When Your Therapist Goes Away

Here we interrupt the regular scheduled programme for a Holiday Special: “When Your Therapist Abandons You”

“Big Kids DO Cry” – a little illustration I made while sitting at the library pondering what childrens books REALLY teach our children.

Yes, it’s here once again – that darkest time of the year when your therapist has almost certainly gone off and left you. My guess is that you’re just about half way through it by now, and at this point things will either have got a lot easier – because you’ve got used to having the rhythm of your week disrupted – or, got rather a lot worse – because you’ve been trying desperately to hold it together, but now you’re running out of whatever it is that has kept you going until now. Or, you may be – like me – dealing with both of those scenarios, simultaneously; things getting both easier and much much harder at the same time. [Really playing the odds with my guesses here, aren’t I?]

So, let’s talk about it.

I realise that I have written about breaks a lot, and I am likely to be covering similar grounds once again, but there is one slight difference; this post is written from inside a break, not in anticipation of it. It is quite possible that I am remembering this incorrectly, but my feeling is that I generally tend to write quite a lot more prior to the beginning of a break to then go fairly quiet and disappear almost entirely during it.

Either way, this is where I’m at: I last saw P. on December 21st. Prior to previous breaks I had got increasingly better at, sort of – very sort of – broaching the subject of The Break before it actually happened, rather than just ostriching [that’s the technical term, look it up!], which is how I dealt with pre-break anxiety pretty much all the way through the five years I was working with A.

With P. I had begun to at least mention that I was aware – very aware [I’m sure you know the feeling!] – that a break was coming up, and that there were in fact feelings connected to it. I may not have been quite brave enough to really explore those feelings, the desire to go back to ostriching being too strong, but I would at least acknowledge the fact that there were a lot of feelings floating about, messing with my head, heart and soul. This time I took it a few steps further. A few weeks before the actual break – all the way back in early December – Little S. wrote an email to P. that I thought I might share with you:


                                                                                                              *


To P.

I am feeling very extremely sad that soon you are going to go away from me again. That is because I don’t like it when you are away, because then I can’t see you anymore ever again for a very long time. And I will miss you too too too much. And maybe I won’t even remember what your voice sounds like. Also I think that maybe you will forget everything about me, because I know that usually I can be very easy to forget. And also maybe I will forget all the things you have said about feeling bad and being bad. And that makes me very especially worried in my soul. Because then sometimes I do Very Bad Things. And then I will know that I am bad, because of doing those Very Bad Things. When you are away no one can remind me about feeling bad and being bad, and I can’t tell the difference all on my own. I can only remember it when you tell me. So that makes me feel very extremely worried.

From your Little S

PS. Maybe before you go away you can think of a song that I can listen to, like you did one time before, because I really really liked that. Because then I can listen to it and I can think about you and my soul can remember your soul. Or maybe you can write a little letter to me before you go. But you don’t have to do anything if it is too much trouble. I understand.


                                                                                                              *


As you can see this is an email written by Little S. completely on her own, without Adult Me stepping in or editing away the most embarrassing bits. This is not an easy thing to do, allowing your inner child to voice their fears – in their own way – in spite of your adult self’s embarrassment and self-consciousness, but it is such a valuable tool, because when it comes to therapists [read: pseudo-parents] going away, it is often that very young part of you that takes the biggest hit. All those fears of being abandoned, forgotten, and left behind shoot straight through Adult Me’s far tougher shell, and allowing those feelings to be exposed can really make a difference.

So, we took time to look at those feelings, with P. working very hard at getting us [all the different parts] to acknowledge our true feelings, both about the actual break and about P. herself. – Yes, we are talking about acknowledging anger and disappointment and feeling let down here. Can’t honestly say that I quite managed to go all the way this time round, either, but it certainly wasn’t for lack of trying, and especially Little S. did a great job of using a few sessions to speak directly to P. So, yes, I’m really rather proud of us all.

Knowing that things might get more than just a little bit rough during P.’s absence I sorted out a referral appointment with the crisis resolution team for the day of my last session with P. This, too, was new: me reaching out to ensure that a bit of extra support would be on hand prior to actually hitting rock bottom.

This has worked out really well, especially since the person I saw for the assessment told me right away that they would be working with me all the way through until P. is back, rather than doing the usual little dance of “We’ll see you x times, to begin, and review your needs as we go”. That has been incredibly helpful, because as much as I always say that how difficult a break is going to be is completely independent of how long it is, it is far easier to cope with little chunks of a day or two at a time, than trying to deal with an overwhelming fourteen day break in one go.

Knowing that I’d be working with the CRT throughout meant that we were able to schedule regular appointments, and also to ensure that on top of in-between appointments I would definitely be seen on all significant dates during this period: Christmas Eve [that’s when we celebrate Christmas back home, and I reserve the right to call people who insist on celebrating on the 25th Stragglers!], New Years Eve, my mother’s birthday and the anniversary of my first suicide attempt [when the abuse I was being subjected to came out]. So, that has really has been very useful.

