I Hate the Therapeutic Relationship – C: Week 25

I don’t hate this bizarre relationship because I hate C – quite the opposite today, as it happens, but I’ll get to that later.  What I hate is the power this one individual can have over me; he has the power to make me go about smiling, or, alternatively, to leave his office seriously contemplating throwing myself in the local lough.

I can hardly bear the thought that I am so spellbound by him.  It’s even more annoying because he doesn’t consciously try to captivate my fragile consciousness; his mission in his interactions with me is to try and help me to manage being mental overall of course, but I very much doubt he sets out to influence my moods on a week-to-week basis.  Yet he does.  I would hate anyone having this level of control over me, let alone someone I don’t even bloody well know.  Transference is a pile of shit.

Anyway, it was a good session, despite it being the first one I’ve had in a month.  I was expecting it to be thoroughly unproductive, the way it had been the last time we were reunited after a lengthy separation (where we had to ‘get to know’ each other all over again), but it was actually fairly comprehensive.  I was also surprised by the intensity of relief that I felt when I saw him again.  After stating that I’d hardly missed him in this post, I now realise how much I actually did.

That didn’t mean that I wasn’t nervous though.  It’s always odd after not seeing him for a bit, I tend to feel anxious each week anyway and I’d been up until 1.30am reading the Paul Gilbert book for my ‘homework’, and I was worried about telling C that I thought the suggestions therein were a pile of crap.  Luckily for me, mindfulness and DBT weren’t mentioned directly at all today.

As ever, things commenced with the two of us staring at each other.  I really, really wish he’d just take the lead sometimes.  I understand why he doesn’t – he wants to afford me the opportunity to bring whatever’s on my mind to the fore – but I always feel awkward about speaking first.  I could theorise as to why – he is he ‘authority figure’ and I don’t want to open my mouth without permission, maybe? – but it doesn’t really matter.  Eventually, he recapped on what we had discussed in the last session, which had essentially been a mega-vituperation on my part about the failed meeting with VCB’s SHO.

So I told him about my meeting with VCB last week, and about the fact that she had increased the Venlafaxine.  I sighed.  “I understand why she can’t give me additional medication at the same time as she increases the dose of anti-depressants,” I acknowledged, “but I just don’t think it’s all I need.”

He enquired as to what it was that I felt I did need, and I advised that I felt mood stabilisers and anti-psychotics were probably necessary.

“But she’s a consultant psychiatrist and I’m a Wikipedia-qualified one,” I shrugged, “so what do I know?”

I thought about this later and am annoyed that I berated myself in this manner.  I’m not going to sit here and say, “oh, well, I should be taking Seroquel and Lamotrigine plus Risperidone” or something.  I don’t know the specifics of medications relative to the symptoms I present.  But I do know how I feel, and quite honestly the VCB doesn’t; I can try to verbalise it to her, but words never really grasp it.  The only ones that can begin to understand it are other mentals.  In any case, C had once told me, when I whinged that he – not I – was the expert, that I was “the expert in myself”.  I can agree with that, and so maybe the VCB should damn well listen to my wishes next time.

C must have responded with something to the effect of, “so you’re still not 100% satisfied with the service?” because I remember replying that I was waiting to see if she actually bothered to see me in six weeks as she said she would before I passed judgment.

He nodded thoughtfully.  “And what about here?” he asked.

Uh-oh.  I hadn’t prepared for that one.  On the one hand, I can hardly say, “I am completely platonically [is that a word?] obsessed with you,” without feeling like the world’s neediest cock, and on the other, I can’t say, “sorry C, but there are times when I want to claw your fucking eyes out.”  But there’s no point sitting on the fence and saying something vague and meaningless like, “it’s alright.”

So I avoided the question by pretending not to know what he meant.

“Well,” he started, “what would you like to achieve by coming here?”

Um…maybe not to feel completely mental/depressed/manic/like a freak all the time?  What the fuck does anyone want to “achieve” in psychotherapy?

I committed that most cardinal of sins in C’s gospel, and came out with a load of intellectualised diagnostic analysis.  In short, I said something along the lines of that as I understood it, bipolar disorder can only be treated medically, save for recognition of triggers and whatnot, but that BPD could be treated through psychotherapy, so I wanted to be able to control it, not have it control me.  I made some sort of disclaimer in order to pre-empt the inevitable whinging about labels, but it didn’t really work.

