The March Post

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

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

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

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

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

xx

A Much Delayed Update

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

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

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

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

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

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

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

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

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

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

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

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

And then suddenly it didn’t.

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

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

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

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

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

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

But, I am alive.

And I have a lot of feelings about that.

 

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

xx

 

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

 

 

Out Of Control – Me On Steroids

There I was, having been told that there was a good chance that my hearing loss was due to my own actions. Not an easy thing to deal with. Part of me absolutely felt angry with myself, was blaming myself; I have a natural tendency to be very hard on myself – especially when the consequences of my actions turn out to be severely negative. But, there was also another part that just felt confused, because whilst the second most recent overdose was certainly a serious one, the most recent one was one where I didn’t ingest more than about half a teaspoon of the chemical, and I couldn’t quite understand how it could have had such a drastic effect on my hearing. But, clearly it had.

The ENT specialist had prescribed a high dose of Prednisolone which I was to take for a week in the hope that it may reverse some of the recent hearing loss. The name of the medication did ring a bell at the time, but not loudly enough for me to clock why, so I went down to the hospital pharmacy and picked the medicine up. It wasn’t until I got home that I remembered that this was a medication which a previous GP had refused to prescribe when my asthma was really bad, because she felt it was too much of a risk, putting me on it. There were two reasons for this: firstly, that people with a history of serious mental health issues are particularly prone to react badly to this medicine, and, secondly, that I have in the past had extreme adverse reactions to three other medications [one of which I was reacting to when I took the second most recent overdose], so the doctors are always very cautious about prescribing any non-essential new meds to me.

But, there I was with the medication in my hand, not knowing whether or not it would really be a good idea to take it. Yes, this medication could potentially save me from needing cochlear implants down the line, but, at the same time, if I did have a really bad reaction I could end up putting myself at considerable risk. The ENT specialist wasn’t someone who knew me well [or at all, really], so when he prescribed it, he did it on the same premises he would for anyone else; ‘Worth trying, no harm done if it doesn’t work’, whereas I knew that this medication could spell real trouble for me.

There was a part of me that was genuinely scared of a bad reaction; I knew perfectly well the horrible feeling of being out of control because of a medication. I had been through it three times.. Yet, there was another part that so badly wanted to be able to do something to reverse the damage I had apparently caused.

I spent a week going back and forth, unable to decide what to do, talking it through with lots of people, knowing full well that, ultimately, it was still my decision to make. I did speak to my GP [well, technically, the receptionist spoke to her on my behalf], and she said that it would be ‘perfectly fine’ for me to take the steroids, and – after all – I had had no adverse reactions to the steroid injections I was given when treated for anaphylaxis.

In the end I decided that I would give it a go, because I knew that if I didn’t I would always be wondering ‘What if..? What if..?’.

Still, to be on the safe side, I decided to start the course early Monday morning, so that if I did have a bad reaction I would be seeing P. later that day. [With two of the three medications I had previously reacted badly to, it had happened literally within a few hours of taking the first dose]. I also had a doctor’s appointment on Tuesday, and scheduled a ‘just-in-case’ appointment with K., my synagogue social worker who I have been seeing semi-regularly, for Wednesday afternoon.

Monday came round and I took the first dose, which – as this was a high dose treatment – was a good handful of pills, making me feel as if I was actually overdosing on tablets. By the time I was due to see P. – about six hours later – I already knew something wasn’t right. I could feel things firing in my brain, rapid electric sparks in my head, and it was as if I couldn’t keep track of my own thoughts. It was a truly bizarre experience. – Anyone who has ever been seen by the mental health crisis team knows that one of the questions you will be asked during the assessment is ‘Are you having racing thoughts?’. Being prone to deep depression and suicidal ideation rather than mania I have always answered ‘No’ to that question, not really knowing what ‘racing thoughts’ actually were. I’m telling you, by noon that Monday I knew exactly what they were – and it was freaking me out, big time!

So, I had a crazy rambling session with P. that day, very unlike any other session I have ever had. I also spoke to H., my care coordinator, that same afternoon and she sorted out a referral to the crisis resolution team for Wednesday, as it was clear I was not in a good way and would likely need the extra support, particularly over the weekend.

