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

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

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

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

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

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

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

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

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

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

Be Kind to Your Selfs

xx

Slow Progress and Power Ups

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

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

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

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

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

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

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

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

:)

Do be kind to your Selfs,

xx

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

Living Without Dying

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

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

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

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

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

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

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

But, how do you live without dying?

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

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

That – and lots and lots of therapy.

Do be kind to your Selfs,

xx

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

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

*

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

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

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

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

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

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

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

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

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

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

Do be kind to your Selfs.

All the very best,

xx

The Harry Potter and Sirius scene

Running Up That Hill

*

And if I only could
I’d make a deal with God
And I’d get Her to swap our places
I’d be running up that road
Be running up that hill
~ With no problems..’

*

*

I’m not sure what Kate Bush had in mind when she wrote that song, those lyrics, but they really speak to me. I feel I’ve been running up that hill forever now, getting nowhere. It isn’t getting any easier, and I really wish there was a way to swap places, to make that deal. I’ve been running up that road for so many years, but nothing has changed. Lots has happened, but nothing has changed.

Last night was the 21st anniversary of the very first time I tried to end my life. I was seventeen and I didn’t know how to make the abuse stop, didn’t dare communicate what was going on – what had been going on for as long as I could remember, because I didn’t know what would happen if I did. So, at the very end of my mother’s 50th birthday I swallowed a cocktail of random anti-depressants, mood stabilisers, sleeping tablets and painkillers. This was before the internet, before you could google your way to the perfect concoction to put an end to your misery, and as a consequence I survived.

I woke up to a whole new world. One where – in a flurry of activity – suddenly lots of people knew about the abuse. Social services got called in. I remember so well how the head of social services – who just happened to be a close friend of the family – told me that ‘No one is allowed to make you do anything that you don’t want to do. Ever.’ Except, of course, that I would have to talk to the police and I would have to go to court, whether or not I wanted to, because those were not things I had the choice to opt out of.. You see where I’m going with this? Something happened, but nothing changed.

I’ve been in therapy for years and years and years by now, and although I firmly believe that talking about what happened – in a safe environment with a therapist sensitive to my needs [as opposed to at a police station or in a court room] – is key to ultimately reducing the traumatic re-experiencing of abuse that I am faced with every time I have a flashback, it feels as if that day is very very far away. Hardly even a blip on a distant horizon.

I know that if I manage to find a way to keep running up that hill – because, trust me, therapy can be such an uphill run – my day to day life could be greatly improved, in terms of the amount of flashbacks I suffer, in terms of being able to make and keep plans, in terms of feeling more in charge of my life. And that would be great. It really would.

But then there is that other thing. The Not Having Children.
No amount of therapy can change that. I could do therapy every day for the next two thousand four hundred and sixty-eight years, and that fact would simply not change. People are forever telling me that ‘No, that wouldn’t change. But, you might change. You might feel differently about it.’

Only I know that I won’t.

This is a wound that cannot heal. There are constant reminders to keep that wound open and bleeding. Three people in my life are currently pregnant, due at various points next year – so I already know that 2015 will be another year of Everyone Else having children. Another year of tears burning my skin as they roll down my face. Of a pain so sharp it shreds my soul from the inside..

And the problem is that every year is going to be A Year Like That. Until it turns into endless years of Everyone Else Having Grandchildren. And I can’t face a life like that. I just can’t.

Even if I managed to somehow accept that I won’t have children, I just can’t accept a life without them.

I will try, as I have been trying. But, I know that one day, soon, I’ll run out of steam. And I’ll stop running.

It is sad.
But it is what it is.

xx

Running Up That Hill [A Deal With God] Copyright © 1985 Kate Bush

Twenty-fourteen – A Year Of Changes & Challenges

I thought I’d make one final push to get an update out before the end of the year. I’m not in a great place, hence radio silence on most channels, but sometimes that’s when the best blog posts come out, so let’s hope for the best. Could be nothing, could be something.

