The March Post

Posted by What It Takes To Be Me in Being Alive, Diagnosis, Psychology, PTSD/Extreme Emotional Stress Disorder, Self-Harm, Sexual Abuse, Suicidal Ideation and tagged with , , , , , , , ,

To say that this hasn’t been my favourite month ever would be a grave understatement; March has been seriously rough. But, then again, I always knew that part of this particular month would be a real challenge, as this happens to be the month in which one of my abusers’ birthdays falls, something which is always a big trigger for me. A truly awful day with masses and masses of flashbacks.

On top of that, I was sent one of those dreaded brown envelopes from the DWP that I mentioned in last month’s post, one which contained a form for me to fill out, relating to benefits. This is something that always sends me into a complete tailspin; the anxiety that these forms provoke is enormous, because they force me to have to think about all the things I can’t do, leaving me feeling like an utterly useless human being. Even at the best of times I find it hard to think myself worthy of any form of financial support (even though, in healthier times, I used to work crazy hours, and paid equally crazy amounts of income tax, earning national insurance aplenty) – but when I am already feeling low – well, those DWP forms seem to be designed to give one the experience of being kicked while already being on the ground..

I am very fortunate, I have a therapist, a care coordinator and a social worker who are all more than happy to help me with these forms and support me through the emotional turmoil they cause, but even so, my risk level increases incrementally with every page of questions on those forms. I spent a session with my care coordinator, filling out as much of it as possible, but even though – in all honesty – she did most of it, and even wrote on the form for the DWP to contact her if there were any questions – I was overcome with horrible thoughts of how the people at the DWP would rather I kill myself, than having to keep paying out money to me. Of course, the rational part of me understands that absolutely nothing about these forms is personal – that lots and lots of people are sent (read: tormented by) them every single day – they still have the power to reduce me to one giant suicidal self-harming mess. In the month and a half I needed to fill out that ruddy form, I lost count of the number of times I took it out – fully intending to manage at least a couple of questions that day – only to have to put it away again, as my urges to self-harm got too strong.

So, this, in combination with my abuser’s birthday, meant that I desperately needed the support of the crisis resolution team. I was having such strong urges to end my life – even though parts of me really wanted to live – that I was struggling to keep my Self safe from me. And, even though I was reluctant to work with them to start with, I know that the extra support that they offered this time around, is what kept me safe, kept me alive.

So, no, March 2018 hasn’t been a great one.
But, hopefully, April will treat me with the kindness I deserve.

xx

The February Post – Anxiety…

Posted by What It Takes To Be Me in Anxiety, Being Alive, Medication, Panic, Psychology, Psychotherapy, Psychotherapy with P, PTSD/Extreme Emotional Stress Disorder and tagged with , , , , , , , , , , , , , ,

Anxiety. That’s the word of the month for me. Not just the usual anxiety that I struggle with, about clearly identifiable things like ‘Will there be a horrible brown envelope from the DWP in the post today?’ or ‘What if the new flatmate turns out to be really scary?’, but that awful non-specific thing we like to call generalised anxiety. It been coming over me out of nowhere several times a day, gripping me with its icy cold claws, digging into my skin, even my soul – and there is absolutely nothing I can do about it. My heart pounding so hard and fast it makes me think that there is a genuine chance it might explode in my chest. That sense of doom, of just knowing that no matter what I do, something very very bad is going to happen, and there is no escape. That horrible fizzy feelings behind my knees that makes me feel simultaneously completely paralysed and as if I can’t be still for even a second.

That. I’ve had an awful lot of that this month.

In therapy P. and I try to slow things down, try to work out what it is I am reacting to – but, unlike anxiety about something tangible and definable, this fuzzy whizzing fog of fear won’t be so easily captured and analysed. Of course we know that if there are a lot of things going on for me, I am much more likely to experience these episodes of panic and anxiety – but more often than not, it feels as if it’s been triggered by something so microscopically small that we can’t even distinguish it with our emotional super lens trained directly on it.

I can’t remember a time where I’ve suffered quite so much with anxiety (that wasn’t caused by something specific). And this constant fighting off an unseen enemy is exhausting. Recently I have even been considering whether or not I may need to look into getting prescription meds to help me manage it all.

Now, I know that many people have strong feelings about the use of medication to treat mental health disorders. Some feel they are an evil that should be avoided at all cost, while others say that they are absolute life savers. Personally, I am not for or against using meds. I have not been on any kind of medication for a very very long time – but the reason for that is that I have had some very severe adverse reactions to a number of drugs (both ones to treat physical and emotional ills), and for that reason my GP is very reluctant to start me on anything I’ve not been on before. Also, the one psycho-pharmaceutical I have ever been on without having one of those aforementioned severe adverse reactions happens to be one that is frighteningly high on the toxicity index, so – owing to a proven tendency to not stick to agreed safe dosages – I am rarely allowed to have even that. But, as I said, at the moment the anxiety is so bad that I am seriously considering trying to persuade my GP to let me have some sort of anxiety reducing chemical prescribed. (I’m not terribly hopeful that she will agree to do so; she once told me that she ‘doesn’t prescribe sleeping tablets for sleep’ in an attempt to not have to prescribe me an untested medication).

This kind of anxiety is kind of new to me. Or, at least having such frequent episodes is. I’ve had panic and anxiety attacks before, and I am a pro at getting exceptionally anxious about anything that could possibly go wrong – but I’ve never had multiple episodes every day. I am very used to suffering from PTSD flashbacks – I have those all day, every day – but this is something very different. As horrible as the flashbacks are (and they really are truly disturbing, each and every one of them), at least once I have managed to come out of them, I know what they were about; there is a distinct traumatic event attached to each one of them. But these anxiety attacks.. I really don’t know what to make of them.

Of course P. and I will continue to explore them, and hopefully they will get better. But for now.. it’s really tough.

Anyway, I think I’ll end this post here. It’s not quite the update I would have liked to write, – but I guess it is what it is.

