Life in a Bind – BPD and me

My therapy journey, recovering from Borderline Personality Disorder and Generalized Anxiety Disorder. I write for welldoing.org , for Planet Mindful magazine, and for Muse Magazine Australia, under the name Clara Bridges. Listed in Top Ten Resources for BPD in 2016 by goodtherapy.org.


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Reblog-ish: “Summer reading and listening”

Cq94IkVWAAAuKF1.jpg largeAlison Crosthwait is a psychotherapist and writer living in Toronto, and over the last few months I’ve had the joy of not only reading her open and thought-provoking posts on her website, ‘The Good Therapists‘, but also of occasionally corresponding with her and sharing ideas. I hope it’s accurate to say that I think we both get excited by creativity and ‘projects’, and back in April we did our first live Twitter chat on the subject of therapy breaks. It was our first experiment in taking a therapy-related subject of mutual interest, and tackling it each from our perspective of therapist and client, by simply letting a dialogue unfold*. One could argue that the therapist has the advantage here as they have experienced ‘both sides’ of the equation – they have sat in both the therapist’s and the client’s chair!

Alison herself sometimes talks about her own experience as a client in her writing, and she is movingly honest about its emotional highs and lows. Reading and writing about both the therapist’s and the client’s perspective continues as a theme in her latest post on ‘The Good Therapists‘, called ‘Summer Reading and Listening‘. She writes: “I’m on holiday diving into an elaborate reading plan combined with a lake view for the next couple of weeks. If you are also in a late-summer reading phase here are some therapy-related writings I have come across lately. No deep thoughts or surprising twists in this post. Just shout outs to people doing great work.”

I am thrilled to be included in Alison’s post and list of ‘shout-outs’, and am excited to look into her other recommendations as well. In her short post you will find two reading suggestions of material written by clients – a blog and a book; and two reading suggestions of material written by therapists – again, a blog and a book. There is also a recommendation of a new podcast (and a video), by a therapist.

Reading Alison’s post also reminded me that it’s been a while since I have written a ‘book review’, and there are at least a couple of recommendations I would love to share, in due course. In the meantime, if you have some reading time left before summer is on its way out (what an unwelcome thought) – do take a look at Alison’s recommendations, and ‘The Good Therapists‘ website itself!

 

*It’s worth making it clear that this was a dialogue about therapy, not a ‘therapeutic discussion’ of the kind one might have in session. It was intended as an exploration of an interesting subject from two different viewpoints, and we were very clear and specific about the fact that it should not, at any point, start to ‘become therapy’. I must admit, I found that aspect of it harder than I thought it would be!

As this post and Alison’s were prompted by thoughts of vacations and the end of summer, I thought I would gratuitously start this post by including a photo of somewhere I visited recently that had a very calming and relaxing effect on me and was a moment I will treasure from this long summer therapy break.

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A new experience of mother, Part 5

Just before our summer break started, my therapist told me that she now has an ‘internal ally’ – who is my ally too – and I know that she feels that that is making all the difference. This ally advocates for her and reminds the various parts of me that she exists and that she is on my side. My therapist knows that when she is trying to get through to me, particularly when I am distressed, there is now someone inside me who is also reaching out for her, and wants to take in what she has to offer. However many parts of me are angry with her, or feel betrayed, or want to act out or push her away, she knows that there is also a part that is capable of noticing, analysing, standing back, and keeping close to her. A part that wants to talk to her about what is going on, and who sees her as an unwavering ally, too. That part is the one who has the task of trying to be my own ‘new mother’ to my younger parts, as described in the previous ‘installments’ of this post.

I think it’s also true to say, however, that there is another aspect to this internal ally. I’m now better able to internalise my therapist herself, and to hold on to her and keep her real as ‘new mother’, even when she is absent. The sense of her ‘within’, is a powerful comfort and motivator; and one of the ways in which my own ‘new mother’ part reassures my other voices, is to remind them of my therapist’s caring. My therapist as ‘new mother’ sustains, builds and nurtures my own growing ‘internal mother’, and she in turn reminds the other parts of me, of my therapist’s presence, because she can hold onto it, even when they can’t.

