Tag Archives: anxiety

The February Post – Anxiety…

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

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

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

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

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

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

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

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

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

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

xx

I Survived A Therapy Break

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

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

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

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

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

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

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

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

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

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

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

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

Be good to your Selfs.

xx

IMG_3885

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

 

Progress And Pain – Parenting My Inner Child

Posted by What It Takes To Be Me in Abandonment Issues, Anxiety, Attachment, Psychotherapy, Psychotherapy Breaks, Psychotherapy with P, The Therapeutic Relationship and tagged with , , , , , , , , , , , , , , , , , , , , , ,

It’s been a long time. It’s been too long, really. I suppose that I just needed a proper break from things. Or, rather, I needed to use what little energy I could muster to deal with the bare essentials, hence largely withdrawing from the world, both online and in my day-to-day interactions with family and friends.

It has been, and still is, a very rough ride. Since the beginning of the year I have had three rounds of crisis team intervention and one admission to Drayton Park, all with that burning hopeless feeling that ‘It’s pointless, it won’t make a difference’. Except, from an external point of view it has; I am still here now. I might not have been.

Therapy is the one thing that I feel is actually going well. But, as is so often the case when it comes to therapy, ‘going well’ involves a decent sized chunk of dizzying pain. The therapeutic process has never been heralded as a ‘free from unwanted side effects’ type of medication..

I continue to build my relationship with P., doing this quirky little two-steps-forward-one-step-back dance, putting my most deep seated fears and trust issues through their paces. Progress is slow, but at least we are moving. Those of you who have been in therapy will know exactly what I am talking about; one session and – almost out of nowhere – you find the courage of a lioness and take a giant leap forward, right across the abyss – the next two sessions; withdrawing and giving in to age-old fears of being let down, needing to test and re-test your therapist, to check that they really are for real, that those encouraging words won’t turn out to just be empty promises.

My need for emotional hand-holding and reassurance has known no limits in these last months and weeks, and consequently P. has had to work darn hard for the pennies.. She tells me that she knew what she was signing up for when she decided to take me on, I argue that she can’t possibly have known – because she didn’t know me – she then agrees that this is true, but reassures me that she has a very strong sense of what she can cope with, and that I really really really am not too much for her. And we take another tiny step forward.

As I have said many times before, I don’t think therapy is meant to be easy, I think it’s meant to be worth it.

Right now we are standing at the door of a two week therapy break, so – predictably – all of Little S.’s abandonment fears are awakened and hyper aroused. Adult Me works hard to try to explain that it will be OK, that we have been through – and have survived – many, many breaks before, and that we will get through this one, too, but Little S. clamps her hands firmly over her little ears, certain that this is the end of the safety and pseudo-mothering we have enjoyed from P.

What it boils down to is that my inner child, just like any other child, has no real understanding of time, and so a separation from P. is not a temporary state, but is permanent and absolute. And, again like most children, when the caregiver goes away, she assumes that this must be because of something she has done. This, in turn, makes Little S., go back and forth between putting unrealistic pressure on herself to be ‘all good’ [because, if she is very very good, maybe P. won’t leave her] and needing to self-punish [because she must have been bad, to make P. go away]. Adult Me works very hard to try to help regulate the extremes, but parenting your own inner child is not an easy task, especially when so many of Little S.’s thought patterns and beliefs still live on in Adult Me.

I still have three sessions left before the commencement of this two-week-bordering-on-eternity break, so there is time to talk this through with P., time to get another shot of reassurance injected, and hopefully that will alleviate at least some of Little S.’s [and Adult Me’s] anxiety.

We’ll see..

Anyway, take good care of your Selves, and thank you all so much for sticking with me through this hiatus, of sorts.

xx

Hearing the Littles – A Therapy Break Update

Posted by What It Takes To Be Me in Abandonment Issues, Anxiety, Attachment, Expression Through Art, Identity, Inner Conflict, Intellectualisation, Psychology, Psychotherapy, Psychotherapy Breaks, Psychotherapy with P, Sef-Awareness, Transference and tagged with , , , , , , , , , , , , , , , , , , , , , , , , , , ,
Våga Lita - Dare Trust A reminder written on my arm before going into a therapy session shortly before The Break

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

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

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

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

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

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

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

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

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

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

 

Much love,

xx

 

The Beginning Of A Break

Posted by What It Takes To Be Me in Abandonment Issues, Anxiety, Attachment, Coping Strategies, Expressing Emotion, Psychology, Psychotherapy, Psychotherapy Breaks, Psychotherapy with P, Separation-Anxiety, The Therapeutic Relationship and tagged with , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Had my final pre-therapy break session yesterday, and it was hard. Or, maybe hard isn’t the right word? It was emotional. Not emotional as in floods-of-tears-streaming-down-my-face-fifty-minutes-straight, but it certainly stirred things up inside of me in a big way.

So, P. and I spent most of the session talking about all the different feelings this break is bringing up for me. How it makes me feel like the abandoned, forgotten baby I once was, the distant echoes from when I was tiny and was given up by my birthmother, and how – even though I have no conscious memory of it – that must have had a profound effect on me. I also retold the story that my mother [technically adoptive mother, but it’s not a term I ever use; she’s just my mother] has told me so many times: that about two or three weeks after I was adopted my mother was downstairs doing something with my brothers, and she completely forgot about me. Not as in ‘she forgot that I was upstairs in the baby swing’, but as in ‘she utterly and completely forgot that I even existed’. My mother tells this story as a bit of an amusing anecdote, but of course, there isn’t really anything very much fun about it at all: I had already been given up once and then only a few weeks later my new mother also forgot that she had a baby to care for..

