A Little Bit Of Therapy Related Art

A little bit of art until I find the energy to sort my PC out so I can post a real update..

Sky Red

Sky Red

Dissociation

Dissociation

Painting My Feelings When Words Won't Suffice

Painting My Feelings When Words Won’t Suffice

I often use art as a tool for expressing myself. Especially when it comes to things that can’t ever be fully expressed, because I don’t fully understand it myself. To me, colours, textures, light and shadows evoke their own feelings and I try to use that in my art.

The bottom one I used in therapy the other day. I had been talking about the court case against my brother and had a lot of feelings floating around inside of me, but lacked the words to adequately describe them to P. [or even to myself], so when I got home I made that painting and brought it with me to session the next day. Together we managed to find some words to go with it.

xx

Hearing the Littles – A Therapy Break Update

Våga Lita - Dare Trust A reminder written on my arm before going into a therapy session shortly before The Break

Våga Lita – Dare Trust
A reminder written on my arm before going into a therapy session shortly before The Break

It is far too early on a Sunday morning for me, or indeed anyone, to be awake. But, I am. Anxiety is stretching my nerves to the point of breaking, and I have been unable to sleep for about forty hours. Insomnia isn’t out of the norm for me; it is part of my pattern. But the anxiety is. Or, at least, the level of anxiety. I can feel the extreme imbalance of the chemicals surging through my system, splashing around, crashing into each other and the rocky shores of my insides that have until now been unknown to me. The inner landscape of my body is soaked, drenched, in acidic anxiety, and I can’t think of how to rid myself of it, how to alkalise.

I know that I can and will get through this. I have survived it before, and I will again. It is just that the strength of emotions have taken me by surprise. Yes, I was nervous about this upcoming break in therapy for weeks before it started, but I thought that perhaps this time might be different, because, in contrast to many other breaks, I – we – P. and I, had spent so much time talking about it, preparing for it, putting in place things to make it more manageable. And I, foolishly it seems now, thought that that in itself might dull the sharpness of my feelings. But it doesn’t.

I miss P. terribly, and even though I have talked to my friends about it, and many of them have responded with empathy – more so than in the past, it seems – I am still left feeling that no one really understands the depth of my emotions. Or maybe it is a sense that others expect Adult Me – the intellectualising, reasoning, part of me – to handle this, to take charge and make it all OK, for all of the different parts inside of me. Truth be told, I think that even I expect her to.

But, what happens during a therapy break – a break from my pseudo parent – is that Little S. – not Adult Me – is the one who is reacting to this separation. Adult Me can watch, but can do nothing about that, because Adult Me wasn’t there when the fear of separation and abandonment, was born. Adult Me hadn’t yet been formed when Little S. – or even before then – tiny Baby S. were dealing with life in a world where there simply was no stability, where her parents gave her up and left her to fend for herself, completely void of tools with which to do so. Because of this, the reassurance Adult Me is continually trying to offer rings hollow to Baby S., in exactly the same way reassurance from anybody else does. Adult Me may be one of many parts that forms the whole of me, but she wasn’t there when it happened, and as far as the Littles are concerned, she doesn’t get it any more than my incredibly kind and well-meaning friends do. Not emotionally. And Little and Baby feel just as nakedly defenceless as they did back then.

Of course Adult Me has acquired lots of tools over the years to deal with situations like these. And during normal, daytime, hours, she makes the most of those tools and is often successful in temporarily alleviating much of the fear and anxiety. But when the rest of the world goes to sleep, and Adult Me is exhausted from a day of constantly trying to soothe those Little parts, when she needs a break to stock up on supplies, that’s when the primal scream of Baby S. sounds the loudest, deafening all intellectualisation and reasoning.

Baby S. was about six months old when she was adopted, when she came to live with her new parents in Sweden. No one knows, and Baby S. can’t remember, what happened in the six months before then. But the emotional echoes of the feelings born in those months still bounce between the walls of her outer shell, and when something like this – a separation, a perceived abandonment from a care giver – happens, those echoes amplify and drown out everything else. The echoes are always there, even in peacetime, noticeable in the fear of forming attachments with others and the difficulty in trusting, but when an actual separation happens something explodes in her, because just as Baby S. couldn’t know at the time that that abandonment would be temporary, she is now – still – blind to this fact. Baby S. only knows the here and now, isn’t able to look to the future, so when Adult Me, in sheer exhaustion, takes a break from reassuring Baby S., Baby S. thinks that this will last forever.

I wrote an email to P. a few weeks prior to her going on her summer break, about the whole How to cope with your therapist abandoning you for a minor eternity-issue, and as I am writing this now, it strikes me that that is exactly what I am dealing with: a minor eternity. It is minor in the eyes of the world, even in Adult Me’s eyes, but to Baby S. and Little S. – both of them too young to understand the concept of weeks or days or even minutes – it is an Eternity. And eternities have no foreseeable end.

As I wrote at the beginning, I will get through this separation, just as I have got through separations in the past. But in order to help Baby S. and Little S. I need to remind Adult Me to deal with them gently and patiently in the understanding that they have not yet got as far in the healing process as she has. They will get there eventually, but it will take more than the survival of a few therapy breaks for them to feel safe enough to integrate fully, to get to a place where The Whole can begin to work as a single entity, rather than as a multitude of frightened independent parts.

So, I say to myself, as much as I do to you:
be kind to your Selves.

 

Much love,

xx

 

Daring To Trust

 

Today I did something that scared me, something that made me feel, something that needed me to be braver than I have ever been before. I shared something that I had never ever shared with anyone before.

*

I have now been seeing P. for just over a month. Ten sessions to be precise. And it has been, well, quite a big change for me. It is hard to not constantly compare the work I am doing with her to the work I did with A. It isn’t so much that I keep thinking that one is decidedly better than the other, but I am struck, over and over, by how different it is to be in therapy with P. The relationship we are tentatively building has a whole different feel to it, there is an added dimension to it, a quality that is hard to paint in words, but which is so real I can almost feel it physically.

That said, I miss A. I do. I really miss her. I miss the way I would spend time in session self-analysing and contemplating different angles to things, turning things round and round and having the luxury of going through all the ins and outs of my thoughts, with A. every now and then reflecting back to me what she heard me say.

