Had a couple of pretty good days this week. A blessed change, let me tell you. Even managed to go into town one day to do a bit of shopping. Can’t even remember the last time I did that. Didn’t stay out for a particularly long time, only a bit over an hour, but it was still good.
I’m flying out to Sweden in a couple of days time. I’m a bit nervous about it, the actual flight. I really hope it will be a good day of fewer flashbacks. That said, I have come up with something that does help me cope with them when I’m out and about; repeatedly solving the Rubik’s cube.
I kind of discovered it by accident. The Rubik’s cube had until January of this year been one of those puzzles I had never been able to solve, but always felt I should be able to solve. Then in late December I came across a video of Justin Bieber solving it. In about a minute and a half. Justin. Bieber. That really was the drop for me. I mean, seriously, if Justin Bieber could do it, then surely so could I? Right? So I set about learning how to do it.
In the very beginning it took me more than ten minutes to do it, start to finish, so I carried on working at it. Slowly I got faster. I learned a few shortcuts and solve-time went down even further. And still I kept at it. Until I felt confident I could out-cube young master Bieber any time of the day. I’m now down to a semi-respectable personal best of 51 seconds. [I say semi-respectable, but of course I'm nowhere near the current world record, set by Feliks Zemdegs, at 5.66 seconds]
In the process of doing this, I realised that I had been having significantly fewer flashbacks, and that those that I did have, were much shorter, because my brain was already kind of half-way out of them, focusing on solving the Rubik’s cube.
So, in the last several months, I’ve brought my cube with me pretty much everywhere, and it really does make things easier. Up until I discovered this I would usually just stay in, because the things I needed to do to come out of a flashback were things that were either self-soothing grounding techniques, which – while very effective and calming – look very odd from the outside, if you don’t know what I’m doing – or they were things that could be done fairly discretely, but were down-right unpleasant for me [like using smelling salts or sharply snapping a rubber band against my wrist].
Yes, I look like the biggest geek ever sitting on a bus or train solving my cube over and over, but at least it is something that both works and isn’t nasty. Also, you’d be surprised at how many people strike up conversations with you, when they see what you’re doing. It’s such an instantly recognisable and iconic toy, most people have something to say about it.
Anyway, I’m hoping that this little trick of mine will make the flight to Sweden a bit less difficult. My sister and nephew will be meeting me at the airport, so once I land, I should be OK.
I’m staying with my sister for a week, and my other sister is also coming over, so I’m really excited about this trip. I’ve not seen them since my birthday last year. Also, I am hoping that spending time with my sisters will help me out of this pretty serious dip I’ve found myself in.
I’m also going to stay at my father’s for a couple of days. Feel a bit nervous about that. I’ve not seen him in about two years. We do keep in touch through occasional phone calls, but I’ve not visited him in the last couple of years. I’m hoping seeing him will be OK. I think going to visit him is a lot less emotionally charged than going to see my mother, who still lives in the house I grew up in, where there are reminders of the abuse I experienced all over the place. My father’s place is very different, in that respect. At the same time, of course it’s not just the place that is the problem with going home; it’s also the inter-personal conflicts this family trauma has caused that I have to deal with. And that, of course, is the same regardless of where I see my family. So, we’ll have to wait and see how it goes.
Really missing therapy at the moment. Actually not just therapy, but A. It’s hard trying to find a good balance; to not switch all emotions off in order to protect myself, and at the same time not allowing myself to go too deep into my feelings and risk getting stuck and acting out. So, a therapy session or fifty would be pretty darn dandy right about now.
I’ve had about a million people asking if there isn’t anyone else I could see while A. is on maternity leave. The truth is, that if I really wanted to, of course I could find someone to see short term. In fact, I considered seeing our newly appointed social worker at shul, for a while. But, the thing is – I do have other people to talk to. I have my sisters, my friends, even the Samaritans. So, it’s not just talking I need. It’s something else, too. It’s that special space that therapy creates, and most importantly, it’s the therapeutic relationship I have formed with A. over the last three years. [Three years today, I just realised – Happy anniversary us!] It’s not something that can be easily emulated. And I think that, as hard-going as it is – not having therapy, not seeing A. – it would frustrate me to no end, trying to create something similar to what I get from therapy. Looking for something different feels much more productive.
It’s been a long time, I know, but I’ll try to put you all back in the picture, as I know you will have all been eagerly awaiting my next update. [What? No?]
In the last few weeks I have been dealing with one of those much dreaded periods of flashbacks, and things have often felt completely and utterly hopeless. The flashbacks have by no means gone, but there have been a few days every once in a while when there have been fewer, and I’ve been able to find at least a little breathing space in between. When things are bad, that’s the time to focus on small blessings.
At the beginning of last week I had to go into hospital for a whole battery of tests and examinations. Part of these was a gynaecological exam, which for me is essentially an equivalent to psychological torture through physical means. I always try to prepare whoever is doing the exam by explaining that I come from a background of having been sexually abused as a child, and that these exams are pretty much garanteed to trigger off flashbacks; in short that they may need to brace themselves for my emotional response. They then usually say something along the lines of “Don’t worry, darling, I’ve seen it all before”, which is of course very kind and much appreciated, but it generally tends to become apparent that this is not really the case. When they’re faced with the sobbing heap these exams turn me into, it’s often clear that I react worse than most people they’ve examined. This then spirals into this odd cycle of them feeling sorry for me, and me feeling sorry for them having to carry out the exam on me..