In our final session before the break, Little S. gave P. a letter which she read in session, so that we could talk about it, and P. gave us a card on which she had – among other things – written a special bit for Little S., to remind her that feeling bad is not the same as being bad, and that she won’t forget me, because she ‘carries me in her heart, just as I carry her inside when we’re not together’. Also, as she has done over the last few breaks [and some particularly difficult weekends] P. leant me her little soap stone hippo – let’s call him Ringo – who fits perfectly in my hand, to keep me company. Needless to say [but I think I’ll say it anyway], both Ringo and the card have been invaluable to me.

It’s not been a bump free ride, but I do feel very proud of how I was able to prepare for this break, and for accessing help during it, rather than making it harder than it needed to be.

Do be kind to your Selves.
And your elves.
They are not just for Christmas, you know!

All the very best,

xx

 
What song did P. leave me with? For me to know, and you to guess.

But here’s a good one:

http://youtu.be/UVDg8fVC4EQ

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Life’s A Dance You Learn As You Go

To me, writing is like breathing; a necessity for life. So, the fact that it has taken me this long to feel able to update my blog may be an indication of the degree of difficulty I have had in holding on to life itself. For the past several months the wish to just let go, to allow myself the luxury of that Final Rest, has been a minute-to-minute struggle. It hasn’t been a crisis as such – at least not in my eyes – and there has been a very definitive lack of urgency about it all. No mad dash towards the Ultimate Finish Line, just a steady step by step journey towards a glittering End ahead of me. It stems from walking around with a soul that is simply so tired, so emotionally exhausted that it naturally gravitates away from life. The strings I have used so many times in the past to pull myself away from the edge are either broken or have disappeared altogether.

I wrote in my last post about having a flat battery and a faulty charger, and that, to a large degree, is still how I feel. Like I am running on empty.

But I am still here, and not only that, I am here through my own very conscious decision to be so. It isn’t a case of Death all of a sudden having lost its vice like grip on me; I can still feel those cold skeletal fingers around my ankle.. but, I can also feel my other foot – the one Death has yet to reach, planted firmly, barefoot, on the soft grass. It is a defiant “I decide when I step across that line, not you.”

I have always felt that ending one’s life ought to be a decision, not impulsive acting out because things are so unbearably difficult in that one particular moment. I wouldn’t ever want my loved ones to be left wondering What if she had only just got through this crisis? Would she still have made the same choice?

I am not so naïve as to think that a ‘painless suicide’ exists – suicide always comes with pain in its wake – and I accept that whatever the intention, there will always, inevitably, be question marks forming for those left behind, but I would like to have done my best to minimise the suffering. I would like them to know that this was what I really wanted. And this is one of the reasons why I am still here today. Because I will not let go while I am in the middle of what is a very difficult period. You simply cannot make a rational, reasoned decision in the midst of chaos.

In the last week I have yet again entered one of those nightmarish periods where one flashback follows the next – ceaselessly, relentlessly. It is an incredibly painful place to exist within, a place where it feels as if nothing is my own, where I keep being pulled under the surface again and again and again, with hardly any time above water to catch my breath. And even though I know that this won’t last forever, it certainly feels endless.

In session today, P. revived the metaphor I used before of jumping into the pool, not knowing whether or not I would be able to swim, and she reiterated how it is her job to be the life guard. She said that we need to work together to create metaphorical armbands, to help me stay above water. My immediate response to that was that I taught myself to swim, without water wings, thank-you-very-much, that, in fact, I actually learned to swim under water, before I figured out how to do it with my head held above the surface.

I have often said that even though I generally learn new things quickly, I am an emotionally slow learner – but now I am sitting here, thinking that maybe it is really that I am a slow unlearner. In the months since I started seeing P. I have struggled with echoes of past relationships, with trusting P. to know her own limitations and have automatically and without thinking taken on sole responsibility for managing our relationship. I can see where this need to be in charge comes from, and I know what the original sources of those echoes are.. What I find difficult to do, however, is to make a different choice this time around. While I have needed to be solitarily strong and in control in the past, this may not still be necessary. It makes me think of a ’90s country song that goes “life’s a dance you learn as you go, sometimes you lead, sometimes you follow”..

You need to have that balance in a relationship; to sometimes lead and sometimes follow. I am pretty good at the first, but markedly less so when it comes to the latter. And maybe, just maybe, it isn’t such a bad thing to allow someone else to lead every once in a while..?

 

xx

 

Life’s a dance you learn as you go

Sometimes you lead

Sometimes you follow

Don’t worry about what you don’t know

Life’s a dance you learn as you go

 

Life’s A Dance © 1992 Shamblin & Seskin

I’m Alive, I’m A Mess

It’s been a physically and emotionally exhausting few days and I really ought to be asleep right now. It’s 4.30am at the time of writing, yet, inspite of being tired in the extreme sleep evades me.

Things have been shaky in the last few weeks, to say the least. A lot of flashbacks, and on top of that I’m on a hormone triggering treatment which makes me even less stable than normal. We are talking an emotional rollercoaster of going from blue skies to pitch dark in seconds flat, up and down, round and round. Not an enjoyable ride in any way, shape or form.

