Category Archives: therapy

Therapy 2021: Session 5

Date of session: 02/02/2021

Please be aware that some of the content may be triggering. Please take care πŸ’š

Today was my last session of individual therapy. This will be more of a thoughts on things post as there was not much content to the session to be shared. The main part of the therapy today was to do a screening for joining a trauma information group in March.

With the end suddenly happening (it was only mentioned last session, last week) I feel abandoned. I feel I have no support. I feel alone. They say phone the duty worker or crisis team. These are options I can’t do due to my home situation and the anxiety that means I don’t feel able to talk easily to staff I don’t know. Also I know that someone who mans the duty phone is someone I put in a complaint about and so I was removed from her care. She has since blatantly ignored me when I offered a hello when I saw her in the building of my community mental health team and turned her head away from me. She has also said some things for which the complaint was made. I’m terrified it would be her that answers. I have lost so much support in the last year.

I know I’m lucky to move onto this group but it’s a stop gap. I’m apparently not safe to do online trauma therapy so this is a trauma information group. This will just give us eight weeks of generic information about skills. For this I have to be low risk and stable. So that is what has been said while I’m not safe to do the one to one. I find this confusing.

I’ve not self harmed for seven weeks. I hate myself for this. The anxiety is high. But I’m expected to just be OK. That’s how it feels at least. I just want to harm again. I feel it wouldn’t matter anymore. No one would check on it. And so what if I go to far. It wouldn’t matter.

I know I sound pathetic and I probably am. But I’m angry and upset. Maybe I should of left this post for another day but I needed these thoughts out before I explode at someone. Especially as I’ve been told by someone else something that has annoyed me and left me feeling even more left out and alone. It’s left me with suicidal thoughts (I’m safe and won’t act on them). I’m tired of being made to fight so hard.

I apologise for being self pitying. We shall see how the trauma information group goes when it starts in March. I’m unsure if I will record this or not. For now this is the end of therapy.

Therapy 2021: Session 4

Date of session: 26/01/2021

Please be aware that some of the content may be triggering. Please take care πŸ’š

Before this session I had homework to do. I left it until the last minute due to feeling ill and tired most of the time. I also knew it would be hard as it involved identifying emotions at some level. This is an area I find hard and frustrating. I also had to build a new safe place to use to do this. This I resented. I did it the night before.

At the start of the session, as always, I was asked how I’d been over the last week. I said about the pain and tiredness. She asked how I’d been doing with the self harm and I replied I still hadn’t self harmed since before Christmas. She was pleased with this. I am less so at this time. She also asked how my dissociation had been which I always find hard to answer as I’m not always aware when I’m dissociating. I explained a couple of things and she said it sounded more like acting mindlessly rather than dissociating. I’ll agree to disagree here but hey ho.

We then moved on to look at the new safe place I had created and went through all its sections and the different senses that related to it. I won’t discuss my safe place at this time as I’m not sure it is a wise thing right now. She was happy with the place I’d created and the use of senses. She then asked about emotions and feelings in the body. This is where I had difficulty and this made me feel uncomfortable and annoyed (anger and annoyance I can identify, though not always accurately in others). She now wants me to keep going through the safe place when I’m not stressed to see how it reduces feelings and calms me. Then move on to practicing it when I think of a mildly irritating scenario. At the moment I’m in a constant state of anxiety so we will see how we go.

After this she wanted to discuss next steps. She had, had her supervision meeting and discussed about doing further trauma work with me now I wasn’t self harming (a prerequisite I had been given). It was now decided it was still to unsafe to do the trauma work online due to my high score on the DES (Dissociative Experience Scale) as she wasn’t in the same room as me. I understand this to an extent but it feels like I have to somehow get better so I’m the right level of ill. I can’t be too ill, but I can’t be too well.

The above led me to having to make a decision. We could do another couple of sessions winding down and then leave it until face to face was an option or I can join a trauma information group in March for eight weeks and next weeks session would be my last individual session. I explained I would have to consider the timing of the session and how it would impact on my family as its a two hour course. I had some less than pleasant comments in response that left me incredibly upset, including “the group will go ahead with or without you” and “you’re lucky to be offered this so soon”. I don’t dispute how lucky I am, I just needed to consult others as I’m not the only person it will effect. She knows of the difficulties at home. I was told to just be assertive.