It’s been a rough year. There are no two ways about it. At the beginning of the year I ended with my therapist of five years and started over with a new one. It’s a big transition, moving from A. to P., and a huge emotional undertaking. It’s a bit like being asked to switch out your parents. Sure, your parents might not always get you, might be unfair, might make mistakes, might be downright unsuitable to parent anyone, but at least you know them, right? You know their habits, their triggers, their blind spots and you know how they react to the things you say and do. And you also know how you react to the things they say and do. It’s that comfortable – if often less-than-ideal – Familiar versus the scarily unpredictable Unknown that I’ve written about so many times in the past.

That was pretty much what I was going through with A. at the beginning of the year, as we slowly neared and then reached The Ending. Things had been running along the heading-for-an-irreparable-relationship-breakdown route for some time – probably for far longer than I was ready to admit to you, or myself, at the time – but at least I knew what to expect, knew when odds were that my words would be met with silence, knew when there was potential for disappointment. I also knew what not to say and what not to do to keep the status quo, to keep us from falling off the edge. In addition, I was standing on the bedrock of our previous years together, all the times we had communicated really well, spoken a similar emotional language. I had a good sense of where we had one another, of how big or small the distance between us was at any given time, how close we could get, how much trust there was and where the boundaries of our relationship were; all those things that had made our work together so meaningful and fruitful for such a long time. So, it was with a lot of sadness that I had to accept that the time for us to part ways had come.

I had met P. only once before we actually started our joint therapeutic journey. Fifty shared minutes during an initial consultation to decide whether or not we could be A Match. I left that first meeting in December last year feeling that, yes, she could potentially be someone I could learn to trust, given enough time and space to Thoroughly Test what sort of stuff she was made of. But, apart from that gut feeling I didn’t know much about her [or attachment-based therapy] when I went for my first real session in February. I knew that there was something about the way she actively sought to make eye contact in that first meeting that both scared me beyond reason and made me feel that she genuinely wanted to get to know the real me. Actually, let me rephrase that: the way she actively sought to make eye contact with me scared me beyond reason, because she so clearly wanted to get to know the Real Me. Not just the Me she could glean or guess at from the polite introductory phrases or the bullet pointing of my fragmented, chequered and often painful past during this initial meeting, but the Real Me hiding behind all that – the Me that only comes out after the Thorough Testing has been done. The Me that even A., after nearly five years, was only just beginning to get to know.

I took the plunge, and it turned out that the water was far more calm and warm than I had expected. As K. put it only the other day: ‘When you finished with A. I didn’t think you’d ever be able to build a relationship with another therapist. I thought the trust had been shattered for good. I’m amazed at how quickly your relationship with P. has developed.’ I get exactly what K. meant, because it was what I, myself, was thinking at the time. How would I be able to trust? Why should I?

I suppose the answer to that lies in the way P. is, really. I wasn’t at all ready to trust, and P. was able to accept that completely, without any expectation that this would change. Was able to meet me where I was at. She was able to accept that I simply didn’t know if I really wanted to go on with therapy, or even with life. The exact thing that had ultimately caused the breakdown with A. The very thing A. had made clear she couldn’t accept; that I may not only feel that life wasn’t for me, but that I might actually act on it. P. made me, almost immediately – without the Thorough Testing – feel that this was a part of me she could accept. She in no way gave me license to act, but she simply accepted that this could be one of the paths our journey might take.

Then, of course, only a few months later this was put to the test. A splash of a toxic chemical on my tongue, the swallowing of some tricyclics – which I still to this day don’t remember taking – an ambulance ride from the women’s crisis centre to A&E and eleven hours in a coma.

Some might say this was part of my Thorough Testing. I’m not going to argue for or against. All I know is that we survived it: P. didn’t break, didn’t conclude that the reality of acting out was so different from the theory and phantasy of it that she could no longer work with me.