So, not nice at all.
This particular nurse was absolutely fantastic, though, I have to say. It was very obvious that she was affected by my reaction to what she was doing, but because she was very open about that, I found that somehow reassuring and it in many ways it helped bring me out of the flashbacks and back into the here and now where we both were.
Concurrent with the flashbacks and general depression I have this week come down with some seriously nasty bug. This bug, by the way, is completely unrelated to the hospital thing, unless I have really lucked out and managed to contract MRSA while I was there..
At first I thought it was just hay fever, as this is the season when I usually have to stay indoors with my inhaler close to hand at all times. Had a very painful throat – not sore – painful, something I don’t usually get with my hay fever, but initially I just assumed that my body had decided to take my allergies to the next level. As it turns out this wasn’t it. Came down with a 39C temperature [that's 102F, if you're so inclined] in the middle of the week, and it’s been going ever since. So, what with the painful throat and the fever I’ve essentially had to be on paracetamol non-stop. It’s not great, Ibuprofen tends to be more effective, but for various reasons I am currently banned from taking that particular pain reliever, so there you go.
Feeling miserable on all levels is not a great place to exist and things have been unbelievably difficult. I know my last entry was pretty dire, and from there I suppose you could say things went south. Having no therapy has been really challenging, it feels like years until A. returns from maternity leave. But, I am still around, still fighting – even if the evidence of this has not been posted on my blog.
This Friday I had been invited to two sedarim – the special meal eaten by Jews on the first night of Pesach, but instead I spent the evening in bed, fighting flashbacks and this blasted bug. Last night I had booked a place at the communal 2nd night seder at my shul together with many of my friends. I did make it there, in fact even went for a pre-seder drink with one of my friends, but didn’t make it through the meal. Was feeling incredibly rough and then began having flashbacks, and I had to make the decision that I needed to make sure I could make it home safely before things got even worse. Hated having to leave, but as it turns out it was probably a wise choice.
This morning I woke up having absolutely no voice.
I have lost my voice in the past, but never quite this completely, and it’s kind of an interesting thing; the second you discover you have no voice [in my case when I began recording a voice message for my sister] you realise how much you rely on it.
I don’t usually use my phone or computer on Shabbat or during religious festivals. This is not so much because it’s biblically and/or rabbinically decreed that one should not use iPads or Blackberrys during festivals, as much as – being a modern reform Jew – I’ve made the informed decision that for me stepping away from all my techie gadgets and disconnecting for a bit makes those times different to other times. I am normally contactable at any given moment, day or night, be it through texts, Facebook updates or tweets, and so I like to make Shabbat and festivals different and special to other days, through unplugging in this way. Admittedly, most of my friends think this is completely bonkers, but hey, it’s just the way I roll.
However, since that accidental-on-purpose over-dose the other week, I decided that it’s actually a lot more life-embracing to temporarily break that self-imposed rule than to keep it. Which is why you are seeing this update today, during a week I would normally steer clear of modern technology.
To help me through particularly rough patches over these past few weeks I have often sought support over the telephone from my sisters, my friends and the Samaritans, regardless of whether or not this has been on Shabbat. Being able to talk about what’s going on, both physically and psychologically, makes me feel less like I’m on my own in this.
So, as you can imagine, waking up this morning, with no voice at all, has come as a bit of a shock, and has left me feeling very vulnerable. Which is why I’m sitting here now, writing this..
I guess that even when you haven’t got an audible voice, you can still find ways of making yourself heard.
“..when all I really want, I said to myself, is to survive the present..”
*
Sitting here, alone. Trying to somehow keep it together. And failing miserably. I feel like I’m a prisoner in my own life, and while there may well be a key to the lock, it seems impossible to find. Or maybe I’m just looking in all the wrong places?
I haven’t been able to attend service for weeks, owing to flashbacks. Haven’t even had enough head space to follow them online. Still, as my therapy is on now on hold, I know that it will be important to find other, non-destructive, ways to cope, so this morning I decided to brave it and just push myself that little bit extra to get there. Which I did.
I now regret that bitterly. As lovely as the service was, I was struggling throughout it, trying to stave off the flashbacks that insisted on popping up, and it took all I had to somehow stay in my seat and not just rush out. I tried to focus on the music, on the words, the prayers, and to a degree I suppose you could say that I succeeded, but what is normally something that feels naturally easy and enjoyable, today took a lot of hard work. By the time service was over and it was time to exchange the customary Shabbat shaloms ["have a peaceful day of rest"] I was exhausted, and I only barely scraped by during kiddush. Feel very bad about it, because I know I probably came across as a bit off to others, but it was the best I could do. Having greeted the people I know, I made my excuses and left as quickly as possible. The second I got on the bus home I just broke down in tears.
Of course, tears are not the enemy, if anything they are an entirely appropriate response to the difficulties I’m facing, and they’ve been waiting to fall since I left my final session with A. But it’s not nice when it happens in public. It just isn’t.
It was hard saying goodbye to A. The session in itself was reasonably OK. I managed to talk about the extreme separation anxiety I was [and still am] experiencing, and I think that was important. To be able to say how hard and frightening this long break feels, to be honest about how uncertain I feel about whether or not I have what it takes to make it through to the other side of it. To talk openly about why it’s so hard, this effective re-experiencing of every other time I have felt abandoned, neglected, second-best and left behind, with no one to care for me. To feel that there is no one I can truly trust to see me through.