After the session I was in tears. I felt some of the comments were unfair. I had not turned it down flat, just explained that I wasn’t sure I could do it due to the issues in my family. But then I was an awful person. I feel now something that may be paranoia but also may not be, which is that this has all been to leave me without support and the world knowing how awful I am. I’m still not feeling great in regard to this. I have considered emailing the psychologist but I’m also scared too. It has triggered a lot of feelings of fear of abandonment.

I have managed to arrange that I will be able to attend the group of the offer is still open. We will see what happens next week.

Therapy 2021: Session 3

Date of session: 19/01/2021

Please be aware that some of the content may be triggering. Please take care πŸ’š

Since my last session I have felt incredibly unwell mentally. My anxiety has been through the roof, especially with regard to the homework she set, and I’ve had many flashbacks. I’ve not slept particularly well and felt very sick. This is where we started the session.

My homework had been to wish for my psychologist to get ill everyday. This made me feel particularly ill. It was to prove to me that I have no control over people getting ill. And I understand that and rationally know its true but I’m not there on an emotional level yet. The psychologist had not been ill, or at least she told me she hadn’t, and tried to reassure me. It had also brought up ideas that maybe this had been to prove how evil I am as well. The psychologist started to think maybe this had been a step too far too soon. We may go back to this at a later date.

The main point of today’s session was to create a safe place for me to go to mentally in my mind. This didn’t go particularly well and I think the psychologist saw this. I do feel I should have been guided better with my choice as its far from appropriate now I look back at it and at the end of the session it was suggested I might try somewhere else that is calmer. I feel because I was being asked to use emotions to find the safe place I misread it all. I find emotions so hard to place. I was totally lost with it.

I’m trying so hard in these sessions. I’m continuing not to self harm. I know it’s going to be more difficult before it gets better but at the moment I’m struggling. I feel so alone. I feel noone can understand this. Feeling constantly on the edge of panic is exhausting. I’m so tired right now.

Therapy 2021: Session 2

Date of session: 12/01/2021

Please be aware that some of the content may be triggering. Please take care πŸ’š

This session was an incredibly difficult one. I still feel very unwell from the session even after over 24 hours after the session. Many things were covered.

We started the session by looking at how I am doing with not self harming. At the time of the session I was on day twenty eight since I’d last sef harmed. I explained it was still causing me extreme anxiety that people will become ill. I explained I’m trying to keep going over the rational side of things but it is hard, especially before sleep. We talked again about the rational side and things I can do to make my bedtime easier. She then set me the hardest thing I could think of doing at this time. She wanted me to wish for her to become ill each day.

As soon as she said this to me I felt physically sick. The thought of saying that I want anyone to become ill is just so against what I think and feel and do. I’m still finding it hard to comprehend and my first day of trying it has left me feeling even more physically unwell. I understand the point is to show me I don’t have the power to make people ill but I’m still scared.

We also looked back aty results from the Dissociative Experience Scale (DES) that I completed in the last session. It came out pretty high at 85% out of 100% which says I’m dissociating a lot of the time in different ways. We looked at specific questions I scored highly in more detail so she could get a bit of a more in depth understanding about my dissociation. Problem with this though is that when you dissociate quite often not aware of things so it was tricky.

We also completed the IESR questionnaire which looks at the effect of trauma on my life. This consisted of twenty two questions related to how much certain things, linked to trauma, effected me in the last week. I scored fifty three which is apparently quite high and suggests PTSD (Post Traumatic Stress Disorder) which is stressing me to the point it impacts on my immune system. So it’s nice to know I score highly somewhere… πŸ˜• Above thirty seven identifies PTSD. Apparently it was not surprising I scored highly. It was a difficult questionnaire to do.

All the things I’m doing now are working towards starting proper trauma therapy. I’m feeling really apprehensive about it all at the moment. Life is feeling extremely difficult and I’m working on finding new ways to cope. We shall see how things go.

Therapy 2021: Session 1

Date of session: 05/01/2021

Please be aware that some of the content may be triggering. Please take care πŸ’š

Today was the first session of the new year after having a two week break. Its been a hectic break that has brought up a lot of issues.

Before Christmas it was decided that I would try and stop self harming. I haven’t self harmed since the day before our last session on the 16th December 2020. That means I havent self harmed for three weeks. She was pleased with this. I have struggled with the anxiety this has brought me.