And our relationship grew a little stronger.

The aftermath of this overdose – along with a previous, more serious, intake of that same ototoxic chemical – was the loss of most of what remained of my already damaged hearing. Another big thing to deal with; the knowledge that my actions would have a lifelong effect – near deafness. But, also, in a backwards kind of way, the realisation that even when I mess up it is still within my power to do something about it; the decision to hop on the not-so-joyful steroid ride, the slight but miraculous recovery of some hearing, the sorting out of hearing aids [even though it at times makes me feel I’m ninety-something rather than thirty-something].

And all year long this journey has of course been fenced in and intercepted by flashbacks, by horrendous memories of a past that is never really in the past and by nightmares that don’t go away just because I wake up. Post but-never-quite-over traumatic stress disorder. The stuff that makes day to day life all but impossible to plan. The never knowing if a day will be a 40, 100 or near continuos flashback day. Making plans, cancelling plans, scheduling and rescheduling – because I simply can’t know in advance if any given day will be one where I can leave my house without putting myself at risk.

At the moment it seems worse than usual, more 100-a-day days than 40s. I went to visit my father for the first time in two and a half years at the end of November. That may have something to do with it. I don’t know. It might be related to the fact that both P. and K. have now gone on their respective Chrismukkah breaks, leaving Little S. feeling sad, scared and abandoned, and Adult Me struggling to cope in their absence. Or it might be chance. But, whatever the reason, it’s not so easy to deal with.

Anyway, I want to take the time to thank all of you who have faithfully stuck with me through the ups and downs of this year, in spite the updates being few and far between. It does make such a difference to me. It touches me deeply every single time one of you takes the time to post a comment or write me an email to share a bit of your Selfs with me. I know that is how most of my replies to your communications begin, but it is for a good reason: it’s the truth. I am very grateful for your support.

So, wherever you are in your lives, whatever is going on for you right now, good or bad, I do wish you all the very best.

xx

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A Flat Battery, A Broken Charger

You know that mode where you get so overwhelmed by things that your whole system simply shuts down? That state where everything tangles and intertwines into an almighty tied up, knotty, gnarly mess and you can’t find an end to start, even though you are staring at a million and one loose ends [either one of which would do], but you just can’t seem to be able to pick one up? That is the mode I have been in lately.

Today I finally managed to pick one of those loose ends up: writing something about what has been going on. It’s not the one that should be at the top of my list, or even in the top ten, but it is the first one I have felt able to pick up in a long time, and starting somewhere, I suppose, is better than not starting at all. Perhaps.

My sessions with P. have been progressing in a squiggly upward curve. I have challenged myself to share things that I would never have thought possible, and I have very very cautiously began to accept – maybe even trust – our emerging relationship and the terrifying intimacy that comes with it. There is something very gentle about the way P. works with me. I don’t mean that she takes things unduly slowly or that she doesn’t challenge me, because she does, but there is a lot of focus on doing things in such a way that there is always time to experience the emotional impact of what we are talking about. There is space to explore both how it is for me and also, crucially, how it is for her to enter these dangerous minefields, where each tiny step can so easily explode into painful memories or full-blown flashbacks. I think [even though something inside of me feels afraid to put it in writing, lest I jinx something] that I am in fact beginning to feel safe with P., and it is such a deliciously unusual feeling, so delicate and precious, that I find myself softening my grip on Control to ensure that I don’t accidentally break it.

Some weeks ago I said to P. that beginning this journey felt like standing on the very edge of a pool knowing that I need to dive in, but feeling uncertain whether or not I would be able to keep myself from drowning once I hit the water. So, P. looked right at me, in that way she does when she wants me to really listen, to truly hear her, and gently suggested that maybe I could try to remind myself that I am not alone and that she is actually quite a good life guard.
P. often talks of how desperately Little S. – my inner child, the child me – needed to be seen and heard and cared for, and how this, our relationship, is a place where that can happen, where it is safe to let Little S. out.