Of course – and I said that, too – in my final session, I know that I’m not really all alone. I know that there are lots of people in my life who care about me and who want to see me make it through, people who are more than willing to offer me support. But, at the same time, as I’ve described many times in the past, a therapist is in many ways a pseudo-parent, and so, having a break – especially a big one like this – is bound to cut pretty deep. And when you cut deep, you bleed, and it inevitably leaves a scar. It’s impossible to just pick up where we left off, as if nothing’s happened. So there is a fear of that, too. Of what it will be like once A. is back. Will I ever feel able to trust her in the way I was? Because, unlike other breaks, at the end of this one her whole world will have changed. That moment when she goes from being a pseudo-parent to her clients, to being an actual parent will be unlike anything else. And even if we manage to reach that Winnicottian good enough place together again, the fear of another abandonment will linger, as it’s likely that in due time she will want to have another child. In fact, whether or not she does, the fear will be there, regardless.
So things are distinctly uphill right now. I keep thinking Oh, I’ll talk about this in my next session, and then I crash with the realisation that that next session is so desperately far away.
I told A. that I would do my very best to stick to my usual 3-rule therapy break survival plan:
1: No matter what; keep breathing in and out
2: Try to find ways of coping other that resorting to self-harm
3: Even if I fail on number two, stick to number one!
That made A. smile, and I will try to keep that in my mind and in my heart, because I do want to make it through.
I just don’t entirely trust it that I will.
Four sessions to go until A. goes on maternity leave. At the most. These last few weeks since our Christmukah break I’ve been living with the worry of suddenly having a message that A. has gone into premature labour and thus leaving me to fend for myself without even getting to have the Final Session. Very stressful, indeed.
I am feeling on edge, wondering how in the world I will be able to get through these coming months without therapy. Feels like there is no way I’ll be able to cope. I am scared that I’ll go into another of those never-ending periods of flashbacks, because if that happens, I don’t think it will end well.. I am, of course, trying my very best to hold it together, to look ahead, to not assume my worst case scenario will come true. But it’s hard. Especially as over the last few weeks I have been having more flashbacks and nightmares than the norm. The other day I once again found myself looking likeHarry Potter. Also, on one occasion, I tripped up and used a white hot screw head to creatively burn myself with. And this is before A.’s leave has even started.. Not great.
The last few weeks have been very intense, therapywise, almost as if my psyche has kicked into overdrive in anticipation of A.’s leave. The sense of running out of time is immense. In some ways I guess you could say that this therapy break has pushed me to delve into things I may otherwise have found a way to not get into. I’m not sure if that’s a good or a bad thing.
My GP, who is the best GP in the world [possibly the universe], has been really good, and has taken my freak-outs very seriously, sorting out various referrals etc etc etc, trying to make sure that I have as much stability as possible during what promises to be a bumpy ride. And I really appreciate that.
People keep asking me what my therapist has put in place for me during her absence, and it’s hard to explain to someone who has never been in therapy that, actually, she’s not put anything in place, that there is no one covering for her. What I’m doing with A. is long-term psychoanalytic therapy, meaning that immediate symptom relief isn’t necessarily the goal, and that, also, it would make little sense for me to be referred to someone else while she is off, as that would in essence mean starting again, attaching to another person, only to have to break that up when A. is back. As a case study that could be quite an interesting little experiment, but in reality, it would involve unnecessary complication, and even if that was an option, I doubt it I would be up for it. It took me a really long time to let A. in; we’re talking years rather than months, and although people sometimes find it shocking that I’ve been seeing A. for nearly three years, to me, it feels like we’re only now getting below the surface. Like I said to A. in a recent session; while I may be a fast learner intellectually, emotionally I am exceedingly slow. And trust, well, that’s a big’un. There has been a lot of testing both A. and of the strength of our therapeutic relationship to get to the place we are now, where I am slowly, slowly allowing myself to let my guard down a little.
Which, of course, makes this break all the harder..
xx
Below are two videos; one which has nothing at all to do with what I’ve just written about.. and one from which I nicked the title for this post. Both are well worth checking out!
Some of you will know that I recently moved. I did a straight room swap with someone, and when this someone else moved, she – let’s call her K. – left behind a great big goldfish bowl with accompanying goldfish. Now, I told her straight off that I didn’t want it; I could never keep fish like that, in an un-oxygenated bowl with no black-out sides and nothing inside the bowl for the poor fish to hide behind. She told me she was going to get a smaller tank to fit in her room and come back for her fish. Being the friendly [if somewhat horrified] person that I am, I told her fine, just put it in the hallway for now, but make sure to come get it as soon as possible. No worries, K. replied and went on her way.
A week passed. Nothing. I started googling to find out what the heck to feed my un-invited flat mate [finely chopped spinach and orange, apparently] as I couldn’t just let it starve. I texted K. Nothing. I put a tea mug in the tank so the fish would have somewhere to hide from the world. Another week went by. Another text. Met by even more silence. And then, yesterday morning, a text from K. saying “Sorry about the late reply, I was busy with exams until Friday and now I’ve gone abroad. Won’t be back until January”. What the flying BEEEP..!?