To all of you out there,
be good to your Selfs

xx

The January Post, or, ‘Hello I’m Still Alive’

Posted by What It Takes To Be Me in Acceptance, Being Alive, Creativity, Depression, Drawing, Expressing Emotion, Expression Through Art, Family, Flashbacks, Friends, Painting, Psychology, Psychotherapy, Psychotherapy with P, PTSD/Extreme Emotional Stress Disorder, Sef-Awareness, Suicidal Ideation, Writing and tagged with , , , , , , , , , , , , , ,

Why oh why is it so darn hard to sit down and write updates for this blog? I have a million and three ideas flying around in my head at any given moment for things I’d like to write about, posts I’d like to upload – in fact one of them has been mentally written in my head since October last year [Harry Potter and The Mental Health Issue], but I’ve just not been able to make myself sit down and focus for long enough to actually write and arrange things into a cyber publishable format.

I suppose that part of the issue lies in the very nature of this blog – it’s not just about psychotherapy and mental health in general, it’s about my mental health, my journey. It’s about the PTSD, the depression, the suicidal ideation I struggle with, all of which severely impact my ability to focus, to knuckle down and just do things. Even when I really really want to write a post, when I am sitting there with an absolutely brilliant idea for a post, I often simply can’t write it.

In the last few years, because I’ve struggled so much with my mental health and the aforementioned difficulty in being able to concentrate I’ve had to make a switch from writing – something I have been doing my whole entire life in order to make sense of myself and my world – to drawing and painting. For years and years writing was What I Did to express myself, to explore what was going on, to give my imagination and creativity a chance to run wild. And then, somewhat suddenly, with the entrance of PTSD in my life, that was no longer an outlet I could count on. It’s hellahard working on a book, or even just part of a dialogue when you are constantly interrupted by traumatic memories in the form of PTSD flashbacks. So, I had to find another medium, one that wasn’t quite so badly affected by interruptions as writing is, and the medium that came to me most naturally, was art. So, that’s what I’ve been doing: I’ve been art-ing. Sometimes alone, sometimes with friends, I’ve been art-ing and art-ing and art-ing. Some of the drawings or paintings I’ve incorporated into random posts on this very blog, but for the most part I have been posting privately to friends and family on closed[-ish] social media. It was only in October last year that I finally got around to starting a public Instagram account. Shameless plug: If anyone is interested you can find me here. I’d love to have another follower or two. [SPOILER ALERT: the drawings that were supposed to go with that blessed Harry Potter post are on there].

One final reason [read: Exceedingly Lame Excuse] for my severely dwindling number of posts in the last few years is the very fact that I’m in therapy. I see the Greatest Therapist In The Known Universe [sorry you missed out, folks!] three times a week. On top of that I see my care coordinator every three weeks and my social worker about as often. Plus, I am blessed with the most amazing, insightful and supportive friends in the world. So, between the professionals [Team Scout, as I like to call them] and my friends I do a lot of talking and reflecting on what is going on for me. In fact, one of my sisters recently raised a concern that I wasn’t talking to her and my other sister about how I am doing. She was worried that maybe I was either trying to protect them, or that I somehow didn’t feel ‘allowed’ to tell them about the more difficult aspects of my life, when in reality it’s just that I’ve already got plenty of space to let the difficult feelings out. It’s not about wanting to – or feeling that I have to – shut anyone out, it’s just that sometimes – even when I’m really really struggling – I get a bit talked out. I’ve filled my need for expressing myself, I have felt heard and seen and cared for – so by the time I get to talk to my sisters I’m ready to just have a laugh. And, I think something similar has been going on with this blog.

You know how I said “one final reason” in the paragraph above, as if it was going to be the last reason given..? Well, if I’m honest with myself, there is one more very obvious reason for why you, my lovely lovely readers, have been left so badly neglected; I am an Expert Procrastinator. With everything. If I can put off doing something, I will. In my world, things get done as close to the deadline as humanly possible. And when there is no deadline..? Well, quite often things don’t get done at all.

Towards the end of last year, just around the time when I had to finally accept that that ruddy Harry Potter post wasn’t going to happen that side of the new year, I made a promise to myself [I hesitate to call it a new year’s resolution, because those are clearly made to be broken, right?]; that I would manage to upload one post a month in 2018. So, here I am, at just gone 6 a.m. on a Wednesday in the second to last week of January, writing something to kick the year off.

I know this hasn’t been the most inspired or thought provoking post, but, it’s a start.
And, hey – February is just around the corner!

Although, knowing me, you can probably expect the next update on or around the 28th….. And that’s only because this isn’t a leap year. ;)

Anyway, until then – loyal followers and new arrivals alike;

Be Kind to Your Selfs

xx

I Survived A Therapy Break

Posted by What It Takes To Be Me in Abandonment Issues, Anxiety, Attachment, Being Alive, Communication, Drawing, Expressing Emotion, Expression Through Art, Personal Growth, Psychology, Psychotherapy, Psychotherapy with P, Separation-Anxiety, The Therapeutic Relationship, Writing and tagged with , , , , , , , , , , , , , , , , , , , , , , ,

We’ve been on a break, my therapist and I. A Pesach / Easter / training combo break. Leading up to the break I was very aware of Little S. inside having a lot of feelings about P. going away. This, even though, I – or should I write we..? – were also going to be away for almost the entire break. There was an increased and very distinct need for emailing and texting P. to make sure that she was Real.

I think that what Little S. means by someone being Real is a combination of them not forgetting her when she’s not with them and for them to not abandon her when things get rough. But, at times it is also a way to express genuine fear that maybe the relationship with the other person is too good to be true, it is asking for reassurance; are you Real, or just a figment of my imagination, because it seems so unbelievable to me to have someone who is really there for me when I need them.