And at some point in the midst of all that my poor impulse control won over the utilisation of coping strategies; I decided that having a bit of ethylene glycol would be a good idea. I think it was only a tiny amount to start with, certainly less than a mouthful. I knew that was a really bad idea, and the following night when I felt the urge I rang the mental health crisis resolution team under whose care I’ve been the last three weeks (with a break in the middle, where I went to stay with my sisters). It was about 1am when I rang and talking seemed to help; by the end of the call I had agreed with K., (the person who was working the night shift), that I would come in to see them at ten that morning and bring the bottle of ethylene glycol for safe disposal. That felt both scary and good. It’s kind of hard to explain, but there is something about having the means to kill myself readily available that feels like a safety net of sorts, something that gives me a feeling of being in control. Twisted logic, for sure, but there you have it. But, it also felt good, the idea that someone would relieve me of this deadly stuff,would, in a sense, save me from myself.

Two hours later I once again felt myself plummeting into darkness and I picked up the phone again, since I had found it helpful the last time, and talked again to K. for some time. I may have come across somewhat incoherent because she asked me if I had ‘tasted’ any more of ‘that toxic chemical’. I said I hadn’t but in the same instance shot a glance at the plastic bottle and it was immediately clear that there was a whole lot more than ‘less than a mouthful’ missing. Alarmingly, I genuinely have no recollection of downing a large amount of this sickly-sweet substance. In fact, and I said as much to K., I wasn’t even sure if I had actually drunk it or maybe just spilled it. Or when this had happened. Still, as there was certainly more than a lethal amount missing from the bottle I agreed to let K. call for an ambulance – but, not before saying ‘Can you wait half an hour to call so I can have a shower first?’, to which she calmly explained that having a shower at three in the morning when you have potentially consumed enough poison to kill yourself was hardly a priority. So instead I started stuffing things into bags: iPad, iPod, mobile, chargers, clean underwear, toothbrush, EpiPen, my journal, a random bunch of puzzle cubes and even my prayer book. I have no idea where this sudden organisational skill came from, I normally have to write lists to make sure I don’t forget things when I pack a bag, but there I was, five minutes later, fully equipped to spend a long time in hospital, should it come to that. Then I told K., who was still on the line with me, that I was going to go outside to wait for the ambulance, promptly grabbed my bags and made it down two flights of stairs and out onto the pavement outside my house.. where I laid down to sleep while I was waiting for the ambulance to arrive. K. kept talking to me, trying to convince me that while it was OK to lay down, if I was too dizzy to stand up, I really needed to stay awake.

The paramedics arrived and got me into the ambulance with some difficulty as my legs refused to carry me properly. They asked a tonne of questions, all of which I answered in something of a drunken stupor. K. had already told them what I had taken, which was probably a good thing as they would more than likely otherwise have assumed I was just another overly refreshed Saturday night party-goer, and might not have realised that time was pretty darn critical. Also, I had brought the bottle with me so they could see exactly what I had drunk and how much was missing. I mainly just remember babbling like crazy in the ambulance before passing out, and the paramedic pinching at the nerves on my shoulders over and over to get me to stay awake.

In A&E I was first put on a drip of pure ethanol, which is one of two antidotes to ethylene glycol poisoning, followed by a number of rounds of Fomepizol. Hurt crazybad, I can tell you that much for nothing. (Imagine the sting of cleaning a wound with rubbing alcohol, and then imagine that kind of stuff going straight into your bloodstream, and you’ll get a fair idea).

The side effect of this, having bare spirit pumped into me was that I got drunker than I have ever been in my life. I’m not someone who drinks particularly often, so I have a very low tolerance to alcohol, and here they were giving me as much as they could based on my weight. Suddenly absolutely everything was hilarious beyond comprehension. I was giggling and rambling and apologising left right and centre, trying to explain that They were making me drunk. In the midst of that I decided that sending a text to let people know I was in hospital was a good idea, only – I discovered later – the text made very little sense, and I managed to send it to a whole bunch of people I wouldn’t knowingly have sent them to.

At one point a friend of mine, having seen my text, rang me (this was as I was being wheeled into a ward, still apologising profusely for my drunkenness) and all she got was me laughing, unable to explain what had happened. Later, when she came to visit me, she said that it wasn’t exactly what she had expected when she called to hear if I was still alive..

Whilst being drunk was not all that bad, it did mean that I was sick a lot. I have a sneaking suspicion that there was a miscalculation as to how much ethanol they were giving me, because last time I was rushed to hospital for having done something very similar (that time, completely on purpose), I remember screaming in pain as the ethanol went in my arm, but I don’t remember being drunk, nor being repeatedly and violently sick.

I had to stay in hospital for a day and a half, on constant drip, most of the time in both arms. It’s still too early to say if I have done any permanent damage to my kidneys and if so, what the extent is, all I know is that I my vision is extremely blurry and I have been sick a number of times even this morning.