We also talked about how I simultaneously fear it will be an incredibly difficult break and that it won’t be difficult at all. That it, paradoxically, is easier to deal with the idea of finding this break an immense struggle, than to cope with the idea that it mightn’t affect me much at all. Because, if it isn’t difficult, if it doesn’t affect me, what does that say about P.’s and my relationship? Of course, it could just mean that I have simply developed better ways of self-soothing than during previous therapy breaks, but, knowing myself, I am far more likely to jump with instant certainty to the conclusion that it must be because P.’s and my relationship isn’t really all that special after all etc etc etc.

Last week P. gave me a few suggestions of things we could do to make me feel less abandoned during this break, to allow me to hold on to her even when I’m not actually seeing her. One of her suggestions was to give me a recording of her voice for me to listen to, if she started feeling too distant in my mind. I rejected that idea right away, stating that it wouldn’t be all that useful, considering how poor my hearing is, all the while knowing that that wasn’t the reason at all, but rather that something about having a voice recording felt too close and too scary for me to cope with. Another suggestion, in a similar vein, was that perhaps it would be helpful if she were to give me a photograph of herself to look at. This led to me coming clean and admitting that I already have a picture of her, and that – yes – I do find it very helpful to look at it. P. said that this photo would be different, though, because this would be a photo she had given me, which I agreed it would be, but that I needed to think about it.

What I failed to explain to her at the time, and which later came back to haunt me in the form of a number of sleepless nights, was that I said nothing about why [how?] I had a picture of her. Eventually, it got to me so much that I had to write her an email to explain that it wasn’t quite as creepy-stalkerlike as it may seem: because of the prosopagnosia I have taken to doing a quick search engine/social media scan for a pic to add to any new contact I put in my address book, including the guy who comes to fix the boiler. Just for clarity: I don’t think there is anything inherently wrong in having your therapist’s photo; most clients have a very natural, healthy curiosity about their therapist, and googling someone is hardly the crime of the century – it was more the fact that I hadn’t said anything about it to P. that was bothering me, because it filled me with anxiety that she might think I was exhibiting creepy stalkerlike behaviour. Unfortunately, the very sweet email she wrote back to reassure me that this wasn’t the case, that she didn’t feel it was either creepy or stalkerlike, for some reason didn’t make it through to my inbox, and consequently my anxiety was quadrupled over the next two days. But, we managed to talk all of that through later.

In the end I did accept P.’s offer of giving me a photograph. The actual photo is one that my prosopagnostic brain has trouble deciphering as being of her – there is something about the fact that she isn’t smiling with her eyes – as she so often does in session – that makes it hard for me to understand that it is really her in the photo, but it still means a lot to me having it. I treasure it in the same way that I might treasure a handwritten note from her, precisely because it is from her. I also showed P. the picture I already had of her, and I think she understood why that is a picture I find much easier to connect emotionally with – because in that photo she seems very relaxed and is indeed ‘smiling with her eyes.’

The final idea of how to cope with this separation was one I came up with. I had been thinking about what exactly all of those fears inside of me really are, and what different ways we had worked out to deal with each one of them, and I realised that one of my biggest fears – the one about being forgotten and left behind – could also be dealt with, with a photo. This time, I suggested to P. that maybe I could send her a photo, of me, because even though Adult Me intellectually knows that I won’t disappear from P.’s memory the second I am out of sight, her having something of me with her would make Little S. feel a lot better. [For long term followers, this idea was a modified version of the rubber duck I gave A. in our very last session together.]

So, all in all, that last pre-break session was a good one. I felt quite overwhelmed by P. saying so many kind things to me, particularly when she said that her having my photo meant that she could take me with her on her leave.. But, as I also explained to her, it was good overwhelming, not bad..

Right at the very end of the session P. asked one last time if there was anything else she could do for me, to which I said: “Just make sure that you DO come back”.

To which she replied that she wanted the exact same thing from me.

 

xx

Reconnecting

Posted by What It Takes To Be Me in Abandonment Issues, Anxiety, Attachment, Family Dynamics, Flashbacks, Friends, Inner Conflict, Psychology, Psychotherapy, Psychotherapy Breaks, Psychotherapy with P, PTSD/Extreme Emotional Stress Disorder, Separation-Anxiety, The Therapeutic Relationship and tagged with , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

I’ve been writing this update in my head for about a month, only I’ve not got down to typing it up. I am struggling to remember where I was at, emotionally, when I posted my last update, but I know that it wasn’t a very nice place.

Things sort of spun out of control for a bit. I went into the worst period of constant flashbacks I have ever experienced and ended up, once again, at Drayton Park. The whole first two weeks of staying there I more or less only ventured outside of my room to see P. for therapy. I didn’t eat, didn’t sleep and didn’t socialise with any of the other women who were staying there, so this stay was very different to many of my previous stays at Drayton Park. I simply found it too much to be around others when I was being thrust back into the past again and again and again, in an endless waking nightmare of relentless flashbacks.