A break always brings out a lot of abandonment issues, especially for the Little S. part in me. From Adult Me’s vantage point this makes perfect sense, I understand why this happens; so many people in my life haven’t been there when I’ve needed them the most, so, naturally, when someone as important to me as P. declares that she’s going to be away, it is bound to trigger all manner of emotional echoes inside me. But, as much as Adult Me can see this, it doesn’t actually make it any easier for Little S. to deal with the anxiety and sadness that these separations inevitably bring to surface. To Little S. the worry that P. might be going on a break because she has been too much for her is very real, as is the fear that P. might – during the break – realise that she prefers not to have to deal with her ups and downs, her neediness, her constant need for reassurance.. Before a break the tension inside Little S. will keep building, until she is convinced that a) there is no way she can survive this break and b) that, should she through some form of miracle survive, there is no way that P. will ever choose to return.

A few years ago, back when I was still seeing A., I would never ever talk about any of this directly with her before a break. I would suffer in silence, and maybe – very maybe – mention it after the break was over, although generally in a very brief glossing over kind of fashion. Before a break, I would just feel the anxiety mounting, bring me closer and closer to breaking point, but I would not really acknowledge just how difficult breaks are for me. This, of course, lead to breaks being absolutely catastrophic in my mind, and it was extremely rare that I would not need to be working with the crisis resolution team during them.

In the first year or so of seeing P. I slowly and very gradually became better at talking around the subject of breaks, slightly dipping my toes in it, so to speak. I would talk about it in the way Adult Me sees it, intellectualising it, rather than actually feeling it. In part this was because I didn’t really know how else to approach it; intellectualising difficult feelings, analysing why they are triggered, rather than actually feeling the feelings, is how I have got through an awful lot of difficult times; it is a well beaten path. But, as I have been working more and more closely with P. to try to notice that there are feelings stirring inside, and to identify what those feelings are, I can now fairly often allow myself to stay with them.

The other part of why – back in the early days – I didn’t really talk about the feelings was that many of those feelings [particularly the ones to do with abandonment and separation, and the shame of needing someone else] belonged more to Little S. than to Adult Me, and Little S. hadn’t yet found her voice. Or rather, I hadn’t yet found a way to allow Little S. to express herself directly in our therapy. But, eventually we cracked it; first by letting Little S. email and text P. between sessions and then by Little S. speaking directly to P. in sessions [as opposed to through Adult Me]. It’s been a long journey, but I do feel that Little S. is now reasonably able to take part in therapy when she wants or needs to.

So, this time around, on top of the many emails and texts asking P. if she is Real, she was also able to not only talk about her feelings prior to the break, but she was able to experience them while she was talking about them. And that felt like a very big step forward.

The break in itself actually went quite well this time. Of course we all missed seeing P., and there were a few times when either Little S., bob, or Adult Me needed to email P., but there wasn’t quite as much anxiety to deal with as there might have been, had we not been able to experience and explore some of the feelings before the break, had P. not helped me make space for these feelings to be not only shared, but also heard. P. doesn’t ever make me talk about difficult feelings, but she does actively encourage me to try – and we set the pace together. She makes it very clear to me that it is safe to allow feelings out, that she wants to hear about them, whether it be in session or in an email, a text or in a drawing. And, possibly most importantly – especially to Little S. – she reassures her that she will be able to bear those feelings, that they won’t be too much, and they won’t result in P. no longer wanting to see her. That feeling and talking and talking about feelings is very much welcomed and valued in our relationship. Even when it’s scary. Especially when it’s scary.

Another thing that P. and I do to help Little S. manage during breaks and particularly difficult times, is to let one of P.’s ‘little friends’ – a soap stone hippo called Ringo [*not his real name, gotta protect his privacy!] – stay with me. I will also leave something of mine with P. to further strengthen the sense of connection between us during the break. As Little S. would say: “Something to help you ‘merember’ me, in case you start to forget.” It may sound like a childish thing to do, this exchanging of personal artefacts, but, Little S. inside is just that – she’s little – she may live inside the body of an adult, but she still finds comfort in having something physical to hold on to help her connect with P. So, no matter how silly it may seem to outsiders, taking Ringo with me everywhere I go, it makes all the difference in the world to Little S. And that’s worth a lot!

So, when you’re facing a break in your therapy, here is my advice to you: listen to what all of you need to make that break as bearable as possible. Don’t allow your Adult Self to stop your Little from getting what they need to manage it. To the best of your ability, talk about the fears and worries that all of the different parts of you carry about this break. Write it in a letter if it is too hard to say it out loud, if the fear of rejection gets too much. And if needed: ask if Ringo can come stay with you. And, if asking for a Ringo to stay with you feels too much; start small. I was given this tip by one of my readers many years ago, and at first, having something personal of P.’s felt way too overwhelming for me, so we started by my borrowing a random pen of hers that I could use to write in my journal with. And a little note from P. to help reassure me that she wouldn’t forget me and that she would be back.

But now that I have worked my way up to having Ringo stay with me, I wouldn’t have it any other way.
And neither would my sisters’ kids!

Be good to your Selfs.

xx

IMG_3885

A drawing Little S. made last night to show how happy bob, she and Adult Me feels that P. is finally back

 

Rebooting Is Hard To Do

Posted by What It Takes To Be Me in Being Alive, Communication, Expressing Emotion, Family, Writing and tagged with , , , , , , , , , , , , ,

So, as you may have noticed, there has been a gap in my blogging. A big one. I mean, I’ve written tons of blog posts in my head, but actually putting pen to paper – or finger to tablet, as it were, – not so much. I just couldn’t seem to get around to it. Everything felt too.. uphill.

I have been wanting to get a laptop for a long long time, in part to make blogging that little bit easier, or at least to remove some of the obstacles that made writing that little bit harder to do. But, money isn’t exactly on tap in my house, and this was a pretty darn big investment for me. So, I went back and forth for nearer to a year on which laptop to actually get. You know the dance; get the current 12” FruitBook, maybe a refurbished one, or wait for the next FruitBook Pro, suffering severe FOMO in case there was a massive spec bump, or – crazy thought – step outside of the FruitLoop altogether and save some dosh by getting something just as functional, less pricey, but also far less sexy, even though I knew what my heart truly desired? And, seriously, should I even be spending that money? What if? What if? What if? And then, late-ish last year, I was given a handwritten card from all of my Most Special People and it said: ‘It’s your birthday and we love you. We are so blessed to have you in our lives. You are Special to us, so we want you to have something Special. Stop fretting. Stop thinking. Get the new Fruity one that you know you really want!’