On Tuesday morning I went to see the doctor – an absolutely lovely F2 who I hadn’t met before. By then I had taken the second dose of Prednisolone – more out of a sort of manic compulsion than anything else – and consequently the reaction was getting worse. I had also used a surgical scalpel and cut myself very badly in two places; enough to warrant stitches. The doctor’s reaction was ‘Come off these meds immediately – this is a really serious and abnormal reaction!’.

I explained to her the reason why I was on the treatment in the first place and why I was finding it hard to ‘just stop taking the meds’, and this young doctor was absolutely brilliant. She sat back and listened to me carefully and then took the time to make five or six phone calls – while I was still in the room – to get hold of an ENT registrar to find out what the implications of stopping the treatment would be for my hearing, so that we’d be able to make an informed decision. The ENT registrar told her that as treatment had been delayed by several months already [Urgent NHS referral, remember?] it was unlikely that my hearing would improve, that the specialist who prescribed the steroids probably felt it was worth a shot – even if it was a shot in the dark – because sometimes people do respond, even with delayed treatment. But, the registrar concluded, in light of the extreme reaction I was having it certainly wasn’t worth staying on the meds, as the odds of success were so small.

I felt really reassured in that moment that I wouldn’t be missing out if I ended treatment prematurely, because the odds of any improvement were so small. It made complete sense to stop taking the meds.

But, then I got home, and I was still hyper and there was so much in me saying that firstly I was already dealing with the adverse effects of this medication [the GP had explained that it would more than likely be a few days, maybe even a week, before the chemicals in my body would stop messing with my brain].. and it was only a few more days to go.. and what’s to say that I couldn’t have an equally abnormal positive reaction to these meds..? After all, my body is clearly highly sensitive to small chemical changes..

So, the next morning I took the third dose, against medical advice. This time it wasn’t manic compulsion that made me do it, but that part of me that just needed to hold on to hope, that simply couldn’t give up, even though everyone around me felt this was a very bad decision, indeed.

I spent time in my session with P. that day, exploring why it was so terribly hard for me to stop taking the tablets, even though the rational part of me knew that the chance of a positive outcome was incredibly slim – and that was really helpful, even with the chaos raging in my head.

I also had a good chat with K. that afternoon. She was characteristically open, direct and honest with me both about her anger and her disappointment that I had carried on taking the medication in spite of what the doctor had told me, and in spite of the fact that I had felt completely reassured at that point that I wasn’t missing out. I told her that I would think very carefully about handing the meds in to P. the next day, but I was also clear that I wasn’t prepared to make any definite promises, because I simply didn’t feel that I could. So much of me felt out of control and I just couldn’t say that I’d be able to do that, come morning.

Oddly, the thing that made me realise just how out of control I really was wasn’t the fact that I had cut myself so badly, but the fact that I found myself at a McDonald’s having a Big Mac.. I’ve been a vegetarian for something like twenty years, and I keep sort-of-kosher, so for me to sit down and eat something like that goes against so much of what I believe in. It is something I simply wouldn’t ever do, if I were in control of my actions..

I did end up giving P. the tablets the following day, but not before having taken a fourth dose that morning, this time – again – in a very compulsive manner. There was no reasoning whatsoever, just acting: I simply couldn’t not take them. This made me realise that I really needed to view the tablets in the same way I did my scalpels and cords [all of which I had handed in to P. two days earlier, feeling too out of control to be safe with them]; while I was still having this strange reaction I just couldn’t manage the tablets responsibly.

It took a good while after that final dose before I felt completely back to my normal in-control self, and I carried on working with the crisis resolution team through the weekend and most of the following week, just to be safe.

I am really glad that I had as much support available to me as I did during this time, because it was incredibly frightening to be so out of control. The experience was very different to other times when I have felt out of control. Whilst what came out in the midst of this whole ordeal – feelings, thoughts etc – were things that were almost certainly already brewing inside, it was – at least the way I look at it – triggered by outside factors. And that’s quite a scary thing.

All the very best,

xx

A Fork In The Road – Choosing A Path

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

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

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

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

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

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

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

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

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

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

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

xx

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

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

Self-Awareness & Self-Doubt

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I just need to somehow hold on until then.

xx

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

Self-Harm & Self-Piercing

Not very long until A. is back now.

Looking back at this break I can honestly say that there were definitely times when I didn’t think I would be around to see her return to work. I had some very very low points, where it felt entirely impossible to think that I could make it through. As you know, early on during this break, I did accidentally on purpose overdose, and even though this may sound weird, that wasn’t even the lowest point I got to. In fact it wasn’t even near to being the lowest point.