Needless to say, I wasn’t much pleased with this development, so I texted her back saying that I understand she’s been busy, but really, sending a text takes seconds – anyone can fit that in no matter how busy – and wouldn’t it have been a good idea to check that someone was actually going to be in the flat over Chrismukah & New Year to look after her fish? Apologised in case I sounded harsh, but honestly I wasn’t very impressed.
Now, I’m not someone who habitually sends out even remotely angry sounding texts, so having sent off the text I sat down to reflect, realising that this was probably about something bigger than just the poor goldfish. I mean, I’m not actually going away, and feeding a fish isn’t exactly hard labour. So what was it about all of this that was really upsetting me?
Seems pretty obvious from a distance, right? What was really bugging me was – of course – the fact that she could so easily leave this living being behind without a thought, without making sure someone was going to be there to make sure that it was OK.
Fast forward to later in the day, still thinking about the fish, feeling genuinely upset by it being abandoned like that, I realised that I was very much identifying with this poor fish, and that my anger with K. was probably more accurately a misplaced expression of anger with A. leaving me behind, with no one to look after me.
So that’s what yesterday’s session – the final one before a two week Chrismukah break – was spent on. Trying to explore the feelings I have, not only around this break, but also about A.’s maternity leave – which I feel, ought really be re-named eternity leave. How I feel, much like this little fish, left to my own device in this not-great-but-won’t-kill-me place, where all I can do is to swim round and round in circles.
I feel that being in therapy gives me a sense of direction, like – although progress is often excruciatingly slow – I’m going somewhere, I’m moving. But with this massive break coming up, well, I’m not sure what to do with it, what to do in that huge expanse of time. Do I retreat into the tea cup of my mind? Do I try to move forward on my own, risking getting myself into territory I’m not at all ready to cope with outside of the safety of the therapeutic setting? Or do I just stand still? I genuinely don’t know, and that makes me feel lost and frightened.
A. gave me the breakdown of her plan for her maternity leave on Tuesday. She’s planning to keep working until the fourth week of February [but, naturally, there is no guarantee that that will happen] and then she’ll be off until some time in July when she will go back on a part time basis, meaning I will have only one session a week, in contrast to the three I’m currently having. And, of course that makes perfect sense, from her point of view, to start over slowly. But for me, I’m not really so sure. Going from thrice weekly therapy to weekly sessions, it’s one heck of a drop, even if it is temporary.
I’ve been in weekly therapy before [albeit not with A.], and it is incredibly different to having more sessions in a week. My experience of weekly therapy is that, although it is helpful – and certainly better than nothing – it’s very.. hm.. choppy. Because so much can happen in the week between sessions, there is both a sense of wanting to cram as much as possible into that one session, and also there is very little flow between sessions. What you started talking about last week can easily be pushed to the side, in favour of new exciting events and thoughts, and deeper exploration often suffer as a consequence. And if you are, as I am, prone towards avoiding digging too deep, this can be used as a way to get away with not looking below the surface of things. So, that worries me.
Towards the end of last session I was really finding it difficult to speak, feeling very emotional and tearful. I just felt utterly overwhelmed by this feeling of being left completely on my own, and feeling that I really haven’t got the tools to stay above water. Like I said to A.: Forget about that nice sturdy IKEA bag I was hoping to find, right now I’d settle for the flimsiest of Morrisons carrier bags to help somehow contain my emotions. I feel really worried that, lacking a time and place to express what’s going on inside of me, those horrendous flashbacks will start coming back again, in the way they did earlier this year. I just don’t feel I’d be able to cope with that. Not without resorting to self-harm again.
A. pointed out that despite things being difficult, I was still managing to look after that goldfish and taking steps to make things as comfortable as I can for it, given the situation, to which I had to admit that I had, in all honesty, thought that I really ought to put that poor fish out of its misery, as I can’t bear watching it live out its life in this depressing little tank. I realised then that this could easily be interpreted as my expressing thoughts of wanting to end my own life, because it just feels too miserable and closed in, and so I felt I had to reassure A. that this wasn’t my plan, that I simply wouldn’t have been able to kill the fish, or myself. I’m not entirely sure if this is true, but metaphoric suicide didn’t feel like a very good note to end the session on, and after all, the woman is pregnant, so I felt I needed to smooth things over.
Don’t worry, I’m not saying I’m suicidal, only that it’s kind of hard to know with me. Even for me.
At points in this final session I felt very strongly that I needed A. to reassure me, to play the good, nurturing therapy mother, and tell me that things would be OK, but, for whatever reason A. didn’t seem to pick up on that, and said very little when I felt I needed it most. [Yes, I do recognise that this is the child in me being angry at not getting instant gratification]. But then, at the very end of session, as we said our goodbyes, she gave me this very warm smile [which, for all I know she may have been giving me all through session, but since I rarely look at A. during session I wouldn't know] which made me feel so much better, and I wished her a good break. And I meant it.
All the very best and more,
xx
PS. Once again, thanks to all of you who have voted for my blog in the TWIM Awards. The polling station is still open, so if you haven’t but would like to register your vote there’s still a little bit of time left. Just click here. :) Voting closes at mid-day on December 31st.
Started a bit shakey on Tuesday, feeling very anxious, and stepping into a mode of not wanting to engage, not wanting to connect and deliberately steering clear of potentially explosive material. There was a definite wish to keep it simple, to not touch on anything that could be even remotely emotionally triggering.
