“She’s Gone Forever”

My therapist went on leave for two weeks. I knew about this for two weeks before her break, and during that time, I didn’t think much about it. More importantly, I didn’t know how I felt about it. Like I told her in our session two weeks ago, I’m happy that she’s making time for herself, and taking this break. In Thursday’s session, she brought up her leave again, and asked me whether I want to discuss it and how I feel about it. I can’t really remember what I answered. It’s like a chunk of my memory has been erased (I’m so tired of this happening). So I don’t know what I had said. But I appreciate that she always discusses this topic, and tries to make it easier for me. She doesn’t just throw me into the deep end.

We have this special emoticon that represents a hug (not the traditional hug one). We made a deal to only use that one for us, not for anyone else. That little symbol comforts my soul, and brings a smile to my face every time she uses it. I sent her a text on Friday, as it was the last day I’d be able to until she gets back. I asked for one of our special hugs, and she sent me one. I hold onto that one simple little thing. A simple thing that means so much.

I’ve been thinking that maybe one of the contributing factors of my recent surge in abandonment fear, is due to me knowing that she’s going to be away. Even though, like I said, I didn’t give too much thought to it, I think it was stored in my subconscious instead.

It’s not about not seeing her for a session. I wouldn’t have been able to see her for a session in that time anyway. The weeks when we don’t have therapy, I’m perfectly fine with our contact between sessions. Some weeks it will only be one text or email. It’s more when I have something to say, or am feeling insecure. Sometimes I initiate it, other times, she does. Checking in. So that’s what makes her going away hard… We won’t have any contact. I miss her. And I’m sad that she left me alone (that’s what it feels like anyway). There are moments where I think that I don’t know if I ever want to speak to her again. Then other moments where I just want her to come back. I’m being selfish. And this feeds into the emotion I’ve been struggling with for the past while, which I’ll write about in my next post.

I once got asked by a friend of mine, who went to therapy for a year herself, why and how I can be so attached to a therapist. She understands attachment, but not between a therapist and client. I realized that no matter how you explain it, a lot of people won’t truly “get it”, unless they’re in the same boat. Almost all of you who have BPD have this same attachment to your therapists. I always relate to your posts on this topic. So I know I’m not the only one who gets upset and chaotic when our therapists go on vacation or take leave. Counting the days down until they return. Days that feel like weeks. It’s hard. And others don’t understand why we struggle so much with this. But they don’t need to understand it.

The words “she’s gone forever” came into my mind when I woke up this morning. I know it didn’t come from my adult self, but from the little part.

I know it’s not true though. She’s not gone forever. But why does it still feel like she is?

Social Anxiety, Embarrassment And Shame

In my previous post I mentioned how I had felt better on Friday. But that only lasted until Saturday evening.

That evening I went to Jasmine’s birthday dinner. There were 10 of us. Two of my friends (I’ve been friends with one of them for over 21 years) had also been invited, since they’re now also friends with Jasmine. My social anxiety was way up there. It was in a noisy restaurant, with the TV way too loud (sports of course). So all that stimulation, and add in 7 people I don’t know, and all I wanted to do was get in my car and go home. But I stuck it out. By the end of the evening I was exhausted.

When we were getting ready to leave, one of Jasmine’s friends made a negative comment about my hair. An overwhelming feeling of embarrassment, shame, and a deep hatred toward myself settled over me like a dark cloud.

I was already especially sensitive that night, due to what happened in group on Tuesday. I haven’t written about that yet. We were busy with the check-in’s, but before it was my turn to share, we had a break. I had a classic BPD mood swing during the break. Anger (towards myself) raging inside and actually throwing a tantrum in the bathroom when no one was in there (throwing my bag across the room- good thing there’s nothing breakable in there). And then the damn tears.

When the break was over and I got back inside, I thought “okay, I’ll share”. I was sitting next to the OT who was leading the group. I told myself “it’s safe, she’s here” (aside from my OT, this one also makes me feel like I’m in good hands). She told me to focus on someone (I chose her and another member of the group), and started. But I spent most of it looking at the damn floor anyway. I felt pressured, not wanting to waste anyone’s time, and just started talking. I know I was probably putting the pressure on myself. After the group, I felt very vulnerable and exposed. And embarrassed. What had I just done? The things I had shared, and the way I had said them, seemed all over the place, and I didn’t think I was even making much sense. Thoughts of “I shouldn’t have said that.” “I can’t believe I said all that”, “what was I thinking?”, “I’m such an idiot.”