I am out of hospital now, back under the care of the crisis resolution team, but as neither I, nor they, think it’s a good idea for me to be on my own just now, an assessment has been set up for later today at Drayton Park Women’s Mental Health Crisis House. As regular readers will know, I have stayed there in times of acute crisis before, and have found it helpful in turning a negative trend, so I really hope that following the assessment they will offer me a place.

Sorry for making this a somewhat long-winded entry, but I think I just really needed to get it all out.
I think I am still a very long way away from truly absorbing how close I got to dying, and writing is often the best way for me to process things.

Do be kinder to your Selves than I have been to my Self.

Much love,

xx

PS. If you are one of my many wonderful friends who received my drunken text and who tried to get in touch with me later, but couldn’t get through and didn’t hear from me: something went wrong with my mobile and I could only send texts, not receive them, and incoming calls only worked sporadically. So, please don’t think I was ignoring you, I simply didn’t get your messages and consequently didn’t know to respond to them.

For some reason this song is playing in my mind. (Although the title of this post is actually from another Heather Nova song).

At The End Of A Difficult Year

The new year is almost here. Time to reflect, I suppose. [As if not all posts are reflections, really..]

This has not been an easy year. In fact, it may actually have been one of the hardest thus far, so I hope the new year will bring a bit of happy change. One of the things that I have been really struggling with this year, and which very nearly pushed me over the edge, is something I haven’t really shared on here. I am hoping that as time goes on, this too, will become something I feel comfortable sharing here. I mean, considering the things I do share, there really shouldn’t be much of a problem, but for whatever reason, I’ve just not quite found it in me to write openly about it so far. Too painful, somehow, seeing it in black on white..

I remember myself at this time last year, on the verge of a minor break in therapy, which I knew would soon be followed by a seriously major break; my therapist’s maternity leave, and I can still feel that horribly cold, hard lump at the bottom of my stomach, which would turn every time I thought about it. The horrendous abandonment issues I was battling with and the separation anxiety I was trying to keep under control. I remember desperately trying to come up with ways to convince myself that I would indeed be able to survive this break, and although I can’t say I truly found any one method that worked wholeheartedly for me, I did make it through. Was brought to my knees a number of times, for sure, but somehow I managed to get back up again.

I think the thing that helped me the most was doing what I have always done when things get tough: writing. Writing this blog, or even just thinking about what I might want to write on it, should I find the words and the energy, helped a lot. And more than that, your lovely emails and comments.. well, I couldn’t even begin to explain how much they have meant to me. To have someone who has never even met me, reach out and show that they care. That’s really something.

Then there’s that other kind of writing. The writing I do when I need to completely escape; working on my book. That’s been useful, too. To allow myself to go to another place, to think about someone else’s problems, to focus on someone else’s daily comings and goings, trying to paint it in words. Still, as I said to A. in my most recent therapy session, although in the moment it feels very much like escapism, when I read back later on – even years later – I can often see that I was working something of myself out through the characters I create, only it happens in a way that is somehow more free, less constrained by the emotional red tape I may put on myself.

And, in the midst of really struggling with near constant flashbacks, I finally found something that helps me with them; my beloved Rubik’s cube. Yes, I’ve turned into even more of a geek than I was at the beginning of the year, but, hey – if it works, it works. I’d much rather look like an absolute 80s retro nerd on the tube, than not being able to go out at all. Now, of course, solving a puzzle like this, no matter how many times you do it, it doesn’t solve the puzzle of your Self, but – honestly – it really has made a difference to my life this year. It may not get to the root of the flashbacks, but it does help me get through them, and sometimes that’s all you can ask of yourself; to get through.

And, of course, faith has got me through, too. Even when it’s felt impossible to look ahead, there is this space inside where I can go to, where I can be still, and just breathe, and know that whatever happens, there is someone who is looking out for me.. And it helps. I can’t explain it, it just does.

Sitting here, thinking back, I am – as always – struck by how lucky I am to have the friends that I have. Not to mention my absolutely amazing sisters, who I could not manage without even for a single day. To be surrounded by people who are there for me, to whatever extent I feel able to let them be. People who won’t give up on me, even when I myself have. That is a true blessing.

So, as hard as this year has been, there are also many, many things for which I am grateful.

Thanks for staying with me this year.
Hope to see you in 2013.

xx

Once again, a favourite quote at the end of the year..

“..and it’s been a long December
And there’s reason to believe
Maybe this year will be better than the last
I can’t remember all the times I tried to tell myself
To hold on to these moments as they pass..”

A Long December lyrics © EMI Music Publishing

PS. If the world does indeed come to an end tomorrow, could someone please let me know, as we’re an hour behind most of Europe here..

Opening Up – Picking Physical & Emotional Locks

It’s been quite a difficult week, with three major things happening, none of which I can share on here, as they involve other people, but they have all had a big effect on my mood. I’m trying to not dip too deep, but to allow myself to reassess my own situation rather than just blindly reacting.