I find myself, sometimes, making statements that I feel would have fitted well in A.’s therapy room, but which don’t quite work in the space I share with P. I find that doing my ‘getting into therapy mode’ routine, which I have been doing for nearly five years with A., feels awkward and out of place with P. I still do it, because it is simply the way I kick into gear, but I always feel very aware that P. is there, waiting for me to look at her and greet her properly.

So, there’s a lot to get used to. I find it so scary, the way P. meets me at the door, always with a big, warm and welcoming smile, and the way she seeks to make eye contact with me. I find her invitation to form a real relationship with her absolutely terrifying. There are alarm bells going off all over the place, simply because they have been tuned to mistrust that kind of openness and warmth, has been trained to automatically look for the ulterior motive behind any random act of kindness.

But, I am determined to not allow myself to use that fear as an excuse not to dig deeper. I am determined to find a way to ‘dare to trust’, to challenge my own hardwired concept of the world, of others being out to cause me harm. So, I’ve been pushing on with P. I’ve used my sessions to talk and talk and talk and talk about this fear of attaching, this extreme inability to trust – I’ve talked very openly about it all and she, in turn, has responded to it. And I think that that is where some of the healing may lay; in having those fears heard, having that reluctance be understood and accepted. Because – paradoxically – that is what may ultimately allow me to let my guard down, to allow P. in for real.

And today I took a leap of faith. I brought my journal with me, and I shared a drawing I made this morning of something that happened to me, something I had relived in the form of a flashback earlier today, and which I have never ever shared with anyone before.

It was incredibly scary to do, and before I did it, before I even opened up my journal, we spent time talking about what I was feeling, what the fear really was. I explained that there was something about P.’s presence that made me feel more scared than I would be, if I were on my own with the drawing. That something about her being there made me feel more exposed, more vulnerable, because I didn’t know how I would react to looking at the drawing in front of her, and I also didn’t know how she would react. The metaphor I used to explain it to P. was that it’s like standing in front of the mirror, naked, and then doing the same thing, but with someone next to you. The first is hard enough to do, the second all the more frightening.

At first I just sat with the journal in my lap, looking at the drawing I had made, without sharing it with P. Just to see what that would feel like, to test the waters. I found it difficult, had to actually use my hand to cover up the parts of my drawing that felt too difficult to look at. And then, in the middle of doing this – in the middle of shielding myself from my own drawing – it occurred to me that I didn’t need to be the one who was stuck with the drawing. I didn’t need to shield myself from it. I could give it to P., and she could protect me from the full force of the raw horror that the drawing contained. So, I handed it over to her, barely daring to look at her.

But I did. Look at her. And, yes, there was a reaction to what I had drawn, an obvious emotional response to what she was seeing splashed across her face, and it made me feel very afraid, anxious that maybe I had pushed her too hard, too soon. But then P. spoke, first about how what I had shared in the drawing was something no child should have to experience, and later, about how she felt about me having shared it with her. And it made me feel better.

In the session before this one, I also shared something, in words rather than through a drawing that time, and towards the end of the session P. asked me how I felt about what I had shared. So I talked about it. And then – the thing that made me really feel that there might be a possibility that I could trust her to take good care of me – she asked if maybe I needed to also know how she was feeling, having listened to me. So, I nodded and said that I thought that would be good, feeling so immensely grateful that she had understood how enormous my fear of breaking others with my story is.

And that – her honesty in sharing exactly how listening to me affected her – is what made it possible for me to take this huge step in today’s session. Because, something about that – about P. not holding back on her own response, is what makes me feel safe, makes me feel that she knows her own limitations, and that – because of this – she wouldn’t allow either one of us to go further than we could cope with.

xx

“It’s time we made a place
Where people’s souls may be seen and made safe

Be careful with each other
These fragile flames..
For innocence can’t be lost
It just needs to be maintained..”

JK

 

Innocence Maintained  © 1998 Jewel Kilcher

The End Of A Relationship

Sometimes A Rubber Duck Really IS Just A Rubber Duck ..these ones, of course, aren't..

Sometimes A Rubber Duck Really IS Just A Rubber Duck
..these ones, of course, aren’t..

 

I feel so desperately sad.

Had my final session with A. earlier today. And I just want to cry. In fact I have been crying. A lot. It just feels awful. I hate the way things have ended, it doesn’t feel good at all; there are so many loose ends that we were just never able to tie up and we will now never get the opportunity to do so. I feel we came to an impasse at some point last year, and no matter how hard I’ve tried, it’s just not been possible to break it. And that is what is making me feel so terribly sad, what I mourn. I knew that I would have to end therapy with A., that there really was no other path left to take, but, I would have liked to have been able to rebuild at least some of the things I felt got broken in the midst of this therapeutic breakdown of sorts.

I knowingly opted not to write about the last four sessions as they happened, because I wanted to use these few weeks to deal with therapy coming to an end on my own and in my sessions with A., without discussing and analysing it to bits elsewhere beforehand. I just felt that if I spend a lot of time between sessions writing about them, especially about all the things I didn’t say in session, it would somehow dilute something, would make it easier to remain emotionally remote in session, because I would have already felt the initial force of impact when dissecting it in black-on-white writing. And with this very important final phase of my work with A. I wanted to try to avoid that. Especially knowing how good I can be at switching off emotions, even when I’m actively trying not to.

But, now that it is over, I would like to share some of the things that have been going on. I’m not sure that I will be able to write about it all tonight, it all feels so terribly raw still, so there may have to be a few posts on the subject over the next few weeks, but I’ll make a start today, to the best of my ability.

There is this broken record that’s been playing in my head on repeat this whole time: How am I supposed to say goodbye at the end of the final session, walk through the door and never come back..? It’s a thought I have been wanting to share with A. throughout, but I wasn’t able to give voice to it until today, in the very last session.

The idea of never feels so terribly painful and inescapable that I’ve not quite known what to do with it. In the last few weeks, I’ve often found myself suddenly struck with sheer panic about the fact that I would soon not be seeing A. anymore. That she will no longer be my therapist. And – even more painfully – the realisation that, not only will A. not be my therapist anymore, but I won’t be her client. The link will be completely severed. Forever.