He nodded in his characteristically musing way, and said, “OK, but in saying that I’m wondering if you’re avoiding how that feels for you?”

I wonder, can you have figurative (as opposed to literal, obviously) eyes?  If so, then I rolled them.  You’re nothing if not predictable, C.  How does that feel.  What are your feelings about that.  How might you interpret that feeling.  Feel this, feel that, feel the other [ooh-er].  I feel that feelings feel like something I don’t want to fucking feel.

[/rant]  Where was I?  I said that I wasn’t trying to avoid how that feels for me; I was merely using the diagnostic terms as short-hand for a particular set of symptoms.

“But you’re still conceptualising it,” he argued.  “Can you tell me the specifics?”

I hate it when he gets me in a checkmate situation.  Other than saying ‘no’, I had no means of avoiding the question.

But then I get angry with myself, because in this type of situation I then try and answer the question in a rational, robotic sort of way, and if he were then to accuse me of avoiding something in doing that, he would be right.  But I just can’t make myself be more expressive with him.  It’s all very well for someone to say, “oh you just have to do it,” but fuck that, I can’t just switch [whispers] emotions [/whispers] on, at least not so ostensibly as to make them obvious to C (or anyone else for that matter).  It’s just so far removed from my normal character that it’s presently inconceivable to me.

Anyhow, I told him that my goals were (a) to be able to functional socially because I either overcompensate with people by behaving in a manic and frankly arrogant fashion or I panic like fuck and completely withdraw into myself, and (b) to be able to return to work (though almost certainly not to my present job after last week’s OH, but that’s another story).

“That’s been my primary motivation,” I said.  He went to reply, but I had taken a second or two to think about this so I interrupted and said, “look, do you know what – it isn’t.  My primary motivation is to stop feeling like shit all the time.”

We discussed the social and work situations in a bit more detail, but there was little of consequence in these conversations, bar C’s perception (which is probably accurate) about my terror of scrutiny (more on this again later), but for some reason (I can’t remember the entire session with absolute clarity) the conversation eventually returned to the VCB.

C said, “she called me shortly after I last saw you.  I said that you had valid reasons for being dissatisfied with her service…”

Ha!  Hahaha!  Up yours, VCB!  This made me very pleased.  I interrupted him and said, “yes, she made reference to the fact that she knew I had been upset.  I expected an explanation and an apology, but I got neither.”

I don’t remember his specific reply to that, but what he did say is that he continued to VCB that I had had “an extreme emotional reaction” to her negligence (for that is what it was).  He continued in this vein for a few minutes, searching for words.  Pleased Me disappeared a bit.

“What you are trying to say, in a convoluted and roundabout way,” I spat, “is that I overreacted.”

“Um…well, I guess so, yes,” he reluctantly conceded.

“Hmm.  Perhaps so,” I admitted, “but if that’s true, then there were a hell of a lot of people that also overreacted.”

He winced a bit.  “I don’t like the term ‘overreacted’,” he said.  “It’s invalidating – it implies you didn’t have good reasons to feel disappointed and dissatisfied, and you did [pleased again].  It has negative connotations.  Can we not call it that?”

I prefer to call a spade a spade, and he knows that, and in this case I am of the belief that the spade was called ‘overreacting’, not ‘experiencing an extreme emotional reaction’ or whatever label of wank you wish to apply to it.  (Christ, I am still surprised by the level of physical disgust I feel at using the word ’emotion’).  Nevertheless, he was supporting my viewpoint in a way, whilst not wanting to condone the use of a carving knife – which I suppose is all he can do.

“I don’t choose to go completely mental, I just do,” I protested.

“Of course not,” he reassured, “but you recognise it when it starts though.”

“We go round and round in circles on this all the time, C,” I sighed.  “I know I say it all the time, but self-harm is quick and it works.  As for doing something as elaborate as I did that day, it was reflective of how I believed VCB [not that I called her that to him] felt about me.  Not that I felt that later when I was more rational, but you know what I mean.”

“There’s a few issues here.  Firstly, I don’t want you to think that I am sitting here completely condemning self-harm out of hand..,” he enforced this point a few times, then continued by saying, “I don’t think that [openly condemning self-harm] would be…helpful.”  Which obviously means that he does condemn self-harm but just doesn’t want me to know it.

“Secondly,” he went on, “everyone around you seemed to have a major reaction to this appointment – if you can begin to recognise your negative symptoms, and you have this support, is there something more meaningful you can do with them?”