I felt I had said too much. Shared things that I actually wasn’t ready to share. I didn’t want to see anyone, I didn’t even look at anyone for the rest of the group time. I felt too vulnerable. I didn’t feel safe after the group (I was in the self-harm “mood”), so I tried to stick around as long as I could. Basically following the OT to wherever she was going, like a damn puppy. We went to the art therapy room and I got to get my “craft” that I had done during my time in the clinic. I was surprised to see that it was still there. So that was nice. Then it was finally time to leave. I didn’t want to, but didn’t have much of a choice.

On the way home, the feelings kept washing over me, the self hatred and abuse loud and clear. I had already been feeling depressed that week, and the previous week, so this was like salt in the wound. I wanted to drive into a wall, and I got pretty close too. I tend to get stuck on thoughts, both negative and positive, but especially the negative ones. They become obsessive thoughts, and I really struggle to let them go. I don’t really know how to.

Have you ever felt this need to have someone hold space for you when you feel you just can’t do that for yourself? Because you feel you don’t deserve it, and maybe if someone can just hold it for you for a little while, you’ll be able to take it back when you feel stronger? I want someone to hold that space for me, but I feel completely alone and abandoned (even if it’s not actually true, and I’m just seeing it through negative eyes right now).

Right now, at this very moment, I feel like I’ve just given up on fighting. I don’t have the strength or energy. I’ll just go through life and take the blows. I’m depressed as hell. I don’t like people right now. Yet I want them. I don’t like me. But I wish I could.

I feel guilty for being me. Ashamed of who I am, and what I’m not.

Inside & Outside

My outside doesn’t match my inside.

I can talk about my emotions. How I’ve been feeling. How I’m currently feeling. To everyone else, it looks like I’m okay. Yet in those moments of talking about my feelings, my outside doesn’t reflect how I’m feeling on the inside. There’s a disconnect. And I don’t know why, or even how that happens.

In group today, when it was my turn to share, I told them a little bit about my experience on Friday, and how I’m still in that dark place. In our session last week Tuesday, OT told me I need to open up more in group, and use the time to its fullest. Therapist told me the same thing. So tonight, I tried. It was terrifying and extremely uncomfortable, but I did it. But once again, my true feelings didn’t match the way I spoke about it.

At one point during group (when someone else was talking about something), I had to leave and go to the bathroom because I could feel tears starting up. I don’t know how long I was in there, but I couldn’t stop crying. Then I intentionally this time, shut down those emotions. I walked out like nothing had happened, and went back to the group. Yes, I know. I probably should have stayed. Instead, I was rude and selfish.

One of two things happen when I talk about emotions and what I’m struggling with. Either I feel it all inside, but it doesn’t show on my face, as if I’m two different people. Or I just shut down completely and become numb. And the worst part is that 99% of the time, I don’t do it intentionally. It happens automatically.

Do any of you experience this? And how do I move past it?

I’m still feeling terrible since Friday. All I can think about is death. I see, and feel it all around me. I’m having nightmares. The kind that haunt me, and show up out of nowhere throughout the day. Like flashbacks. I get frustrated. After all, it’s just a dream. It’s not real. But then why does it feel so real? It’s past events, but with a twist. Like memories, mixed in with current fears. Some of these fears are those that I never even knew I had. I’ve also been struggling a lot with anxiety. I’m living off my Benzo’s (I’m not overdoing it- just enough to cope).

I feel disconnected from everyone and everything.

24 Hours With BPD During A Crisis Phase

I have a general trigger warning sign posted in the sidebar of my blog, but I feel this post needs to come with an additional warning as it contains more references to suicide and self-harm than usual.

On Friday I woke up feeling depressed, and exhausted… As if I hadn’t slept at all. It felt like I had a block of concrete weighing down on me. I had zero energy, and what usually takes me 10 minutes to do, became 30 minutes. I was moving in slow motion.

