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

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

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

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

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

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

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

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

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

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

Be Kind to Your Selfs

xx

Slow Progress and Power Ups

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

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

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

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

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

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

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

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

:)

Do be kind to your Selfs,

xx

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

Living Without Dying

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

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

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

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

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

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

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

But, how do you live without dying?

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

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

That – and lots and lots of therapy.

Do be kind to your Selfs,

xx

From Swan Lake to Daft Punk – A Post About Psychotherapy Breaks

Every time I upload a new post I do so with the intention of posting another update soon thereafter, but it just never seems to happen that way.. I suppose I will have to own that this happens in part because I slightly lack the discipline to stick to a set publishing schedule, but, also, it happens because – well – life happens. I’m sure you know what I mean. It is hard to write about your life at the same time as you are experiencing it. Especially when the going is tough.

So, what has been going on in my life since my last post? Quite a lot, it feels like, and at the same it is rather a lot of the same that is pretty much always going on; flashbacks, crises, therapy breaks, family stuff.
I’ve been under the care of the crisis resolution team six or seven times already this year and had one stay at Drayton Park. That’s a lot, considering we are only in the eight month of the year.. And I have a feeling that another stay at Drayton Park may be on the cards in the near future. I am actually seeing the crisis resolution team later today, and my guess is that they will suggest to start a referral for some residential care. To keep me safe from myself. Without going into too much detail, the going has been exceptionally tough this year in general, and recently in particular.

*

P. has been on annual leave for about two weeks now, with another two still to go. I know that I have written about therapy breaks many many times in the past, but it is for good reason: they really are that difficult to cope with.

And I know for a fact that I am not the only one who experiences breaks in therapy as major triggers for all manner of extreme abandonment, attachment and separation issues. A quick look at the stats for how people find this blog tells me that some of the most commonly used search terms are variations on the theme of How To Cope During Therapy Breaks. This is also a topic that people frequently email me about. [Much appreciated, and – as always – apologies if I’ve not been able to respond to your email yet]. 

So, this is clearly not something I alone struggle with.  

I think part of the reason why it is so hard to manage while one’s therapist is away is that Everyone Else [friends, workmates, family, even mental health workers] find it seemingly impossible to grasp just how important and intimate a therapeutic relationship is, and what huge emotional waves the absence of your therapy partner sets in motion. So, we are left feeling that the pain we experience because of our therapist’s absence goes unheard, thus redoubling the pain.

I have some absolutely wonderful friends, I am very very close to my sisters [by golly I love them more than I could ever express!] and I really wouldn’t describe myself as a lonely person per se [although I do perhaps crave more alone time than most] – but my relationship with P. is different to every single one of my other relationships, no matter how good, close and meaningful they are, and it takes up a huge amount of emotional spacetime in my day-to-day life. Even on the days between sessions. 

So, when P. goes away for any length of time, that is going to be hard to cope with. I am used to being able to voice thoughts I don’t share with anyone else three times a week. I have 150 solid minutes every week that are there for only me, to express whatever I want to or need to. 9,000 seconds a week to experience being heard and seen by a pseudo-parent who genuinely wants to understand and help find ways to ease the pain. And that’s not even counting the email and text contact P. is encouraging me to maintain in between sessions and over weekends. So, of course her absence is going to be massively felt.

It isn’t a case of my being needier than most, it is simply that this is a big change to the structure of my week – and I think that most anyone who had that kind of drastic change to their life [even if it is temporary], would find it quite challenging to get used to. 

And – of course – we are none of us in therapy for the sheer fun of it. Something has brought us there. There are Issues to be worked through. Usually more than one, and hardly ever the easy-to-resolve variety. [If, indeed, such a variety exists.. I have my doubts..]

During a break the therapeutic process gets put on hold. Or – perhaps more accurately – the format of the therapeutic process changes during a break. Of course we don’t go into a period of zero growth during a therapist’s absence [in fact, in my experience breaks more often than not bring growth in its wake, both for me personally and in my relationship with P.], but the rhythm is upset. There are no two ways about it. It’s like listening to Swan Lake for a solid month and then suddenly having that musical loop switched to Daft Punk. It’s not bad for us [I would never call Daft Punk bad!], but it IS vastly different. And even if we know that the switch is going to happen [having bravely attempted to talk about the upcoming break and the feelings it brings to surface], going from Swan Lake to Daft Punk is going to affect us. Different feelings will be stirred up, often difficult, deep-seated ones. And we will be on our own to cope with them. 

Or, as in my case, you’ll end up working with the crisis resolution team for the umpteenth time.. ;)
So, that’s where I am at right now.