And it hurts like hell.

So, I had to come up with a solution to help me deal with that. Something. Anything. And in the end it happened in the shape of two rubber ducks.. I spent some time thinking about whether or not I wanted to make a card for A. for the final session, or even give her a little something. It’s something I’ve never done in all of our years together. You see, my father – The World’s Greatest Psychotherapist – used to get Christmas cards and Easter cards and Happy Midsummer cards and other bits and pieces from his clients, and I always deeply resented this intrusion of his work in our family home. Feeling that he was already so much more involved with his clients than he was with his family, I really didn’t want reminders of his clients dotted around the house.. As a consequence of this, I’ve always felt I can’t quite cope with being That Client, and as a consequence A. has never been sent a card or left a gift or anything like that.

In the end I decided that actually, doing a little project of some sort, while dealing with the ever nearing ending, might be useful. In essence, to put my own needs before any thoughts about what impact this may have on anything or anyone. So, I came up with the rubber duck idea. It seemed fitting, because I have told A. many times that “sometimes a rubber duck really IS just a rubber duck”, meaning that not everything said in session is an echo of the world outside, and even if there is a bigger duck in the outside world, sometimes dealing with the smaller duck inside the therapy room, will be just as effective at resolving something..

Anyway, I bought two ducks to decorate with my trademark nail varnish flowers. [Having never used nail varnish on this material before, I wanted to have a back-up duck should I need to have another go, using different paints.] As it turns out, nail varnish works really well on rubber ducks, and I didn’t need the back-up, spending an hour and a half painting the duck and thinking about my journey with A., allowing the emotions it brought out to just exist. The idea with giving A. the duck – apart from serving as a reminder of what I used to tell her – was that it might make it a little easier to walk out and never come back, if I knew that there would be something of me left behind. No, I don’t really feel that nothing of me would have been left behind, without the duck, but leaving something physically behind, made it less abstract. Then, last night, I decided to paint the second duck as well, because I thought that if I have the twin to A.’s duck still with me, there wouldn’t be such a definite severing of the link between A. and I. A very comforting thought. So, that’s what I did. When I was done, I named A.’s duck Graduation Day Duck [End of Therapy Duck, was a little too negative] and mine Separation Anxiety Duck. [I think we’ll save analysing that for another time..]

I’ve previously written about the things I’ve felt I’ve needed from A., in order to make this parting of ways more manageable. I can’t say that I’ve really had any of those things, at least not packaged the way I had imagined. But, at the same time, some things have been said – tiny little things here and there that have seeped through when A. has been talking about other things, which have made me think you’re really talking about us here, aren’t you? I think therapists sometimes underestimate the amount of time their clients spend analysing them, and the fact that interpreting what is being said is not a magic skill bestowed on their profession alone. Just as they hear echoes of other things in what we say, so do we see shadows and other dimensions in the pictures they paint for us.

In one session A. said something along the lines of how it is really important for me to hear her say that I am special. I can’t remember if I replied directly to that, at the time, but I remember thinking that, actually, it isn’t so much about being special to her, as it is about feeling validated in the fact that I am unique, that even if she sees a million other clients, every single one with a similar background, our work is unique, because our relationship is unique –  that our relationship can’t be replicated or duplicated, because of who we each are as individuals, and the unique combination that creates.

At times, the refusal to allow me to have this validation has felt very harsh and has been experienced as exceptionally rejecting, regardless of the intellectual understanding that this was not the intention. In the midst of therapy, I can to some degree see the value in not always providing automatic gratification, to instead look at what this need is really about. But, at the end of nearer to five years, when there soon would be no next session in which to analyse things, I don’t really understand this withholding of validation. In fact, even if it really was just about needing to be told that you’re special, what is the cost in doing that? When there is no further analysis to be done within that particular relationship? I have talked to A. about how the fact that both D. and Z. in their final sessions with me made sure I could really feel that the work we had been doing had meant something to them, too, has been really helpful. To be told that I – simply through being the unique person that I am – have had an impact on them, has had a definite positive effect on me. That is not to say that I am unable to feel good about myself without someone else reassuring me of my value, BUT –  a little positive reinforcement from someone you respect can go a long way and create rings on the water that reach very far, indeed. Just look at children who grow up with parents who validate them, and then at children whose parents actively invalidate them, and the benefit of the former becomes obvious. It is human nature to continue to grow in a healthier way as a person, if we feel valued for simply being ourselves.

*

Today the dreaded final session finally came. At the beginning of it I used the duck to talk about the ending, and the process the duck had been part of [and – yes – I did a little analysing of the names I’d given them], and that part of it felt good. But then I sort of side-tracked myself and talked about something entirely different – something which, had this been a normal mid-therapy session, would have been very useful – but, which in the context of this being the final session felt very much like something that wouldn’t really be nearly as helpful as talking about the fact that after 429 sessions and 21,450 minutes spent together, A.’s and my relationship was about to end. At one point I tried to get back to talking about the ending by stopping myself mid-sentence and stating that ‘No, I don’t actually want to talk about that’, but as A. encouraged me to carry on, and not feeling particularly brave, I ended up using all of the precious remaining time on this side-track.

And all of a sudden, without any warning at all, A. announced that “Our time has come to an end”. Not ten minutes before actual end of session, in order to leave time and space for a proper goodbye, but at the actual end of session, with no time to spare. It’s a bad habit of A.’s, this lack of signalling that time is nearly up, and it was particularly deeply felt today.

So, I left feeling somewhat robbed of the chance to say a proper goodbye, because, really, this session was ended much like any other session, with me putting my shoes on and quickly gathering my things, ready to vacate the room for The Next Client.

Yes, I was able to look A. in the eye and say “Thank you”, and  A., in turn, said that she wished me all the best, but, even though she more than likely genuinely does wish me all the best, it sounded awkwardly formal. She tacked a “Thank you for my duck” on after that, with a little more feeling, and that helped some, but I could without a shadow of a doubt have done with another five minutes spent truly acknowledging that what has been an incredibly important relationship for me was coming to an end.