“A suggested calling the Stephen Nolan show,” I said, apathetically.  “But I’m unsure as to what extent I want my mental health difficulties broadcast all over Northern Ireland by an obnoxious, odious git [said git being Nolan, not A].  A was still the most rational amongst the triumvirate of him, Mum and me, though.”

I thought about ranting about VCB on this blog.  “It was suggested that I write a strong complaint and/or go to an advocacy agency by people that read my blog,” I told him, in reference to these comments.

C’s ears pricked up and he suddenly seemed quite animated.  “Yeah!” he exclaimed, with evident enthusiasm.  “I think those are both really positive ways of translating that intense anger and disappointment.”  He babbled on about the advocacy services for a bit (well done, cbtish and bourach – C loves ya!).

“Yes, fair enough,” I agreed, “but what do you want me to do?  Be fucked over and not have some immediate reaction?  Do you want me just to immediately say, [puts on robotic voice] ‘I shall now phone Rethink and forget the fact that I am actually quite upset now’?”

“Of course you’re going to have an immediate reaction,” he acknowledged, again.  “But can we develop tools to take the edge of that, so as you can get to the point where contacting Rethink is viable?”

Why, yes C, yes we can.  We can use a knife.  Simples!  But in this case I didn’t bother to argue; I knew he wanted to say more, and we can revisit these so-called tools and play our little circular game again pretty much any other week.

“A third point [re: above comments on VCB] is that when you’re feeling less emotional [FUCK THAT FUCKING WORD] you feel differently about how you’re perceived.  Is it possible that there’s part of you trying to empathise with or reassure yourself?”

I made some cursory reply, then sat staring at the (empty) noticeboard behind his desk, stroking my chin in a stereotypical exposition of thought.

After a few minutes he unsurprisingly enquired as to what it was that I was “mulling over in my head.”

What I was considering was whether or not I should tell him about Tom.  The references to a ‘reassuring me’ reminded me of Tom – as I had stated in the relevant post, it was my prediction that C would say something like Tom represented my empathetic, understanding self.

I told C that I was mentally debating whether or not I should tell him something.

He asked about the content of the psychic debate.

Me 1:  He’s your psychotherapist, you stupid cunt – just tell him.

Me 2:  Go and fuck yourself.  If I tell him, he’ll be appalled and he’ll hate me.

1:  Don’t be so bloody stupid.  Do you honestly think he hasn’t seen worse?

2:  How the sodding blazes should I know?  I can’t take the risk.

1:  LOL.  Come on, it might benefit C to know this.

2:  No it won’t, he’ll hate me and then he’ll abandon me.

1:  Look, he fucking won’t.  This is his job!

2:  Yes, and it’s also his job to refer people who are disconnected from reality to relevant experts.  He’ll be all nice to my face, then he’ll close the door as I leave and he’ll go, “Jesus Christ, I’ll have to palm that fucking nutjob off onto someone else!”

1:  If you honestly think that, then you really are disconnected from reality.

Etc.

“So,” C began, “you think it might overwhelm me?”

“No no no,” I insisted (no doubt he was reminded of all the stuff about me protecting him).  Then, tentatively, “I just…I don’t want you to think I’m any more of a freak than you already do.”

He laughed at this, which I took to be a reassurance; he obviously thought my contention that he thought I was a ‘freak’ was silly which in turn, presumably, suggests that he does not think that.

“And you think it will ‘benefit’ me?” he queried, apparently a little perplexed by this contention.

“It’s not going to benefit you personally,” I answered cynically.  “It’s not going to enrich your life [he laughs].  I mean that it may benefit you in terms of your interactions with me.”

He probed a little bit more, and I answered his questions honestly but with deliberate omission of reference to Tom.  His interest was particularly piqued when I said, “I have a theory as to what you’d say about it if I told you.  I’m not sure if I agree.”  Eventually, the poor man just sat there looking completely confused.

Is this a tactic?  The last time I completely confused him by avoiding telling him something, I later felt so totally guilty about it that I apologetically confessed all in the next session.  Maybe he’s pieced that together.  Maybe not.  Either way, it worked; I felt bad about bewildering him, took a deep breath and said, “I’ve got an imaginary friend now.  He’s called Tom.”

I don’t remember his exact reaction, but he did say something acknowledging – without judgment – Tom’s ‘existence’.