Something very serious happened while I was at the crisis house, something I still don’t feel I have properly processed or understood, and I may come back to that another time, but for the time being I won’t go into it. I need more time to think about it.

In my third and final week at Drayton Park the frequency of flashbacks began to decrease and I was able to be my usual self a bit more. I had a few really good conversations with some of the other women staying at the project, feeling privileged to be allowed hear their stories and to get to know them a little. It is always a very special thing when someone decides to trust you enough to share of themselves.

I saw D., my ex-counsellor, in passing a few times during my stay [since she is based at Drayton Park one day a week] and we had some good, honest banter over lunch one day. In fact, it must have been really good, even to others listening in, because after D. left one of the residents asked me if D. was my mother, because we had such a ‘natural and easy way with one another’. How anyone could associate ‘natural and easy’ with a mother-daughter relationship is beyond me, it certainly doesn’t fit with any experience of a mother-daughter relationship I’ve ever had, but it was a very nice thing to hear, nonetheless.

Good banter aside, as D. and I were ending one of our little mini-conversations she told me to take good care of myself. Force of habit I shot a semi-automatic “I always do” coupled with a bright smile in her direction. Only, this being D. on the receiving end, she didn’t just let that statement slide, but immediately lobbed a “No, you don’t” back at me. She then paused, looked me right in the eye and slowly repeated “No. You don’t.” And there was so much feeling in those words. There was an unspoken – but clearly received – message of ‘I so wish that you did take good care of yourself. Because you really, really matter.’  And that meant a lot to me.

 

*

 

It has now been four weeks since I left Drayton Park, and there have been both ups and downs. The frequency of flashbacks seems to be back to normal, more or less. It is in no way easy to deal with the flashbacks, regardless of the less intense frequency, but it is a lot better than what it was. As I explained to a friend of mine; it’s a bit like my breathing. While my breathing is never really all that good, immediately after a bad asthma attack the ‘not so good’ still feels like a relief, by comparison.

Therapy with P. is going well and we are continuing to build our relationship, making sure to take plenty of time to do so, so that all of the different parts of me – especially Little S., who is so terribly afraid of anything that resembles trust and care and attachment – feels both seen and heard. Little S. gets scared, because she learned very early on that all of those things will inevitably lead to pain and hurt, and as much as Adult Me wants to challenge that fear, wants to show her that this relationship with P. can be safe and won’t necessarily lead to pain, it takes time and patience to get there. It takes a lot of work to truly alleviate fears that are that deeply rooted.

We are coming up to our first therapy summer break by the end of this week and as a consequence anxiety has been running high both for Little S. and for Adult Me. Regular readers of this blog will know that psychotherapy breaks is a topic I have written about a lot over the years, because it brings to the fore all of my fears about being abandoned and forgotten. It is also one of those things that people who haven’t been in therapy never seem to fully understand or appreciate. And, to me, that is also part of what makes breaks in therapy difficult; the sense that others don’t understand how hard they really are. Whenever I mention to ‘non-therapy’ friends that I feel really anxious about an upcoming break, I always get the feeling that they are thinking that I am worrying over nothing. And if I, during the actual break, say something along the lines of finding it hard that my therapist is away, the immediate response is invariably ‘When will she be back?’ followed by an equally predictable ‘Well, it’s only X weeks left’. This, of course, feels terribly invalidating, since a therapy break isn’t really about length of time at all, but about strength of emotions and how to cope with them in the absence of a safe place to explore them.

P. and I have been talking about this upcoming break and how I will be able to manage while she is away. P. had a few different suggestions of things we could do and I felt incredibly touched by them. I know that it probably seems a little silly, but it had never even entered my mind that she would have spent time thinking of ways to make this easier. I am so used to doing all my thinking and coping on my own, and I feel simultaneously grateful and overwhelmed by the care she has shown me leading up to this break.

 

I think I will end this update here.
Hopefully it won’t be quite so long before I post another one.
[I always seem to be saying that, these days].

Just before I leave you for this time: Thank you all so very much for the many moving and kind words posted in the form of comments and emails during this past blog hiatus. I am sorry that I haven’t been able to respond to all of you, but please know that I do read every single email and comment, and they really do mean a huge deal to me.

Namaste.

 

xx

 

 

 

Endings: Standing On The Brink Of The Unknown

Posted by What It Takes To Be Me in Anxiety, Attachment, Being Alive, Counselling with Z, Psychology, Psychotherapy, Psychotherapy Breaks, Psychotherapy with A, Relationships, Sexual Abuse, Suicidal Ideation, The Therapeutic Relationship and tagged with , , , , , , , , , , , , , , , , , ,

Being in therapy is being in a relationship. Therefore it follows that ending therapy is an as complex and complicated – and sometimes painful – process as ending any other relationship. There are loose ends and jagged edges to deal with, memories – good and bad – to look back at, and a struggle to not panic and in desperation seek to go back to something that just isn’t there anymore.

I have always said that things that are familiar are often also comforting to us, even when The Familiar isn’t necessarily a good thing in itself. The Familiar is comforting because it keeps The Unknown at bay. And nothing is more frightening than The Unknown.

I have four more sessions left with A.
Four more sessions, after more than four and a half years of working together. In short: it is nothing. I am standing only millimetres away from The Unknown, and I have to find the courage to not turn and run, but rather to allow myself step in to and somehow tolerate existing within it.