With an OCD element to my self harm, it means stopping creates anxiety especially surrounding the health of those who are special to me. I believe if I don’t harm myself they will get ill. This has been tested greatly as my mum became unwell and was hospitalised only days after stopping. My friends son has also been unwell and this has added anxiety of whether I’ve caused his illness.

Within the session today we discussed this and did an analysis of all the times my mum has been unwell and whether my self harming behaviour could of been related. Obviously, when you look at it rationally, it turned out it was just a 50/50 chance. Rationally my self harm wasn’t having an effect. Also she pointed out that I was trying to manipulate the facts to fit with my thoughts or as she put it “your OCD”. It has given me a lot to consider. I can see the rationality but believing it is hard.

We also did a questionnaire to start working towards trauma therapy. As I have experienced dissociation she wanted to see how it effects me. The questionnaire we did was called the DES or Dissociative Experience Scale. It was interesting to go through as it made me see that maybe some things I experience are dissociation rather than normal. I didn’t get the results today but will discuss next session.

I don’t know what the sessions ahead will involve but I’m sure they won’t be easy. Thanks for all the support I get. I feel I’m learning a lot.

Therapy 2020: Session 16

Date of session: 16/12/2020

Please be aware that some of the content may be triggering. Please take care πŸ’š

Today was my last session of 2020. It was also meant to be the last session of this course of therapy but that has changed and will be now continuing in the new year.

Yet again the anticipation of the session was overwhelming. In all honesty I’ve just felt incredibly tired since last week and no idea what else I have felt. I’ve not really had the time to investigate what I’ve been feeling either.

Today we looked again at the stopping of self harm. To do this we looked again at the motives behind it and how I feel when I try to stop. The huge anxiety it gives me. This made her more sure this was now an OCD behaviour. We looked at intrusive and obsessional thoughts and how they relate to my thought patterns. I did get a little frustrated that I wasn’t being understood.

Because of looking at this as an OCD behaviour it has meant we are going to look at a certain way of combating this. I think it was called habituation and changing the way I see it from a need to a want. We looked at what is classed as a need and what is classed as a want. It did leave me feeling guilty about my self harm. There will also involve a behaviour experiment about what might happen if I don’t act on the thoughts.

Part of the habituation means giving up the self harm and riding out the urge and the anxiety it causes. This feels scary and my anxiety started to creep up just talking about this. It was edging on panic. The thought of losing the self harm is scary. I’m terrified. I have to log everything about how I feel, what I think, what I do to distract/help myself and how long the anxiety lasts. Apparently anxiety shouldn’t last more than 40 minutes. This is not my experience but we shall see.

This time of year is hards for me. Part of me wants to say this isn’t the right time to stop but is it just another excuse? I’m dreading later on when I don’t do it. Will I just be a failure either way?

I have two weeks to see how I go. Two weeks until another session. I hope not to be a burden to others. I’m hoping I don’t compensate with other behaviours I use to ease anxiety. We shall see.

Therapy 2020: Session 15

Date of session: 09/12/2020

Please be aware that some of the content may be triggering. Please take care πŸ’š

In this session we discussed my self harm. It’s the barrier to me gettting proper trauma therapy. I had a decision to make whether to just carry on self harming and forfeit trauma work or give giving up a go.

Before the session I’d tried to write down some questions and thoughts linked to this. It started off OK but I spiralled down into self doubt and hatred. Please see the image for my thoughts.

In the session I discussed some of these thoughts. We talked about how the intention to try needed to be sincere but trying to give it up could continue alongside some prepatory work for trauma therapy. This means that in the new year I will have another four sessions at least and see where we go from there.

This has made me feel all sorts of things about myself. Hatred is very much in there, towards myself. I’m defensive of the self harm even though I know it isn’t healthy. I have discussed some reasons behind it with therapist.

We also looked at the year and a bit I managed to have without self harm and how that happened. We went through if there was anything significant at the time. We discussed some behaviours and thoughts and I was told it very much sounded like Obsessive Compulsive Disorder (OCD). This is something I’ve tried to discuss before with professionals and been dismissed over so it was validating to have it recognised.

This is where we brought the session to an end as we’d already gone over the fifty minutes by half an hour. Next week is my last session of the year. It will probably be a crucial point. We shall see.