Getting used to Daft Punk. 

xx

Found Some Words..

OK, so I’ll admit it; I wrote that heading in the hope that I will find some words now that I start writing.. There are no guarantees at this stage, especially regarding the quality of said words..but, I’ll give it a whirl just the same.. [Bear with, bear with..]

So, I made it though The Break. It was a lot tougher than I thought it would be. In the past I have generally found that the beginning of a break is harder, because it is as if my body clock is telling me “today is a therapy day” and my whole being is expecting a solid fifty-minute-hour to release tension. The longer the break goes on, the less loudly my internal therapy clock ticks, because it is getting used to not having that thrice weekly outlet and is slowly finding alternative ways of managing in its absence. This time, however, was different – and I can’t really say why, because I don’t know why. If I were to venture a guess, I would say that it is to do with the fact that I am far more attached to P. than I ever was to A. [or even D.], and the longer we were apart, the more panicked I became that the connection P. and I have formed was beginning to disintegrate. I did find alternative ways of managing this time too, but it didn’t really alleviate the panic. In simple terms: I missed P. terribly – not just the service she provides, but I missed her, I missed us. And, again quite differently to past breaks, I allowed myself to admit that I was missing her. I made no attempts to try to convince myself that she’s not that important, or that it’s really just the structure of my week that I miss. And, as much as that made the break more difficult, I also know that this is real progress. This is me genuinely allowing someone in, allowing myself to become attached, taking a risk I usually wouldn’t take. So, definitely progress.

So, what did I do during my break? Well, in part I did what you could see in my previous post: tons of art. I also did some tie dying and some bleach printing and some shoe painting – all of which was very enjoyable and helped the hours and days pass in a positive way. Some samples below – feel free to scroll past, to read the rest of this post..

 

Tie-dye project
No children were harmed in the making of this collage!

 
 

Bleach print project
Again – No children were harmed. However, one tee was a complete fail and consequently got randomly squirted with fabric paint!

 

Still with me? Ok. Back to the tale of “How I Survived My Therapy Break”..

So, the arty-crafty stuff definitely helped a lot, but no matter how busy I tried to keep myself there was always going to be times when I really really really missed therapy – and P. I knew this was going to happen before the break, and – again unlike other times – it was something P. and I had talked about beforehand. In the year we have been working together, forging this relationship, therapy breaks have always been very tough. They just bring out so much Stuff [paradoxically, this is also one of the reasons why breaks are useful]. At times, even weekends have been torturous, so we’ve had to come up with things to help me feel close to P. even between single sessions. 

One of the things we do is that P. will lend me her pen – the one she always has in her ridiculously big handbag. This idea with the pen was actually a suggestion from one of you readers a while back, in a comment after another post about therapy breaks. This – having P.’s pen – has really been great for me; I use her pen to write in my journal, and it makes me feel a little like we are having a session. [By now I know P. well enough to be able to predict what her response might be to the things I say/write]. So, for me, a pen is great. P. did once offer to lend me one of her scarves [we are both Scarf Wearing People – it’s a thing!], but at the time that felt way too much for me, far too overwhelming, and I declined her offer. A pen, on the other hand, was just right. Small and emotionally manageable. 

Apart from the pen P. has also sent me photos of herself. This has been especially useful if we have had a particularly rough session and I’ve been worried that I’ve become too much for her – because that way I can look at the photo she’s just taken and I can see for myself that she is still OK, that, in spite of the things I have told her, she hasn’t broken down or disappeared. I have also sent her a picture of me, so she can carry me with her when she is on leave. P. often uses the phrase “I carry you in my heart” and, for me, her having a photo of me, is an extension of that. 

Prior to both this break and the previous one, apart from P. lending me her pen, I lent her a bottle of nail varnish. I’m very into nail art [the only sort-of girly thing about me], so her wearing/having my nail polish makes me feel more connected to her. I don’t really think that P. would forget me without these physical reminders – after all she ‘carries me in her heart‘ –  but the Little S. part of me finds this very reassuring, and since that is the part of me that generally struggles the most in P.’s absence [because she is the one who has experienced the most abandonment] it makes sense to pay extra attention to her needs. Especially when Adult Me finds it difficult to fully own those feelings herself..

Finally, the thing that probably helps me the most during breaks:  writing letters. Real, physical, handwritten, old skool letters. I let any part of me [Little S., Adult Me, bob..] write P. whenever they want, and they can decorate the letters and envelopes in any way they want, so P. can see who it is from. I will then hand deliver the letters, because that means I get to go to the place where I see P., and it’s another step towards reassuring the different parts of me that even though P. is away, our therapy space still exists. So, that is something I would really recommend.