I have been spending a lot of time over the Chrismukkah therapy break thinking about what exactly it is that makes this ending feel so difficult, because, intellectually I can see that ending work with A. has more or less become a necessity, both because I am unable to give her the reassurance that she needs that I won’t end my life, and – perhaps more importantly – because we have simply come as far as we can, working together. The conclusions I have reached, as to why the ending is difficult is summed up in the first paragraph of this post; this is the end of a very special relationship, so how could it not be difficult? But, on top of that ‘normal’ difficulty, apart from the anxiety and sadness and sense of loss that any ending brings with it, I think that there is something I need to take from this relationship, which I fear A. might deny me, and this is what makes it so much more painful.

In November, when I finished counselling with Z. – that, too, was a difficult ending. But, I do feel that in the last few sessions – and especially in the very last one – Z. managed to provide me with that one thing I needed: the reassurance that it mattered to her too, that we would not be working together anymore. That I had made an impact on her. That she would actually miss seeing me. What I am talking about here is not a need to be told that I am her favourite person ever to work with, but something far more simple; an open acknowledgement of the fact that working with me is special, because I am special: there is only one of me. So even though my slot would soon be filled by someone else, someone just as engaging, it is still different, because the relationship between Z. and I could only happen because of who we are as individuals, and what we accomplished in those sessions was specific to our relationship, to what we jointly brought to the table.

I talked with A. about this ending at the time, explaining that those things Z. said to me meant a lot, and significantly helped make that ending, if not less difficult, at least not painful, and left me with something positive to carry forward. The fact that Z. actually told me these things, actually said them out loud, rather than simply assume that the way we had been working together and the way we relate would automatically lead me to know it, I think is important. People who have been abused tend not to take things like that for granted, because actions and the meanings of those actions have been so terribly mixed up and confused in the past.

So, I suppose, what I would like from A. is something similar. I’m not talking about any earth shatteringly emotional revelations or dramatic proclamations, but just something said, in clear plain direct speech, about the work we have been doing and about what this ending means.

I asked A. earlier in the year if I matter to her, and she decided to not answer my question, and I am sure she has her reasons for that, but, I think what I need – especially now – is for her to step away from those reasons, whatever they are, and just meet me openly and honestly. The lack of this direct communication in the last few months, is part of why therapy is now coming to an end, and seeing as there will be no Next Session in which to analyse why I asked the question, an answer would be good, would provide me with that Something that I need.

But, as I wrote earlier, my fear is that A. will not opt to go down this route of openness and honesty, and this is where I feel the pain is created. To need to hear that working with me has mattered to her, that getting to know me, hearing my thoughts, means something, is important, and to leave, having been denied it, would be excruciatingly painful.

Of course, I don’t know that this will be how things end, and I really hope that A. will have taken onboard the things I said about ending with Z., and what made that a more positive ending. But, the fear is still there, looming like a dark cloud over my head.. I am seeing A. for the first time after the break tomorrow, and I will carry on talking about all of these things with her, as I had been before the break. I just hope that her response will be different.

*

Before concluding this post, I just wanted to say thank you to all who have emailed me following my last post. I am sorry that I haven’t been able to reply to all of you, but, hopefully, in time, I will. I know that this post hasn’t really been a direct follow-up on the previous one, and it isn’t because I am trying to shy away from the seriousness of the situation, which remains sadly unchanged, but because I feel that – for now – I need to try to deal with things in slightly smaller chunks, and if that means navigating by auto-pilot for a little while, well, so be it. As my sister said We much prefer Auto-Pilot to No Pilot..

But, once again, thank you all for your very kind emails and comments. They have been read, heard and appreciated.

Much love,

xx

Being Safe vs. Feeling Safe – The Power Of The Past

Posted by What It Takes To Be Me in Anxiety, Counselling with Z, Defence Mechanisms, Family, Family Dynamics, Intellectualisation, Panic, Psychology, Psychotherapy, Psychotherapy with A, PTSD/Extreme Emotional Stress Disorder, Regression, Sexual Abuse, The Therapeutic Relationship and tagged with , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Ever since my run-in with M. last week, I have been on extremely high alert. Like many people suffering from post-traumatic stress disorder I am hyper vigilant at the best of times, but in the last week I have been a million times more nervous than usual, any sound I’m not expecting making me jump. From Monday when it happened until Wednesday night I didn’t sleep. Not as in I’ve barely slept a wink, but I literally didn’t sleep, at all. In fact, getting to A.’s place on the Wednesday afternoon was a real challenge as I was battling the symptoms of sleep deprivation, being confused, nauseas and very unsteady on my feet.

I used both my Wednesday and Friday session with A. to talk about what happened when I saw M. and how it’s really affected me quite badly. In the Wednesday session I was close to tears, just thinking about it, because I felt like any sense of security I had been able to create for myself had been totally and utterly shattered. My jitteriness was so bad that even the sound of A.’s voice made me jump more than once in session. [My relief upon realising it was A. and not someone else each time, on the other hand, was immense].

I have been trying really hard to calm myself, to tell myself that although I don’t feel safe, I am safe. Only it seems to make no difference whatsoever. My feelings out-power my intellect with frightening ease, in complete contrast to how I normally deal with any extreme emotions by rationalising them away. Also, one could argue that the reality of being safe holds very little, if any, value if you don’t feel safe.