Then, on Wednesday, my second session of the week, the second I sat down I was overcome by this very intense need to retreat into myself, to shut everyone and everything out, to protect myself from making myself vulnerable. To, in essence, stop all processes and just deep-freeze everything. A. responded to this information by stating that that’s quite alarming, and I went on to spend the rest of the session trying to explain this reaction, to dress in words what this fear looks like. Did a bit of waltzing around, but eventually, in my own unique roundabout way, I arrived at the fairly obvious conclusion that a lot of this wish to cut and run comes from the worry about what will happen once A. goes on maternity leave.
I used the analogy of unpacking my moving boxes to try to illustrate what the worry is; how, as long as all my things are still in the boxes there is a certain order to things. I know exactly what’s in each of the boxes, and although the contents may not be immediately accessible, I can get to them, with a little work. On the other hand, were I to empty all the boxes, even if I arranged the contents neatly on my bookshelves and in my wardrobe, well – the contents wouldn’t change, but in an emergency situation, it’d be that much harder to grab everything and run for cover. That, yes, in day-to-day life it’s easier to have things within reach and in the line of vision, but, having spent so much of my life in survival mode, it’s really hard to trust that a fight or flight inducing situation isn’t forever lurking just around the nearest corner. I keep hearing the voice of Little Sissi desperately urging me to not lower my guard, to make sure that I have a clear escape route at all times. And although Adult Me is trying hard to keep hold of Little Sissi’s hand, to steady her and to show her that things are different now, it’s hard. It’s a fine balance to allow Little Sissi’s voice to be heard, to exist, without giving into it – because, after all, she speaks from years of experience and from a place of almost unimaginable pain, and her voice is in no way trying to halter progress, but simply wanting to make sure that I don’t get hurt again. It’s a kind of poorly calibrated and somewhat mis-directed self-protective impulse.
Now, Adult Me knows that in order to move forward I have to somehow find the courage to keep at it, to keep sharing, to keep expressing, keep unpacking those boxes – even now when things feel so very fragile – knowing that, should things come crashing down around me, I can always grab a couple of bin liners and chuck my stuff into them to make possible my escape. It won’t be as neat, precise or efficient as if all of my things were still boxed up, but it would still work as a temporary measure. The only problem is that, as I explained to A., unlike with my actual, material possessions, when it comes to my emotional property, I don’t feel that I have that bin liner to hand; the fear is that I lack that quick-fix temporary container to make things manageable. I can have things out, look at my emotions, experience them, especially in the safe environment that therapy offers, or I can keep them in the box for now, until I feel ready to un-box, but, once they’re out – it’s not very easy to re-package. That, although I do have some practical outside tools, should things get really bad in A.’s absence; Drayton Park, the crisis team, shul, Samaritans, my friends and family, I just don’t trust it that I have the inner means to keep myself safe without shutting down. And that leaves me feeling very frightened and vulnerable.
With this in mind, it makes perfect sense that Little Sissi pipes up, reacting strongly to thinly veiled abandonment issues popping up in the face of A.’s impending leave, pushing for me to keep on the well-beaten path of trusting no-one but me, to rely on myself and myself alone, to let no-one in and let nothing out.
History shows that I often find myself struggling to keep things together during therapy breaks, that flashbacks and nightmares tend to increase at a maddening rate when I haven’t got that safe space to unload my emotions in, that the risk of self-harming behaviour sky-rockets, and so, with a break of this proportion on the horizon, well, it’s bound to drive my fears to boiling point. In some ways it would be more worrying if they didn’t.
A. reassured me that she has no interest in making this break any harder than it needs to be, and although it felt really good to hear her say that and I genuinely appreciate her wanting me to know this, it’s still incredibly daunting to know that I have such a big break ahead of me. And finding that courage, well, it’s something only I can do.
This week’s final session – Friday – was spent doing some further exploration into the constant internal struggle between Little Sissi and Adult Me. We looked at how Adult Me very much wants to do everything in her power to ensure that I don’t start going back on the progress I’ve made thus far in my therapy, while – at the same time – Little Sissi is deeply invested in that tried and tested path, pulling in the opposite direction, wanting to go for what is known and what feels safe.
The conclusion is, of course, that what we need to focus on in the next few months, is to find not only a bin liner, but preferably a nice sturdy IKEA bag, to ensure I have what I need get me through once A. does go on her leave. To find that something which will allow me to resist listening too much to Little Sissi – without completely ignoring or silencing her – and to not give in to the temptation of going down that comfortably familiar path of keeping myself safe through shutting down.
So, I’ve definitely got my work cut out for me. But – hopefully – I’ll find that I have what it takes.
To carry on.
Being me.
All the very best and more,
xx
IN OTHER NEWS
I was utterly surprised to find out, earlier in the week, that my blog has been nominated in two categories of the TWIM Awards this year. The TWIM Awards is an annual award given to blogs focusing on mental health issues. My blog is nominated in the categories “Best PTSD/Extreme Emotional Stress Disorder Blog”, and “Best Therapy Blog”. Feel honoured to have been nominated (especially considering how incredible some of the other nominees are) and would like to send out an absolutely massive thank you to those of you who have voted for me. I’m chuffed beyond words! Truly.
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I had an email from someone who has clearly been following my blog for some time the other day. He [or she – could be a she] asked “What happened to your real blog? The one about your life? I mean it’s interesting to read about Reform Judaism and all that, but I kind of miss the real updates. Like, what happened after you left Drayton Park? How have you been doing? What’s happening with your therapy?”