I’m glad that A. is back, but at the same time find that, too, difficult. I’m struggling with only seeing her once a week, which I’m aware may seem like a luxury problem, as for many people in therapy, this would be the norm. But, as you know, I can only talk about how things are for me, and for me, this is something I find very challenging. The last two sessions I have left with a feeling not altogether different to that which I had prior to A. going on maternity leave; I can’t cope with this, having so many emotions swimming around, and not having a safe place to put them. As minor as it may seem – after all it is only a week between sessions – what I think this demonstrates quite clearly is that our psyche and our feelings don’t have a concept of time. They remain in the childlike state where, when we experience fear, anxiety or sadness, a week, a month and a year are all the same. Especially when immediate relief is not provided.

At the same time, in session, I am still finding my way, not feeling sure how much I am able to share with A., still dealing with those trust issues I was worried I would be faced with. I open the door a little and then hesitate. I want to take the plunge, but seem unable to do so. I do try very hard to not allow myself to hold back too much, to not allow those trust issues free reins, but I also appreciate that this is a very real reaction the feeling of having been I abandoned by someone who is supposed to be there for me, and I believe that there is some value in allowing myself to own that reaction, rather than to simply burying it.

Last night I did something that metaphorically describes quite well what is going on in my relationship with A.; I decided to see if I would be able to pick a lock using only bobby pins (like they do in films). Initially I was pleasantly surprised to find that, even with these very rudimentary tools, I was able to do it without much effort. But then the implications of this began to sink in; if I can so easily achieve this, it means that the locks which serve to protect me, may not be quite so secure as I have tricked myself into believing, and in fact, it means that it would be quite easy for someone else to gain entry to my home, should they wish to do so. I didn’t recognise the symbolism in this in the moment, didn’t immediately see the parallel between this – opening a physical lock in my home – and opening an emotional lock to A. in therapy, but later on, when my sister asked how come I had thought to try this little project, it became quite obvious to me. Sitting with this for a little longer, I eventually also came to recognise that although my initial understanding of this discovery had left me feeling quite frightened, the bare knowledge of this security risk doesn’t actually increase the odds of someone breaking in, any more than my acute awareness that opening up in therapy leaves me vulnerable increases the likelihood of A. taking advantage of this. Both remain entirely unchanged, despite my own anxieties, and if anything it gives me an excellent opportunity to look at ways to manage my fears.

And like the wannabe MacGyver / SAS that I am, I’ll keep telling myself: he who dares, wins

I will carry on trying to open up to A., because, ultimately, as vulnerable as it leaves me feeling, there is much to gain from doing so.

I leave you with a little video of me opening a padlock. It’s up to you to decide whether or not you wish to take a look at the reality of these ‘locks’.

All the very best and plenty more,

xx

———//————————————

As some of you have emailed me about my nails following the above video..

About my nails:

I don’t actually have my nails done anywhere, so can’t recommend a good nail bar, I just do them myself. It’s another one of my self-soothing techniques. The flowers are not stickers, but made using regular nail varnish. I don’t use any particularly fancy nail varnish, just whatever is cheep and cheerful. The blingy bits at the centre of the petals are Swarowsky Aurora Borealis crystals. I use a good top coat sealer to make them last, and re-use them as many times as possible. (Yes, I am desperately trying to justify this very eco-unfriendly hobby of mine..)

And, finally: YES, this is totally something you could do yourself. If you can dip the tip of a biro into a blob of nail varnish and then make a dot on your nail, you can do this. Just takes patience! :)




Because Tomorrow Might Be Good For Something

*

“..I’m not crazy, I’m just a little unwell
I know, right now you can’t tell
But stay awhile and maybe then you’ll see
A different side of me..”

*

I guess there are no easy ways to talk or write about this, but as this is supposed to be an honesty-focused blog I’ll just tell it to you straight: last week I accidentally on purpose overdosed on my medication. It really wasn’t a bid to end my life, at least I don’t think it was [although I accept that others may disagree]; I didn’t even take all the tablets I had, but it was still a significant enough dose to potentially do some damage. I know my meds pretty well, and I would like to think that I know what would and wouldn’t kill me, but, the truth is – of course – that there is no way to know for sure just how much a of a medication would be lethal for a specific individual; what’s safe for one person may well be fatal for another. In some weird and rather irrational way, it was more like I was testing if it would be possible to swallow enough tablets in one sitting to get to a lethal dose. I think that was my confused logic, anyway, [which, obviously, isn’t logic at all].

I did frighteningly well in terms of establishing that it would indeed be possible, had I wanted to take more pills than I did. But, the second I had swallowed the first lot I instantly regretted it, and I decided I should go to A&E, since the meds I’m on [Amitriptyline] are known to be very toxic. In fact, the highest therapeutic dose is not that far off a dose that would be classified as toxic, and that is the precise reason why Amitriptyline is only prescribed as a last resort, when all other types of anti-depressants have failed.