In ‘A new experience of mother, Part 4‘, I said that these experiences of a ‘new mother’,  both between me and my therapist and me and my ‘younger parts’, were completely interlinked. But they are not just interlinked, they each make the other possible. And what makes both of those things possible, is the very concept of seeing myself as consisting of various ‘parts’, in the first place. As highlighted in ‘A new experience of mother, Part 3’, it is my own ‘internal re-organisation’ that has facilitated these ‘new mother’ relationships. Before I was aware of those parts, I inhabited each of them, in the moment, as if they were ‘fully me’ and as if their viewpoint was my only reality. There was no distance or distinction between my feelings, my perceptions, and what I believed to be true. Seeing myself as composed of certain ‘parts’, has created a new and bigger space, a space with more possibilities. It has created the possibility of lots of different perspectives existing at the same time, even if one particular one is at the fore in a specific moment. It has created the possibility of a vantage point from which to observe the parts and their interactions with each other and the outside world, and to think about them and talk about them.

This then, finally, is the difference between ‘talking about things’ and ‘acting them out’, that my therapist has been trying to get across to me for so long, and which I never quite understood. Without an awareness of the different parts, and without the existence of an ‘internal ally’, there was nothing to stop the child, or the teenager, from taking the wheel and communicating what they had to say in whatever way they wanted. Their ways were sometimes indirect, provocative, self-centred, resentful, testing, boundary pushing, and completely driven by their experience of ‘old mother’. This not only made it difficult for my therapist to respond to me – on occasion it actually manoeuvred her into responding in exactly the ‘old mother’ way I was expecting. She sometimes spoke of me creating traps for her to fall into – traps that were essentially recreations of dynamics I was familiar with and was unconsciously trying to re-enact. This was illuminating, for a while, in that it showed her quite vividly what my previous experience had been like. But there is only value in that information, if it can be used to help break the pattern and find a new way of relating. And my own experience of these ‘parts of me‘ gave me a way to break the cycle of ‘acting out’, and instead to start talking about what I was feeling.

***

This has been a five-part post – I’ve spent a great deal of time and a great many words talking about something that is one of the most significant parts of my therapy so far. But I don’t want to give the impression that now that I’ve taken on board this concept of a ‘new mother’, everything is suddenly ‘fixed’. Having an internal ally and being able to keep hold of new mother has definitely made a difference to my summer therapy break. I’m half way through the six week break and for the first two weeks I felt connected to my therapist every single day and there were no resistant or resentful murmurings at all from my ‘inner parts’.

But more recently I have struggled again with internal battles, though on a much less intense scale than before. Although I still feel connected to my therapist, last week it felt as though my inner parts ‘woke up’ and I could feel them going on the defensive (or offensive, depending on the part). I wasn’t sure what to do about them; even worse, I wasn’t even sure I wanted to do something about them. The internal ally felt weak, and the temptation to let whoever wanted to, act out whatever they wished, was definitely there. But the ally was weak, not non-existent; and in many ways this reaction did not surprise me. I always feel much more antagonistic towards the end of a break, in the expectation and frustration of waiting to seeing my therapist again; I get the sense that it’s a form of backlash from the parts who resent the separation and who have spent the break feeling ‘unheard’. Although I am only half way through this break, my therapist and I had a couple of phone sessions this week, and so I think that this waking up of my various parts occurred in anticipation of this ‘reunion’ of sorts.

Though I had been afraid that these internal battles might mean that I would sabotage the phone sessions (or at the very least, that I wouldn’t fully engage with them), they ended up feeling comforting and productive. As described in ‘A new experience of mother, Part 4‘, what made the difference was an ability (which I still have not got used to) to be completely open about how I was feeling; and therefore to stay in that new space, the place of perspective, rather than inhabiting a ‘part’. I talked about the specific ways (which I felt ashamed of) in which a part of me had been thinking of sabotaging our phone sessions. I said later on in the conversation that I was worried about how to bring this powerful and frightening part into sessions in September. My therapist pointed out that by talking about her and her thoughts and desires, I had already done that. Bringing her into session, in this ‘new mode’ in which we’re operating, doesn’t mean turning all my thoughts, actions and feelings over to her; it means ensuring she is heard and that she has a chance to speak – and this new ‘internal ally’ is the best interpreter she could have.

***

One of the most significant things that my therapist pointed out during our phone conversations, is that my internal landscape has changed, a new part has been introduced, and that is bound to stir things up a little. I hadn’t really thought of it in that way, even though we had talked about this ‘internal ally’ before. I think I had thought of this persona as some sort of ‘overarching identity’ that I was trying to build, rather than as a ‘part of me’, similar to the others. And perhaps both pictures are equally valid. It is certainly the case that I can feel the internal landscape being redrawn and rebalanced, and I understand it better; and I think the presence of this ‘ally’ is making that possible.