Now, firstly, I would like to point out that to me the posts about Judaism, and my conversion in particular, are every bit as real as any of my other updates. Being Jewish is part of who I am, and a big part, at that. But, I do take the emailer’s point: it has been a while since I’ve written about what’s going on with me. And it’s not by chance. I’ve simply needed some time to reflect without sharing, rather than reflecting while sharing, if that makes sense.
About two months have passed since I left the Drayton Park Women’s Crisis Centre. And it’s taken me all this time to slowly, slowly get back to myself. In fact I’m still not there yet. I still have days that are very very difficult, have days when I just don’t make it out of bed at all. But I also have days when things seem a little bit better.
The flashbacks still come, but usually it’s a case of having maybe one flashback every few days, and as horrible as it is to have them, it doesn’t compare with the torrential flashbacks I was suffering from a few months back. They still disrupt my life, still make me feel like absolute crap, because being thrust back into an abuse situation without warning is just never going to be a pleasant experience, but on some level they are manageable in the sense that there is enough space between them to be able to look at them and think about why they are happening.
Mostly, they tend to be about things I remember happening, and I think the key in these flashbacks lie within the feelings they evoke, not necessarily the content. I try to allow those feelings to surface, and to – hard as it can be – accept that there is a lot of fear and shame. My conscious memory of the abuse, particularly the abuse my brother subjected me to, doesn’t really conjure up images of myself as a very small, powerless and frightened little girl, but through the flashbacks I can tell that I must have been, even if I at the time was too cut off from my own emotions to recognise this. So I guess what I am doing now is to acknowledge this side of me, this truth which I have kept under wraps for a long long time. To allow Little Sissi space to truly exist.
Therapy is going well, feels helpful. It’s my space to just think out loud. That said, the other session I talked about how when I really get going, when I feel I’m on to something, I often drift off – almost as if I forget that I’m supposed to share my thought process along the way. I just grow silent and still and think inside my head, and I’m sure this must be frustrating for A. at times, but I guess it’s just the way I work. Also, the fact that I am aware of it, that I’ve been able to talk to A. about this tendency to just go quiet, means that I can work on it. And it’s given me the opportunity to talk about why I think I do this, what it is I find so frightening about sharing thoughts that aren’t fully formed, what it is I might be trying to protect or prevent from happening, through leaving A. [and others] out.
While I was at Drayton Park, A. told me something I already knew, but had not wanted to think about; she’s pregnant. I knew this even before going home this summer, but because A. hadn’t said anything about it, I essentially buried it, chose not to think about it. But now that it’s out in the open, well, naturally, it has an immediate effect on my therapy, both in the here and now; the themes that come up in my sessions, and the more practical side to it: that there will be a major break in my therapy in a not too distant future.
There is no getting away from it: there are absolutely days when it is really really hard to come to session and see A. sitting there looking oh-so-very-pregnant, when all I’ve ever wanted for myself is to have a child, feeling very aware that time is slipping away from me and my worst fear; that I may never get to be a mother, forms an icy shell around my heart. There are moments when I feel insanely jealous of her, her baby, her life. But there are also times when I feel genuinely through-and-through happy for her, excited about this amazing little miracle growing inside of her, and noticing subtle changes in the way she responds to the things I talk about – a soft gentleness in her tone, especially when I talk about that frightened little child I was back then.
So, there is progress in my therapy and in my life in general. Tiny tiny steps forward, towards a better understanding of myself, of who I am, of how I relate to others, and how others relate to me. And I feel I’m on the right track. Feel I’m getting somewhere.
But it’s not easy.
And it isn’t over.
There is much to be done.
Be kind to yourselves,
xx
A tiny musical gem; Janet Devlin singing Adele’s Someone Like You
It’s been a while since I posted a proper update, I know. Things have been very difficult and it’s all felt too raw to put it down in black and white. To pick up where I left off: I went to the assessment at Drayton Park Women’s Crisis Centre and was offered a place the same day. It was very hard going back there, having not needed that kind of help in quite a few years. So much of my time at the therapeutic community I was staying in was designed to keep you away from the NHS mental health system, to find other ways of getting the support you need, preferably away from medication and hospital. So it was a big decision going back to Drayton Park. But needs must sometimes, and sometimes you have to swallow your pride and just accept any kind of help you can get.
The whole first week and a half at Drayton I spent virtually all of my time in my room, feeling unable to be around people other than my named support workers. I simply felt to embarrassed to be around people while I was fighting the near constant stream of flashbacks, as the things I do to ground myself can look quite odd if you don’t know what I’m doing or why I’m doing it. I did have quite a few people come visit me, which felt more OK, because they were all people who know what I’m usually like, and who I knew could handle seeing me in that very very difficult emotional place. I know it’s hard to see someone you love struggle in the way I was – constantly having to fight this torrent of intrusive flashbacks.
Flashbacks aren’t a new phenomenon to me; regular readers will know that I suffer from single flashbacks frequently, and experience periods of sequential flashbacks every so often, but this was on a scale I’ve never known before. I’ve always understood the single flashbacks as an indicator of sorts that I am ready to perhaps deal with that specific incident in my therapy, and the periods of flashbacks tend to begin either when A. is away or when I am very stressed out about other things. But this, it was just something entirely different. A whole different ball game. As I said earlier, initially I was experiencing an incessant flow of flashbacks, most of them reasonably short and all of things I already knew had happened. Though never a pleasant experience, I was able to come out of them fairly quickly. What was really wearing me down – apart from the re-experience of the abuse situations – was the fact that they were so frequent. It felt very much as if as soon as I had worked my way out of one flashback another started, like one flashback triggered the next, and it took essentially all of my energy to remain fully in the present.