Wow! Looks like I found rather a lot of words in the end! Hope that’s OK.

Be kind to your Selves.

xx

Hearing the Littles – A Therapy Break Update

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

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

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

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

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

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

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

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

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

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

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

 

Much love,

xx

 

Trauma Focused Counselling, Psychoanalytic Therapy & Bridging The Gap

By now I have had nine sessions with Z. Only, it’s turned out very different to what I had thought it would be. Two sessions ago Z. said that she felt concerned about us doing deep trauma-focused work, said that she wasn’t sure it would ultimately be to my benefit if we started unpacking memories that would undoubtedly cause a lot of pain, when we have so very few sessions together and might not have enough time to get any closure. She also said that she was unsure if we should do all sixteen sessions as planned, or if we should perhaps instead spend a few sessions thinking about how the work we have been doing so far could be brought back into A.’s consulting room. Or, Z. added, maybe what we need to do is look at sorting out a referral to someone else, someone who specialises in trauma-treatment, but who – unlike herself – could offer long-term therapy?

All this came as a bit of a shock to me, because, after all, Z. had been handed my referral and would have known the extent of trauma I have suffered, and she also knew the premises we were working on from the outset: sixteen sessions, no more, no less, unless I decided to cut counselling short. Of course, intellectually I can appreciate the concerns voiced by Z., but it was still a tough one to take in. Also – perhaps more importantly – I know myself fairly well, and I could see right away that no matter how much intellectual sense this proposal made, it would only be a matter of time before those deep seated, fear infused questions started popping up in my head and heart: Was that really the reason why Z. wanted to cut counselling short? Maybe this was just what she was saying, because she didn’t want to tell me that I had once again become ‘too much’? What if the real reason was that the stuff I had shared already was more than she could cope with? Needless to say my internal Here-We-Go-Again alarm bells were going off like crazy.

Of course, the rational part of me knows that it is unlikely that Z. would lie to me, or that – given that working with trauma is What She Does – the bits and pieces of trauma I had let her in on would be too much to cope with, but as we have seen time and time again, intellectual understanding and emotional response rarely go neatly hand in hand in perfect harmony. As I said to Z.; in many ways it doesn’t even matter what the real reasons for not doing the full sixteen sessions actually are: ultimately it will almost certainly become cemented in my mind as further proof that I’m ‘too much’. Or, even, that I’m not really worth the hard work that is involved, because, after all – everyone else gets their sixteen sessions, and they’re all trauma clients, too. So, this must be something specific to me.

I told Z. that, although I’m nowhere near as invested in my relationship with her as I am in my relationship with A. [yet], an experienced rejection of this kind would still bring all these fears to the surface in a way that I don’t think would be particularly helpful for me, as it would only serve to reinforce the idea that no one can truly cope with me. That no one wants to hear my story.

I feel quite pleased with myself that I managed to share these thoughts with Z., that I didn’t do what I would have done a few years ago: bury all feelings as deeply as I possibly could, right at the very edge of my conscious mind, and just accept Z.’s suggestion to end counselling early – with a bright smile plastered across my face to hide the invisible tears, to boot. I’m glad that I instead decided to ‘fight back’.  [Especially as Z. told me in today’s session that we have another seven to go, which means we will be doing the full course.]

The two sessions since Z. suggested stopping short we have spent, in part, at least, exploring what this proposition of Z.’s has done to me and how it has made me feel about Z. I’ve also explained that I am not looking to find a new therapist; I think it is crucial that I somehow find a way to bring the work I have started with Z. back to my sessions with A., both to allow me an opportunity to discover that I can overcome my fear of breaking people [and perhaps even of breaking myself], and for A. to rise to the challenge and earn my trust back, so that I dare once more take a chance and share some of the truly awful things that happened to me. To, in a sense, come full circle.

A.’s and my story began a little over four and a half years ago. It took me a good year of testing A. in a million different ways to make sure that she was for real before I even considered talking about anything much at all. After that another two years were spent slowly slowly building a genuine relationship. I began trusting her, tried to open up even when I was terrified to do so. And then in year five of therapy – boom – something went quite badly wrong. Both A. and I hit a wall, full speed, from opposite sides, and whatever trust there was got seriously dented as a result. And that’s where we are at now: we are both still in recovery mode.

What I would like to add to our story is a final phase where I get to experience that mutual trust can be rebuilt. Both that I can start trusting A. to ‘hold’ me again, to feel safe with her, to know that she can cope hearing about the things that happened to me, but also that she can regain her trust in me. It would be unrealistic and unfair to suggest that the breakdown and subsequent dent in trust was experienced only at my end; I can absolutely see that the act of nearly killing myself earlier this year, put a dent in A.’s trust in me, too.

This is the main reason why I don’t want to look for another long-term therapist, even if she happened to be specialised in trauma-focused work. I feel that the positive corrective emotional experience needs to happen in my relationship with A. The circle needs to be completed in a single relationship.

I do feel that the work I have been doing with Z. – both the trauma work and the work we have been doing in the last two sessions – has been helpful to me. It has made me try to, ever so gently, bring some of the feelings around the abuse into my sessions with A., to lower my guard that little bit more, and it has also helped me be a lot more direct in the way I communicate with A. about our relationship. I do a lot less tiptoeing around. I still feel that I want to complete all sixteen sessions with Z., because I think the time left could be well spent building bridges. I also think it’s been quite healthy for A. to see how I have responded to a very different type of therapist/counsellor, and I think it has made her reflect on the way she works with me, and what may or may not be useful in our work. I don’t mean that this has been a forced response to a threat of If you don’t do things MY way, I’ll find another therapist, because I don’t feel I have issued such a threat – the decision to do trauma-focused work outside of therapy was made before A. and I hit that wall, had been discussed in my sessions with A. – but that it’s happened naturally, on a genuine feeling level.

There is still a long way to go, for both of us, but I think we will get there in the end.

xx

PS. Following my last two posts I have (a bit surprisingly) had more than one email asking if Z.’s real name is Zoe Xxxxxxx, so I thought I’d state once and for all that NO, it isn’t. Z.’s name doesn’t even begin with Z, I just randomly picked it because her letter was already in use. As I’ve said before, I do always take as much care as I possibly can to mask other people’s real identity, and this includes the identities of my counsellors and psychotherapists. :)

The Beginning Of A Parallel Journey

My most beloved transitional object

My most beloved transitional object

 

You may remember that a few posts ago I wrote about deciding to go ahead and do some short term specialised trauma-focused counselling, parallel to the psychoanalytic therapy I am already doing with A.

I set out on this journey four weeks ago and it’s been quite a ride thus far, but before I begin writing about said journey, let me introduce you to a new character: Z., my counsellor. I have to admit that when I met her the first time I wasn’t entirely sure about her. My impression was mostly positive, and I absolutely felt that she was someone I could work with, but there was also a little bit of fear that she might not be quite strong enough to resist my habit of luring therapists and counsellors alike down side paths and blind alleys. What I mean by that is that, in the past, back when therapy was something I was doing because someone else wanted me to do it [parents, doctors, psychiatrists], I was very very good at finding ways of showing up for session each week, skilfully avoiding doing any actual therapy.

What I did was to go in and talk about something entirely unrelated [I spent an entire year talking about ice-hockey and the LA Lakers with my first therapist], then dazzling them by intellectually linking whatever I had decided to talk about with psychotherapeutic theory. I realise, of course, that this was something I did because I simply wasn’t ready to engage in therapy, so in one way this behaviour is hardly surprising. But, at the same time, there was always a part of me that was deeply disappointed that none of my first three therapists ever pulled me up on my fairly obvious attempts at outsmarting them, and that they were instead, session after session, drawn into complex discussions about attachment theory, projective identification etc etc. I think what I was really craving was a therapist who would step into that pseudo-parental role, different to my own parents, steering a clear path in showing me that they were more interested in me than in my ability to spin intricate and dazzling webs.

It wasn’t until many many years later in my very first session with D. that a counsellor finally told me that ‘Although your knowledge is very impressive, it’s not why we’re here.’ Felt like hitting a brick wall at a hundred miles an hour and then being told that it’s pretty silly to go running at a wall, when there was a perfectly good opportunity here to learn to use the ladder that was leaning against said wall. I’m not saying that D. was necessarily the first counsellor or therapist to see through this game I was playing, or to understand the reasons for why I was playing it, but she was the first person to properly make me feel that she understood that I was absolutely terrified and that rather than allowing me to carry on defending against this fear by using intellectualisation she cared enough about me to want to help me step onto the ladder and do something different. There was no pressure to make it to the top of the wall in the time we had, but instead there was a lot of focus on acknowledging the achievement of making it onto the first step. Any subsequent steps would be a bonus.

So, knowing that I was about to begin a completely new type of counselling with Z., one which focused solely on the sexual abuse I suffered, one where talking about my parents, or being adopted, or the million other things that are part of my life and who I am, would play very little part, I was completely and utterly petrified. Thus, meeting Z. for the first time was a big deal. Naturally, meeting a counsellor or therapist always is, but I was very aware of the need to find a counsellor who wouldn’t gobble up deliciously smoked red herrings thrown their way, and so there was a lot on the line in that first meeting.

Coming out of that meeting, my general impression of Z. was – as I said earlier – mainly positive, there was still a part of me that felt concerned that her statement that she ‘wouldn’t push me to go somewhere I didn’t want to go’, might potentially indicate that she was someone who, if I wanted to, I could easily string along in an attempt to not only avoid having to go to painful places, but to avoid challenging myself to move forward at all. Like I said to my sisters after the first session: ‘Z. is someone I would have had for lunch 10 years ago’.

But the four and a half years of doing therapy with A., along with the counselling I did with D. prior to that, has made me realise how much there is to gain from doing my utmost to stop myself from going down that route. To, in a sense, stay on that ladder and keep climbing it. So, I knew that even if I was somewhat unsure of Z., I knew that I was different, as were my reasons for going into this counselling. Of course, as much as I try to consciously stop myself from hopping off the ladder, there may still be a fair amount of unconscious [or subconscious, if you’re so inclined] motivation for leading myself astray, hence, needing to feel sure that Z. would be able to spot this when I can’t.

In my second meeting with Z., many of my initial fears were laid to rest. She came to the second session with a very clear view of what she would like us to work on and helped guide me through it. This is very new to me; I’m used to doing psychoanalytic therapy, where I’m pretty much always in the driver’s seat, and it’s a real challenge to now, suddenly, let someone else co-pilot. There were some things Z. had wanted to do in the second session, which she soon realised weren’t quite right for me, as they were things I had already worked out and implemented for myself, and she swiftly adapted to this, changing course to suit my trajectory. This lead to something I would never in a million years have thought possible: already in session three I took a plunge and showed her a drawing of one of the abuse situations and talked about it. It was scary as anything, but was much helped by discussing – prior to me handing the drawing over to Z. – what I wanted her to do with it so as to not have a repeat of that session with A. where I interpreted her immediate return of a drawing as a sign that she couldn’t quite bear looking at the reality of the abuse. Instead, this time, we made the agreement that Z. would hold on to my drawing until I indicated that I would like to have it back. Z. also showed some initiative when she felt I was getting into my normal way of racing ahead through a story, as though I’m talking about someone else, with complete emotional disconnect, by stopping me for a while and asking me to reconnect and to tell her what talking about this made me feel. This is very new to me. Naturally, A. is also very interested in what I’m feeling, and often tags a ‘Can you say more?’ [one of my absolute favourite questions] or ‘Can you unpack that?’ onto something I have said, in order to coax more out of me. But, I’m not used to being actually stopped in order to reconnect several times during a session.

I had brought my beloved Doth with me to session. Doth, for those of you who haven’t had the pleasure of meeting her, is a porcelain doll I’ve had since I was a child. She was made by my best friend’s mother and she was the only person who knew about the abuse while it was going on; I used to sit with Doth, whisper in her ear the things my brother and M. made me do. So, needless to say, she is very very precious to me, and as childish as it may seem, I thought having Doth with me in session might make it easier for me to talk about the abuse, because, in a way, she has already heard it all. I felt regressing to that childhood ritual of talking to Doth about the awful things that were happening might help me overcome my fear of talking about the abuse for fear of breaking the listener.

I think this parallel work with A. and Z. has the potential to be a very good thing. I had worried that I might be spreading myself too thin, or that it would become too confusing working with two people at the same time, but for now it seems to work quite well. Also, the work I am doing with Z. is very short term, only sixteen sessions in all, and is by its very nature a lot more intense than the therapy I’m doing with A., and I am hoping to use my sessions with A. to ensure that I remain safe while I’m doing this very painful work. I have already noticed that I am again having more flashbacks than the norm, but this is something I had expected. As I told a friend of mine: ‘Doing this was always going to be a totally rubbish time’, but I am hopeful that it will ultimately help reduce the amount of flashbacks I have, and also, that it will help me go further with A.

Sixteen sessions, even if structured, is not a lot of time, especially given that I suffered abuse from more than one person, and that the abuse went on for as long as it did, so I am hoping that doing this with Z. will open the door to carrying on talking about the abuse with A. once counselling comes to an end, much in the same way that the counselling with D. set me up for actively trying to avoid throwing red herrings at A., and subsequently, Z.

 

In other words: onwards and upwards, one rung at the time.

 

Be kind to your Selves,

xx

 

Safety, Anxiety, Boundary Blurring & Progress

 

An Implosion of Emotion

An Implosion of Emotion

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

xx

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

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

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

Self-Awareness & Self-Doubt

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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