This growing part is allied very closely to my therapist; and she has formed a much better relationship with certain parts of me – the inner child and teenager, for example. But there are still parts that are ‘out on a limb’ as my therapist put it – aspects of myself I have never really accepted as belonging to me, who still have the ability and desire (as they quite clearly showed me during this break) to undermine, disrupt, and destroy. Parts with which I have little relationship and as yet little understanding of how to reach. But I know that these alliances and experiences of new mother, both within myself and with my therapist, are going to enable me to reach those parts and build those relationships, even if the process is painful and slow. We just have to get through the September post-break  ‘reunion’ onslaught first – given that I’m anticipating it, that almost guarantees it will come in a form and from a direction that I’m not expecting! I must admit, I am more than a little afraid – but also curious to see how the next year of therapy will unfold. Most of all, I’m looking forward to what this developing  and fulfilling experience of new mother (both internal and external) will bring.


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Three lessons I’ve learned about choosing a therapist

I have been wanting to write about the subject of choosing a therapist for some time; I’m passionate about sharing with others, what I feel are some important lessons I’ve learned about this subject, through the therapeutic process itself. I’m very grateful to welldoing.org , an independent counselling and psychotherapy directory, and information resource, for being interested in my ideas and for publishing my article ‘What you want isn’t always what you need in therapy‘, which can be found here:

http://welldoing.org/article/what-you-want-what-you-need-therapy

I hope this is helpful to you if are thinking of starting therapy, if you are wondering whether to continue, or if you are simply looking at where you are in your current therapeutic journey, and are thinking about how you arrived at that point!

 


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A new experience of mother, Part 4

At the end of  ‘A new experience of mother, Part 3’, I wrote about how my therapist’s own words about the ‘mothering’ that she offers me, have been a constant source of comfort and security, and a reminder of who she really is.

It’s important to add to this that they are also an indirect reminder of who she is not. The concept of experiencing my therapist as a ‘new mother’ really sunk in for me when I finally realised that she is not like my own mother; that she does not and will not behave towards me, in the way that my own mother did and does. And that realisation precisely mirrors the way in which I first made a positive connection with the ‘teenage part’ of myself (as described in ‘A new experience of mother, Part 1‘). She (my inner teenager) finally realised that I am not like my own mother, and that I don’t behave like her either (or at least, not most of the time!).

As I was writing ‘A new experience of mother, Part 1’, I was frequently struck by the parallels between my relationship with my inner parts, and my therapist’s relationship with me. I realised that these two experiences were not separate, but completely interlinked. We were both trying to be ‘new mother’ to an often distrustful and angry child with a short memory, who acted out to feel loved – and all of a sudden I could feel a great deal more sympathy (and empathy) for what I had been putting my therapist through!

***

In Part 1 of this post, I spoke about the fact that although I had forged a better relationship with and between my ‘inner parts’, there was an occasion on which the different ‘parts’ went back to being strangers to each other (and to me). This situation lasted a few days, and I mentioned that the key to my ‘inner reconciliation’ was my interaction with my therapist. What happened in that interaction was that instead of turning up to session in sarcastic and stand-offish mode (which I had been expecting to do), I somehow managed to keep sufficient control of that teenage side of me and instead went in with complete openness and a determination to be honest and vulnerable. In the past, I would have tried to keep up the appearance of co-operating while being internally resistant and closed off to my therapist. Instead, I said that I felt as though I really didn’t want to be there; my therapist simply asked if I could say something about why.

And we talked. We talked honestly, clearly, and compassionately, and it was warm and connected and completely different to how I’d been feeling a few hours before. I realised that approaching with honesty and vulnerability had only been possible because I had also approached without fear. And approaching without fear was only possible because I was able to see her as ‘new mother’, or at least allow for that possibility. In the past I would have been too scared of her response and what she might think of me, to tell her that I didn’t want to be there. More than that, I would have worried that she would think I didn’t love her anymore. Because that is how my own mother would have interpreted the situation.

I approached without fear of her response, but most importantly, without any sense of needing or wanting to control her response. I used to spend so much time worrying about what to say or do, in relation to her. What impact would it have, on her or on me? What was she likely to do or say in response? What would she think of me? Is saying ‘such and such’ too risky? Could I get hurt? Will she get angry? In the past, this never seemed like an attempt at control – in fact, I would have been horrified at the suggestion that that might be what I was doing. I have such an intense reaction against being controlled, that the thought of me doing that to someone else feels appalling. But the more I think about it, the more it seems that for years I poured my energy into attempts to try to indirectly control others’ responses, in an effort to feel loved and to stay ‘emotionally safe’. By endlessly analysing and trying to work how others might respond, I’d hoped to discover what I needed to say or do so as to minimize the negative impact both on me and on them. Looking at it now, it seems like an elaborate way of trying to feel less at sea, less helpless, and less at the mercy of others – a necessity when I have so little confidence in either them or me.