Instead, I said goodbye and walked through the door.
Knowing that I would never be coming back.

And that’s when the tears began falling.

xx

Living With PTSD – Not Like The Movies

I managed to go to service this morning, for the first time in a long long while. Last week I couldn’t go because I had managed to give myself a concussion, before then it was down to running a temperature, and before then – for many many weeks – it has been due to simply not being up to it; too depressed, too submerged in my life/death battle. And then there’s the PTSD. Post-traumatic stress disorder. The bane of my life. A big reason for previously mentioned life/death battle.

I feel that a lot of people don’t really understand what post-traumatic stress disorder is. Or, more accurately, they may not be aware of how it affects people. I think that, at least in part, media is responsible for this. People have generally heard of flashbacks as being one of the symptoms of PTSD, and you often come across storylines in which characters suffer from this disorder, and the viewers are treated to an insight into the flashbacks that they experience in a variety of ways. Only, there’s an issue with this: having a flashback isn’t like watching something happening on a film screen. It’s about feelings. About re-experiencing the traumatic event, as if it is happening all over again, and having an emotional response to it. Again and again and again and again.

In the most recent episode of BBC’s Silent Witness, the storyline followed a former soldier suffering from PTSD. It was explained that certain sounds and situation could trigger flashbacks for him. So far so good; this is all true for many people suffering from PTSD. Later on in the program we got to ‘experience’ a flashback alongside the character: he saw a person on the street, it morphed into a flashback person – someone who wasn’t actually there – someone who had been part of the trauma. All of this is fairly accurate, I think, for a lot of people: flashbacks can very well be triggered by someone who looks like someone who was part of the traumatic event, and flashbacks can absolutely cause a person to see someone who isn’t really there. Happens to me all the time.

But then the character talked to someone about his experience of having flashbacks, and when the person listening to him said something along the lines of “That must be really horrible” the character’s reply was “No, it’s OK. It’s actually quite nice.”

And this, to me, is a huge departure from what PTSD sufferers truly deal with. I have yet to meet a single person suffering from PTSD who would describe having flashbacks as ‘nice’. Because the disorder is caused by traumatic experiences, often very extreme ones, you are not likely to have an emotional response which could in any way, shape or form be described as ‘nice’. Having a traumatic experience is not nice, thus, the emotional response will probably not include positive feelings.

Let me illustrate: say your previously wonderful and perfect partner rapes you. Very traumatic, very hard to deal with, extremely emotionally damaging. Let’s say the effects of the experience go so far as to cause you to develop PTSD. You now have flashbacks of the event. This is hardly going to trigger emotions related to the rosy honey-moon period of your relationship. Whilst you may still – in your conscious mind – remember that time when your partner brought home a dozen roses and your favourite chocolates, and the lovely feelings that gave you, those feelings will not be triggered by a flashback to the rape. They just won’t. Those lovely feelings weren’t associated with the rape, and so can’t be triggered by flashbacks to the trauma.

When you have PTSD [as I understand it, and put in layman’s terms] the memories of the trauma are stored in a different part of the brain to where other, ‘normal’, memories are stored, and the response flashbacks produce completely bypass the part of the brain that is responsible for rational thought. Thus, even though some part of you may be aware that the trauma isn’t really happening right now, and most of the time you are able to remember both positive and negative aspects of a relationship [assuming there have been both], because rational thought is taken out of the equation, your emotional response to a flashback will be as if it the trauma had only just happened, and will involve the feelings you either had at the time, or the feelings you may have had to repress at the time in order to survive. It won’t involve feelings related to an entirely different situation.

I mentioned earlier that flashbacks are often caused by triggers. But there is more to it. While a majority of people with PTSD have flashbacks caused by external triggers [sounds, smells etc – things that in one way or another remind them of the trauma], some people – myself included – have flashbacks that are caused primarily by internal triggers. Internal triggers are tricky, because they are difficult to identify. And if you can’t identify triggers, it is almost impossible to avoid them.

For me, personally, it is often a case of one flashback triggering the next, in a continuous chain, and I am just as likely to have flashbacks if I am out having an absolutely fantabulous time ice-skating with my friends, as I am sitting with someone talking about really deep and difficult things. In short, if I’m going to have a flashback, it will happen, regardless of what I am doing, where I am or who I am with.

One of the first things people [professionals in particular, actually] tend to ask is “What do you do to stop the flashbacks from happening?” to which I answer “Nothing”. They will then in one way or another convey to me that I have a very negative and defeatist attitude which isn’t helpful. Or they will suggest that I do something nice and relaxing – light candles, have a bath, listen to music, and so on. So, I tell them, oh, I do all of those things. Because they are very nice things to do. But I will still have the flashback, only I will have it in the bathtub, with the music playing and the candles all around me. I then say “You know when you go to sleep..?” adding a pause to allow the person I am talking to to nod, since this is something everyone has an experience of, before continuing “Well, you know once you are asleep, yeah?” Another nod. “At what point do you choose not to have a nightmare?”  You see, I can’t choose to not have a flashback any more than you can choose not to have a nightmare. No amount of positive thinking or relaxation is going to change it. If it’s going to happen, it’s going to happen, and it simply isn’t caused by a defeatist or negative attitude. I know a million different grounding techniques to help me come out of a flashback, all of which I employ on a daily basis, and I am working very hard at finding ways to cope with the emotions the flashbacks bring out, but there is no way I can stop the flashback from happening in the first place.

I have somewhere between 30 and 40 flashbacks on an average day. On a particularly bad day, when it seems like one flashback triggers the next, I can have over a hundred. That means re-experiencing, re-living – the abuse over a hundred times in a day. It means dealing with the emotional impact a hundred times in a day. To me, the fact that I am still here, in spite of this, is proof that I absolutely do not have a defeatist attitude.

If you would like to know what it is like [for me] to have flashbacks, there is a drawing (What Words Can’t Express – A Visual Representation Of Sexual Abuse Flashbacks) that I posted a number of years ago, trying to visually explain that sense of being in two places at once – the past and the present, simultaneously. I feel pushed to warn, though, that it is somewhat graphic, and could be potentially triggering.