So, I have been pushing on, have been trying really hard. Yesterday, I even brought Doth to my session, because I knew it would be an immensely difficult one, and I thought having her in my arms might make it a little easier.

But at the same time, there is this other part of me that can’t help but to ask why I am even doing this. What the point of it is.. Because lately I am struggling to see one.

You see, all my life – even while the abuse was still going on – the one thing that always kept me going, that got me through, was the thought that one day I would have children of my own. It made it worth soldiering on, made it worth living through the abuse. Later on, it made it possible to cope with the daily onslaught of flashbacks, made it worth going through the often very painful process of being in therapy. All because one day I was going to be somebody’s parent. That thought, that one day I was going to be somebody’s parent, is what has always kept my heart beating; as noisy as the difficulties and struggles have been at times, that thought always beat louder. One day I was going to be somebody’s parent.

Only, for the last five years I have been trying for a child, have discovered that I have fertility issues, have had fertility treatment, and have had it fail. And as much as I have been trying to fight it, slowly the knowledge that this – my one dream, the one thing that has always kept me going – has dissolved, has died and no longer exists, has truly sunk in.

Please, refrain from telling me that It may still happen, you can’t know that it won’t or Have you thought about adoption? or Lots of people have no children and still have fulfilling lives. Yes, I have thought about all of those things, of course I have, I have had years to think about it, but the bottom line is that the one thing that I have ever wanted for myself is something that I will never have. And the one thing that has made it worth working so hard all these years to keep my head above water is no longer there. And rather than well-meaning, but ultimately empty, encouragement, I need space to mourn. Because, for me, this is a loss greater than any other. It is the loss of hope.

The motivation for going through therapy, for wanting to get to a place where I am as whole as I can be, has always been because one day I was going to be somebody’s parent. I wanted to get through as much of the difficulties as possible, for the sake of my future child. But, if that is never going to happen, then, what is the point?

I know I am supposed to want to do it for me, but that has just never felt important enough. I have never been important enough to me. And, yes, maybe that can change. After all, that is part of what P. is trying to do with me. It is just that all of my energy is draining from my soul and the hope that once helped recharge my battery isn’t there anymore, and soon I will be running flat.

So, do forgive me if I have been a poor and absent friend lately. I really am truly sorry that I haven’t been able to be there for you in the way that you deserve. I am so very blessed to have people who care so deeply about me and I am incredibly thankful for having you all in my life. But, right now, I suppose I need to preserve whatever energy I have left in my tank, to fuel whatever it is that it takes to be me.

xx

 

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The Greatest Joy & The Biggest Sorrow

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Scaffolding

I was supposed to be dead by now.

It feels kind of strange to write it, but it is true, nonetheless. A little over four weeks ago was when it was supposed to happen. I had booked the hotel room where I was going to go to, to end my life. I had everything I needed to do it. I was completely at peace with the idea of going through with it, felt satisfied that I had tried my very hardest to get onto a different path. There was only One Last Thing I needed to do before setting my plan in motion. Except chance intervened and stopped me from being able to do that One Last Thing, and there was no way I could go ahead with ending my life without that.

So, instead I ended up going another round at Drayton Park Women’s Crisis Centre. I was offered a place, having initially been turned down for it, as I was deemed too high risk to be safely contained there. Nothing had really changed between the time I was initially assessed and when I eventually took up a place, but, I banked on my good personal credit that if I made an absolute promise that I would not act to end my life as long as I was staying in the house, staff would trust me enough to let me have a place. As long-term followers of this blog will be aware, I made a very serious attempt at ending my life the very first time I stayed at Drayton many years ago, and ever since then I have developed a rather special relationship both with the staff and with the place itself. It has been a go-to place for me in times of real crisis, a place to sort out my feelings, to create space for myself without having to worry about anyone else, somewhere I feel safe enough to really stay with myself, if that makes sense.