Again, entirely irrationally, I decided that rather than calling for an ambulance I would get on a night bus to my local A&E, so I got myself out, started walking to the bus stop and only just missed the bus, so I carried on walking in the general direction of the hospital. After a while I began to get really unsteady on my feet, but was still clear enough to realise that passing out on the streets of London on a Saturday night would not be a great idea, especially with a lot of drunk people out and about. So I went back home, got on my bed and blacked out before I could call for an ambulance.

When I woke up it was all dark, so I thought that it was still night, but when I looked at the time on my mobile I realised that it was in fact the next evening, and I’d been out cold for nearly 24 hours and had missed several calls and texts from worried friends. This really freaked me out, since I normally wake from even the quietest of noises.

That evening I again attempted to get to A&E, but was simply still too wobbly and I had to give up and go home again. On Thursday I had an appointment with my GP, and I told her honestly what I had done, and that since I don’t even really know why I did it, or at least, the logic in the moment really wasn’t logic at all, I really needed some extra support. She heard me and then asked whether I wanted to call the mental health crisis resolution team myself, or if I wanted her to do it. I opted for the latter, because I know I would most likely have gone home and talked myself out of ringing them.

So, at the moment I am seeing the crisis team every other day. I’m not suicidal, at least not on a conscious level, but I also think that having some extra support over the next few days is a good idea, wherever that support comes from.

The crisis team, being tied to the NHS, have, as they always do, questioned both my therapy and my therapist on the grounds that they are not NHS and must therefore automatically be harmful to me.

That really makes me angry, since I am a big believer in psychotherapy in general, and in my therapy in particular. For me, psychotherapy is the most appropriate way of disentangling my thoughts and emotions, and to ultimately get away from the intrusive flashbacks and nightmares which push me to act out in this rather extreme way.

That said, what with my therapist being on maternity leave, I do feel that as much as the crisis team and I have very different ways of understanding psychotherapy and the effect it has, I am still glad to be seen by them, because it means that, should I act out again, or miss a scheduled appointment [whatever the reason] they would send the police and ambulance round to check on me, as I am in effect an out-patient and they have a duty of care. Also, they are available to talk to 24/7, should I find myself struggling with thoughts of self-harm or suicide. I can’t promise I would definitely call them if that happened – in fact – I’m fairly certain that I wouldn’t, but at least the option is there.

Hopefully things will improve soon, so I can start looking forward rather than backward, because, who knows..

;

“..tomorrow might be good for something..”

;

xx

;

Heading, and quotes at the beginning and end of this entry are from Matchbox 20‘s track Unwell. © Rob Thomas

Whitney Houston, Eating Disorders & The Greatest Love Of All

“Everybody searching for a hero
People need someone to look up to
I never found anyone to fulfil my needs
A lonely place to be
So I learned to depend on me

I decided long ago
Never to walk in anyone’s shadows
If I fail, if I succeed
At least I live as I believe

No matter what they take from me
They can’t take away my dignity..”

The words above seem more poignant than ever today, as news of the death of one of our generation’s greatest voices spread around the world, via texts, tweets and status updates. My own reaction was not, I imagine, dissimilar to that of many other people who, like me, grew up listening to her music. A sense of sadness and loss, not only of a fine singer, whose life was cut short, but a loss of the era she represented. For all the fanciful make-up and hair spray [not to mention those horrendous shoulder pads], the 1980s were also the time when I discovered the joy of music for real. It was a time when music sounded like it had a life not only through the melodies or the words, but through the very record, with their unique individual kinks and scratches. Back in the day when such imperfections could not easily be remedied in a computer program, and listening to my father’s copy of Whitney Houston’s now iconic 1987 album was a completely different experience to listening to the same record at a friend’s place, since their copy had different scratches and kinks. I was only 11, but I remember the feeling as if it were yesterday..

The picture of Whitney Houston on that album cover trigger other, very different, memories, too. It reminds me of one of my cousins who had a large poster with that picture on the wall in her room. I only ever visited her once in her home, as she and her family would normally travel up north to see us [and the rest of our family] for Christmas and Midsummer, and I didn’t even know her that well, because she was almost ten years older than me, and would usually hang out with my other older cousins. And yet, she left a big impression on me, and I think of her often.

My cousin died young.
For much of her life she vacillated between battling anorexia and bulimia, and in the end, even though she had got to a stage where she was ready to accept the help she so desperately needed and had begun the twisting road to recovery, it was too late; her heart was literally broken and it gave out.

I don’t often talk about her. I may mention her, but I rarely say much more than what I just wrote. That she died young, of an eating disorder. But, she’s often in my thoughts.

I haven’t got the best of relationship to food myself; I tend to comfort eat when I feel down, or to not eat at all – and being a survivor of sexual abuse I am automatically at higher risk of being caught in the claws of an eating disorder.

Physical abuse [sexual or other] has been shown to have a huge effect on the way we view ourselves, not only in terms of our personality traits, but also in terms of body image, and I know that my own need to be in control of things could easily encompass my eating habits. So I have good reason to be extra aware of thoughts of this nature. The memory of my cousin helps with that, helps me to not just brush it off and think of it as not a big deal, but to recognise that anorexia and bulimia are real illnesses, illnesses which people die from.