Then I had a bit of a breather, where I went to spend time with my sisters, where I reconnected with my faith, where I felt a little less frightened. Went back to only having the normal amount of flashbacks. And that was nice. And much needed. I count my blessings that I do have those times when things are a little easier. I try to take notice of the good in life, I really do. I know that reading this blog, it may seem that I only focus on the hard times, but I really do try to balance it out, to see the bigger picture.

I have to admit, however, that these last few weeks it has felt a little as if I am starting to slip again. I’m not sure if that is perhaps because, knowing that this therapy break is nearing its end, I am allowing myself to feel a little bit more than I have during the majority of this time. It’s possible. People keen to criticise my choice of therapy and therapist will, I’m sure, draw the conclusion that going back to therapy is what is making me worse; that therapy is itself the culprit. Needless to say, I disagree. Strongly.

Still, I do have to take these dips seriously; I am very well aware of my tendency to sink hard and fast, and to try to waive it off as nothing would be decidedly unwise. So, I’ve reached out. I’ve talked to my sisters, my friends, the Samaritans, just to make sure that I don’t plummet.

I did have a night last week which was particularly bad, where I felt very very tempted to get the scalpels out again, to release the tension, to get away from the bad feelings surging through my whole system. I resisted. Sort of. I had them out. I looked at them. Held them in my hand. Then I put them down. Put them away. Decided it was a bad option. Thought some more, and decided that there was something else I could do, which was a little less destructive, a little more spiritually meaningful. Something which I had been thinking about doing for some time.

The end result is a freshly pierced nose.

I know, to some, this seems little better than cutting myself, but to me, there is a big difference. Self-harming through cutting is a way of making my body look worse, it’s almost like physically punishing myself, not just through the pain inflicted while cutting, but also in the way the scars will always be there [and, trust me, I have plenty]. They only serve to make me feel bad, because they make me think of how I was unable to control my impulse to cut. Make me feel weak. And I don’t like feeling weak.

A piercing to me is different.

Whilst people may have varying views on the aesthetics of body piercings, or religious reasons for opposing them, to me, they are pretty – plain and simple: I like them – and my interpretation of religious text does not cause me to see them as forbidden. And so, in my mind, choosing not to slash my skin in destructive desperation, but deciding to do something different [albeit similar]; it makes me feel that I can control my impulses, I can convert destructive energy to something much more positive:

A sparkling reminder, right in front of my nose, that even bad nights do pass.

I feel I need to write a little something here about self-piercing: I am not an advocate of it, despite having done it more than once myself. Each time I’ve done it, it has been done as responsibly as possible. No dirty safety pins, no pound shop jewellery. Always clean hands and/or using gloves, always clean work surfaces, always proper after-care. Never without thinking it through, and never without, in my opinion, a genuinely valid reason for doing it myself.

You can read a detailed piece I wrote about my first self-piercing and my reasons for doing it myself here. Some of the things I say there are not quite how I see things now; it’s been four years. But the key is that it was a thought-through and reasoned decision. Not an in-the-moment act. In contrast to self-harming.

Even this latest piercing wasn’t something I did lightly. The reason I had the appropriate equipment in the first place was that I had been thinking about doing it for some time. And by thinking about it I don’t mean in the middle of the night in a moment of feeling very low, but during the day, consciously weighing the pros and cons. I made the decision to do it that night, because I wanted to – perhaps even needed to – prove to myself that I could do something other than cut, something which for me had meaning, something which wasn’t a destructive and impulsive form of self-punishment.

If you do choose to DIY pierce; do the research. Then think again. Think about why you are wanting to self-pierce and the risks involved. Also, think about where you want your piercing. Not all places are ideal for self-piercing. In fact, most aren’t. [In hindsight, I would have to admit that the nose definitely isn’t particularly ideal for self-piercing. And it was darn painful!] Also, just because something can be done, doesn’t mean it should be.

If the reason you’re considering not going to a studio to have it done is that you’re underage, get your parents to come with you to give their consent. Or wait until you are legally able to give consent. If you want it that badly, you’ll still want it in a year or two. From a religious point of view, getting your parents’ consent also matters in terms of honouring your mother and father through not choosing to do something your parents directly oppose. I’m not meaning to be preachy, I’m merely pointing this aspect out. [For me this was always a non-issue, as my mother sports a sparkling lip piercing of her own.]