I hummed and ha-ed a bit then told him that, “I was employing childish terminology to avoid saying the words, ‘I’ve started hearing a voice’.”

A long and, I think, fairly productive discussion ensued.

He asked how I “experienced” Tom.  I didn’t know what it was that he wanted know by his use of this term and asked for clarification.

He said, “well, if someone came here and asked me, ‘how do you experience your interactions with SI?’, I might say, ‘we meet once a week, we talk about things that are troubling her, I ask most of the questions…'”

I interrupted and added, “…’and she fails to answer any of them…'”

He laughed, and then sort of gestured for me to continue.

I tried to explain the same stuff that I had done on my last post here, the one about Tom.  I even told him about the debate in the comments section of said post, wherein my commentators and I discussed whether or not Tom was a psychosis, and whether or not I did believe, deep down, that he is real.

cbtish had provided what I thought was a good analysis of the reality, or otherwise, of Tom.  I told C that, in sensual terms, Tom could be considered as real as anyone that I encountered.

“But,” insisted C, “I’m not experiencing him.”

“Here’s not here at the minute,” I argued, being deliberately obtuse.

“Yeah, but you know what I mean.”

“Yes, but you take my point.  I may know he’s not real, but he certainly seems real to me.  An objective reality – if such a thing exists – may be different from my subjective reality, but I can only experience things subjectively, just as you can only experience things from your subjective position.”

He nodded, then grinned in rather cavalier fashion, and said, “we’re going to have to get a philosopher in here.”

“There’s no need,” I chuckled, “I already subscribe to solipsism.”  (Kind of).

“The thing is, people have this perception that those who hear voices hear persecutory voices,” I continued.  “Tom isn’t like that.  He’s…nice.”

I paused, disgusted with myself for using such a pathetic and inadequate adjective.  “I’m sorry,” I told C, explaining why.  “I’m trying to avoid bad language – you know [whispers] empathetic…reassuring [/whispers]…”

“…understanding…” C added, humouring me by also whispering, with a slight sardonic smile.  I nodded.

He mused for a minute or two, and then he said – wait for it – he said, “maybe Tom’s a part of you.”

I threw back my head and laughed heartily – perhaps maniacally.

“I knew you would say that!” I shrieked, jabbing my finger at him.  “I knew you would!”

He smiled broadly, but nonetheless he was clearly a little bemused.  I regretted behaving so oddly shortly after doing so and managed to calm myself.

“I don’t know, maybe you’re right,” I conceded.  “But why he is a bloke in his 30s?  Is it because I don’t get on with people my own age?  Is it because I don’t get on with myself?  Is that why my mind wants to invent random people to hear?”

(An aside – is Tom trying to emulate C?  Is he like a permanent, completely-my-own C, unlike the real C?  I didn’t suggest this to the real C, of course.  But Tom’s characteristics, insofar as a disembodied voice can have characteristics, are not totally dissimilar to those of C).

He shrugged.  “There’s any number of theories,” he said, “but all that really matters is that you’re experiencing it.”

C was rather taken aback to hear that Tom is outside my head, perhaps seeing this as a refutation of the suggestion that Tom is ‘part of me’ (not that I think that does invalidate that idea especially).  I complained that I have a running commentary between at least two voices in my head at any one time, but these are clearly me arguing with myself.  Of course, this – in at least a rudimentary form – will have been quite obvious to him before now.

We also spent some time discussing the delusions to which I alluded in the ‘Tom post’, in particular the hidden video camera thing and my fairly recent accusation to A that he was colluding with GCHQ.  He asked if I believed with 100% conviction that these things were real in the moment.

Regarding the GCHQ allegation, at the time I would say I believed it with the strength required in a criminal trial, ie. that I believed it beyond reasonable doubt.  As far as the video cameras went, I believe(d) that one “on the balance of probability”, in the moment.

“And you believed the day of the problematic psychiatric appointment, with absolute sincerity and however briefly, that VCB [not that he called her that] hated you,” he said.

“Yes.”

“It’s like the time you told me about the sun watching you.”

“Yes.”

“Scrutiny.”

“Yes.  But why do I care what people think of me?  Why?”

I (literally) rolled my eyes.  “But that’s too big a discussion for now, isn’t it?”

“I’m afraid we are going to have to leave it there for now,” he told me.  “But we’re back to once a week now, we have eight sessions left of our current contract, and I don’t think there’s any gaps from my side before Christmas.”

