Date of session: 16/09/2020
Please be aware some content may be triggering. This post will be discussing self harm. Though I will try to avoid discussing methods it may become apparent with other things mentioned. Please take care. 💚
Today’s therapy session has left me feeling annoyed and frustrated. If I’m honest there is also a bit of resentment in there too I think. I feel like I’m repeating everything from my assessment and it has become obvious that this is because the psychologist has not read the background mentioned in the assessment. I understand have to explain a little but when she said she had no awareness of my living situation or my issues at home this annoyed me. Why did I bother with the assessment? Surely it’s there to help them know something about me before it is discussed. Like I said I understand going through some things but the basics at least should be noted.
I also feel I’m getting no new methods to help me. Everything is a repeat of things I already know and understand. For example today when asked at the beginning I mentioned my issue with sleep. She then asked if I knew about and used sleep hygiene to which I responded that yes I did know about and use it. We then spent nearly fifteen minutes going through each item of sleep hygiene to find out I’m doing it all, which I’d already said, and that it was not something we should focus on. When a session is limited to 50ish minutes and there are a finite number of sessions this feels wasteful.
We also discussedy self harm. This was also documented in my assessment but seemed to be a revelation to her. We discussed the seriousness of the current level of self harm. We looked at how things could go wrong with the self harm I am doing and how even a slight mistake could end my life. In all honesty I think she was expecting this to bother me. It didn’t. With my current mood that would be a blessing. She asked me how important stopping was to me and the honest answer is that at this time it doesn’t bother me that I’m self harming. Then I think she wanted to make me bothered by telling me we would definitely not be doing trauma therapy with this level of self harm. I’m angry about this as the assessment knew all this and still recommended trauma therapy. Plus my psychiatrist believes without trauma therapy the things they want to be better for me to do it won’t get better without it.
With regard to the self harm we also discussed about the use of DBT skills to help, in particular distress tolerance skills. I was able to explain that I find this unhelpful as my self harm is not impulsive which is what these skills seem to be aimed at. I was grateful that the psychologist agreed with me on this matter. I’ve not had much support with this idea elsewhere.
Currently I’m feeling trapped in a cycle which I don’t know how I can get out of. I feel like noone is taking into account what needs to happen to move things on or it is not being discussed between professionals. It’s making me lose hope. It’s making me wonder if there is any point to anything. We shall see how it goes I guess.
Technology was an issue again today with us being cut off but I did receive a phone call after this.
I was lucky that straight after I was able to have cat cuddles to help me calm myself.