So I did. I got Mumin. [Or Moomin, if you want to be international about her.] She’s the loveliest laptop in the world, and she has the power to remind me that I am Special and that I am Loved. Every single day.

 

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Meet Mumin                                                – the Loveliest Laptop in the World!

This wonderful gift should by rights have lead to an instant reboot of my blog. After all, that was a big reason for wanting a tappety-tap laptop in the first place. But, somehow, it just didn’t. Somehow, despite this amazing gift which reminds me that I am truly loved every time I start her up, I was still me. I was still as caught up in the throes of my everyday struggles as I had ever been, and I still couldn’t find a calm enough space inside to to sit down and write about my life. To share what was going on with you all. I absolutely wanted to. But I just couldn’t. The energy simply wasn’t there; or rather, what little there was needed to be reserved for breathing in and out all day long. And the blog laid barren and desolate, void of new content.

Then, in the last two and a bit weeks I received – I kid you not – fifty-three emails from various people around the world, people who I have never met in person, but who have in one way or another come across my blog and have been wanting to know not only where the heck I’ve disappeared to, or why the self-same heck I’ve not been updating my blog, but, have expressed a genuine and heartfelt concern about my well-being, wanting to know if I am OK, letting me know that I have been on their minds. On top of this, these people have sent tons of positive energy my way. And you all, each and every one of you, have my eternal gratitude, because those emails (and blog comments!) have really meant a lot to me. I may not have been able to reply to all of you – in fact, I know I haven’t – but just knowing that people who have never even met me, who don’t even know my name, have been wondering how I am, have been thinking of me, well, it’s kind of an amazing thing. It restores my faith in humanity. And I feel so very grateful to you. And it is time to repay you by getting back to blogging.

I know that this particular post hasn’t exactly been laden with emotion or posed any serious philosophical or life altering questions – it is certainly a far cry to my usual offerings – but; it is a start. I do have a lot of ideas of what to write about, some stemming from things people have written to me about, and I hope that I will be able to return soon with another post.

In the meantime; do be kind to your Selfs.

All my love and gratitude,

xx

The Marathon Break

Posted by What It Takes To Be Me in Uncategorized

Teaching my sister’s oldest how to fold traditional paper cranes


So, I’m in the middle of the annual summer therapy break.. Well, I guess – technically – I am close to the end of it, but I am in the middle of struggling to cope with the break. You know, it’s the Big One, the one that is dreaded for weeks and weeks in advance, the one that also lasts for about a decade. [Again, technically, it’s really about a month – but who’s counting?]

It’s been a rough one. I’ve been meaning to, and probably needing to, write about it sooner – but..well.. too painful, too close, too hard to know what I’m actually feeling. Too confusing to be able to write anything even semi-sensible on my blog.

I knew that it would be a rough one. Not just because it is that marathon break, but because I knew that I had plans during that break that would almost certainly be challenging to deal with. The main one was that I had, for some inexplicable reason, decided that it would be a good idea to see one of my parents during the break. For the first time in two years. Very clever thinking! I’m not going into detail about how that went, because to be perfectly honest, I really don’t think I could manage the feelings doing so would bring out in a safe way. So, for now, I’ve decided to put that to the side. It is something that I will need to very slowly and steadily explore together with P., when she returns. There’s weeks’, maybe even months’, worth of emotional material to work with there. I think. – Like I said, I’m keeping the lid firmly shut on that one for now – not just in terms of this blog, but in terms of everything.

Prior to the beginning of this break we had a Professionals Meeting to make sure that there was a Firm Plan in place. For those of you who don’t know, a Professionals Meeting is exactly what the name implies, a meeting where the Professionals involved in my care [care coordinator, social worker, psychotherapist – and generally a psychiatrist] meet to decide what is best for me. Being that I am Un-Professional it has over the years been rather a struggle to be allowed to be present and part of these meetings – primarily because there has been some serious resistance to the idea coming from the only statutory service I’m accessing. [Hands up everyone who’s surprise by this.] This time, however – and largely owing to my having been appointed a new care coordinator – there was no such struggle, and I was even able to say that I didn’t want the psychiatrist present. [Not because I have an aversion to psychiatrists per se.. errr.. well, maybe I do have a little aversion.. but, primarily, because this particular one happens to be male, and I find it extremely difficult to openly express my feelings and fears when there is a man present, especially one that I don’t really know – since I’ve only ever really met him at previous Professionals Meetings].

Anyway, this particular pre-major break meeting, went really well, I felt. I was able to say exactly what my concerns were and come with suggestions as how to tackle them, as were everyone else. It felt like a very open forum, where everyone talked and listened on equal terms. So, that was really positive. We basically agreed that there were some very specific risk factors to be dealt with – that not only P. but also O. [the new-ish care coordinator] would be away when I returned from having seen my parent, that I may receive [potentially negative] news about the ESA re-application I sent in earlier this summer, that it is my pattern to dip quite badly when I get back to the UK after having spent time with my sisters and their families [regardless of how nice the time with them has been], and that Drayton Park have made an amendment as to how I can access their services, following the near fatal self-poisoning during my last stay. So – yes, a lot to be dealt with.

The plan that was formulated was that I would be able to email P. during the break – particularly during the week I was spending with my parent – and that on my return I had set appointments to see K. [the social worker from my shul] already in place. That way, should it be needed, she could start a referral to the crisis resolution team – as I may not feel able to do so myself. Also, this would mean that there would be a statutory service involved, should a further referral to Drayton Park become necessary. [This was basically what the aforementioned amendment was; that I can no longer self-refer to Drayton Park, and that any referral needs to come from a statutory service].

As it turned out the extra support from the crisis resolution team was indeed needed, so I am very glad that we had already talked about this prior to the beginning of the break. It made it so much easier for me to admit how much I was struggling when I saw K. the day after my return. [O. had even contacted the crisis resolution team in advance to let them know that it was likely that they would be receiving a referral from me]. Also, K. was able to make the actual call – something which I always dread, not only because such things make me very anxious, but also because of my hearing, and that, too, was really helpful.