Then, one day – and I still don’t quite know why – the flashbacks changed. They became less frequent and were about things I had no conscious memory of. Although the reclining frequency was a welcome break, making it possible to at least go out of my room and spend time in the art room, it was absolutely terrifying. I always knew that there were gaps in my memory, pertaining to one specific person, but some of the things that came out were things I had absolutely no recollection of at all. I know that what emerged in those flashbacks did happen, that they weren’t figments of my imagination [although at times I tried very hard to convince myself that maybe they were].. The best way I can describe it is that it felt like I was remembering things I had forgotten I knew. These flashbacks tended to be more like long sequences, and were a lot harder to come out of, I think, in part because they caught me so unawares, memorywise, but also because the content of them were cruelty on a whole new level, and I felt paralysed by fear, unable to do the things I usually do to come out of the flashbacks. And I have to say, I’m still dealing with those memories now, feeling utterly traumatised by what those flashbacks unveiled.
I ended up spending a full three weeks at Drayton Park, and throughout those weeks, being stripped of the release and relief my various means of self-harm offered, they were probably the worst three weeks in my entire life. Every day I would ask the staff – pleading with them – to please, please let me have my scalpels, just for a little while, just to get a small break from the flashbacks. And each day my support workers told me no, because although their policy is that they recognise self-harm as a genuine coping-strategy for some people, they felt that my cutting would not be safe and could end in me, accidentally or intentionally, cutting to kill myself rather than to just relieve pain. Also, owing to my previous track record at Drayton Park, downing a pint of anti-freeze in a bid to end my life, my trust/credit rating with the staff isn’t the greatest, so their decision to not allow me to use any form of self-harm to cope, is entirely understandable.
I am now back home. Things are still difficult. The flashbacks aren’t as frequent, but I still have them fairly regularly, and it seems that an underlying depression is rearing its ugly head, and I am often struggling to get out of bed at all, unless I have to. I push myself to get to therapy and to not completely disappear in my own misery, but it’s hard work.
One thing that is good is that we’re now in the middle of a period called Yamim Noraim, [lit. Days Of Awe, commonly referred to as the High Holy Days, is the period between Rosh HaShanah and Yom Kippur] – so there are a lot of things going on at shul, and so I have more things than usual that I need to get to. Also, on the days I simply haven’t been able to go to service I’ve been able to follow it online, and I’ve made a point of always making sure I am up and appropriately dressed, even if I’m only attending service via the internet.
All in all, it’s still a bit of a roller coaster; one good day, one bad and so on, but I suppose that it’s better to have some better days than none at all.
So, for a better and sweeter new year,
שנה טובה ומתוקה
~ Shanah Tova Umetukah ~
xx
OK – so this isn’t for this new year, but this Rosh HaShanah video from Michelle Citrin still makes me smile. I mean, c’mon – I named my blog after one of her songs, after all.
I’ve been thinking about how to update my blog the last few days, but I’ve not felt able to do it. Partly because all my energy has been channelled towards fighting my way out of a flashback. Again and again and again. Times a million. It really has been kind of never-ending - and the only way that has worked to give me any kind of longer break has been to either make myself black out or to cut, neither of which is particularly healthy.
To say that it’s been a difficult few weeks would be a severe understatement. It’s been pretty relentless, and at times I’ve really just wanted it all to end, because there is only so much a person can cope with. The crisis team have been quite good (well, the nurses more so than the pill pushing doctors) – but it’s also been hard to find myself back in this system. Also, I’ve felt that the crisis team has been quite critical of the therapy I’m doing with A,, and they have frequently asked me if it’s really helpful to have this kind of therapy when it’s made me have such terrible flashbacks. Also, my relationship with A. has been questioned. More than once have they asked me if I’m not a little bit too attached to my therapist. My answer throughout has been that it’s not the therapy which is causing these flashbacks, it’s a combination of going home and then returning a week before therapy resumed, in conjunction with a number of other factors.
I’ve defend both my choice of therapy and the relationship I’ve worked so hard to form with A. on numerous occasions, but it’s tricky when you’re talking to people who see medication and CBT as the cure for all ills. It’s not so easy to explain that the whole point of therapy is that you form a close relationship with your therapist, and that it allows you to look at other relationships and see how they may be played out as little echoes within the therapeutic relationship. That in my veiw CBT is a bit of a band-aid, masking deep-rooted problems, and wouldn’t be at all appropriate for the kind of issues I’m dealing with. That, yes – this is really hard work, and yes it does bring difficult things up, but that it’s my feeling that the only way for me to be able to find some sort of peace within my past is to dare look at all those difficult things and realise that I can in fact survive the pain. And that’s what the work I do with A. is all about.
Despite this difference of opinion, having the involvement of the crisis team has also been of value - I’ve felt held by the fact that I’ve been seeing them on the weekends, when I don’t see A., and that they’re available to talk to on the telephone 24/7. It does help. But, that does in no way mean that I’m any less committed to the work I’m doing with A. I see it more as a crutch between sessions – for the time being – so that I can carry on with what I do in therapy.