This time was very different. Not because the above things were no longer true – they still were – but because in complete contrast to all other times I have gone there, this time I went into Drayton Park with absolutely no belief whatsoever that anything was going to change while I was staying there. The reasons for wanting to end my life were – and still are – things that could not change through short term crisis intervention. But, I decided to take up a place at Drayton Park, in spite of this. I went there in part because I wanted my loved ones to know that I hadn’t just given up without one last fight, and partly to buy myself time, because as much as I didn’t believe that anything would really change, I also accepted that I haven’t got a telescope to the future, and consequently couldn’t know for sure that I wouldn’t be proven wrong. And I desperately wanted to be proven wrong. I desperately wanted something to change.

A number of big things happened during my time at Drayton Park.
Firstly, counselling with Z. came to an end on the day I took up residence. Secondly, I made a decision that long term therapy with A. will have to come to an end after more than four and a half years of working together. A. made it very clear to me earlier in the year that she is not able to work with me under the threat of suicide, and as I am someone who simply will not make a promise I don’t know I can keep, the only fair thing to do was to set an end date to therapy. Finally, in the last few weeks I have been under assessment of the personality disorder services to see whether or not I should be offered a place with them. I have had very mixed feelings about this from day one, have very little hope that there really is anything in it for me, but again, I try to keep an open mind rather than closing doors.

With all of these things going on, and feeling completely stripped of any hope that there truly is anything out there that could change how I feel about ending my life, I decided to use my time at Drayton Park to go against what my heart was telling me – a very foreign concept to me. To hold on, rather than to let go.

I spent my three weeks at Drayton Park actively putting up scaffolding around my life, in spite of the very real and painful belief that it was utterly futile to do so.

I put scaffolding up by carrying on with the assessment process with the personality disorder services, even though I was reasonably certain that neither DBT nor MBT were really for me, that I don’t quite fit the bill. More scaffolding went up by re-arranging the end date with A.; it has now been planned so that rather than going from twice weekly therapy to nothing from one day to the next – which was the original idea, and which on reflection felt unnecessarily harsh – we will instead carry on with twice weekly sessions until A. goes on her Chrismukkah break later this week, and then go on to do one month of weekly sessions at the beginning of next year to allow for a tapered, more emotionally gentle, ending. Further scaffolding was created by contacting Z. and asking her and her supervisor to have a think about who they might be able to refer me to, for longer term trauma focused work. Someone who might be willing to work with me, knowing what the full situation is, in terms of suicidal ideation.

I also threw myself into expressing myself through writing, taking part in two creative writing workshops facilitated by the most fabulous Leah Thorn, and was able to share some of my feelings about life and death at a poetry reading during the annual Open Day, which happened to be held during my stay at Drayton Park. [Click here to read one of the poems I read that day].

I was discharged from Drayton Park a week ago today.
I don’t feel any different in terms of wanting to allow my very tired soul to rest. I wish I did, but I just don’t.

However, I am carrying on with the building work I started while at Drayton Park: I am working with the crisis resolution team to have some extra support for the first few weeks of being back home. The extended assessment with the personality disorder people has come to an end. In the only way the NHS knows how an Expert was brought in [in the shape of a clinical psychiatrist I had never met before in my life] to try figure out what the heck to do with me. It was ultimately decided that I was probably right: I don’t quite fit the bill and neither DBT nor MBT is going to be particularly suitable for me. However, although I won’t be enrolled on the personality disorder programme with all that that would have entailed, I have been given a care co-ordinator [henceforth called E.], who I will be meeting with somewhat regularly, to have someone within the blessed NHS who knows me and who I can turn to in a crisis.