I’ve found the crisis team really useful this time around. We made a very solid plan whereby I would be seeing them every other day, and have contact in between, as needed. We also made it clear that there is no pre-set date for me to be discharged, as the impending discharge was identified as one of the trigger points for what happened at Drayton Park last time [it wasn’t the only trigger point by any means, but it was one of them]. It would have been easy to say that I would be discharged on the day P. and O. are both back, but actually, as much as I look forward to their respective returns – there is also a lot of anxiety tied in with starting over again, and so it feels good to know that if I feel I need a few extra appointments with the CRT even after they are back, that’s available to me.

So.. How am I actually doing? Well, I suppose the fact that I’m with the crisis resolution team in itself indicates that, yes, things are really hard. I’m struggling. Also, in spite of the extra support both from them and from K., I have definitely been steadily slipping. I have had unusually strong urges to self-harm. But, importantly, so far I have been able to resist. However, in recognition of this decline, some additional appointments with the crisis resolution team have been scheduled, plus I am seeing K. later today – which is good, because as much as I like the CRT, I haven’t got the same close personal connection with everyone on the team, as I do with K. and P. Also, seeing a different person for most of the appointments [even though I do know the individual people], makes it seem a bit choppy, if that makes sense. It’s not the same as seeing P. regularly three times a week. That said, this flexibility on the part of the crisis resolution team, offering additional extras as needed, has felt really good, really supportive – and has definitely been a big factor in my not having needed a referral to Drayton Park, and I am hopeful that I’ll be able to stay out of residential care until the end of this long long break, in spite of things being really quite challenging at the moment.

Anyway, consider yourselves “caught up” with the riveting goings on in my life.
With some luck, there might even be another update before Chrismukkah!

Be kind to your Selves.

xx

Slow Progress and Power Ups

Posted by What It Takes To Be Me in Acceptance, Creativity, Depression, Expression Through Art, Flashbacks, Illness, Personal Growth, Psychology, PTSD/Extreme Emotional Stress Disorder, Sef-Awareness, Suicide, Uncategorized and tagged with , , , , , , , , , , ,

“Sunrise” – a drawing I made to illustrate how I felt one particular morning

It’s been a few weeks now, and I thought it was probably time to post something on here to avoid dust settling on my domain, if nothing else.

Things have been reasonably OK-ish lately. Physically I am doing a lot better, which is a real relief. Had another few rounds of tests over the last couple of weeks and in the end the good doc declared that I’d reached “not perfect, but certainly acceptable levels”, adding that I may just have to accept that it takes time for a body to recover, and that until then I may be more tired than usual. In essence, it’s one of those scenarios where “slow progress” will have to do. 

Now, I’m not the most active person at the best of times, in part owing to general depression – meaning that I can’t seem to find the motivation to drag myself out of bed unless I have an appointment that I have to get to, and in part owing to the fact that I suffer from a huge amount of flashbacks, more often than not making it far too dangerous for me to venture outside. [It has been less than a year since that particular point was quite literally rammed home; I was hit by a car, because I had a flashback and didn’t notice that I was walking into oncoming traffic]. So, being fairly used to a state of houseboundness, it really shouldn’t have made much of a difference being too physically weak to go out. But, somehow, it did. It’s one of those “I don’t want to run a marathon, I have no intention of ever doing it, but I’d like to think that I could” kind of things, I suppose. No, I wasn’t likely to go for daily walks – owing to the above stated reasons – but the fact that I physically couldn’t still somehow messed with my mind, made me feel even more a prisoner of my circumstances than usual. So, yes, I am very thankful to be officially NHS-doc-certified on the mend.

I have noticed a definite change in myself since I came out of hospital, in that I am very aware of all the things I would have missed out on, had I not survived my most recent self-poisoning. Every time I bump into a friend or get a text consisting of nothing but emoticons from one of my sisters’ too-young-to-write-actual-words children, I find myself mentally pausing to marvel at the fact that I got to have that precious moment, that I didn’t miss out on it. Because I so easily could have.

I have a friend who killed himself. It has been many years now, and while it isn’t acutely painful in the way it once was to think of him, I do often still think to myself ‘I can’t believe W. missed out this’ when something happens which I know he would have appreciated and enjoyed. And, I guess what I am experiencing at the moment is something similar to that, but in reverse.

I have been in this situation more than once [having survived a serious suicide attempt], but as I wrote in a previous post, this time I felt immediately grateful to have made it through. And as much as I am still struggling with all of the things I was struggling with before [yup, every single one of them], being able to take notice of the little things does help. It’s like one of those video games where you pick up a gem and it gives you a Power Up. Yes, it is temporary, and I may well get frustrated and bored with the game again – but while my little avatar is in Power Up mode (think Mario Kart blinking star mode), I feel GREAT.

And it’s been a looooong old time since I’ve felt that way, so, “slow progress with the occasional Power Up” – heck, yes, I’ll take it!

:)

Do be kind to your Selfs,

xx

“Moonlight” – making a small adjustment to express how I was feeling at the end of the same day

Living Without Dying

Posted by What It Takes To Be Me in Acceptance, Being Alive, Coping Strategies, Depression, Expressing Emotion, Inner Conflict, Personal Growth, Psychology, Sef-Awareness, Suicidal Ideation, Suicide and tagged with , , , , , , , , , , , , ,

My last post was in the main concerned with writing about what happened. This time I would like to talk about feelings. Or at least I would like to try to do that. I’m not sure that I will be able to, but I do want to try. So, here goes..

I know that I wrote in my previous post that my immediate reaction upon waking in the hospital was that I was glad that I had indeed woken up, that I was glad that I was still alive. And that is absolutely true. I was. In fact, I am. But, as always, things are never quite that simple and straightforward. Naturally there is a plethora of emotions surrounding the fact that I am still here today. And that is what I would like to write about today.