Following yesterday’s adventures at A&E when I had my cuts stitched and SteriStripped – with a tetanus shot thrown in for good measure – R. from the crisis team came down to have a chat with me, and she said that she felt that my self-harming behaviour was going in the wrong direction, that it was escalating rather than subsiding, and that she felt I needed more support than what the crisis team can offer, and she suggested she make a referral to Drayton Park Women’s Crisis Centre.
I’ve stayed there in the past – years ago – and it has been helpful, so I agreed to R. making the referral. I think Drayton Park could be a safe option while I’m in the middle of this crisis. To me it seems like a happy medium – I’ll still be able to see A., but rather than going home to a lonely room battling flashbacks and urges to self-harm, I’d be going back to Drayton Park, where I’d be able to talk to someone about my urges to self-harm. Also, I know that they will be a lot more encouraging in terms of doing the type of work I do with A. han the crisis team has been.
Fair enough, I’ve never actually been at Drayton Park when I’ve been in therapy, but I have several friends who’ve stayed there and have felt that the Drayton Park staff have been very much in favour of them carrying on seeing their therapists while they’re staying at Drayton Park. Essentially what they say is that your therapist is your long-term support and who will help you with long-term goals, and Drayton Park is a place to feel safe while being in the middle of a crisis. It’s a short-term add-on support system, not a replacement for your long-term aims and goals.
Anyway, I’m meeting with one of the workers at Drayton Park tomorrow for an assessment, and it still remains to be seen if they’ll deem it appropriate to offer me a place for the week.
Think it’s time to hit the hay now – hopefully I’ll be able to sleep a little more than I have been in the last few nights..
In the meantime I leave you with another drawing from the Little Sissi collection. This one is based on the first photo taken of me, post adoption, when I was about six months old.
Things are still fairly touch and go. Really struggling at the moment. I’m having a lot of flashbacks, and it feels like everything in my life revolves around that. I don’t go out unless I have to, because I worry about having flashbacks in public. Not only is it embarrassing, but it could also potentially be quite dangerous as I don’t always feel completely aware of what is going on around me. I could quite easily not notice a traffic light going from red to green. And that’s just the “practical” side of flashbacks. Naturally there is also an emotional side to them, which is even more difficult to cope with..
Have been seeing the crisis team nearly daily since last Wednesday and have called them several times in between, and yet I can’t seem to find a way out of this darkness. Still can’t fight my urge to self-harm, and thoughts of suicide come easily to me at the moment. I fight it as best I can, but this is a mighty frightening place to exist within.
Went to see Dr H. today. She had asked me to check in with her in a week’s time when I saw her last week, because she wanted to be kept in the loop of how I’m faring, not just via the crisis team, but from me directly. Didn’t have much good stuff to share, I’m afraid, but I still think it was good to see her. Makes me feel a bit less anxious about when the crisis team decide to discharge me. Also she actually asked to see my cuts – which was a little embarrassing, but also made me feel more confident in her as she wasn’t shying away from the reality of self-harm. Have to admit that she looked quite shocked when she saw my handiwork, and she quickly decided that the cuts are quite a bit too deep and gaping to just be left on their own, so she ordered me to make an appointment to see the practice nurse, for her to clean them properly and either put in some stitches or Steri-Strip™ them. She said that ideally they should be stitched, but as my cuts are fairly close together that might not be possible.
I know this is going to sound really odd, but in some ways I don’t think I had really considered my cutting a real problem until Dr H. told me I might actually need stitches. I tend to just think of it as one of those things I do. A coping mechanism of sorts. I mean, I do know that cutting isn’t a good thing, but considering that I always use individually packaged sterile scalpels and antiseptic wipes to clean up, I kind of figured I had it under control. Clearly this is not the case; hadn’t at all realised how deep the cuts were – it wasn’t until I got home and had a look in the mirror that I could see that they were quite a lot more severe than I had thought. A seriously sobering discovery.
Saw A. today, and it was a good but quite difficult session. The last few sessions have been a lot about the here and now, about the impulse to cut and to play the choking game and fantasising about suicide and so on, but not very much about what’s triggered this downward spiral. So that’s what A. asked me to talk about today. An unusual step for her, as she is usually not particularly directive in her approach. Anyway, I gave it my best shot, starting with the obvious: the trip back to the scenes of the crimes. Talked about what it was I had wanted to be able to do on this trip, and how I feel I’ve let myself down by not being able to do it. And also what the reactions were to the little bits I did try to share. There’s plenty more to explore on this theme, and I think that the sooner I can start verbalising what’s happening inside of me, the sooner I’ll be able to step away from this very dark place I find myself in. I really appreciate that A. has been able to make time for extra sessions for me this week and last, even though that clearly means her working day becomes a lot longer. It makes me feel like I’m not fighting this beast on my own.
Also, she spoke to the crisis team on Monday, because they wanted to discharge me, and she felt it was too soon, that I’m still in the middle of this crisis, and need extra support from them for a bit longer. I’m really glad that she said that, because I feel I lose my voice when it comes to asking for things for myself, even when I desperately want to.
It’s really hard being back here again. It’s difficult to fight the feeling that no matter how hard I work, how hard I try, I will always mess it up, and find myself back where I started. That this is one of those life lessons that I seem incapable of learning.
But tomorrow is another day, and who knows, it might be marginally better than today.