Needless to say, my anxiety level has been on a steep upward curve every day since last Monday, doubling again and again the closer I got to my next session with Z.

Z. telephoned me on the morning of my session, just to reassure me that she would definitely be there to meet me at the reception, to let me know that I didn’t have to worry about having to walk through the building on my own. So, I picked up whatever fragments of courage I could find and set out. I had to stop several times on the way, because I was so anxious my legs didn’t seem to want to carry me. I kept looking nervously around, to see if he might be there.

And then it happened. Only fifty metres from the relative safety of the reception I spotted him. He was on the other side of the street, slightly behind me, accompanied by a woman, talking and laughing as if the world was a beautiful place to be. I stopped being the grown woman that I am in that instant and turned into 8-year-old me, hiding behind a tree as he walked past on the other side of the street. I went from Adult Me to Little S in seconds flat.

I hung back, watching him enter the building, not really knowing what to do. It was time to meet Z., but I just couldn’t go into the reception, in case he stopped to talk to someone there. So, I waited a while – I’m not sure how long – and then, on unsteady feet, made my way across the parking lot. As I cautiously approached the door, hoping to take a peek through the glass panes to make sure that M. had left the reception, a man came out through it, holding the door politely open for me. Ready or not, I had no choice but to enter.

I collapsed on one of the chairs immediately inside the door, bending forward, hiding my head in my hands, forcing myself to keep breathing. Z. came up to me right away; I guess she may have been sitting behind the receptionist desk, looking out for me – I wouldn’t know, because I never looked around when I entered.

I somehow managed to get it out that I knew M. was there, because I had seen him go in, and there was no way I could walk through the dining hall, even with Z. by my side. Z. thought for a moment and then told me to wait while she went back into the reception to ask another member of staff to open the fire exit for us, so we could enter the building that way; the only way you can get to the stairs leading to Z.’s room, without having to go through the dining hall.

I made it up to Z.’s room on shaky legs, and as soon as I was in there, I sat down on the chair. I didn’t do any of the things I usually do: put my backpack down, set my Rubik’s cube aside, take my shoes off. I just resumed the position I had had in the reception, head buried in my arms, bending over, sobbing violently without tears. It took me a good while before I was able to get back to myself enough to do those things, to bring myself back to where I was, and even then I left my shoes in such a position that I would be able to just step into them, should I need to flee.

I explained all of this to Z. That, even though she was there and I had made it to the room safely, I was ready to run, to jump through the window if need be. I just wasn’t at all able to catch hold of the fear or rein myself in. Throughout the session that feeling never left. At one point I could hear male voices in the hallway outside the room, and in panic realised that I might not be able to recognise his voice, as he would be speaking in English, and that might not at all sound like the very distinct way he spoke Swedish, with a strong Arabic accent.

That is something that has been playing in my mind almost on repeat during the last few days: the way he spoke. In particular, the way he used to say my name. He never used the short form of my name like everyone else, but would always call me by my full name, only his accent caused him to mispronounce it slightly.

It turned out to be a good session, all things considered. We spent time trying to explore the fear, and also talking about the circumstances surrounding M. coming to live with us. How we had a family meeting, talking about taking this badly psychologically damaged teenager in, and how, at first it had all been very exciting. He had three different foster families to choose from, but – much to our delight – decided on our family. He later said that the reason he chose our family over the other two was ‘because there were children’, and I couldn’t even begin to express the chills that sends down my spine thinking of it now, knowing what he went on to do.

We talked about changes that was made in my home prior to M. moving in: all toy guns, including water pistols, were banned – as M. was a refugee from the Lebanon and had seen war up close. The lock in the family bathroom was fixed, having never been in working order for as long as I could remember. I have a particularly vividly memory of my mother telling me that I was not to walk around in a towel after a bath or shower, as that wouldn’t be something he was used to, since it was something women from his culture didn’t do. It has stuck with me, that conversation with my mother, because even though I had never been someone who did that [always being very careful to cover up, never leaving my room without either being fully dressed or wearing pyjamas buttoned to the very top], I felt that there was some sort of indirect implication that were I to walk around in a state of semi-undress M. could not be held responsible for his actions. That it was somehow down to me to make sure nothing untoward happened.

We also talked a little about something else that I even now find difficult to deal with: the fact that while my parents have never outright said that I am lying about what happened with M., they have both categorically and repeatedly said that “it couldn’t have happened”. The reason they have given for this is that they were acutely aware, taking him in, that he was volatile and somewhat mentally unstable, and couldn’t necessarily be trusted as there was a violent and unpredictable side to him, and – according to them – they consequently made an agreement to ‘make sure that us children were never alone with him’. This – the idea that we were never left on our own with him – is of course highly implausible and falls to pieces at first look: my father was working full time and my mother, while being a stay-at-home mother at the time, certainly wasn’t ever someone who would be keeping her children in her sight at all times. We had always been allowed to roam free, and her own bipolar ups and downs would have had her sufficiently preoccupied to often not know where we were, or who we were with. And I know for a fact that I was regularly sent over to the guest house [where M. was staying] to fetch him. I know this because M. would often pretend that the intercom system wasn’t working when I rang to let him know dinner was ready, and my mother would tell me to not be so lazy and to just go over there and tell him myself..