I want to make it clear that I am in no way an expert on PTSD, and what I have written here is based on my own experience of living with flashbacks, and on what others with PTSD have told me. Of course, as with anything, different people react in different ways, and there may very well be PTSD sufferers out there who disagree entirely with my take on what PTSD is like. And that’s OK. I just wanted to offer my view of what it’s like.

 

All the very best,

xx

 

PS. In case you happen to know me, I’ve recently added a little section on the right, appropriately called “For People Who Know Me”. You may want to check that out. Not in any way saying that you can’t check it out even if you don’t know me, it just won’t be all that relevant to you. :)

A Fork In The Road – Choosing A Path

A. has been away since the Friday before last, and it feels like it has been our longest break ever. There is just something about this particular break that has felt sort of endless. Of course, this hasn’t really been the longest one, seeing as she was off on maternity leave last year, but it has felt incredibly long.

I think one part of it is the fact that I have been living in a heightened state of fear ever since I ran into M., and not having A. there to talk it through with has been hard. Yes, I’ve still had Z., but since that’s the place where I’ve seen M., I haven’t been able to relax at all, and that – naturally – has had a direct impact on my ability to open up and talk about things; it is very hard to allow yourself to be vulnerable in a place where you don’t feel safe. That isn’t to say that I haven’t tried to do just that. But, still, it’s in my sessions with A. I usually feel most safe, more sheltered from both external and internal storms. In fact, this is where I am least likely to experience flashbacks. Sure, I do still have the occasional flashback when I’m with A., but it happens a whole heap less there than anywhere else.

A. is back tomorrow, and that’s a good thing, for sure. I feel that there is a lot that has happened in the eleven days since I last saw her, and there is a lot of catching up to do. Prior to A. going on leave I had a session where I tried to be brave and share my concerns regarding not feeling sure about where our therapeutic relationship and work is headed, or even where I would like it to go.

There is one part of me who is listening closely – perhaps even a little too closely – to other people, who all seem to be suggesting that perhaps I am overly attached to A., and that I have really come as far as I can, working with A. That I may have outgrown her, in a sense, and the time has come to start over with someone else. And at the same time there is the intense pull in the opposite direction: that while there are many things that are less than ideal in our relationship and the way we have been working together, there is a golden opportunity here to work things through, to have a different experience to what I have had in many previous therapies.

I think what troubles me most is the fact that I feel so completely in the dark about my own motives for wishing to go in either of these directions. Is thinking about terminating my work with A. really a result of outgrowing something, or is it a case of the exact polar opposite? That, actually, having spent years only dipping my toes I am now dangerously close to allowing myself to dive in head first? Perhaps terminating is a way for me to avoid having to do that? It certainly wouldn’t be the first time that happened. In at least three previous therapies I’ve managed to find an ‘out’, when things have got a little too hot. Maybe I am really just repeating a pattern here? To cut and run, rather than stay and face my fears?

And, at the same time, is my wish to stay with A. purely about this opportunity to go deeper than I have done before, or is it rooted in fear of letting go of the emotional safety blanket A. has been providing for me in the last four and a half years? Change can be a pretty scary thing, and sometimes we all need a little push in the right direction to dare take that final step off the beaten path.

I definitely feel that working with Z., alongside A., in the last few months has been a very positive experience, has made me reflect on the work I have been doing with A. It has helped clarify in my mind what I feel has sometimes been lacking. But, equally, it has highlighted the things I really appreciate in my relationship with A., the things I find a little overbearing in my work with Z.

In many ways, therapy with A. is a very independent endeavour; I am most definitely in the driver’s seat, choosing which roads to go down, which ones to avoid, and what speed we should be travelling at. Counselling with Z. is a lot more directed, something which became very clear when she expressed concern that we may be dipping too deep into things. And, at the same time, Z. is a lot more head on than A. She often asks very direct questions about what’s going on for me, what I am feeling, and, particularly – what I feel about our relationship, pushing me to go to a place where it is a little scary to be. And, this is an area where A. and I don’t really manage to communicate all that well. I am not sure if this is down to me and my fears, or if it is a situation A. and I have created jointly, but I do know that it is absolutely one of the things I would like to change.

A. made a comment when I talked about this, among many other things, in one of the last sessions before this break, which I feel is both valid and makes me worry. She said that all these questions I have about our work together, the uncertainty of where we are going, the not knowing where I would like to go, echoes very loudly in the rest of my life: there is a lack of clear direction and a strong feeling of being pulled in two opposite directions [the wish to live and work through things, and a darker pull towards giving up and ending my life].

As I wrote earlier, this comment does have some validity: I can see the echo, and I get what A. was trying to tell me. And at the same time, there is some frustration on my part about the way A. tends to see most everything I say about our relationship as a direct echo of something bigger in the world outside of her consulting room, the way she sometimes seems reluctant to allow me [us] to fully explore what’s there inside those four walls. My general view is that, yes – there are often echoes of the outside world being reenacted in A.’s and my relationship, but, that this doesn’t mean that what is going on between the two of us isn’t equally real and in need of being worked through. One doesn’t negate the other, and sometimes a rubber duck is just a rubber duck.

As you can see there are a whole lot of questions bouncing around inside of me at the moment, and very few solid answers to counter them, but I hope that in the next few weeks I will be able to use my sessions with both A. and Z. to look at them closer.

xx

Self-Harm Distraction Techniques: "Draw, Don't Cut"  [..the slightly more creative version..]

Self-Harm Distraction Techniques: “Draw, Don’t Cut”
[..the slightly more creative version..]

New Year, New Hopes – A Tiny Update

20131001-080851.jpg

Don’t worry, I’ve not gone crazy.. At least not in the traditional sense..
Tonight at sun down is the Jewish new year, Rosh HaShanah, and I have to admit that I am kind of excited about it. I know that a date is just a date, really, and it’s what we do with each day that matters, but, there is still something about starting anew that always makes me feel positive and hopeful. It’s that delicious feeling of opening up a brand new journal, 300 buttery white pages, there for me to fill. I kind of know that as much as I’ll try to use only my very neatest handwriting, sooner or later I will fall back into old habits, switching to my sloppiest, most illegible, journal writing style, almost without noticing. But, until I do – man, does it feel good!