There were reasons for why I was suicidal in the first place, and surviving a serious intake of poison does not take any of those reasons away. All of the things I was dealing with before are still just as present now. In the words of the esteemed Dr. House: ‘Almost dying changes nothing. Actually dying changes everything.’

Although, I wouldn’t go so far as to say that I am back at the exact same place I was before, nothing has got particularly easier. Yes, the happiness about being alive does help, gives me some kind of energy to keep trying, to keep at it a little longer, but, that isn’t in itself a magic cure. In some ways, the very fact that I am happy that I survived actually complicates things. You see, for me, ending my life has always been a viable Out, a thought that has been been my constant companion throughout life; I genuinely can’t remember a time when I didn’t feel that if things got too bad I could always choose to get off the train.

But what happens when you wake up, having very nearly fallen off the proverbial train and you realise that you’re actually pleased that you didn’t? Well, it means that you are suddenly in a brand new and very special kind of Scary Place. You are in just as much unbearable pain as you were before, but suddenly you haven’t got that Out anymore. So, somehow you have to find a way to live, without the option of dying.

I am not saying that I have left the option of death as an Out forever behind – as I wrote earlier – nearly dying changes nothing – including that, I suspect. But, for now, this option has been moved from being constantly right there on the table, sitting right next to my tea cup, to being stuck somewhere at the back of a bottom drawer.

I am not naïve enough to think that I will never again find myself sitting there at the jumping off place with both legs dangling over the edge, but I am also in tune enough with myself to know that this feeling, the feeling of actually wanting to be alive, is very very different to anything I have ever experienced before following a suicide attempt. And, I am – or at least I’d like to think I am – wise enough to recognise that this is a significant shift in me. And that I need to use that shift in some way.

But, how do you live without dying?

Well, the honest truth is that I don’t know; I haven’t got an answer to that. I’ve never been in this situation before, and I don’t really know how to deal with this.

So, for now, I am following a very simple rule: take each day as it comes and make no major decisions until I have some distance, until I can look at what has happened with some perspective. And I think the best way to get to such a place is through maintaining an open and honest dialogue with those around me.

That – and lots and lots of therapy.

Do be kind to your Selfs,

xx

A Much Delayed Update

Posted by What It Takes To Be Me in Being Alive, Coping Strategies, Defence Mechanisms, Depression, Dissociation, Expressing Emotion, Family, Illness, Personal Growth, Psychology, Psychotherapy, Psychotherapy Breaks, Psychotherapy with P, PTSD/Extreme Emotional Stress Disorder, Sef-Awareness, Self-Harm, Sexual Abuse, Suicidal Ideation, Suicide and tagged with , , , , , , , , , , , , , , , , ,

It has been such a very long time since I last posted anything on here, it feels all but impossible to try to catch you all up. And maybe it’s not really the most important thing in the world that I do? If you’ve been following this blog for a little while, you’ll probably already have some idea of what sorts of ups and downs you might have missed in the last few months. After all, there is nothing new under the sun. And if you have only just arrived on my site, well, feel free to hop on board as you are.

So, I’ll just begin with where I am at now. Literally.

I am at home, very slowly trying to allow my body to recover from the hell I have recently put it through. I suppose you could say that I had been on a slippery slope to nowhere for a long time, and a number of weeks ago, my therapist started a referral for me to go to Drayton Park. I was already with the crisis resolution team at this point, struggling enormously with trying to keep myself safe. Being at a very low point, the only way I could really manage was by taking sleeping tablets. Paradoxically not to kill myself, but to stop myself from doing so. Perhaps not the best way to manage, but it was all I could do at the time. The referral to Drayton Park took longer than usual for a number of reasons that I won’t bore you with, and being asleep most of the time while I was waiting was the only way I could think of to stay safe. After all, if I was knocked out there was no way I could actually act on my suicidal impulses. Right?

A little over a week later I was finally given a place at Drayton Park, and that felt like such a relief. But it wasn’t all smooth and simple. The depression and the suicidal ideation, the flashbacks and the urges to self-harm came with me. And, although I have stayed at Drayton Park about a million times [OK, maybe not a million, but certainly enough times to feel at home there] this time felt like a distinct travel back in time. You see, the only room available was the one room I have always dreaded being put back in; the room I stayed in during my very first time at Drayton Park. Yes, I have stayed in other rooms there more than once with no problem, but this one holds some particularly bad memories for me; this is the room I died in. And this time it isn’t an exaggeration – I was found lifeless in that room, and while I have no actual memory of it, I was told by the doctors in ICU that I had been clinically dead for a number of minutes by the time the managed to bring me back.

The reason I was found lifeless in that room all those years ago was my own. I had brought a substance into the place that I shouldn’t have, and being the kind of person who – owing to deep seated psychological issues – is far more afraid of being found to have broken The Rules than to tell staff that I was afraid of what I might do, and that I needed help, proceeded to ingest said substance. So, this time around, being back in that room, I was overcome by memories of standing in front of the mirror in the bathroom swigging pure poison from a bottle, quickly followed by a handful of Smarties to mask the bitter taste, looking at myself, hoping to die.

This time around I used my one-to-one sessions at Drayton to talk about these memories, about the sense of being thrust back in time and the feelings evoked, and I was immediately and repeatedly offered to switch rooms. But, me being me, I thought there might be some therapeutic value in being able to stay in the same room, look at myself in the same mirror, but having a different outcome. I thought that the feelings brought out by staying in this particular room might be used for healing, for psychological growth, even. Sadly, I seem to have completely forgotten that the reason I was back at Drayton in the first place, was that magnetic lure of release from life – and that I wasn’t strong or stable enough to do this kind of work at this particular time. And it proved to be a costly miscalculation on my part.

Prior to admission to Drayton Park I had purchased another bottle of a similar but far more lethal poison, and it was still sitting at home, waiting for me. Thus, part of the objective of my stay this time was to get me to a place where I would be stable enough to be able to safely go back to my flat and pick up the bottle to hand it in to staff, without having the urge to down its contents on the way back. I was working very closely with both P. and staff at Drayton to get to this place, we talked about my feelings, about the reasons for those feelings and how best to keep me safe – we really were doing everything possible to get me out of this perilous place I had been perched at when I first arrived.