Z. made a comment about this, about my parents deciding to take someone in who they apparently knew not to be safe, in spite of having three fairly young children at home. She wanted me to talk about how I felt about this, but, while I do have a lot of feelings about it, I simply didn’t feel quite able to, or – perhaps more accurately – didn’t feel quite ready – to express them.

I am not sure why my parents – who have no problem believing that their own son sexually abused me for more than twelve years – are so adamant that the abuse M. subjected me to could not have happened. Maybe the thought of having twice missed something like that is simply too much? Maybe the knowledge that he wasn’t safe, and the subsequent sense of guilt at not having protected me, stops them from being able to acknowledge – even to themselves – that it did happen? People often defend the hardest against the things that cause them the most pain, and I don’t think my parents are all that different in that respect. I have a few additional theories about their reasons for flatly denying what happened, all of them excruciatingly painful for all involved.. but, for now, I think I will keep the more probable ones to myself, as I don’t feel ready to deal with them just yet. I have on occasion talked to A. about it, but I feel that this blog is perhaps not the most appropriate place for me to explore it further. At least not for the time being.

After session, Z. walked me all the way through the building and across the parking lot outside, only saying goodbye when we got to the street, having first asked me how I was going to get home. It gave me the sense that it really mattered to her, all the things that have happened to me, all the fear I am carrying with me.

And that felt very special to me; very different to anything I have experienced before.

xx

Sharp eyed readers will have noticed that I have made no commented in this post as to whether or not the person I met really is M., or just someone who looks like him. The reason for this is that in so many ways it doesn’t matter whether it is really him or not. In my head it is him, and that’s what I am reacting to, so that’s what I have chosen to write about: my experience of what is going on. Whether the threat is real or not, the fear certainly is..

Encased In Ice Cold Fear, Trapped In Panic Mode – Upon Seeing A Ghost

Posted by What It Takes To Be Me in Anxiety, Counselling with Z, Expressing Emotion, Flashbacks, Panic, Psychology, Psychotherapy, PTSD/Extreme Emotional Stress Disorder, Sexual Abuse and tagged with , , , , , , , , , , , , , , , , , , , , ,

I am feeling a little worried that this blog is becoming somewhat scattered, that there isn’t much of a red thread running through it anymore, and that it might be difficult to follow what’s actually going on with me, but sometimes, well, I sit down, fully intending to write an update on what I wrote about in the previous post, and it just feels like the moment has passed, and there are other – more pressing – things I feel a need to write about. Tonight is one of those times. There are two main things I feel I want to write about, so I think I will write two separate entries, to give you guys a chance to rest your eyes, hearts and souls a little in between sittings..

This Monday I went to my session with Z. as I usually do; a little lost in thought, trying to get into The Zone. The room I see Z. in is situated in a building which houses an entirely different kind of project, which is nothing to do with the counselling I am doing. In order to get to Z.’s room I have to walk through first a tiny reception area and then what seems to be some sort of dining hall. There are usually a fair few people in there when I arrive for my session and I generally just walk straight through it, not really paying attention to who is there. This time ended up being very different.

Sitting at one of the tables, right next to the door I needed to go through, was a person who was an absolute dead ringer for M., one of the people I was abused by. NOT the way he looked back then, but the way he would look now: older, heavier, but with those same eyes, the same way of looking at me..

I’m not really sure how to explain what happened, but it was as if my body reacted instantly to this person, before my brain had even had time to work out the reason for the reaction. I have prosopagnosia, a condition that is a little bit like being dyslexic, but with faces instead of letters; my brain simply doesn’t store the memory of peoples’ faces, and it is very, very rare for me to recognise people. Even people I know well, like my sisters, I’m unable to picture, when I’m not with them. But, somehow, with this person, my body reacted instantaneously, before I had even clocked what [who] my eyes were seeing.

All heat seemed to drain from my body at once, I felt ice cold, my heart was beating so hard it was painful, my legs went spaghettiose. I felt like I couldn’t breathe, and that I actually didn’t want to breathe. But somehow I managed to keep walking.

I made it to the stairs leading to the waiting room, and bumped into Z. who was coming down them. I could hear her greet me, and I know I said something back, ‘though I have no idea at all what I said. All I remember was that I thought my knees were going to buckle under me, and focusing ALL my energy on this tea cup Z. happened to be holding, because that was the only thing that seemed to not be spinning, that seemed real, safe. [Could write a whole essay on why it was the tea cup, rather than Z. herself, that seemed real and safe, but it seems of secondary importance right now.]

I got to the top of the stairs and into the waiting room and collapsed on one of the chairs, shaking from head to toe. My hands were trembling completely out of control. It is something that happens to me in moments of extreme anxiety or fear, and I tend to hide my hands so that no one will see it.

By the time I got into Z.’s consulting room I was in what I could only describe as a state of shock, unable to speak. I’m not sure how long for, it might not have been very long in real time, but it felt like an eternity. I felt like all my words were stuck in my throat, blocked by this horrible, unmeltable, icy lump of fear.

Z. at first assumed that it was an air freshener that had triggered this reaction in me, as in a previous session I had reacted to it, as it somehow reminded me of another, similar, smell that almost inevitably sets off a chain of flashbacks, so she went to open the window a little wider. I managed to let her know that that wasn’t it. I’m not sure if I actually told her, or if she asked and I just shook my head.

Eventually I was able to explain to Z. what had happened, who I thought I had seen. Who I felt sure I had seen.