So, what am I hoping for in the new year?

Motherhood. Always at the very top of my wish list. Comes as no surprise to anyone who knows me. But other than that? Well, a little bit of relief from the drama of the last few months would be nice. I remember my youngest sister concluding a number of years ago that I always have a serious dip in September, but knowing what the last few months have been like, I’d like to think that this time the dip came early, and hopefully I am on my way back up now.

I hope that creativity will flow. Both in terms of writing, and in terms of artistic endeavours, whether it be painting, drawing, carving or whatever other quirky ideas I may come up with. My latest project, as you can see above, is hand painting canvas shoes. Hopefully this will continue to offer me an alternative way to express myself and provide a safe haven to go to, a place where I can disconnect, if only for a moment, from mundane day-to-day stresses.

I hope that my therapy and my relationship with A. will continue to both challenge me and bring deeper understanding, and that I will find the courage to carry on expressing my feelings. I hope that the work I am doing with Z. will help prove to myself that I can do it [talk about the abuse without breaking either myself or the person who is listening to me], and that it will ultimately lead to a decrease in the amount of flashbacks I experience on a daily basis.

Stepping away from purely therapeutic/professional relationships, I also feel a lot more ready to be in a romantic relationship with someone. I have been single ever since Dev and I separated after five years together. That is now almost five years ago, and I have to admit that in those years, I have always felt ridiculously comfortable with my single status. A. has more than once hinted at the possibility of me being somewhat fearful of entering into a new intimate relationship, but I genuinely don’t feel that’s the case. I mean, yes, there are absolutely things that frighten me about letting another person in, but not on a level where it would stop me from forming a relationship with someone; I’ve just felt very strongly that I needed this time to deal with my own issues, to have emotional time and space to explore who I am, to get to know myself better. I still don’t feel particularly desperate to find someone, nor do I feel burdened by loneliness; it simply just feels like it would be nice to have someone to share my life with, to settle down. To Set This Circus Down, to use a McGraw-ism. I don’t think I’m about to [re-]join a dating site or start going on the prowl or anything like that, it’s not really my style. I would love it if Prince or Princess Charming found their way into my life, but I feel no need to go on a hunt to find my perfect match today [or even tomorrow]. Rather than an intense hunger for breaking free of singlehood, I suppose you could say that I have more of a relaxed ‘if it happens, it happens’ attitude towards it. But, as I said earlier, it would be nice if it did happen.

Anyway, I think I’ll end my ‘update lite’ here, and – whether you are Jewish or not – I would like to wish you all a very good and sweet year to come.

שנה טובה ומתוקה

~ Shanah Tova Umetukah ~

Have a marvellous 5774!

Much love,

xx

(For Lillsessan..)

Set This Circus Down © 2000 Bill Luther and Josh Kear

Safety, Anxiety, Boundary Blurring & Progress

 

An Implosion of Emotion

An Implosion of Emotion

I know this update is long overdue – in fact, there may well be enough in my head for two separate posts – but, let’s begin where my last post ended, and we’ll see where it takes us.

Following my near lethal excess intake of ethylene glycol and subsequent hospitalisation I was finally discharged a few days later. Sort of. I was discharged back into the care of the crisis resolution team, pending an assessment at the Drayton Park Women’s Crisis Centre.

The assessment was conducted a few days later, by two members of staff who I knew from previous stays there. This was probably a good thing, not only because they were already aware of my background, but also because they knew that I have found stays there in the past very helpful by way of turning a negative trend. In other words, they knew that if offered a place I was reasonably likely to make good use of my time there. So, having asked me if I wanted to come there, I was told they would offer me a one-to-two-week stay, with a review at the end to see whether or not the stay should be extended.

So, on Wednesday 5th of June I took up residence at the crisis house. I have to admit that it felt a little like taking a trip back in time. The last time I stayed there was in 2011 and before then it was in 2008, if memory serves, but in many ways the place hasn’t changed at all. My artwork and poetry was still on the walls in various places around the house, in fact, even a little note I’d written and stuck on one of the doors during my first stay, asking people to please not slam the door, was still there. Other things that very soon clicked into place was the very special rhythm of life that exists in this place: house meeting, one-to-one, lunch, massage/therapy/art/going out, one-to-one, dinner. Also, just as during all of my other stays there, save the first one, I had to agree to allow staff to look through my bags each time I entered the house. This is not a general rule for everyone who stays there, but something specific to me, because during my very first stay there, back in 2008, I brought a bottle of anti-freeze in and then proceeded to drink from it at carefully planned intervals in a bid to end my life. Thus, as a result any subsequent stay at Drayton Park has been conditional upon my agreeing to have my bags searched. And, ever since then, I have always gone along with this, as I genuinely want to use my stay there in a positive way. Also, in fairness, there is quite a lot of give and take, even with this condition; some staff would definitely ask to have a look in my bags, but some would be happy to just ask me to tell them what I had brought back, and others still simply asked ‘Have you brought anything back that you shouldn’t’?

I ended up staying at Drayton Park for three weeks. It was extended by a few days past the original leaving date, because of something which happened between A. and myself in my final therapy session before she was due to go on leave and which created a bit of a crisis on top of the original crisis. Having spent the session talking about how near I got to dying, and the fear that it’s not quite enough to nearly die, but that I would have to actually die for it to make a difference to my parents, and battling it out with myself whether or not they truly care about me, I finally turned to A. and asked herDo you care?’

At this point A., rather than to answer my question, opted to abruptly end session. Yes, we were out of time [although I didn’t know that when I asked the question], but the way she ended it felt very different to how she normally ends sessions, and it is also not unheard of for her to allow a session to overrun by a minute or two, to ensure a better ending to a session.

I left session feeling very upset and unstable with a single thought pounding in my head; that it was more important to A. to stick to the rule of not answering a direct question than to ensure I was in an as safe as possible place, going into a break which she knew would likely be very difficult, given what had been happening in the last few weeks, coupled with the fact that I had in that session expressed that I was feeling very anxious about how I would manage during the upcoming break. Needless to say, it was an incredibly painful thought to be stuck with..