Yay!  Assuming that he holds to that, that kind of makes up for the annoying month-gap that I’ve just been through.  I am (pathologically) worried that the sessions will come to an end after the eight sessions in question, but he did assure me last time that we would spend at least four sessions preparing for any end to my psychotherapy, so at least if he gets it into his head that I’m well enough to be discharged (not that I think he’s that stupid), I can disabuse him of that idea in advance.

Anyway, although we didn’t directly achieve anything – how can you in one session – I felt we covered a lot of ground today (well, yesterday now – it’s 1.40am on Friday), and I am quite pleased that I was able to get up the courage to discuss the psychotic symptoms with him.  And I am reassured by his reactions to same.

So I like C today, but as I said, it’s rather disturbing that he has such power over me.  Such can be the nature of therapy, I suppose, and indeed of transference.  Better, though, to experience that and see some sort of strong alliance between us, than to feel nothing other than ambivalence about the process.


Bookmark and Share

Advertisements

9 Responses to “I Hate the Therapeutic Relationship – C: Week 25”

  1. gee, what a great and indepth post. i can see that C really makes you work hard. Thats the thing I find so difficult about the therapy, that the therapist gives me no answers, but merely guides me to find my own.
    thanks for shating that with us
    Lissy

  2. You’re a fantastic writer. I was on the edge of my seat in a kind of voyeuristic way, comparing your therapy sessions to mine. I’m proud of you for sharing Tom with your therapist (btw it would be very interesting if Tom showed up at a therapy session). I know it was very difficult for you to bring up Tom, just like it was difficult sharing with my therapist about how my dead boss was telling me all about what it was like to be dead. But in the end, I was glad that I did. And I bet you’ll be glad you did too. Share, that is.

  3. BTW I added you to my blogroll on my blog. I hope you don’t mind. If so, please let me know and I’ll remove you.

  4. I listen to you describe your experiences with Tom and, of course, C’s response. I bounced on the position of solipsism, that one’s mind is all that exists. And then I augment metaphysical solipsism, epistemological solipsism, and methodological solipsism. Where is good ole René Descartes when you need him.

    I no longer see a psychiatrist or a therapist. It has been approximately seven months since I have been in active treatment. I will say that there are times when I would come to miss my interaction with my therapist. In my scenario, the two professionals did not work hand in glove with the other. I saw my psychiatrist strictly to maintain my dosing, and after many trials and errors, discovered that a combination of lamotrigine and olanzapine proved effective. With the extremes of the BP abated somewhat, I then tried concentrating on using therapy to work on BPD.

    Therapy has always been a bust for me. I started out with CBT before BPD was diagnosed and I really felt I was spinning my wheels. I was disappointed because I really thought this was something from which I could benefit. Perhaps I was just paired with a therapist with whom I could not click. Then, after my last admission, the psychiatrist told me to seriously seek out a group well versed on DBT so I could start addressing the BPD. I made a valiant effort to immerse myself into this small group. It was divided up into two separate sessions each week. One was a one-on-one session with my DBT therapist; the other was a small group exercise session (no more than five of us and we stayed together as a cohesive group—no one dropping out and no new ones dropping in for long-term continuity). My initial one-on-one sessions with the DBT therapist were something at which I wanted to make an effort. What I had been trying with CBT wasn’t working—again, it may very have well been the lack of connectivity between the two of us. However, as soon as I entered the group DBT exercise group, I lost all faith. I just couldn’t buy into their mindfulness crap. It seemed so “new age.” I felt I never accomplished the intended goals of any of the exercises. It just seemed like bunk theory. Moreover, when I would feel dissociative periods coming on, I really did make an attempt at practicing mindfulness only to end up laughing at how ridiculous the whole concept was. So I gave it all up. The last time I saw my psychiatrist, he wrote me 90-day scripts with three refills enough to last a year. Oh, sure, I was supposed to check in with him at three-month intervals for med checks, but I always found an excuse not to go.

    Now I am off all my meds (have been for about two-three months now) and I am in full throes of BP and BPD. I know I need professional help, but medical insurance coverage, even through my employer, is a joke. The US has such a poor concept of what providing affordable, quality health care should really be. So many other countries have a much better grip on how they handle providing medical care for their citizens. Therefore, for financial reasons, I am cut off from receiving quality mental health care and I fear what that spells for me in the long run.