Therapy 2020: Session 14

Date of session: 02/12/2020

Please be aware that some of the content may be triggering. Please take care πŸ’š

Getting round to writing about this session has taken a while. The session left me in a highly emotional state and it took time to get that under control before I could even begin to process the session. There will be holes in this as some personal things were discussed that I’m not ready to share.

The start of the session was taken up with starting to think about what will happen after my time is up as I’m only meant to have another two sessions. There was a discussion of trauma based therapy and EMDR but this won’t happen unless I stop self harming completely. This has left me with some choices to make and things to consider. In the session I felt myself becoming very defensive around this conversation. It’s something I need to work through before next week.

We did the usual scale of how I am and I just couldn’t think how I was. It’s been a tricky week but it’s not been the worst. But I don’t feel great. It’s all very confusing to me. I really don’t feel I have a handle on this at all.

We then went back to the formulation we’ve been working on to look at my core beliefs and whether things have changed. And when looking at them and working through it, they have to an extent. Instead of using evil to describe myself it’s gone to bad but I also added in that I’m a burden. My core beliefs when related to other people have also changed though this was harder to look at. It really showed black and white thinking in my world which is hard for me to acknowledge most of the time.

This therapy has definitely made me see that a BPD diagnosis does fit but it has also made me start to question whether something else is not quite right too. This again is something I need to look into.

We seemed to make progress in this session and where I had written out some things after the session last week, I shared some of this. That was never my intention but I found it helped me explain things so she understood it better. She seemed to find this useful too.

I’m finding my issues with language surrounding events is still there and it makes me extremely uncomfortable to hear certain words. I know I shouldn’t be scared of words but I am. This is part of the reason I became highly emotional at the end. The session did seem to end suddenly though and I don’t feel that helped. But it could also be that I started to dissociate.

Overall it was one of the better sessions in that I feel progress was made, even though I’ve felt awful ever since. A technology glitch may also of helped in that the video link wouldn’t work so it was all on the phone and I couldn’t see her. Let’s see where next week takes us.

Therapy 2020: Session 13

Date of session: 25/11/2020

Please be aware that some of the content may be triggering. Please take care πŸ’š

I’m not sure how this post will go or if it will make sense due to my current mental state. Please bear with me.

I felt very unwell going into the session today. I’ve had a bad week and struggled a lot. I’ve not felt “with it” and have withdrawn from most people.

We started the session with a recap of where I am with self harm. This has not improved but has not worsened. She then suggested looking at some things linked to trauma. This took me by surprise as we haven’t touched on it for several weeks. I could of done with some warning. It was very hard to discuss. She seems to have a habit of making guesses that are spot on in her examples. This does make me feel like something is connected.

A lot was spent looking at trauma and it’s link to my core beliefs. There was a lot of memory recall required and my brain felt ready to explode and became a mess. I felt I couldn’t get things out right. I felt I was making little sense. I felt overwhelmed. The voice started.

I felt myself becoming more and more separate. I talked about dissociation. We looked at things I can do to bring myself back. They are things I’m aware of. Making use of senses and mindfulness. This is what I need to practice over the next week.

I feel utterly drained after the session. I’m not completely with it. This is all I can manage. I’m sorry.

Therapy 2020: Session 12

Date of session: 18/11/2020

Please be aware that some of the content may be triggering. Please take care πŸ’š

The usual dread of therapy still was present before the session. I had left my homework until the last minute in what I think was a rebellious “I’m not going to do it” followed by “I can’t not do homework”. I always have done my homework. So I did it and we didn’t look at it.

We started with the usual “How’s your week been?” To which I answer not too bad. Which we decided was me dismissing what had in fact been a god awful week. So we needed to explore this and I was asked again how my week had been.

We discussed some issues and talked about my feeling of separation from others. We looked into how it might be a mixture of depression and dissociation. And based on the events that had happened she thought dissociation was likely the biggest issue.

We carried on with the formulation that we have been doing. This is about exploring core beliefs and changing them. Today we looked at how recent events affected them. We spent most of the session on this.

Finally she had some words she wanted to share about my current situation and the effect of my mental health. I understood them and I’ve heard them before. If only things were simple.

My homework this week is to practice identifying emotions regularly. I’m dreading it as its something that I find so hard even using the pro forma from DBT. We shall see how it goes.

This week’s review is a little shorter as the things discussed were very personal and not something I can currently share. I hope you understand. Thank you.