In my one-to-one back at Drayton Park I managed to voice some of my thoughts about the way the session had ended, how I had interpreted it and alternative ways as to how A. might have responded to me which would have felt better [without her being unfairly pushed to give an extensive answer right then and there, at the end of the session]. All this made me question my and A.’s relationship and also made me realise that there was a lot of disappointment stuck inside of me about the fact that she hadn’t contacted me while I was in hospital to find out how I was doing [or if I was even still alive].

Because of this, my keyworker at Drayton Park and I, made the decision that rather than me going home on the day before therapy was due to resume, my stay would be extended until the Monday after, so as to give me some time to stabilise, should the first session back go very badly.

There was another incident while I was staying at Drayton Park, which had quite a big impact on me: in one of my one-to-ones a member of staff disclosed to me that she, too, had suffered abuse. This may seem quite an alarming thing to disclose, given that she was staff and I was staying there to deal with a crisis, but in the context, I can definitely understand why it was made and I have absolutely no doubt whatsoever that the intentions were good, that it was meant to be helpful. But, as I said, it did have an impact on me. Not so much what I was actually told – I have heard stories like that before, have even done some volunteering on a sexual abuse helpline and I can deal with it – but it was more my own reaction to the boundary blurring that caused a lot of anxiety. It made me second-guess myself, in much the same way I used to do during the abuse I suffered: was this OK or not? Was I overreacting? Ought I tell someone? What would happen if I did? Would I even be believed? What if I had just misunderstood what had been said? All of these questions were bouncing around inside of me, as I struggled to decide what – if anything – to do with it all.

Just by chance the social worker from my shul happened to ring as I came out of the one-to-one, and I told her what had just happened. She wasn’t particularly impressed by the self-disclosure, and immediately got it that, while in many ways not that difficult to handle, it had triggered a lot of other feelings and fears, among them the very acute sense that no one can really cope with hearing my story. She said that of course it was up to me to make the decision, but she thought it might be a good idea to talk to the manager at Drayton Park about this incident.

I thought about it for a while, had another one-to-one with the person during this time, but just felt entirely unable to act; the echo of fears from the past and the wish to not get anyone into trouble were simply too strong. So, at first I said nothing, in spite of ever growing anxiety and also feeling worried that this person might end up making similar disclosures to other women coming to the project, some of whom might not be able to handle it.

A few days later, someone from the CRT came to meet with me and the person who was assigned to work with me that day. It was just a normal review, as the plan was that – unlike other times I have stayed at Drayton Park – rather than to just go home and have no formal support in place, I would be discharged back into the care of the crisis team. At the very end of the meeting the person from the crisis team asked if there was anything else I wanted to talk about, and I made the decision then and there that this was a good chance to get to talk it over. I asked the person from Drayton Park could I please have a word alone with the crisis team, and once she had left the room, I explained what had been disclosed to me and the anxiety it had evoked. I made a point of not telling her who the person was, as it seemed irrelevant at that point; I mainly just wanted to get it off my chest and perhaps get some insight into what self-disclosure policies were generally at work within the NHS. She said – in that oh-so-typical-NHS-way – that she would need to bring this up with her own supervisor and that she would get back to me about it, but also encouraged me to have a word with the manager of Drayton Park, who I know reasonably well and have decent rapport with.

A few more days passed and I heard nothing from the CRT. The anxiety was still very present and I began worrying about having to work with this person again, because, even though I didn’t feel burdened by the factual things she had disclosed, I knew I would always feel aware of the risk of triggering things for her etc etc. I still didn’t feel sure about going to the manager, but in the end brought it up – still without mentioning the name of the member of staff in question or when this had happened – with the worker at Drayton Park I felt most comfortable with.

Two days later there was a knock on my door. It was the manager wanting to talk to me, so we went into a meeting room. She explained that the CRT had been in touch with her, as well as the person I had talked to two days earlier, and she just wanted to talk it all through with me and see how we could best resolve this. I asked her if she knew the specifics of what had been disclosed, and she said that she had assumed that it was to do with a staff member’s own experience of sexual abuse, so I confirmed that that was it and also told her who the person was. I then went on to explain that I really didn’t want anyone getting into trouble over this, that I could cope with the actual disclosure and that I could absolutely see that it had been well-meaning, but also that it had set in motion a lot of left-over feelings about ‘telling on someone’ stemming from my childhood and feeling unsure whether or not I could trust my own ability to judge what was and wasn’t a boundary crossing. She reassured me that this type of self-disclosure should not be made, that even if it was done with the very best intentions at heart, staff members should know not to cross that line. She then suggested that the three of us have a meeting to make it possible to move forward. I agreed to this, thinking in secret that I wasn’t at all sure if I would be able to do it.

By the time we were due for our meeting my anxiety about it was through the roof, feeling intensely worried that the person would for whatever reason deny having told me what she had, or say that I had completely misunderstood, that it hadn’t happened the way I said etc etc. Of course, I can easily see that this wasn’t in any way congruent with the knowledge I have of this person – she’s someone who I have always found to be exceptionally straight and fair, but that this was really more of a transferential re-experiencing of what I went through when the abuse I was subjected to came to light and social services made the decision to press charges against my brother whether or not I wanted them to.

The meeting in itself was.. well, truth be told, awkward and uncomfortable for all present, but – ultimately – a good thing. And, as much as I would rather not have had this experience, one very positive thing did emerge: the knowledge that I acted differently to how I did as a child. In spite of not feeling entirely sure that what had happened was wrong, the fact that it didn’t feel quite right was enough for me to speak up.

And,THAT, I think, is very very valuable.

xx

I am aware that quite a few readers arrive at this blog having googled ‘Drayton Park Women’s Crisis Centre’, and so I want to once again re-iterate that in the interest of protecting other people’s identity I use creative licence. Thus, if you for whatever reason feel you know who this member of staff is, I can assure you that you are more than likely going to be wrong, as enough details have been changed or omitted to protect that person’s identity.