    SI, at least for the interim, you have a relationship with C, albeit charged with (and yes, I am going to use that fucking word emotion!). I have no support structure, no measuring stick to see how I am faring day-to-day. I just know that I am treading upon the slippery slope of hopelessness. There are times when I want to be responsible and take back control over my life, yet with all that I see happening around me, I just become farther and farther removed and disconnected. I take heart in your commitment (what a poor choice of words here, huh!) to work through your issues with professionals, despite how the actual individual experiences affect you. I have no one with whom I can talk at length about the real issues I know I must face in order to take my life back. And, it always comes down to the obvious—I simply no longer care what happens because I know exactly where this long, dark road is taking me.

  5. I think you’re very brave to tell him about Tom and to be honest. Being honest in therapy sucks. I do the arguing in my head thing too – I’m not sure if its worry that the serial killer will reject me or it’s just humiliation about the entirity of my mentalism.

    It was good he validated your anger about the VCB – that’s really helpful even with the yucky emotional bullshit. I just wish therapists would understand that self harm is a useful thing – it cuts out all the bullshit and is one of the few really honest things one can do.

    He does work you hard but I’m really proud of you for coping with it. Go you 😉

    Lots of hugs xx

  6. Wow. I think you did good. 🙂

  7. C might love me, but I don’t love C back.

    With subjects like self harm and your reaction to the VCB, C’s starting point should be an accurate understanding of how you feel, but instead it sounds like he won’t allow himself to go all the way there — he doesn’t ever ‘get it’. He allows himself to understand to a limited extent, but then holds back on the rest, so that afterwards you write things like, “We go round and round in circles on this all the time,” and “He winced a bit.” The effect of this is that although you can trust him enough to have conversations about many things, he creates barriers that make every conversation you have unsatisfactory in some way.

    I don’t know whether the barriers he creates are deliberate or whether they reflect lack of skill. Perhaps, for example, his therapy training taught him to withhold empathy and he is deliberately doing what he believes to be right. Or perhaps he has his own personal issues that he lacks the skill to deal with in your sessions, and that he needs to work through with his clinical supervisor.

    This makes C’s remark about Tom very paradoxical: “I’m not experiencing him.” C refuses to experience anything you bring to therapy. That’s what give him power over you.

  8. Bloody hell, you lot were quick off the mark! Forgive me for not replying individually on a ‘proper’ basis, but in this catch-all comment instead…

    @Lissy – thanks very much for that – I appreciate it. I completely agree; therapy is incredibly hard work and it can be frustrating to have to ‘search within yourself’ rather than have the therapist do it for you, yet I suppose that is the point really; he or she acts merely as a facilitator. It’s a hard process as I’m sure you’re very well aware, but I do hope you’re finding it a worthwhile one (as, broadly speaking, I think I am). Thanks again 🙂

    @Crazy Mermaid – thank you so much for your kind words, and of course I don’t mind you adding this blog to your blogroll – as soon as I’ve finished typing this, I’ll add yours to mine too, if that’s OK. I do really enjoy your writing too, so it’s not just a reciprocal gesture. An yes, I glad to have confessed to C. I feel kind of reassured by it. Thanks again 🙂

    @Alix – CBT didn’t work in any way, shape or form for me either. To be fair, it was with a previous therapist with whom I did not have an especially strong relationship, but (with apologies to cbtish and anyone else that may read this that is interested in that type of therapy) I don’t know that that was just it. I found the actual structure of the therapy patronising, idealistic and profoundly avoiding the core problems. At best, as far as my experience goes, it treats the symptoms (it didn’t in my case as it just annoyed me), but even if you have the skills to deal with them in future, that doesn’t necessarily mean that the unexplored reasons for mental ill health (if there are any) have been confronted. To be fair, it’s obviously very effective for some – but not me.

    I hate DBT less; I think there can be validity in Eastern philosophies (and there’s even a bit of Western thrown into it as well – Hegel, for example). Having said that, to date I’ve found the presentation of DBT in basically all literature to have been similarly patronising to CBT, and if there’s one thing I can’t stand it’s being patronised. C, correctly, has detected that I have mixed feelings on it, but I wish he wouldn’t harp on about it – though in fairness I’ve never made my disdain completely clear, as I am always desperate to avoid offending him, even though I rationally know that’s daft. Anyway, yes, I can totally get trying to engage with this stuff then just falling about laughing because it is ridiculous. One week C tried breathing exercises with me in session, and I had to fight not to laugh.