It was such a strange sensation, all these extremely intense feelings, very similar to when I am having flashbacks, only I wasn’t in a flashback. I was reacting to something real. To someone real.

I tried to calm myself down, tried to tell myself that no matter how much this person looked like M., the odds that it was really him was very, very small, infinitesimal, really. But, somehow that just didn’t matter. I experienced a complete split between intellect and emotion, an absolute refusal to believe that it was just someone who looked like him: every cell in my body was telling me that it was him, and no amount of rationalisation or probability calculation could change that.

It was as if every single incident of abuse that he had ever subjected me to in the year or so he was living with us were washing over me all at once, like an enormous tidal wave, sweeping all rational thought from my mind, leaving me completely and utterly encased in ice cold fear, trapped in panic mode. I managed to tell Z. this; that I felt terrified, like the abuse could start over at any second, because in my mind M. was sitting downstairs, and he was always able to find a way to play his cruel games. It didn’t matter that there were lots of people in the building, or that Z. was in the room with me. He could do whatever he wanted, absolutely whenever he wanted to back then, and to me this was still true now. Z. tried to reassure me that no one could hurt me, that I was safe, and I could hear 8-year-old Little S ask “Am I?” in a tone drenched in doubt, so certain in the knowledge that there is nowhere in the entire world I am safe from him, as long as he is still alive.

I genuinely cannot remember feeling so scared or so panicked ever in my life, not since the abuse was actually happening. And that feeling hasn’t subsided. I feel like I am stuck in this horrendous place where my usual, reasoned, realistic way of dealing with things is completely helpless to shield me from my own feelings. I am trying my best to tell myself that it can’t have been him. And at the same time, in my head, it was. There was something about the way my body just reacted to seeing this person, that just makes it impossible for me to accept that it wasn’t.

I told Z. that I was scared of when I would have to leave that room and go downstairs again, even though on the way out I don’t have to go through the dining hall. Z. very gently offered to come with me, so I wouldn’t have to go on my own, in fact she offered more than once, but I had already switched into my ‘Let No One In, Trust No One’-mode, telling her “I’ll be OK. I’m always OK”. To which Z. answered that I certainly had come through a hell of a lot, but she also reminded me that there was no need for me to ‘Be OK’ in session or with her.

I did leave on my own. I’m not sure how. All I know is that as soon as I was out of the building and across the street, tears were streaming down my face and I had to stop twice to be sick before I even got to the bus stop.

I feel so frightened now. And I am scared about going to my next session. I want to go to it, but what if he is there again? I don’t know if I can cope with it. In many ways it doesn’t even really matter whether or not it really is him: the fear he instilled in me back then has returned with a vengeance, regardless of which it is.

I wrote Z. an email earlier this evening, asking could she meet me downstairs in the reception area next session, because it might help me feel a little less frightened if I know I won’t have to walk through the dining hall on my own. It is very unusual for me to ask for help. I am so used to always relying on myself to find ways of dealing with everything on my own, no matter how hard. But I was thinking about what Z. said in session, that there was no need for me to ‘Be OK’, and decided that it was better to ask than to push myself through more fear and anxiety than what is actually necessary.

 

I am sorry that this ended up being such a long post. I suppose there was a lot I needed to get out of my head.

 

Be kind to your Selves.

xx

Where Do We Go From Here?

Posted by What It Takes To Be Me in Anger, Anxiety, Expressing Emotion, Psychology, Psychotherapy, Psychotherapy with A, Suicidal Ideation, Suicide, The Therapeutic Relationship and tagged with , , , , , , , , , , , , , , , , ,

I have been meaning to upload this post for a few days now, have kept telling people that I was going to post an update in the next few days, but, for whatever reason, I just needed a little more time to think before writing it. As I wrote in a previous post, it hasn’t been my intention to turn this little therapy drama into any sort of cliff-hanger, I just simply wasn’t quite ready to write the update until just now, hence the delay. Nothing more to it.

*

A. replied very briefly to my email, acknowledging that she had received it and confirming that she was expecting me to come for session the following Wednesday. This was good; I wouldn’t have wanted her to respond to my email at length, I just wanted her to have read it and to have had some time to think about the things I was saying, so that we could talk about it in the next session.

I began that next session with a simple ‘So where do we go from here?’ thinking that that was open enough to invite some sort of mutual discussion. Instead my question was met with silence, and I felt instantly annoyed, because I had really hoped that A. would recognise the need to respond to me openly and directly, to engage in a dialogue with me, rather than to hang back and wait for me to say something for her to analyse. So, naturally, the next thing that came out of my mouth was dripping with frustration: ‘You know, it would be quite helpful if we could have an actual two-way conversation about this.’

We did have something of a conversation, eventually. Thankfully. Because, I think I would have walked out once and for all, had that not happened. My anxiety was sky high coming into that session, not knowing whether or not this would be the session where A. would tell me that she definitely couldn’t carry on working with me, regardless of whether or not I promised to not get suicidal again, because I was simply too much for her. And, also, there was tremendous fear that what I had written in the email would have a negative effect, or would be misunderstood, would have tipped things in the opposite direction of what I had hoped for. So, I really needed to be able to have a conversation with her about where we stood, what was going to happen, what the deal was going to be. I couldn’t have handled the not-knowing, the guessing, the excruciating uncertainty regarding the future of our therapeutic relationship.