I remember my cousin and honour her memory by making myself at least try to improve the way I relate to food [and by extension, my body]. It doesn’t often last very long, this improvement, but long enough for me to catch myself before getting stuck in that very unhealthy pattern where you feel you have to be in absolute control over what you eat..

Of course there are no guarantees, I – like anyone else – could slip, could forget; if it was easy to avoid the trap of eating disorders then no one would suffer from them.. But, I really feel that the memory of my cousin, and the way she struggled, gives me that extra kick to keep my alarm bells powered up.

So I guess, in a backwards kind of way my cousin has been a role model to me, and even in death she has left a legacy.

As has Whitney.

‎”..I believe that children are our future
Teach them well and let them lead the way
Show them all the beauty they possess inside
Give them a sense of pride to make it easier
Let the children’s laughter remind us how we used to be..

Learning to love yourself
It is the greatest love of all ..”

xx

Extracts from The Greatest Love Of All © Michael Masser & Linda Creed

One Step Closer To The Edge [..And I’m About To Break..?]

Four sessions to go until A. goes on maternity leave. At the most. These last few weeks since our Christmukah break I’ve been living with the worry of suddenly having a message that A. has gone into premature labour and thus leaving me to fend for myself without even getting to have the Final Session. Very stressful, indeed.

I am feeling on edge, wondering how in the world I will be able to get through these coming months without therapy. Feels like there is no way I’ll be able to cope. I am scared that I’ll go into another of those never-ending periods of flashbacks, because if that happens, I don’t think it will end well.. I am, of course, trying my very best to hold it together, to look ahead, to not assume my worst case scenario will come true. But it’s hard. Especially as over the last few weeks I have been having more flashbacks and nightmares than the norm. The other day I once again found myself looking like Harry Potter. Also, on one occasion, I tripped up and used a white hot screw head to creatively burn myself with. And this is before A.’s leave has even started.. Not great.

The last few weeks have been very intense, therapywise, almost as if my psyche has kicked into overdrive in anticipation of A.’s leave. The sense of running out of time is immense. In some ways I guess you could say that this therapy break has pushed me to delve into things I may otherwise have found a way to not get into. I’m not sure if that’s a good or a bad thing.

My GP, who is the best GP in the world [possibly the universe], has been really good, and has taken my freak-outs very seriously, sorting out various referrals etc etc etc, trying to make sure that I have as much stability as possible during what promises to be a bumpy ride. And I really appreciate that.

People keep asking me what my therapist has put in place for me during her absence, and it’s hard to explain to someone who has never been in therapy that, actually, she’s not put anything in place, that there is no one covering for her. What I’m doing with A. is long-term psychoanalytic therapy, meaning that immediate symptom relief isn’t necessarily the goal, and that, also, it would make little sense for me to be referred to someone else while she is off, as that would in essence mean starting again, attaching to another person, only to have to break that up when A. is back. As a case study that could be quite an interesting little experiment, but in reality, it would involve unnecessary complication, and even if that was an option, I doubt it I would be up for it. It took me a really long time to let A. in; we’re talking years rather than months, and although people sometimes find it shocking that I’ve been seeing A. for nearly three years, to me, it feels like we’re only now getting below the surface. Like I said to A. in a recent session; while I may be a fast learner intellectually, emotionally I am exceedingly slow. And trust, well, that’s a big’un. There has been a lot of testing both A. and of the strength of our therapeutic relationship to get to the place we are now, where I am slowly, slowly allowing myself to let my guard down a little.

Which, of course, makes this break all the harder..

xx

Below are two videos; one which has nothing at all to do with what I’ve just written about.. and one from which I nicked the title for this post. Both are well worth checking out!

Looking Back, Moving On & Holding On To Your Dreams

Once again I find myself packing my stuff up; I’m moving on Sunday. All of about thirty metres down the street. So, in many ways, a minor move. I’m moving into a larger room in what, at least on the surface, looks like a nicer flatshare. Hard to know for sure until you’re actually there. I’m looking forward to moving out of this place. It has, without comparison, been the worst place I have ever lived. And I’ve lived in a lot of places, including spending a night on the streets of London, not knowing where to go next..

So, from that point of view, moving is a good thing. And at the same time, I can’t help but thinking that this is not how I had imagined myself living at age 35. My picture looked more along the lines of a nice flat with my man and my three children. I’d be focusing on my writing, maybe having already had a break or two, literary wise.

Instead, here I am, in a rented room. Utterly single, painfully childless, and my writing.. well, I really don’t know what happened there. So, of course there is sadness in the realisation that there is such a discrepancy between what I had been hoping for and what I’ve got. And of course it hurts to not have those things, to know that I was pretty close to all of those things only a few short years ago.

This is not to say I’ve given up on that dream, that picture. I believe it could still happen. Maybe not in the order I had initially imagined, but still recognisable as an altered version of the original image.

I don’t regret the choices I’ve made in the last few years. I think had Dev and I chosen to stay together, knowing that we ultimately wanted different things, well, I don’t think we would still be friends the way we are now. I think bitterness may have started to sprout between us. And I would never want that to happen.

