist can’t bear to be near you? Why on earth would she want to be? If your own mother can’t even tolerate you then why would she? Your mum was stuck with you through biology, your therapist is blessed that she has no bond to tie you to her. Give it up. I’ll promise I will look after you, as I always have, but stop reaching out for something that you will never get. You are not worthy of love and care. You are nothing.’

Rationally I know that what I have just said there is crazy but that’s what is going on in my head. It’s that voice that encourages me to self-harm or not eat. I’ve run miles every day since Monday (both literally and symbolically) and yet I can’t run away from this no matter how I try. My body aches from distance covered on pretty much zero fuel and yet my brain is no further from how it was on Monday.

I know that I’ve ignored my inner child and the pain it carries for years and years and so perhaps I need to lean into how this feels rather than run away from it? My therapy is really all about trying to deal with my childhood. It’s about trying to give space to how my inner child feels.

How does she feel?

She is devastated beyond words. She is caught up in raw, all encompassing, pain. She literally just wants to curl up and die. She feels hopeless and abandoned: all familiar feelings that I have desperately tried to avoid feeling in the therapeutic relationship. But, of course, this is where we are….it was only a matter of time wasn’t it?

The other day I commented on another blogger’s post about mother issues and said something about how I was able to accept, most of the time, that my mum would never be the mother I needed because she is not that person, but sometimes I put myself out there, hoping for her to be that holding, nurturing person I needed as a child and when she doesn’t fulfil that need (because actually she never has been able to) I am devastated. I think this is what’s playing out in therapy right now.

My adult knows that my therapist is just a therapist, is grateful for her as a therapist, and can handle the constraints and boundaries of the relationship. BUT, and it is a huge BUT, there is the little girl part of me that still holds out hope of there being a chance of mending what is broken inside me. Maybe there is one last chance to fill the hole that was forged so long ago?

The little girl in me desperately needs to be loved and held and contained and is attached to my therapist. Right now the grief I feel is not about my mum, it’s about her. I had transferred that ‘hope’ onto her which has made how I feel about my mum more manageable…but now it’s all caught up with me again and I am grieving two attachment figures at once.

The little girl doesn’t understand that the window for meeting these young needs has gone because she is still alive in me, frozen in time, trapped in this grown up body. She longs to be held both physically and emotionally by the new attachment figure. But as I said in my comment the other day in relation to my mother it takes a long time for hope (of love and holding) to die. But I think I am one step closer to that after Monday. There is no hope now – either from my biological mother or the therapy mother.

I walked out of therapy and immediately wanted to self-harm. The urge was so strong. I was lucky that there is a 45 minute drive home because had I not had that time to decompress I would be a right mess now. I didn’t self-harm but the thoughts are not far away – if I am honest those thoughts are front and centre. It is really all about trying to hang onto myself right now and not go spiralling off any deeper into that attachment pain. It’s not easy.

When all this happened I talked it all through with a friend and she, as usual, had plenty of helpful grounding comments for me. At least part of me understands that this boundary is my therapist’s and for whatever reason it’s something she sticks to. It could be her training and the type of therapy she does that makes touch a no-go area or it could be about her own issues and comfort around physical touch.

I have got to try and hang onto the fact that this is not a reflection on me and that my needs and wanting to be physically held by her aren’t the problem. It’s not like it’s one rule for me and a different one for everyone else (at least I bloody hope that’s the case!). I won’t lie though. This has really hurt me in the place that I try to keep protected.

I know that physical touch is helpful to lots of people in their therapy and so it’s hard knowing that that cannot, and will not ever, be part of my therapy. What I do know about this, though, is that emotional holding is vital in therapy. You can have all the physical holding you want in session but if you aren’t also emotionally held then you don’t cope well outside the room. Hugs are great but only in addition to emotional holding.

Ah, there’s the problem, though…because I don’t feel emotionally held either. FFS!!!! Or rather, I can’t hold onto the sense of feeling emotionally held and contained if I am not in the room with my therapist. It all falls apart and disintegrates when I leave.

I know that the goal is that I should reach a point where I can hold and contain my own emotions but that seems like a long way off right now. I keep trying, though. I had a go at the visualisation things a few times – they categorically do not work for me; I’ve listened to music to try and help feel grounded; hell, I’ve even picked those fucking pebbles from the beach to try and have a transitional type object….and yet none of this is doing anything for me right now because the emotional holding needs to come from the therapeutic relationship and not from brain training! My brain will rewire itself once it has experienced being contained.

It’s really hard because I don’t really know how to move things forward with that. Right now I can barely look at my therapist in sessions and feel like she is a million miles away. Who knew that a couple of metres could feel so huge? I feel so removed and distant from her. I guess that’s maybe why I have been so caught up in seeking physical holding. I don’t know.

I’ve sort of run out of steam here with this and I have to leave for my friend’s funeral now. I know, I could write more and post at a later date but for now, that’s all I have in me. I guess I need to come to terms with lots of loss today.

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