Z.’s supervisor also got back to me with a name for a specific psychotherapist who she felt might be a very good match for me for long term work, and I will be having an initial consultation with her tomorrow to see if her gut feeling proves right. Although I don’t necessarily feel that even this type of work will really have the power to change anything, I am trying my best once again to at least be open to the possibility that it could have something to offer – and – for a naturally analytically minded person such as myself, at least this type of therapy [trauma work with an experienced attachment based psychoanalytic psychotherapist] makes far better sense than either DBT or MBT.

In my therapy with A. I have tried to be brave and really explore what this big change, this ending of our work together, means to me, and how it makes me feel, the deep sadness it brings out in me. It’s not easy, but I am hoping that through being as open and honest about my feelings as I can, it will make for a more manageable ending.

So, that – dear readers – is where I am at:
In the process of building something that may or may not stand the test of time.

I do hope that it will, but right now, it is simply too soon to tell.

 

Much love,

 

xx

Bulletpointing My Life

I had to go see a clinical psychologist for an assessment not very long ago; I needed a statement to say something about my mental health. It’s a long and rather convoluted story why I couldn’t simply get A. to write this statement, but in short: it was An NHS Thing and for whatever reason psychotherapists simply don’t rank very highly within the NHS. It doesn’t matter how long you’ve been seeing them or how well they know you, it doesn’t even matter if they are both UKCP and BACP accredited, the only letters that matter within the NHS are N, H – and you guessed it – S.

So, in the end I was given a number to call in order to book an appointment with an NHS affiliated clinical psychologist, who would clearly possess almost magical levels of insight, as she would apparently be able to conduct a full assess of my mental health in thirty minutes flat, having never met me before and knowing absolutely nothing about me, my background or my mental health history.

I had resolved to stay calm, but the second I was given the address to the place where the assessment was to happen, I realised it was where I had gone for an assessment five years earlier, where they ultimately deemed me too high risk and unsuitable to be in therapy.. [Being rejected by the NHS is the reason why I had to go private; while I agree that I was very high risk, there was no way I was going to accept that I wasn’t suited to be in therapy..]

Either way, I rolled up at the place with plenty of time to spare, giving my anxiety abundant opportunity to hit the roof and then proceed through it. This wasn’t helped by the fact that Dr NHS Clinical Psychologist was an hour [yes, an hour!] late.

But – eventually – I did get to go in for my assessment and as it turned out Dr NHS Clinical Psychologist really wasn’t too bad. It’s just that, when you meet someone for the first time and you have thirty minutes to talk about yourself, your background and your mental health history, well, what do you say? where do you start?

We covered the usual ground: I was adopted, I was sexually abused by my oldest brother for twelve years and for a year by a second person, I have a complicated relationship with my whole family, my parents are separated, my father lives with his male partner, my mother is bi-polar, etc etc etc. We then moved on to more recent times, talking about previous suicide attempts, self-harm as a coping strategy, the flashbacks, the recurrent depressions and so on. I have to give Dr NHS Clinical Psychologist some credit here, because she also allowed some space to talk about the more positive aspects of my life; my relationship with my sisters, my amazing friends, my studies, my volunteering, but, coming out of the meeting, while I felt that she had listened to all I had said, I really wasn’t sure what she would actually write in her statement.

It’s a strange thing when you are asked to summarize your whole life and your entire being in a very short space of time; it really highlights something, forces you to really think. And it’s exhausting.

So, the next session I had with A, was spent debriefing. It’s quite hard to look at the different parts of your life in this very concise way. It’s almost a bit of a shock to the system to go through it all like that. I mean, none of these aspects of my life are things I haven’t spent hours in therapy thinking and talking about, but there is something quite extraordinary when you have all these life stories mentally bullet pointed before you.

There is one part of me that thinks that considering all the things I’ve been through, all the unorthodox aspects of my life, I’ve actually done quite well to not be completely broken by it. And at the same time, there is another part that chokes and goes “It’s going to take a looooong time to make some sort of peace with all of this..”

But, thankfully, in spite of that assessment five years ago, I am in therapy and I will continue to give it my best shot to somehow make sense of it all.

xx

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