***

This incident showed me that when I come to my therapist as ‘new mother’ – with a complete openness in terms of what I tell her, and a complete openness to her response rather than fear of it – what takes place in the room is beautiful and healing. And that is not simply about the words that are used, it is about the experience of relating in a new, safe, and intimately connected way. And that connection is internal as well as external – my ‘inner parts’ and I found our way back to each other because by being open about how they were really feeling, I gave them a chance to be fully heard, and to be responded to compassionately.

The incident was also one in which my therapist and I talked about how our communication was changing, following my acceptance of her as ‘new mother’. In Part 1, I said that I made a connection with my ‘inner teenager’ as soon as she was able to see me differently (that is, to see that I was not the ‘old mother’ that she expected me to be). Thereafter, it became much easier for me to talk to her, and for her to hear me. Exactly the same was happening between me and my therapist. My therapist observed that if we have a misunderstanding and I don’t feel heard, this can trigger my fear (and expectation) of the presence of ‘old mother’. I will then see her in that role (along with all the judgment, disappointment and crossness that I expect), and this makes it almost impossible for my therapist to say or do anything right. Nothing she says or does can get through to me, because I can no longer hear it as it was intended. Everything is interpreted through the lens of my past knowledge and experience of ‘old mother’.

Over recent weeks however, now that I am able to see her differently (much of the time), it is not just easier for me to talk to her (because of lack of fear), but also easier for me to hear her. It’s not that the words that she is using have changed, or that her facial expressions are different; it is that without the veil or fog of ‘old mother’ in the way, I can hear what she is really saying and intending, and I can see her for who she is.

Just before the summer therapy break, I gave my therapist a CD with five pieces of music that were important to me; one of them was the track ‘Now I see the light’ from the Disney film ‘Tangled’. Although it is overly ‘sweet’ and idealised, as one might expect from the ‘happily ever after’ world of Disney, the track has a number of lines that remind me of the wonderful ways in which things can shift in therapy, following a large or small realisation or change in perspective. And so as I was wondering how to end Part 4, and recalling what I had written about the fog of ‘old mother’ and the fact that I can now see my ‘new therapy mother’ for who she is, these words from the song came to my mind:

“And at last I see the light
And it’s like the fog has lifted
And at last I see the light
And it’s like the sky is new
And it’s warm and real and bright
And the world has somehow shifted
All at once everything looks different
Now that I see you.”

 

[‘A new experience of mother’ has grown and grown, each time I have sat down to write about this subject. Originally it was going to be one post; then two, and then three. I thought this would be the fourth and final part, but when it turned into a two and half thousand word post, I knew there had to be a Part 5. But Part 5 is written, and so I can promise that it will be the final part!]


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Accepting otherness and separateness

caring and separateness in BPD

I wrote these words, and placed them on this image, during the winter of 2014. I think it may have been shortly after writing ‘My borderline mind‘, which itself was written following some very emotionally challenging and intense therapy sessions. They were sessions in which I was testing my therapist, in which I was agonising over  seeing everything through the lens of ‘obsessional attachment’, and in which I was despairing over ever being able to ‘do therapy right’. But they were also the sessions that culminated in the wonderful and precious occasion, described in ‘Waiting revisited‘, when my therapist mentioned her caring for me – something I was so desperate for and had doubted so often.

Though I don’t remember the details of the sessions that followed, I wrote the following to a friend of mine, very shortly after that occasion: “What I am finding really interesting at the moment (and I think it is really important) is the fact that she didn’t realise she’d said something that was that huge for me. Or rather, she didn’t remember exactly what she’s said, and that really does show me that she’s not in my head (!) and I think, eventually, it’s going to teach me something about people’s ‘otherness’ and freedom to be authentically themselves while still being able to be there for me…..but that’s a long way from being internalised or even properly accepted.

Those sessions were indeed the start of a lesson about the possibility of being cared for and caring for someone else deeply, while remaining separate people, and without the need for the complete ‘merger’ that I had always longer for. This lesson continued to be cultivated and embedded over many many months of sessions, and different experiences of conflict and misunderstading, caring and ‘repair’, with my therapist. Around eight months later, I wrote the following, as part of a different post: “I used to want so much to merge indivisibly with Jane, my ex-therapist. But it occurs to me now that if I’m swallowed up by my therapist, I cannot see her – and I really, really want to see her. And to be seen. And that’s only possible if we do not occupy the same space.