Admittedly, at first there was a fair bit of pressure for me to bring the bottle back at the earliest possible opportunity, but this plan was thankfully changed, when I – with the help of P. and staff who have known me for a long time – were able to to explain that bringing back the Bottle before I was ready to do so wouldn’t necessarily make me any safer; I’d just order another one online, or I’d feel pushed to act out in some other equally dangerous way. [Having a severe nut allergy means that I am never further than a chocolate bar away from having the means to end my life]. Instead we planned trial runs to my flat where I would go into my flat but not into my bedroom [where the bottle of Poison was kept]. I’d pick up post or a change of clothes, but there was no expectation that I bring the poison back. This worked. Twice. In fact, during one of my visits home I managed to – relieved of any pressure to perform, so to speak – bring back the anti-sickness tablets that were also part of my suicide plan. It was hard going back to the flat; in spite of our best efforts to have strong safety plans in place and in spite of never staying longer than ten minutes, I never quite felt safe.

Partway through my stay P. went on leave, as did K. This meant that most of my usual safety net was no longer available to me. And that, too, was hard. Destabilising, is the word that comes to mind. I knew that I would not be able to stay at Drayton until they were back from their respective leaves, and that didn’t feel good at all. So, fear of going home – having still not been able to hand in the Bottle – intensified. Towards the end of week two I was asked to make a Week Plan, to add structure to my stay, which I did. Knowing how hard it had been the two previous times going back to the flat, I only planned visits home for every other day, so as to not overwhelm myself.

But on the very first day of following my Week Plan I knew I wasn’t stable enough to be able to go home, even for a short visit. It was one of those very bad days with lots of flashbacks and thoughts of how much better things would be if I were dead, so, I switched days on my planner, did my Tuesday plan on the Monday. And it would have worked out fine, except the next day was just as iffy as the previous one, safety-wise. I wanted so badly to be able to stick to the plan, though, since otherwise there would be fewer opportunities to go home before actually being discharged. And I knew discharge would be coming, whether or not I had brought the Bottle back.

I want to pause here to make something perfectly clear: there was absolutely no pressure from staff for me to go home that day – none, zero, ziltch – and that is really important to understand – they were all working hard to keep me safe. All pressure to go home that day came from me, and me alone. But, in the end I did decide to push on through. And that turned out to be a near fatal mistake.

When I first got to the flat on that third trial run I felt anxious, but sort of within the realm of what I could manage. So, before entering I rang Drayton to say that. All was good, I sat in the kitchen for a bit, I even wrote an angry note to my flatmates about the washing machine not having been fixed during my two week absence. Everything felt normal.

And then suddenly it didn’t.

I know that I went and took a sleeping tablet in desperation. At the time I really thought it was just the one, so, that is what I told staff when I called them in panic. They stayed on the phone with me until I was out of the flat and I got a taxi back to Drayton. I saw my main worker when I got back, and prepared to go to bed [after all it was a sleeping pill I’d taken]. We agreed that they would check on me every hour, just to make sure I could be woken up, since I have a history of taking overdoses in a state of dissociation, and I couldn’t say with 100 per cent certainty that I hadn’t done so this time, too. [Entering a dissociated state is actually far more common than you might think, especially for people who have suffered severe abuse and have used dissociation as a coping mechanism all their lives]. About quarter of an hour later I knew that I must have done more than just taking a single pill, because I was feeling nauseas and drunk and was losing control over speech and movement. So, I went straight to the staff office and knocked on the door. [This is, incidentally, the exact opposite of what I did that very first time at Drayton]. The last thing I remember is lying on the sofa in The Quiet Room with a member of staff next to me, being told that an ambulance was on its way.

I woke up in hospital. I knew immediately that I was in hospital, because nowhere else on earth are you met with those cold harsh lights, and those ugly tiles in the ceiling. That is my first memory. My second one isn’t so much a memory as a feeling, a feeling of immense relief that I was alive, that I had in fact woken up. And I knew that was a big deal. Every other time I’ve woken up in hospital I have felt nothing but sheer anger that I hadn’t died, wondering what I had done wrong, thinking about when I could do it again.

I spent a number of days in hospital being given antidote every twelve hours. And that was one of the most scary experiences ever. The relief of being alive soon wore off, and the fear of not knowing whether or not I would actually live – and what that life might be – took over. I knew that things were bad, really bad – not just from the vast number of tubes coming out of my body or the urgent frequency with which blood tests were taken day and night – but by the fact that when I tried to ask doctors and nurses would I be OK, they avoided eye contact and would generally mumble something along the lines of Let’s not worry about that right now, sweetie.

It wasn’t until the very last day, the day I was due for discharge, that I finally found out the truth of just how close it had got. I didn’t ask the doctors or nurses this time because I didn’t trust that I could deal with what they might have to tell me, instead I reached for the journal folder at the foot of my bed. And there it was in black and white. Multiple organ failure. Prognosis: poor.

Of course, by the time I read those journal notes, I was out of immediate danger, but it was still a shock to see it. This was what I had done to myself.. I had put kidneys, heart and respiration at serious risk. When the first tox screen came in they didn’t think I’d live, and if I did I’d likely have reduced function of at least some of those organs.

I have now been at home for about two and a half weeks. I am extremely fatigued and am sleeping most of the time. Any little thing exhausts me. I have had follow up tests and the results are not great. They aren’t anywhere near as bad as they could so easily have been, but I am also not recovering at the rate the doctors would have hoped. So there will be more tests to come. In short, I still don’t know the full extent of the damage I have done to myself.

But, I am alive.

And I have a lot of feelings about that.

 

I hope that I will be able to write more about those feelings soon. –ish.

xx

 

 PS. I want to make a special mention that I have chosen not to share what has happened with my immediate family, in an effort to spare them pain and worry. At least until I know for sure what I am dealing with. So, should you be someone who knows me in person – and knows my family  – please make sure to keep this information to yourself. This blog is semi-anonymous, not for my sake, but for the sake of those close to me. It is also a place where I can safely share my feelings, and that means a lot to me.