Moving into the therapeutic community a few years ago was a big decision and although I’m not sure it was ever really going to be quite right for me, I do feel that I got something from being there, even though I struggle to put it into words, exactly what. Maybe space to grow? Maybe to appreciate how strong my need for independence is? Maybe realising that I can be accepted for me, even without being the good girl, without having the great job, without being the most responsible one? Even the decision to move out, I believe, was a step in the direction of feeling allowed to say “This is not good enough for me, this is not acceptable to me”.

Going into therapy? Well, that’s probably one of the best things I’ve ever done. Yes, I know – I’ve been in therapy before. Some good, some not so good. But this time around is the first time I’ve felt on a very deep level that it’s time to go that extra step, dig a bit deeper, to not run when things get scary, but to stick with it. That, painful and terrifying as it can be, I want to keep at it, want to look at those bits I am most ashamed of, the ones that are the hardest to own, to accept as my own.

So, although I’m not where I thought I’d be, I think it’s been time well spent, hours well invested. And, as I said earlier, those things that I dreamed of; that I still wish for – they could still happen.

I leave you with a few lines from a Dawson’s Creek era song:

“..I’ve got the greatest admiration
for the way that you got through it
couldn’t ask nobody else to do it
better than you do it

stay you
– that’s the toughest thing to do..”

xx

 

Lyrics from Stay You © Wood

Help! My Therapist Is Pregnant

Ever since I began seeing A. about two and a half years ago the fact that she is very obviously of child bearing age and would thus in all likelihood at some point want to have children has been brewing at the back of my mind. It’s one of those worries that has been there from the get go, and on more than one occasion I have actually talked myself into believing A. was pregnant when she wasn’t. Rather unsurprisingly, this has usually been at times when I myself have been particularly worried about the possibility that I may never get to experience motherhood.

The one thing I’ve always said is that when it does happens, well, I won’t deal well with it. I will hate it.

Now that it has happened, it feels very different to how I imagined it would. I can’t really say whether I’m dealing with it in a good or a bad way, I’m simply dealing with it on a day-to-day, session-to-session basis. Some days it all feels very OK, and on other days not at all. Sometimes the way I feel about A.’s pregnancy will even shift within a single session! And whether my feelings are positive or negative is definitely more random than cyclic.

As I mentioned in my previous post, prior to A. actually telling me she’s pregnant, I had already somehow worked it out, but decided to push it aside. Even though I on almost all levels knew this wasn’t the case, I tried very hard to convince myself that it was just another one of those false alarms, that it was all in my head, all to do with me, nothing to do with reality. I was working very hard at pushing myself into denial, until A. burst the bubble.

The way she broke it to me was something along the lines of “There’s something I need to talk to you about. I think you may already know..” at the very beginning of a session. She then told me she wasn’t exactly sure how it was going to work, in terms of her having time off, but that she thought she’d have three months off. My instant reaction to that was “That’s not very long” failing to explain that by that I meant that it wasn’t very long for the baby. For me, any break longer than a week is an absolute eternity, and fills me with out-of this-world anxiety.

Child-related themes have always been fairly frequent in my therapy, as having children has been my number one dream since I was a kid myself, so it’s hard to say if A. being pregnant has pushed those issues more to the forefront or not – it’s never particularly far off my mind – but I can say one thing for sure: having someone sitting across from you looking very pregnant will inevitably be a bit in your face; it’s not exactly something which can be readily ignored. [Although I have read case studies of clients apparently doing just that right up until the baby was born].

There are so many different aspects to all of this. There’s the outrageously jealous she’s having what I want most of all aspect, there’s the classic but I want to be your baby aspect, the I don’t want to share you with anyone sibling-rivalry perspective and – of course – the I really don’t want to think about it but you’ve been having sex borderline Oedipal side to it. There is also feelings of wow I’m so unbelievably happy for you and the somewhat odd I feel really sad that I won’t get to know this child I see growing before me.

There are moments when I really wish A. wasn’t pregnant, and other times I’m genuinely panicking at the thought of anything going wrong with the pregnancy.

I guess in a way you could say that A.’s being pregnant is one of those boundary blurrings that can’t really be avoided, and as I have said to A. more than once, I have a feeling that the next few months will be a bit of a roller coaster in terms of how I’ll respond to it all. Some days I feel completely freaked out by the huge unknowable factor which comes naturally with something like this: there is no way of knowing exactly from when A. will need to be off, there is no way of knowing when she’ll be back [in my mind I am mentally preparing for a much longer break than three months], there is also no knowing where I’ll be at when the break does happen, and there is no knowing where I’ll be at the end of it. What if things just plummet? What do I do? And, oddly just as frightening; what if I deal really well with the break, cope in a way I hadn’t expected? What would that say about the work we have been doing? About our relationship?

Scary stuff, all of it, let me tell you.

So.. watch this space and brace yourself for more than one serious freak-out.

All the very best and more,

xx

Massive Attack – Teardrop