Always end up doing a lot of art when staying at Drayton Park

Always end up doing a lot of art when staying at Drayton Park

Self-Awareness & Self-Doubt

*****************************************************************************************************************
PLEASE NOTE THAT THIS PARTICULAR POST DEALS WITH CHILDHOOD SEXUAL ABUSE AND MAY THEREFORE BE UPSETTING AND/OR TRIGGERING
***********************************************************************************************************************

During the last two weeks the frequency of flashbacks I’ve been having has been steadily on the increase. This is never a nice thing and inevitably makes me very anxious that I might be heading for one of those truly horrendous periods where the flashbacks become relentless and I get no respite from them at all. Thankfully, things are not at that stage, but the fear is still there, and I am having significantly more flashbacks than I usually have in a day. So it has been hard. Especially since A. has been away, and I’ve not had my usual space to process things. [A. being off isn’t the reason for the increase in flashbacks; the escalation had started before she went away, but lacking a place to talk things through doesn’t help].

Now, having flashbacks is something which I live with all the time [to a greater or lesser degree], but there is one thing which has been very different about this particular increase of flashbacks: normally, my flashbacks tend to be very random in terms of which abuse situation they are about. There might be one from when I was four and a half, then one from when I was seventeen, then one from when I was twelve. Some will be of things my brother did to me, others of things that the foster child who lived with us made me do. In short, it tends to be a completely random mix, with no specific order to them.

But this time, nearly all of them have been about a very specific situation, something which happened over the space of about twenty hours when I was nine. The flashbacks haven’t been sequential, it has been bits here and there, and it has all been absolutely sickening. What happened over that period of time are some of the most traumatic things I have ever experienced, and so it follows that the flashbacks are equally horrendous.

A few days ago I tried to desensitise myself a little by saying out loud [to myself] what happened, but I simply couldn’t do it. It felt too frightening and the words were too charged. Instead I turned to another form of expressing myself: drawing. I drew the whole situation, and I drew it in a very specific way, I drew it from his point of view. In other words, I drew what he would have seen: me, tiny, naked, frightened, tied to the radiator [which he had cranked, just because he thought it was funny when I was in pain], the various objects he was using [when he wasn’t using “his body”] – the whole situation. I won’t go into any more detail than that, because, writing about it – like talking about it – is a bit too much for me [and may also be a bit too much for you, the reader]. I did think about posting the picture I drew, but in the end decided that it is simply too graphic for general view. [Also – although the intention with the drawing is very different – legally, in some places, it would be considered child pornography, as it clearly depicts a young child being sexually abused.]

I really don’t know why so many flashbacks have been centring around this particular situation. I mean, yes, the things that happened were incredibly traumatic and cruel, but that has always been the case and it doesn’t explain why this kind of ‘zooming in’ of flashbacks is happening, or why this change is taking place now. I am still trying to work that out.

The idea to draw it, to really focus on it – allowing the emotions – was something I did in the hope that it would decrease the frequency of flashbacks, but that’s not really worked; it hasn’t at all influenced the number of flashbacks I’ve been having. [For the better or for the worse].

What it has done, is allow me to see that I really was a very young child. I don’t remember ever feeling that I was a child, I always felt like an adult, but I think it is important to recognise that although I didn’t feel like a child, that doesn’t mean that I wasn’t a child. The other thing that it has done, is that it has made it possible for me to see the whole situation, meaning that I could see for myself how truly awful it was. And that helps, because it makes me feel that maybe it isn’t so strange that I am still struggling with what happened; it tells me that I am not over-reacting.

Sadly, in contrast to all of this positive recognition, all this self-awareness, there has been another change inside of me. A very different one. One which isn’t nice at all, and is almost the polar opposite of what I just described..

Up until now, if anyone has ever suggested to me that maybe I carry some sort of guilt feelings about what happened inside of me, I have always vehemently denied this. I’ve always maintained that this is not the case; that I am not a typical abuse victim who blames herself for what happened. I am perfectly able to see the abuse for what it was.

But in the last two days, I’ve been completely overwhelmed with self-doubt. Doubt about whether or not maybe, just maybe, there was something I did to make this happen. A sense that, because there were two different people who abused me – separate from one another – there might be something wrong with me, that maybe I was sending out some sort of unconscious signal. That I didn’t do enough to make the abuse stop. Etc etc etc.

I can honestly say, that I have never felt this way before – certainly not on a conscious level; when I have protested to any suggestions like those mentioned above, it has never been in order to purposely mask my true feelings, or to make myself clever or anything like that. I have simply never felt this way before.

This isn’t a case of suddenly feeling 100% sure that I must somehow be to blame for what happened, rather it is an ambivalence about it, an uncertainty about who is to blame, which is now coming into the open. It is more than likely a fear that has always resided deep down inside of me, but it isn’t until these last two days that it has been allowed to enter the realm of the conscious. What I am trying to illustrate here is that all of a sudden there is a very tangible discrepancy between what I can intellectually understand [that being a child I couldn’t possibly be to blame for the abuse, that I was powerless to stop it etc], and what my inner child emotions are telling me. And it makes me feel awful. It makes me feel like I am not as far along the road to recovery as I had thought.

Of course, I can see that having my true feelings surface is probably a good thing, that this could be viewed as “a step back in order to ultimately move forward” [you can only work through things that are in the open]. In the short term, however.. well.. it has me on my knees. Completely. And, as much as I hate to admit it, on three occasions, I have resorted to escaping these very painful feelings through self-harm. This worries me, since my favoured form of self-harm is coiling a cord round my neck and pulling until I pass out, a variant which is undeniably dangerous, as there is no way of knowing that the cord will release once I have lost consciousness.

I am trying to not be too hard on myself about the self-harm. Firstly, being disappointed and angry with myself doesn’t help the situation, it only serves to make me feel even worse. And secondly, in some ways it makes perfect sense to act out like this; for as long you are unconscious you can’t feel anything. You could even go so far as to say that this particular form of self-harm is a desperate attempt at putting these now conscious feelings back into the unconscious.

But, of course, it would be much better if I didn’t feel a need to do this to myself, and I am hoping that when A. is back, being able to talk all of these different things through will be enough to help me cope with these new emotions without putting myself at risk.

I just need to somehow hold on until then.

xx