A. brought something up which I had mentioned in the previous session, namely the idea that if I did go along with her request that would almost certainly mean that talking about suicidal feelings would become taboo. She told me that there were no taboos, that I was free to explore absolutely anything I wanted to in session – but – that I was not free to act.

I sat with this for a moment, because to me, this seemed quite different to what I felt she had said in the previous session. There is no way for me to know if this was what she had meant to convey in the previous session but had just expressed it in a somewhat clumsy way, resulting in me hearing something quite different, or if she had taken in what I had written in my email, and realised that what she had demanded initially was an impossible ask. All I know is that this felt different to the ultimatum-like choice she had presented me with the last time we met. So, that’s what I told her. A., of course, wanted to know in what way it felt different, and I said that this felt more doable, that while there is no way I – or anyone for that matter – can promise never to become suicidal, I can choose not to act.

I can’t say that I feel that we managed to talk it all out in that session, or even that we have in subsequent sessions. I couldn’t honestly say that this issue has been resolved. It still feels like it’s sitting there, an invisible but definite stumbling block between us. Whilst I acknowledged that I can make a choice not to act, I never made any sort of promise to A. that I won’t, nor has she pressed me for one. In some ways you could say that we have both just let it drop, allowed it to fall into that silent space between us, lost in the red pile of the Persian rug at our feet. I can’t help but feel that we are both working very hard at pretending that everything is back to normal, even though we both know that that isn’t the case at all.

As far as taboos go, do I believe what A. says, that there are no taboos? I suppose you could say that I do, or – perhaps more accurately – I believe that A. genuinely wants me to feel free to talk about absolutely anything, no matter how hard, no matter how sensitive. Have I talked about how I really feel since this happened? Have I been able to talk about suicidal feelings? About urges to act out? No. I am far too scared that I will say one thing too many and that consequently therapy will stop. In some ways I feel that all of a sudden I am doing therapy under the threat of termination.

Sharp-eared readers will have noticed that none of the discussions between A. and I have addressed the issue which felt most pressing as this whole drama unravelled; my deep-seated fear that I always end up being too much for people, and that I had pushed A. to the point where she couldn’t cope anymore. There is good reason for why I’ve not written about this; we haven’t addressed this at all. Neither my fear, nor any possible validity in my feeling that A. can’t quite cope has been talked about.

I have had a lot of comments and particularly emails about the last two posts, all of which I am grateful for, as they have offered many different angles from which to view what has been going on between A. and I. A number of readers have expressed a fair amount of anger at A.’s way of handling the situation, and as anger sadly isn’t a talent I have mastered, it has in many ways felt good to see others reacting in this way. And, at the same time, because I am a Worrier, it’s made me scrutinise what I have written, to try to ascertain if I may have unfairly painted A. in a darker shade of gray than was necessary. I would like to think that I have been reasonably fair in what I have written, yet at the same time I think it is important to remember that this blog is a stage which I share with no one, and as such only my voice gets heard, only my version of events gets told. A. has had no opportunity to put her understanding of what has been going on between us forward. Also, as I highlighted in my email to A., it is entirely possible that my assumptions about what has been going on for her are altogether incorrect.

One reader very helpfully pointed out that it may well have been that what A. was saying about not being able to work under the threat of suicide was less to do with not being able to cope with me, and more to do with the fact that a client’s suicidality can make therapeutic progress very difficult. This is something I agree with; a client’s suicidality, especially if acute, can doubtlessly make the therapeutic process suffer, may even make it impossible. I also agree that it is fair for a therapist to be clear about not finding a client’s acting out acceptable. However, I also feel that the way A. initially presented the issue to me, ie “I can’t work under the threat of suicide” suggested that it wasn’t so much that she felt that my suicidal impulses or acting out was a hindrance to the therapeutic process, as much as it was a case of her not being able to work under these circumstances, and this is what lead me to interpret her statement as indicative of her not being able to cope. She wasn’t saying that ‘The constant threat of you acting out makes it impossible for this therapy to happen, because it means your energy is focused more on the idea of being dead, than on being here with me and genuinely engaging with this process’, she was saying that she couldn’t work when things were this way.

But, of course it is very possible that I was taking her words a little too literally, maybe expecting too much of her in terms of expressing exactly what she meant in a “perfect” way, and – as I wrote in the email – there is a difference between her actual words and what I heard, and of course the things I read into those words come largely from my imagination, rather than from actual, factual knowledge or confirmation from A.

There is so much more to say about this, and I think this whole thing will take a long time to be fully resolved. But for now, this is where I will leave it.

For the time being I am still seeing A. Although, as I said earlier, there is still much left for A. and I to talk about, we have had some very good sessions lately. No, it hasn’t been addressing the stuff that is going on between the two of us, but they have still been very useful sessions.

I want to once again say thank you to everyone who has taken the time to email or comment on the last two posts. I am sorry that I haven’t been able to respond to all of you, but rest assured that I have read what you’ve written, and I very much appreciate getting your points of view. Whatever they may be.

Be kind to your Selves.

xx

In the next episode of What It Takes To Be Me: I embark on a new journey as I dive head first into the world of intensive, short term trauma-focused counselling. Stay tuned!

By the way, we’ve just passed the 55,000 hits milestone since this blog was relaunched!
So THANKS to all!