The truth that began to dawn on me in December 2014 is now much more an accepted and lived out part of my life. I still have a deep and intense hunger and need to be loved, but that’s no longer associated with merger with another person, in the way that it used to be. It feels okay, even desirable, for that love to exist between two independent people who can truly see each other and have the freedom to care for each other because of their separateness, and not in spite of it. When it comes to my feelings for my therapist, I love her and I want to be loved by her; I want to walk alongside her and be with her, as we work together. And I want to be part of her in so far as I want her to keep me in mind and to remember me, and I want to be a significant part of her experience and her memories, just as she is, for me. But I don’t feel the need for the kind of ‘metaphysical’ merger that I used to crave; a merger that involved some kind of mingling of our atoms and a complete absorption of me into everything that she is. I used to want to lose myself in people; but now it strikes me that that defeats the point of wanting to be loved. I want to be found, seen, accepted and loved as a separate and special person, and I want to return the same feelings – and that requires separateness, and the freedom to be authentically ourselves.

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A new experience of mother, Part 3

You can hear something over and over again, but until you hear it at the right time, in the right context, in the right frame of mind and with the right understanding, it makes no impact. You can hear words and you may comprehend their meaning, but it may still not be clear what the words are meant to change, and how . In ‘Deprivation and Delinquency’, Donald Winnicott wrote about an occasion with a client, which he called a ‘mistake which nearly ended everything’. He made an interpretation for which, he says, ‘I had plenty of evidence, and indeed I was right, but the interpretation was given ten years too soon’. He added, ‘In the long treatment which followed, the patient re-organised herself…eventually she became ready for this interpretation….’.

My therapist often made the point that she was different to my mother, and she made it in numerous ways. She made it by actually being different; by responding in ways I didn’t expect and then drawing my attention to the fact that I’d been anticipating the reaction my mother would have had. She was understanding when I expected judgment; caring when I expected criticism; comforting when I expected shaming. She made the point quite explicitly by saying that therapy offered me  – she offered me – a different experience of mothering. I heard the words, and thought I understood them. But just as it took me a long time to realise that the work of therapy is meant to change the way I feel about myself, and not just to give me a deeper understanding of why I feel that way; so it took me a long time to realise how her words about mothering were meant to change our relationship and ultimately, to change me. To change me into someone who can trust and be vulnerable; someone who can feel secure even during absence; someone who can feel confident of being cared for.

And so it was only after I re-organised myself, after I became aware of the different parts of myself and how they manifested in therapy, that I became ready both to be a ‘new mother’ to my inner parts (as described in ‘A new experience of mother, Part 1’), and to really take on board what it means to have a ‘new mother’ in my therapist. Only after that internal re-organisation could I accept the idea of my therapist as ‘new mother’, and allow it to have an impact on me, and to change me.*

***

And it happened in the smallest and seemingly most insignificant of ways. The concept really took hold of me not during an emotional revelation or a painful retelling of the past, but as the result of a very ordinary conversation about my health. I had been having a few doctors’ appointments and blood tests for reasons which were unlikely to be connected to anything serious, though I was nevertheless anxious and sometimes let my fears run away with me. I would sometimes open a session by updating my therapist to let her know I would be having an appointment the next day, or had just had one. I told her when my results came back clear, or slightly elevated (though not worryingly so).

And one day it struck me, after we had been talking about the idea of a new experience of mothering, that it now felt ‘natural’ for me to tell her about my health and my appointments –something I could never do with my own mother. My mother is incredibly anxious and any hint of ill health or unhappiness on my part, sends her into a spiral of worry and unhappiness of her own which she is unable to tolerate and therefore unloads onto me in an unconscious attempt to gain reassurance and to feel better. In addition, she has always been very intrusive, and would feel entitled to know more and to be kept updated; and as for mental health difficulties, as a teenager she simply told me I had no reason to be depressed. For all those reasons, I would never dream of sharing details of my life with her, and particularly details of my health; it is a simple matter of self-protection and survival. Her reactions would be overwhelming and it is hard enough to cope with my own.

There were countless occasions when my therapist reacted with acceptance and understanding when my mother would have been appalled, anxious and invalidating. The occasion when I showed my therapist some recent cuts from self-harming, is a memorable and precious example. But it took my therapist’s calm and comforting response to my fairly ‘routine’ health checks, and my desire to share these details with her, for the concept of ‘new mother’ to really click and for me to really see her that way. Perhaps it needed a ‘less charged’ environment to let the point sink in; or perhaps it’s just another example of my therapist being right. She often talks about appreciating the ordinary, and finding meaning in ‘the small’ things and the day to day. The fact that I was comfortably discussing the business of my day to day appointments was an obvious, tangible and forceful sign that I accepted just how different she was to my own mother. And so it was, that a concept that had been around for a while, became a living, breathing thing, making a real difference and having an impact on my thinking, feeling, and behaviour.