I keep a Post-It pad next to my bed, because sometimes I’ll wake up in the middle of the night with an idea or something I need to remember. Before going into work on Friday, on one of those Post-It notes, I wrote what I was feeling. I usually use Pacifica (an amazing app to chart your moods, with lots of additional features) to track my moods. But on Friday I didn’t want to even look at my phone.

Somehow, it turned into me writing notes on Post-It’s (which I have in my bag as well) for the duration of the day. I wrote the times on the notes as well, after each “episode”, but they’re not exact times of course. So I got to document one of my low points for a day, and the crisis phase that was hot on its heels. Reading it back, it feels like a dream. I can’t remember writing half of these notes. I’m not going to post everything that I wrote down during the day, just the most significant things. There are some things that I want to keep to myself for now as well. I’ll add some current things in brackets for some of them. I don’t know why I wrote them in present tense.

09:30 – Don’t want to be here. I’m tired and not in the mood for these people. Just want to be alone, and in bed. It’s noisy and chaotic. (It’s the same everyday. It makes me so anxious being there. The energy in that place is chaotic and stressful. They’re up and down, in a highly out of control way, complaining about everything and everyone, arguing, etc. For a highly sensitive person, that energy, that environment is a nightmare.)

10:45 – I hate him! I wish he would just disappear forever! Can’t he just go one day without acting like he rules the fucking universe? (This is obviously referring to the man who calls himself my dad. I stashed the notes in my jacket pocket so he wouldn’t see them.)

11:10 – Can’t stand it anymore. Get up and go outside. (There’s a place behind the back of the building where no one goes. It’s my “secret” place.) So angry! Want to scream and break things. Maybe just my hand.

11:45 – Panic attack. Want to take Ativan but they’re in my damn bag in the office!

(I was very irritable for most of the day, with mood swings ranging from frustration, anxiety, a brief period of mania, sadness, and depression, and back again. Crying too much. Don’t want to, don’t want anyone to see. No one tells you how exhausting it is to live with BPD symptoms.)

16:20 – Phone clinic, ask for OT. All OT’s already left. She’s lying. (receptionist). They just don’t want to talk to me.

19:00 – Write blog post about current emotional state. Falling even deeper into the black hole. Thoughts of suicide running rampant through my mind, growing stronger by the minute.

19:20 – Status update on new, private Facebook profile. Supportive comments from those closest to me. Comment from (Uncle). Stake through my heart. Can’t trust him anymore. Bond broken. He hates me. He’s never going to talk to me again and will cut me out of his life. I don’t care! Panic. I need him! He can’t leave me! Maybe I can talk to him. I don’t want to lose him. Don’t want to talk to him.

19:30 – “Unfriend” him. Delete post from blog. Want to delete entire blog. Probably not a good idea. Shouldn’t be making any compulsive decisions while in this state. Vow to never reveal my feelings to anyone ever again. Start typing Therapist a message to tell her to cancel our session on Thursday, and that I’m not coming back. Before I can send it, throw my phone on the bed in frustration. Can’t.stop.crying! Add Uncle on FB as a friend again.

21:30 – Want to phone Therapist. It’s weekend. She doesn’t have her phone with her. She hates me. She probably talks to the others on weekends. I need to send her something to make sure we’re still okay. Well, I’m mad at her too. I’m going to quit therapy. I’m going to stop going to groups. I want nothing to do with Therapist and OT anymore. They hate me! I’m so mad at them. Don’t want to lose Therapist. Why am I panicking? It’s not real. She’s not going to leave. But why does it feel like I’m in trouble? I’m not mad anymore. I love her. I’m a burden to everyone.

21:50 – Phone suicide crisis line. Get told to take deep breaths and go take a hot bath. I don’t have a bath, or hot water right now! Why isn’t she listening to me? The more I try to explain how and why I’m feeling this way, the more she cuts me off and throws advice at me! Crisis lines are shit. Where the hell do they find these people? I shouldn’t have phoned. Thought I had learned my lesson the previous time! (When I was told by the guy on the phone that he’s going to hang up because he has another call coming in). Not going to happen again. This time I hang up. Rage. Want to throw my phone against the wall. Hit the wall with my fists instead. Dissolve into tears again.