    Anyway, reading what you wrote does show me how valuable my relationship with C is. I know I spend a lot of time whining and bitching about him, but I hope people know that I don’t really mean it; I do strongly appreciate him. I know things are very difficult for you at present, and I am really sorry to hear it. I know the NHS is far from perfect – if you look through some of the archives of this blog, you’ll see some very vicious comments about it – and to be honest, if I could afford it, I probably would take out private health insurance. Having said that, I am, overall, incredibly grateful for the service when I compare things to the situation in the States. Is there no sort of voluntary service that could help you with therapy or medication? The situation really sucks, and I just wish I could say more to help. Please let me know if there is anything I can do. Take care of yourself.

    @bourach – Thanks hun, and yes, there’s certainly an element of humiliation about discussing things like this from my perspective too. Obviously, I agree re: self-harm. I do understand why they can’t be seen to totally support it – I guess it’s always possible someone will end up doing more harm to themselves than intended and end up dead – but nevertheless, it’s frustrating. This is one case where the VCB trumps C; she doesn’t seem to give a shit. Even when I showed her my miserable suicide attempt from slitting my ankles the other week, she didn’t seem bothered – she merely queried whether it was actually really about offing myself (it was) or whether it was just more elaborate self-harm.

    Still, I can see C’s position, and although progress is quite markedly slow, I do think it’s being made. Sometimes I don’t agree with that assessment, but overall I think the hard work will eventually make some difference – as you’ll appreciate, there’s almost certainly no such thing as a cure, and I don’t know that I’d want it even if there was. Take care pet.

    @thesamesky – thanks very much hun, I appreciate that 🙂

    @cbtish – I think you’ve made an interesting point here, and my boyfriend, A, would probably agree with a lot of what you’ve said. Perhaps it won’t surprise you to find that I’m going to defend C, however.

    I think you are right and that a lot of the time he doesn’t fully understand how I’m feeling, but I really feel that that’s more about me than about him. Maybe as a clinical psychologist he should be able to read beyond the cold exterior that I present to him, but then I have been practising this facade (and to be fair I think it is a facade) for over 20 years. I remember my old boss saying to me once that, as a trained social worker, she could always tell what I was thinking. The actuality was that, although she was remarkably accurate with most people, she was almost always wrong with me. She never believed that despite my insistence, but she really was.

    So anyhow, he’ll ask me how I feel, and I might try to put it into words, but if I ever feel like I’m starting to show it, I start playing games with him. It’s arguable that he should be skilled enough to bring me back to that situation, of course, but when he tries then I just get angry (not that I lose it with him or anything, even though I’d love to at times). Though maybe I need to express that too, who knows. Whatever the case, I can’t bring myself to show him how I’m feeling – mostly.

    He will tend to remind me that I’ve broken down and wept or got pissed off or whatever in the past, and that’s true – it’s more than I’ve done with almost anyone else, A partially excepted. But nevertheless, I have almost never behaved in a fashion that really strongly emulates the inside turmoil.

    Once I did. I basically sat and wept for the whole session (I think it was before I started this blog). He was gentle and patient with me, and I have to say that I felt nothing other than empathy. I kept apologising for being such a wuss; he accepted that but gently advised that he really didn’t think I needed to apologise to him.

    I’m not saying that it’s all my fault and that C’s perfect – far from it, and after all, the construct is dyadic, so it’s certainly not all about me. But I do think a lot of the points you raised more accurately reflect (to use a term bourach used in her blog some time ago) my strategic chess-like game of defence moves (though I’m no psychologist nor therapist, so I could be completely mistaken). I do wish I could stop doing that, and I think I’m making progress towards doing so – but it is gradual. Anyway, thanks for your comment – it is food for thought.

    Thank you all – it’s been interesting, reassuring, thought-provoking and engaging to have read your thoughts on this post. Thanks again, take care, and hugs to all of you xxx

  9. Actually, I’ve been thinking about things a wee bit more since my earlier replies. Re: cbtish’s contentions – I’m not going to disagree exactly, but when one has been through this – https://serialinsomniac.wordpress.com/2009/09/02/a-half-life-in-therapy-the-fabled-post-of-therapists – I am of the belief, genuinely and (I think) objectively, that someone like C is worth their weight in gold.

    He’s not perfect, but he is by far the best psychotherpist I’ve ever had. And whilst 13 years’ experience is less than some, it’s still over half my life, so I think it’s reasonable for me to make some sort of judgment..?

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: