Tag Archives: learnign to trust

therapy today (really long-winded… sorry)

As much as I was dreading today’s session, it actually went ok.  I was able to tell TL that I seemed to have developed a lot of anxiety around therapy. I was able to tell her that I was in no way shape or form interested in having to be the one to continue to seek out additional services for myself (she pictured it as being “empowering” while I simply see it as a chore.  People here don’t like to return calls, answer their phones, or generally be helpful in any way when it comes to a client securing services for herself. I was a bit snotty about it, for which I feel like an ass, but I was able to let TL know that I was really tired of phone calls and playing tag with people. I was tired of begging for help for myself, and I just had zero energy or motivation to do any of it.  She seems ok with being the one to make the calls after we each explained our positions on the subject… I just wish I hadn’t been such a jerk about it)… I had hoped for some more structured and therapeutic groups, but apparently she is ok with simply having social things going on.  I told her I was not likely to go to many of them, as I had done that search myself and come up with little that seemed interesting.  I was not able to tell her that I really need something with more accountability, someplace I would be missed if I didn’t show, and someplace I could be more genuine (less “smiley-happy-normal-chick” and more of the “I-really-hate-the-world-and-myself-right-now-chick”), and find more support… She even asked if this was the kind of “extra help” I had asked about, but I wasn’t able to be honest about it.  I think part of me is still really scared about what that may lead to.  I’m still really bent on not wanting any reason to be inpatient here, especially when all they do is trap you and drug you. There’s no therapy, no support, and they treat you like you know nothing about anything.  Currently, I need more therapy, not less…

We then switched gears and TL plowed through the rest of the intake packet that I am assuming she is under pressure to have finished asap. Most agencies give therapists a month in which to complete them, and this would be the end of said month.  I say this not only because she was pretty bent on finishing it, but also because she was willing to stay nearly an additional hour to make sure she got through it all.  I’m really hoping she did not have another client in that time slot (I doubt it, because she was aware of when and how far we were going over time).  She tried to get some goals out of me, but I think I spaced. Had I been thinking more clearly, I would have identified wanting to deal with the loss of De (and other losses) as one of my goals.  I would have also told her that I need help keeping afloat at this point. She suggested animal therapy, and we covered the expressive arts therapies possibilities too.  She is open to focusing on some art therapy activities next session. She also asked about music therapy (which I said I was open to, though not all that sure what it entails).  We talked about my personal goals in life, which brought up a way to try to convey how hopeless things feel at the moment.  She also asked about how things had gone in school, and when I felt that things changed.  I realized that (at least in the moment I was speaking about it), I did not feel any connection to any of my accomplishments.  I had originally said I did not remember them, but that wasn’t accurate. They simply did not feel like my accomplishments.  I told her about promotions at work, excelling in school even while I was falling apart. She countered that I clearly had remembered them, because I spoke about them to her.  I had to clear up that they did not feel like things I had done, though I know of them because of my resume, my transcripts, and people’s stories about my successes.  I wasn’t able to pinpoint the emotion behind it at the time, but now I recognize it as feeling like a fraud.  Looking back, I feel like I must have cheated, or had someone take pity on me to be able to move ahead.  I don’t see how any of that could have come on merit…

We talked about a bunch of other stuff too, but I don’t totally remember all of it… too mundane I guess.  We ended with her reminding me she needs to ask about my safety (I had disclosed suicidal thinking and planning in our first meeting, and since then she does a safety check-in each time).  I felt like I was watching myself talk to her from behind a curtain.  Words spilled out of my mouth that I had no intention of uttering in her presence… It was very disconcerting (actually, it happens a lot with her. I tend to say more than I mean to say, and feel like I have little control over what comes out). I not only admitted to a plan, but told her what it was(?!). She checked in on the barriers to that plan, and I was honest about them. They are some very real barriers, and likely will not disappear any time soon.  I admitted that since I came up with the more solid plan, the urgency to follow-through had dissipated.  I think it’s just a “security blanket” of sorts at the moment. I know as long as the option is there, any overwhelming situation can be escaped.  If that option is gone, everything feels a whole lot bleaker and more hopeless… We ended with an appointment made for next week, and a plan to try to get me to that Yoga class on Wednesday… I’m currently feeling very resistant to the idea, but things may change by Wednesday.

I really miss having the ability to write after session and have my therapist read it before the next time we meet.  I keep thinking I want to bring it up to her, but it’s another thing I am writing in a reaction to on her part, and it will be rejection (mostly because I know that there is little out-of-session contact allowed/encouraged at the agency, and I know all written communication must be filtered through the supervisor. I’m not sure I want 2 people having access to what I write, especially since I don’t know the supervisor). It made things easier with De though.  It gave me a way to be able to express things I wouldn’t have been able to speak, and to process things at my own pace rather than within the hurried hour.  I might bring it up to TL at some point, but I fully expect to first hear “I will have to talk to my supervisor” and then hear “it would not be appropriate, see if you can bring the important stuff in with you the next session”… :/  …back to really missing De again.  I had told TL that I did not think there had been one day in the past 2+ months where I had not cried. It came up in response to something that made her try to tell me crying was ok, and can be healing… She seemed a bit incredulous about the statement, as if it was impossible for me to be that depressed (because I didn’t present that way to her most of the time? because that level of depression for that long is pretty uncommon? I don’t know)… At the end of the session, she brought up the fact that I had mentioned Ativan was the only thing that seemed to really help (especially lately). She asked if I would be interested in meeting with the psychiatrist at any point in case I was interested in getting a “more thorough evaluation”. I had told her that I had met with the guy once, and I was under the impression that he either could not or would not prescribe the Ativan to me, and that he hadn’t really been helpful in coming up with anything else.  She pushed a bit, but seemed ok at leaving the idea to marinate for later.  I had told her early on that meds and I do not get along very well (much like DBT and I). I reminded her that even the Ativan only worked because I had not taken it with any real regularity over the past 3 years.  I would like to have more on hand because it helps immensely with the flashbacks and impulsiveness, but I highly doubt that the ARNP (he’s not actually a psychiatrist, but a psych nurse with prescribing privileges) would give it to me. Most doctors will not prescribe benzo’s unless they know you, and know you do not have a drug problem.  Even on the inpatient unit, the psychiatrist initially refused to prescribe me any while I was there.  I had to beg him and underscore that I was ok with him not prescribing anything for after discharge, but that I really needed it at the time to help make my stay more manageable… It’s not a drug often used to calm flashbacks or impulsiveness, but it is one of the only fast-acting meds that can dull all of that for me.  I wouldn’t mind talking to this guy if  I thought I could get a script from him for it, but I doubt it. And I really don’t want to have to go through the hassle of trying to remember all the meds I have tried over the years, and all their out-comes.  TL suggested that he may be able to suggest something I have not yet tried, and that it may work wonders.  I stifled a laugh… I had tried every drug and class of drug that they even remotely thought might work to stabilize me back when I was in the hospital more than I was out of it.  They had come to the conclusion that I was hopeless and the only course of action left to take was ECT… I refuse to go down that road again…

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