 

 

Feeling Bad & Being Bad – Allowing ALL of Your Selfs into Therapy

Posted by What It Takes To Be Me in Acceptance, Communication, Expressing Emotion, Expression Through Art, Identity, Inner Conflict, Personal Growth, Psychology, Psychotherapy, Psychotherapy with P, Sef-Awareness, Sexual Abuse, Shame, The Therapeutic Relationship, Writing and tagged with , , , , , , , , , , , , , , , , , , ,

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“And, what if – after everything that I’ve been through – something’s gone wrong inside me? What if I’m becoming bad..?”
 “I want you to listen very carefully: You’re not a bad person. You’re a very good person who bad things have happened to. You understand? Besides, the world isn’t split into good people and Death Eaters – we’ve all got both light and dark inside of us.”

*

The above is a transcript from Harry Potter & The Order of the Phoenix – film, not book – an exchange between Harry and his godfather, but – Death Eaters aside – this could just as easily have been a dialogue between Little S. and P. It’s a conversation they have had many, many times, and one – I suspect – that they will continue to have many more times.

The concept of somehow being bad because of what has happened to us is a common one among people who have suffered sexual abuse. The sense that our experiences in childhood has somehow tainted us, marked us for life, is something I think many can relate to. And even though the adult part of us may well be able to recognise that this is not the case, for our inner child this is a stain that feels all but impossible to remove. It has sunk so deep into the grain of what we were made of, that removing it feels as if it would mean removing a part of who we are. This is especially true if the abuse began when the we were very young, before we have had a chance to form a strong sense of our Selfs.

Little S. struggles greatly with being able to understand that feeling bad and being bad are not the same thing. She finds it almost impossible to distinguish between the two. And that makes perfect sense; because what was happening to her made her feel terribly bad inside, at the same time as one of the abusers made it his favourite pastime to reinforce again and again and again that the reason why he was doing what he was doing to her was precisely because she was bad, the two concepts got mixed up. So, ‘feeling bad’ became ‘being bad’. And, between the abuse and being fed the black and white fairytales that most children are fed, where bad people do only bad things and good people do only good things, yet another truth was formed: if you do something bad, you must be a bad person. Even the dialogue above goes on to state that “What matters is the part we choose to act on. That’s who we really are.” It’s a lovely sentiment, on the surface – our actions define who we are, we can choose to be good rather than bad. But, – and it is rather a big but – for a child in an abuse situation, choices are limited, and more often than not we had to do things which we perceived as being bad [playing along, saying the things the abusers wanted to hear, we may even have been taught to act ‘provocatively’ by the abuser and so on..] all of which even further instilled in us that we were indeed bad. We didn’t just feel bad about what was happening or about the choices we were forced to make, we were bad. And because we were bad, we deserved the bad things that were happening to us. After all, the villain of the fairytale must inevitably be punished; the bad guy banished, put in prison or even killed..

As I am writing this I am aware of Adult Me wanting to step in, to protest, to tell Little S. that she is not the villain, she is not to blame. That those choices weren’t really choices at all, and those actions [the ‘playing along’, the ‘saying the right things’..] were extraordinarily complex survival skills dressed as what looked like bad choices. And that is a very good sign of health on Adult Me’s part, both the wanting to step in to protect Little S. from those misconceptions, and the ability to see them for what they are – but, Little S. needs therapy, too – Little S. especially needs therapy – she needs to be allowed to explain what the world looks and feels like to her, she needs the space to share her truth and to have that truth heard and accepted. So, for now, Adult Me will need to take half a step back.

And that can be a real struggle in therapy. I’ve written previously about this difficulty, how in my work with P. we found that the way to allow Little S. to speak, without Adult Me interfering or even censoring, was not found inside of the fifty minute hour, but in emails and drawings between the sessions. And even that didn’t happen overnight. It took conscious effort on behalf of Adult Me to stop herself from editing Little S.’s communication with P. And that is a hard, hard, thing to do. But, it has finally given Little S. a voice of her own. And, recently – with a lot of hard work – Little S. has even been able to have her very own fifty minute hours with P.

P. and I work a lot on trying to understand what feelings, thoughts and beliefs belong to which parts, and also to recognise that they are all valid. [Not necessarily true, but absolutely valid]. The different parts agree wholeheartedly on some things and disagree wildly on others, and for me, it has been incredibly helpful to stop and listen to what the different parts have to say.

When Little S. writes emails, she does so using childish phrases that Adult Me would never use, and in session she speaks with the kind of language and grammar and even tone of voice that a child of four or seven or nine would – even when she writes by hand, she does so in her own writing. It’s not about acting – I’m not pretending to be a child again – I am just temporarily holding back the other parts, I am turning down the background noise, so that Little S.’s voice can be better heard. And it is so so helpful. Not just to Little S., but to all the different parts of my internal system. It helps us notice where different parts struggle, and it helps us understand where the different internal conflicts take place. And it feels good to know that each part can exist both in its own right, and as part of the whole system; that the whole is simultaneously both exactly the sum of its parts, and so so much more.

I still struggle with this – it is simply not an easy job, understanding oneself and ones inner workings – and it has helped enormously having P. actively encourage all the different parts to speak up. This is one of the things that makes therapy so great: you’re not doing it on your own, there is a second heart and soul in there with you.

I know that working in this way – understanding the whole as being made up of many different parts – is not for everyone – and I also recognise that I am only at the very beginning of this journey myself; I am in no way an expert in the field, but, I would recommend anyone to give it a go. Maybe sit down and allow your Little to write a letter – about anything [it doesn’t have to be about something particularly difficult or painful] – in his or her own words, without the self-consciousness of your Adult Self holding them back.

Whether or not you choose to bring what you write to session, I think that you will discover both how difficult it can be to separate one part of yourself from another – and just how much your Little has to say, perhaps even things that he or she may not have been able to say before. And that has got to be worth quite a lot, don’t you think?

Do be kind to your Selfs.

All the very best,

xx

The Harry Potter and Sirius scene