***

Since then, there have been some wonderful examples and reminders of that new mothering which have reinforced this game-changing (in more ways than one) realisation that has settled within me. At the end of ‘A new experience of mother, Part 2’, I described an occasion where, in the words of my therapist, I had ‘both the past mother and the new mother potentially in play at the same time and it is touch and go which one is stronger’. I managed to reach out for new mother rather than ‘act out’ based on my ‘old mother’ expectations that she would be disappointed in me (for not managing to make it through the weekend without emailing her). My therapist responded in a beautifully affirming and validating way, reassuring me that new mother was alive, and was not disappointed.

A few days later, we were talking about the upcoming therapy break and I uttered a Freudian slip. My therapist had said that breaks were important because without them, I would have a very tired therapist. My unconscious thinking, as betrayed by my Freudian slip, is described in my post ‘Freud was right about some things’. My conscious thought process, however, was completely focused on her use of the word ‘therapist’. When we had finished laughing (and inwardly groaning in my case) over my ‘slip’, I tried to explain what was really preoccupying me and upsetting me. I said ‘You used the word therapist……’. My voice trailed off but she immediately understood, and added ‘….rather than ‘mother’. But I’m both’.

Never one to accept my therapist’s words and interpretations without at least a tiny bit of resistance – and the tendency to focus on what I don’t have rather than on what I do – I tried to protest that that was all very well, but she wasn’t really my mother. But I couldn’t stop thinking about her words, and by the next session I saw things in a very different light. I felt guilty because I saw my response as rejecting; rejecting of a comforting and rather momentous truth. I really hoped it hadn’t come across as a rejection of her. What had struck me in the space between the two sessions, was the very obvious truth that being a mother (or a daughter) is about much more than biology. There are lots of different types of mothers: biological mothers, foster mothers, adoptive mothers, therapy mothers – and more. The definition is in the quality of the relationship – and the one that I share with my therapist can much more truthfully be called a mother-daughter relationship, than the empty one I have with my own mother.

Her statement that she is both therapist and mother is one that I have thought about almost daily since then. It has sustained me, it has comforted me, it has helped me feel secure and has enabled me to be vulnerable. It reminds me of who she really is, and of who I can be, with her – and that creates a new experience of being together**, for both of us.

 

*The similarities and the connection of the relationship between my ‘inner parts’ and me, and the relationship between me and my therapist, will be described in ‘A new experience of mother, Part 4’ and ‘A new experience of mother, Part 5’.

**And, indeed, of being apart, particularly during this summer therapy break….


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What a little penguin has to teach me about my therapy break

jill tomlinson20160810_225854the penguin who wanted to find out

At the start of my summer therapy break I bought this wonderful box set of six children’s animal stories by Jill Tomlinson, with the intention of reading one a week during the break. I was introduced to them by one of my children who brought home from school ‘The owl who was afraid of the dark’. He didn’t seem that interested in it, but I loved it; and I saw in its chapters and in the progression of the story, similarities between the little owl’s journey from fear to confidence, to the stages of the therapeutic journey. Since then, I have wanted to read the other books in the collection, hoping that they too might contain some important and thought provoking lessons, just as crucial for grown-ups to learn as for children, but presented in a beautifully simple and moving way.

This week, I’m reading ‘The penguin who wanted to find out’, and the section above really struck me. It reminded me not just of the lessons I’m supposed to be learning over the therapy break (about keeping my therapist real and staying connected); but of the fact that eventually, the goal is to ‘internalise’ my therapist, and the process, in such a way as to enable me to fly the nest (though that is not quite the right metaphor when we’re talking about penguins!).

Claudius is a ‘daddy penguin’ looking after Otto, a little penguin. Claudius has just told Otto that he will need to leave him in order to go and look for food, as he has had nothing to eat all winter. How many of us, when our therapists ‘leave us’ to go and find their own nourishment of ‘down time’ and a rest, share, on some level, Otto’s horrified reaction? How many of us think, even if we don’t say, the words ‘you wouldn’t leave me….I need you’? And then, when we receive the response, as Otto did, that we carry our therapist with us, inside, how many of us can empathise deeply with Otto’s heartfelt protest that he wants his dad to be outside where he can see him? ‘Oh don’t leave me’ – for me, at least, that is a familiar internal refrain.

