Tomorrow I resume therapy after a forty five day break. I have no idea what it will feel like, either before, during or after the session. As is often the case, I have run numerous ‘scenarios’ through my head, of the opening few minutes. Few of those scenarios, I have to admit, are positive. In a way, that’s fitting – in the sense that the most positive scenario would be to turn up without an agenda or a plan, and simply open up about whatever is on my mind. The difficulty with scenarios is that they impede creativity and spontaneity, and they create expectations which lead to disappointment when they aren’t met, and when things don’t play out as imagined. In addition, when imagining sessions I have to play two parts – my therapist’s part, and mine. But I’m not her, and so I’m only ever really imagining me, in two different ‘chairs’ and with two different personas. And I can control ‘me’ – to some extent -but I cannot control what her responses to me will be. And so her ‘failure to follow the script’ leads to yet another disappointment and a feeling of being misunderstood.
Just over a year ago, I found myself unexpectedly in some incredibly painful ground shortly after resuming therapy. I ended up talking about my own past losses (the death of close relatives), and this also led into a discussion about the end of therapy, my therapist’s eventual retirement, and – hopefully far in the future – the death of my therapist. This post was written the day I found out that she planned to retire in a different part of the country:
https://lifeinabind.com/2015/09/19/sometimes-this-is-what-therapy-feels-like-after/
Not something I had ever thought about before (I think I had just assumed she would stay in the same city and the same house), it came as a huge shock, and I found it incredibly upsetting. The idea of walking or driving past her house and her not being there, was unthinkable. Given the subject matter of our sessions at the time, my mind also turned to death; the thought of not being able to easily visit a grave or memorial for her, was very painful.
I’m hoping that when I return to therapy tomorrow, this will not be what it will feel like, after. But I’m anxious. The last third of the break has been nowhere near as positive as the first two-thirds. I have felt nowhere near as connected to my therapist as I did before. Negative, defensive and resistant thoughts have been much more common. And in the last few days, a major trigger which threw me into internal chaos, also seems to have completely driven my ‘internal ally‘ (and my therapist’s ally too) underground. Or rather, it gave the more troublesome parts of me the opportunity they were looking for to launch the expected (and yet simultaneously surprising), ‘end of therapy break sabotage and attack’.
And so I have no idea what it will feel like after. But I’m hoping, I’ really hoping, it won’t be this.
September 12, 2016 at 1:30 am
What if you went in and said something like what you wrote: “The last third of the break has been nowhere near as positive as the first two-thirds. I have felt nowhere near as connected to [you] as I did before. Negative, defensive and resistant thoughts have been much more common. ” And you can just see where you go from there.
I get the nervousness, after such a long break. There are also so many emotions coming up for you, and no way is one session enough time to deal with it all. But if the session could start to re-establish a good connection, maybe that would be the best outcome.
I hope it’s a good reunion and helpful session. I’ll be thinking of you and look for your update afterward.
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October 24, 2016 at 8:12 pm
Thank you so much for this Q, and so sorry it’s taken me an age to reply! I really appreciated your support and it was incredibly good advice. The pace has been slower since we restarted in September – we are consolidating all the work we did pre-break, and I’m also getting used to a change in schedule of sessions (different days of the week), as well as trying to cope with greater than usual levels of work stress……I’ve been enjoying keeping up with your posts, despite not having had much of a chance to comment π
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September 12, 2016 at 1:33 am
I also find the first session after a break troublesome. I don’t know why that is really. This just happened for me last week, and I did not have a good feeling session. Maybe it’s good to try and explore feelings about the break – I was cut off from those feelings so did not do that, but instead plunged into my issues. Maybe that’s the source of the trouble. The feelings of being left, mixed up with wanting to see this person again and re-connect, and relief that they’re still alive π – maybe all that could have been explored.
Well, all the best for your session tomorrow.
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October 24, 2016 at 8:15 pm
Thank you, it was lovely to know you and others were thinking of me π I always find it really hard to know what to talk about when resuming after a break -often, whatever I start with, I end up feeling bad about the stuff I didn’t cover. Having said that, I think whether it’s in the first session back or very soon after, there’s a huge amount to be gained from talking through the feelings that came up during the break, about the break….but it is definitely really hard when you don’t feel connected to those feelings. Thank you for your comment and so sorry for the delay!
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September 12, 2016 at 3:16 am
I think all that you are feeling is natural… I also think it’s also inevitable to have ruptures with our T after a break. 45 days is a LONG time. Be gentle with yourself, and as hard as it is try to enter into it with no expectations. I’ll be thinking of you
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October 24, 2016 at 8:18 pm
Thank you, and thank you for letting me know you were thinking of me π I think the ‘no expectations’ thing is really important, thank you for reminding me of that….so sorry for the delay in replying!
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September 17, 2016 at 12:05 am
“… her βfailure to follow the scriptβ leads to yet another disappointment and a feeling of being misunderstood.” This is quite enlightening. I’d thought I’d heard everything about the patient’s process in anticipation of sessions. You have enlightened me. Thank you. I’d say good luck in your session, but you’ve now had the meeting so I hope it went well.
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October 24, 2016 at 8:31 pm
Wow – thank you! Praise indeed π It feels great to have been able to enlighten you π The script thing has been something I do before therapy (and other situations) for quite some time, though I think it’s happening much less now. Its reduction is also tied in with me now never taking a ‘list’ with me to therapy, and trusting much more in what comes up and in the fact that I will cover everything I need to cover, in due course….
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