22:00 – Too much pain. Self-harm is the only other solution I can think of. Cut. See the blood start forming. So beautiful. Relief. Thinking about carving a few “tattoos” on other places on my body. The desire to see more blood is overwhelming. Want to see more blood than a few measly drops. It’s Winter. No one will be able to see. Want to kill myself. I’m definitely going to end my life tonight. I can’t possibly survive this time. Mind racing through different ways to go about it. I have a plan, but if that fails, I need something else to complete it. Read through suicide forums. Lots of ideas. But also lots of failures. Fuck! I can’t even die in peace, without it maybe going wrong! What if the man who calls himself my dad blames Therapist, and ruins her career? What if he goes after her and hurts her?

22:20 – Here come the tears again. Sobbing on the floor. Can barely breathe. I don’t want or need anyone! Maybe they’re all in on it together, and laughing at me. I’m the joke. I can’t trust anyone. I mustn’t. Panic attack.

22:40 – Take 4 Benzo’s, instead of my usual 1.

23:00 – Calm. Numb. Floating far above my body. Drifting.

09:30 – Wake up. Eyes feel like lead. Head pounding. dissociative cloud hanging over me. Feels like I have a hangover. What if no one is real? What if it’s all a dream?

09:45 – See Hope Box. They’re all real. If they didn’t care, they wouldn’t have bothered to write these messages for me. (This self-soothing box usually helps me during the usual suicidal ideation times, but not when I’m as far gone as I was on Friday evening. This is when I need someone to help ground me, because I’m unable to soothe and ground myself.)

I’m still feeling fragile today, but just glad to be out of that chaotic state.

It’s been a busy social and work week for me. I only had one day that I didn’t spend with anyone, but I spent all of that time working. I’m starting a wedding photography business with another photographer, so we’ve been working hard to get it up and running as soon as possible. It’s a lot of work starting a new business. Went out for dinner with potential clients. I’ve been working non-stop, with a few social coffee breaks with Jasmine and some friends from group.

Being an introvert, this is a challenge. I’ve been burning myself out. Even working the whole weekend last weekend. I realized that this “crisis” has been creeping up on me slowly. And when it hit, it destroyed everything in its path.

I realize that I need to take better care of myself, and have a proper plan in place for these times. It’s terrifying being in that space of utter despair. This time really shook me, and made me see the urgency of making a safety plan.

I don’t phone Jasmine (the one person who understands me, and what it feels like to be in that state), because when we were still together, we tended to trigger one another. We decided it’s better not to talk about self-harm and suicide. But now that we’re just friends, and don’t spend nearly every moment together, it’s easier. I spoke to her last night and we discussed being on one another’s evening “crisis list”. I need to choose my people wisely, because a lot of people will just make things worse. With Jasmine, there’s no platitudes, just understanding, care and empathy. She listens more than she talks. Which is what we need during those times. She’s also the only person who’s available in the evenings, when most of these moments happen.

I really need to take better care of myself and notice the signs that I’m starting to go downhill. As for working for the man who calls himself my dad, I’ve created a playlist of soothing, relaxing music. I don’t need to answer phones, so I can put my headphones on, and drown out all the noise. I also have to learn and practice how to balance working hard, with some down time where I don’t think about work every moment of every day. As for my social life, I’m going to be more careful about how much time I spend with people. Too much of a good thing… Quality over quantity.

Took the whole day off yesterday. Put my phone on silent. Stayed in my PJ’s, reading, writing and watching Frasier and other shows on Netflix. Meeting my group of friends for a lunch date today. We’re going to her place and making our own pizza and Glühwein (which I’ll have very little of). That’s going to be interesting. I’ve had a full day of being alone yesterday. So I think I’m ready for this. But next weekend I’m taking the whole weekend for myself. I’m exhausted.