And yet, as Claudius says, ‘that’s the important place to have a good dad [or mum, one might say] – inside’. I can’t always see my therapist, much as I would like to. Therapy breaks are good examples of that, and hard as they are they are also necessary periods in which I can learn and practice internalising my therapist, and holding onto to her ‘inside’, even when I can’t see her ‘outside’. It’s vital for that process to take place; it is the process of therapy, in many ways, and it will also be the only way in which I can permanently hold onto her and to everything she means to me and has shown me.

Poor Otto was shattered’. But at the same time he became interested in the journey he was taking towards the sea, and forgot a little bit, about his misery. Therapy breaks are still hard, and much more so on some days than others. But I have become more ‘practised’ at them; and I am trying to notice things about them, and about me and my reactions, that make the journey more interesting, rather than being only a trial to be endured.

How does it turn out for Otto? I haven’t reached the end yet, so I don’t know, but I’m looking forward to finding out. Just as I am looking forward to finding out what happens to me, and what I have learned, when I see my therapist again, ‘on the outside’, in September.

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How things have changed

I turned on my laptop this evening to write a post*. I recently upgraded to Windows 10 and so now instead of taking me straight to the log-on screen, it displays a picture (is it a random one, or always the same? I have no idea) with the date and time in big letters.

Saturday, 6 August 2016.

All of a sudden I realised that it was the first time since 2013 that the day had come and (almost) gone, without me really noticing that it was the 6th of August. My therapist has often said that you know when you’re ready to leave therapy, when you no longer notice the holidays. Is it the case that you know when grief is truly done when you no longer notice the anniversaries?

The date is significant to me because it marks the day on which I had my last session with my ex-therapist, Jane. There is a section of this blog dedicated to her ; the first few months of my current therapy and also the first few months of my blogging, were taken up with grieving that ending, which was an enforced one due to the short-term nature of the support service through which I saw her.

I know that this is a relatively ‘minor’ anniversary and a different sort of grief, from losing a close family member, for example. I can fully imagine that those related anniversaries (birthdays, weddings, deaths) are never forgotten; that their character may change over time, but the dates are not just memories, but part of the fabric of life, of growing up maybe. Body memories as much as mind memories. But it was the first grief I had ever allowed myself to feel, and perhaps its intensity and its duration were reflective of it being a mixture of that present pain, and also past losses, not yet grieved.

I dreaded the first anniversary of losing Jane – and though I tried to exercise self-care, I ended up in self-sabotage and with feelings of great sadness and regret, which I was only able to write about some time later. The sadness was also mixed up with feelings of abandonment in relation to my current therapist – it was our first long summer break, and as was often the case in those days, I had expectations of how I wanted her to behave or what I wanted her to say, and when those things did not happen, I felt let down. The sadness of the anniversary was complicated by a resentment that that sadness had not been anticipated, remembered or acknowledged by my therapist (or so it seemed to me at the time).

Last year, on the second anniversary of losing Jane, I wrote about how much better I felt than I had expected. Although I had thought of Jane, my main thoughts were of my therapist, and how much I missed her. It was good to know that things had changed, and that my connection to my therapist was so much stronger. But it was also frightening, because it made me even more conscious of the fact that one day I would be grieving that relationship too, and I could not even begin (or bear) to imagine what that would be like.

This year, the anniversary feels different yet again. For one thing, as I started by saying, I hadn’t even realised it was an anniversary today, though I did think about it and wonder how I would feel, earlier in the week. I’m not sure how I feel about today’s ‘forgetting’ – guilty, I think, and worried. I can’t imagine ever forgetting to mark in some way, the date on which I eventually have my last session with my current therapist.  Though I didn’t notice until now what the date was today, it doesn’t mean I don’t think about Jane – she still comes up in conversation with my therapist, and I do still wonder sometimes whether I might see her around town. On the very rare occasions I find myself near her house, I drive past just to see if the same car is parked there. And the topic of Jane’s notes of our therapy sessions together formed a very significant part of my therapy just before Easter. She will always be important to me, for all the reasons I have previously described – and she gave me the name of my current therapist, for I which I will always be extremely thankful and grateful.

Last year I talked about missing my current therapist – and that is no less true now. Last year I talked about how recollecting my therapist’s words when I was on the phone to a friend, was comforting and helped me to feel that she was ‘real’. This year, it’s not only a case of recollecting her words – memories and thoughts of her are with me all the time, and almost everything reminds me of her in one way or another. The music that I play in the car is music that I’ve shared with her; when I have good times with my children I remember her telling me how important that is for all of us. When I shout at them instead, I remember how she says that it is always possible to mend. When I have distressing arguments with my husband I try and think of what she would suggest I do and say, and try and remember her telling me that not feeling loved is not the same as not being loveable. When I’m around flowers I think of her gardening metaphors and wish that she were around to tell me about them, and identify them for me.