For most people, people who just want a piercing because it looks good, my advice will always be: Go to a professional piercer! You won’t end up accidentally mis-aiming and come out with a wonky piercing in a place you hadn’t meant to have one. Seriously. Going to a professional piercer will generally be a much better experience; quicker, more than likely less painful and much much simpler all round.

First and foremost;

remember to be kind to yourselves.

xx

PS. I do realise I am displaying an astonishing amount of double-standards when it comes to self-piercing, but in my defence: I am an adult, I had a valid reason to do it myself and it was a thought through decision. And, as I wrote earlier, looking through a rear view mirror: I wouldn’t recommend piercing your own nose to anyone. Anyone. That includes my future self.

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

Three Key Rules For Surviving The Present

*

“..when all I really want, I said to myself, is to survive the present..”

*

Sitting here, alone. Trying to somehow keep it together. And failing miserably. I feel like I’m a prisoner in my own life, and while there may well be a key to the lock, it seems impossible to find. Or maybe I’m just looking in all the wrong places?

I haven’t been able to attend service for weeks, owing to flashbacks. Haven’t even had enough head space to follow them online. Still, as my therapy is on now on hold, I know that it will be important to find other, non-destructive, ways to cope, so this morning I decided to brave it and just push myself that little bit extra to get there. Which I did.

I now regret that bitterly. As lovely as the service was, I was struggling throughout it, trying to stave off the flashbacks that insisted on popping up, and it took all I had to somehow stay in my seat and not just rush out. I tried to focus on the music, on the words, the prayers, and to a degree I suppose you could say that I succeeded, but what is normally something that feels naturally easy and enjoyable, today took a lot of hard work. By the time service was over and it was time to exchange the customary Shabbat shaloms [“have a peaceful day of rest”] I was exhausted, and I only barely scraped by during kiddush. Feel very bad about it, because I know I probably came across as a bit off to others, but it was the best I could do. Having greeted the people I know, I made my excuses and left as quickly as possible. The second I got on the bus home I just broke down in tears.

Of course, tears are not the enemy, if anything they are an entirely appropriate response to the difficulties I’m facing, and they’ve been waiting to fall since I left my final session with A. But it’s not nice when it happens in public. It just isn’t.

It was hard saying goodbye to A. The session in itself was reasonably OK. I managed to talk about the extreme separation anxiety I was [and still am] experiencing, and I think that was important. To be able to say how hard and frightening this long break feels, to be honest about how uncertain I feel about whether or not I have what it takes to make it through to the other side of it. To talk openly about why it’s so hard, this effective re-experiencing of every other time I have felt abandoned, neglected, second-best and left behind, with no one to care for me. To feel that there is no one I can truly trust to see me through.

Of course – and I said that, too – in my final session, I know that I’m not really all alone. I know that there are lots of people in my life who care about me and who want to see me make it through, people who are more than willing to offer me support. But, at the same time, as I’ve described many times in the past, a therapist is in many ways a pseudo-parent, and so, having a break – especially a big one like this – is bound to cut pretty deep. And when you cut deep, you bleed, and it inevitably leaves a scar. It’s impossible to just pick up where we left off, as if nothing’s happened. So there is a fear of that, too. Of what it will be like once A. is back. Will I ever feel able to trust her in the way I was? Because, unlike other breaks, at the end of this one her whole world will have changed. That moment when she goes from being a pseudo-parent to her clients, to being an actual parent will be unlike anything else. And even if we manage to reach that Winnicottian good enough place together again, the fear of another abandonment will linger, as it’s likely that in due time she will want to have another child. In fact, whether or not she does, the fear will be there, regardless.

So things are distinctly uphill right now. I keep thinking Oh, I’ll talk about this in my next session, and then I crash with the realisation that that next session is so desperately far away.

I told A. that I would do my very best to stick to my usual 3-rule therapy break survival plan:

1: No matter what; keep breathing in and out
2: Try to find ways of coping other that resorting to self-harm
3: Even if I fail on number two, stick to number one!

That made A. smile, and I will try to keep that in my mind and in my heart, because I do want to make it through.
I just don’t entirely trust it that I will.

xx

The quote at the top is from the book Are You Somebody? © Nuala O'Faolain

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