Dependence On Therapy

Since we’ve started working together, my therapist has mentioned quite a few times, that she doesn’t want me to become dependent on therapy. Whenever she’d say that, I’d feel uncomfortable and get defensive. Even though she would tell me that she didn’t say I was dependent on it, I still took it as an attack. And I think I have figured out why it bothers me so much. Deciding to see a psychologist (or any mental health professional) is terrifying. I was terrified when I first reached out to my therapist. Deep down inside, on an unconscious level, I felt ashamed.

Even up to today, that shame is still there. It’s died down a lot, but a few fragments of it still exist. The man who calls himself my dad contributed to that most of all. He’s told me so many times how some people need therapy, while others have strong minds, so they can deal on their own. How do I take it? I take it as him telling me, and thinking, that I’m weak because I’m getting help, when I should just suck it up and get on with life the way he does. So here my therapist is telling me that she doesn’t want me to become dependent on therapy, and in my mind it sounds like an affirmation that therapy is “bad, so you shouldn’t get used to it”. I know that’s not what’s being said, but that’s the way my overly sensitive, reactive mind takes it.

I see now why regular therapy sessions are so important. It’s not about being dependent on it. How do you become dependent on the process of therapy? It’s damn hard sometimes, and even if I’m okay during a session, it hits me afterward and sometimes I just want to crawl under the covers and shut the world away for the rest of the day. There were many times that I didn’t want to have a session. Where I wanted to cancel. But I knew that those were probably the times when I should have one. So I didn’t cancel, no matter how much I wanted to.

I read a lot of your blogs, and from what I’ve read, the majority of you have weekly sessions, some of you twice weekly, and you’ve also expressed a hesitation and even downright resistance to attending a session from time to time. So I know I’m not alone in this.

As my therapist mentioned during our short phone call on Monday (which was strangely helpful, which I didn’t expect it to be- mostly because I didn’t know what to expect in the first place), I need structure. I thrive on it. I feel unstable, and everything feels chaotic without it. My nervous system feels under threat. When things are structured, I feel calmer.

When I had 3 therapy sessions a month, I felt more secure. It felt more structured than it does now. Now it’s just all over the place.

Sometimes we open up a topic, but there’s not enough time in a single session to really delve into it. Then having to wait two or three weeks, I don’t want to talk about it anymore. I don’t want to talk about something painful, difficult and shameful, and have two or three weeks go by before we can pick up on where we were. It feels like something is lost, and it gets disrupted. I know that the nature of therapy is that just because it seems something has been worked through, it might come up in future sessions again. Sometimes we think the work may be complete, only to discover that it actually isn’t.

Even when I write down things to discuss in the next session, it’s not quite the same. Those emotions that I felt, that were so extreme, die down, and it feels pointless to talk about it. If I do talk about it in our next session, those emotions are a distant memory, and I talk about the situation, or whatever it was, without really connecting with my inner world.

I think it’s important to have that safe, consistent space every week. I don’t show up just to see my therapist. I show up because I want to do the work. If you’ve got a physical illness that requires you to see your doctor every week for a checkup, does that mean you’re dependent and happy to go for those checkups every week? No. You do it because you know it’s important.

In keeping an open mind, if a person can become dependent on therapy, is that necessarily a bad thing? We’re dependent on work for an income. Which enables us to live, to pay rent, have food to eat, etc. So why would it be any different with therapy? The purpose of therapy is to help you heal and to craft the life you want to live. To help us grow, giving us valuable tools in order to function optimally in life. We’re still doing the work during and between sessions. But knowing that the next session is only a few days away helps, as you can more easily bring up any observations, experiences, etc in the next session, as it will still be fresh in your mind. Which, brings that sense of continuity.

Of course, right now I can’t afford to have regular therapy sessions. But when I’m able to, I’m definitely going to invest in it. The point of this post is just to share my view on how I don’t believe that one can truly get “dependent” on therapy, and why I think regular sessions are so important. I’m grateful for my therapist, who really tries to bridge that gap between sessions, and keep the therapeutic relationship safe and secure, which has been so helpful.

A while ago, I heard someone say that attending therapy is a form of self-care. I hadn’t thought of it that way before.

It will be interesting to hear your thoughts on this. I like hearing different opinions and view points, so please let me know what you think about this topic.

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