This year I’m managing to hold her much more in mind – where ‘her’ is ‘new mother’, rather than whatever variant of her the different parts of chose to construct at different points in time: uncaring mother, disappointed mother, unthinking mother. Whenever I have felt disconnected and separated from my therapist during previous therapy breaks, it is because who she is became clouded by my past experiences and I no longer saw her clearly. I assumed that she would fit the pattern of my previous experience, rather than fully understanding that she was different, and was trying to offer me a new experience.

Whilst holding her much more in mind, I’m also managing to believe that she is holding me in mind too. I’m pretty confident that my ‘holding in mind’ has a different quality (and frequency!)  to hers; but the security and trust I feel means that I’m not dwelling on that, even though the feelings of ‘exclusion’ and ‘inequality’ still visit sometimes, which I think is usual during a break.  I know that she will think of me, and wonder how I’m doing. And she most certainly thought of me, and how the break would feel, before we parted company for six weeks; and she did as much as she could both to give me more time and sessions leading up to the break, and to give me things to hold onto and suggestions for how to stay connected, during the break. I go to sleep every night holding onto a stone that she lent me (one of a collection of mementos in her therapy room). I know where it came from and what she sees in the patterns on its surface. It connects me to her – and it is also an outward visible sign of that ‘new mother ‘relationship that I’m now trusting in.

It feels right that this anniversary should be marked by the sort of change that Jane would have been glad to see in me. I was never in any doubt that though the circumstances of our ending were difficult, she wanted only the best for me. And she gave it to me – in the form of introducing me to my therapist.

 

[* The post that I was going to try and write was ‘A new experience of mother, Part 3’. I don’t like taking long gaps between posts that are meant to link together and be part of a whole, and it’s a post I still very much want to write. It’s close to my heart, and important, and I want to share what I’ve felt, thought and learned about this subject. But I have had great difficulties with exhaustion over the last few weeks, and this has made it difficult to write in the evenings, and to keep to my usual ‘posting schedule’! So Part 3 will come……eventually. As for tonight, I knew as soon as I saw the date, what I had to write about….]


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Why The Use Of Imagination in Psychotherapy Matters

This is a really thought provoking and important article by psychotherapist Joshua Miles, on the importance and power of imagination (and metaphor) in therapy. The article points out that “some people in therapy benefit more from working within the world of metaphor and imagination, than exploring what is more factual or ‘real’….. it can be in abstract or creative patterns of thinking, which can lead us down meaningful avenues of self-exploration and growth”. It took me a while to see this; in the earlier stages of my therapy I was dubious of using ‘non-factual’ aids as facilitators of internal change. However, the longer I have been in therapy the more vital imagination and metaphor have become, and, aside from the therapeutic relationship itself, I would say that for me they have been the biggest agents of change. As this article highlights, I think that the power of imagination and metaphor rests in their inherently personal nature and malleability. To quote: “Through imagination, we can add or remove meaning as necessary, and there are no wrong or right answers.”

I think this is an interesting and important post for any therapy client to read – for me, it is particularly key at this time as I am currently on a six week ‘therapy break’, and using imagination and metaphor will be crucial in helping me to deal with the ‘gap’. They will enable me to keep the memory of my therapist alive; to challenge and re-interpet any internal resistance and counter-productive feelings; and to think of creative ways to make the best use of this time, so that I can learn from it and have interesting ‘stories’ to tell my therapist when we resume!

I know that I will re-read this article a number of times over the coming weeks, and hope you will find it helpful too!

Joshua Miles BA, MSc

People enter into therapy for different reasons, whether to understand bereavement and loss, or to explore a recent spate of anxiety. In therapy there are many aspects of our lives, experiences and relationships which can be explored. Therapy emphasises the importance of exploring our minds, seeking truth or clarity and uncovering our past. This exploratory process takes place in the hope that we may unburden ourselves from a myriad of complex thoughts or feelings.

This is why imagination becomes so important in therapy, because it allows us to explore thoughts and experiences, which if shared in the outside world, may not be understood. Imagination enables us to view or interpret experiences with a variety of different lenses which we can alter, change or shift as our mind explores concepts further.

Why Imagination Matters

All of us hold the potential for imagination, creativity and reflective thought, and can benefit from thinking…

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