Tag: MBT

I know they’re angry

Guilt. Guilt, unease, fear, trepidation of what will come.

Therapy group was painful today. My mind was spiraling with so many thoughts of what I desperately needed to say but couldn’t communicate. Everyone had so much they were feeling and so much that had happened.

I just know I’ve hurt and upset everyone. I know they’re all thinking you’re nasty, stupid, weird, fraud, go away, angry with me, hurt because of me. Cold and away and just wanted me to go and didn’t want to speak to me anymore and didn’t want me there… and I think someone left because of me and I’m scared what she’ll do and what have I done?

And I really really needed this group so much.

I’d just started to trust and now I’ve hurt everyone and they’re frustrated and angry and I can’t give what they need and it’s wrong and why why ever did I start trusting or thinking it would be okay? Why did I let my guard down and not see the hurt I was causing? Why haven’t i learnt that if I think something will be alright and start to trust that’s right when I cause harm?

I can’t put the details of what happened or what we talked about here because it would break confidentiality for other people.

It will be very hard to go back next week. It will be very hard to go to my 1:1 therapy on Monday too. I can tell they don’t want me now. I’d really started to need them. I’ve messed it all up like every other time.

Ginny xx

The fear of what lies within

It was my MBT therapy group this morning.

I was very sad at the end and the frightened abandoned child part of me was crying.

I do not want to risk breaking any confidences so I will just say that we shared our feelings and thoughts around abuse suffered, memories, trauma, and times of finding out that a loved or trusted person has done something very very wrong, perhaps the most terrible wrong of violating the most delicate and intimate part of another person’s physical being and emotional soul.

I wish I could write more freely but I am very afraid to break or betray confidences, even though I do not give personal information or write under my real name. Too much rides on that to ever risk it and it would cause too much pain to everyone else in the group.

[Note – at this point I know that my writing that follows has not become very coherent. This post is a lot of things I had to get written down for me and it may not make any sense whatsoever to readers. I am sorry for that. I am not sure that any good can be gained from reading it, actually. I feel I have to write it to start to unravel some of the terror I’m feeling right now about the experiences we explored and to start to pick out some of the emotions. I don’t know well what they are right now. This comes with a warning about painful and scary themes in the writing that follows although because I don’t know if it makes any sense at all, I’m not quite sure what exactly to warn for. It does mention a memory of someone threatening and abusing and physical violence. Just…. warning…. xxx]

I am sad and cold now and desperately wish someone were with me to hold me; to hold me here and tell me what’s real, what’s not real, what’s no longer real, and maybe the hurting child part of me would be protected. She knows only she is wrong and she has harmed and she could drive someone to death – and the flashes come of the terror of finding her, there, like that – and she must be alone and she must know the bad that she has done and if she just watches hard enough perhaps she can get away before it all happens again. But still she’s crying and hurting and nobody comes. Nobody held her, nobody told her it was alright, nobody told her being loved and being able to love didn’t mean being able to get it right enough, disappear enough and fill everything she needed without fail. She cried on her own and she wished alone would stay forever then, in the little room and her make believe world with the “children” she cared for and made real in her mind and for her eyes only, where she didn’t do harm, and later where she was even allowed to cry and someone would hold her and tell her she was good and it would be alright. She could even save people in that world, be brave and strong and rescue and save, suffer hurt herself to protect and save the others. She could slip into that world.

If only the alone time always lasted. If he didn’t come home, didn’t open her door, and know instantly from her frightened watching and sometimes her attempts to block the door, and her mother in her own bedroom in the dark in bed (sleeping? Silent and still, certainly.) If he didn’t come and Mother didn’t get up (one day would she not get up? would it have happened that she’d gone away as she threatened, or even that she was dead?) then alone would last. It was frightening and panicky and hollow but it was safe and she could slip back into the other world, with her “children”. But he always came home. He knew straight away – without a shadow of a doubt she thought this – what had happened that day and what she had “done” to her mother and what had happened and what her mother was going to do because of her. He’d go in to her mother and her mother would tell him what she’d done. Then down they’d come, and he’d be cooking dinner, and the evening and night “session” would start, of Mother crying and screaming and threatening and asking her over and over why she had done it, until Mother came up with the explanation for the evil thing she had done, to punish Mother and get her own back in some twisted way. And the child wouldn’t even understand what the initial deception was supposed to have been, sometimes, let alone how that was punishing. The wrong, you see, was only a wrong if she had intended the evil and the punishment in her action. The action wouldn’t have been wrong without it because it had not any value, it just was. But there was the evil motive and intention and Mother always knew it exactly. And all the time she’d be asking, watching, shouting, accusing. And the child would be crying. Nobody came to her. Nobody helped her. Father comforted Mother, hugged her, sat beside her, stroked her feet and legs, sat with her when she went up to bed when she’d made her so sick she couldn’t cope. He brought Mother the wine and coffee she drank and the cigarettes she chain smoked. (Did he know she threw the glass jars at her? With practised precision to smash into thousands of shards directly at her feet, I know now.) Nobody brought the child anything to comfort her and nobody held her when she cried at the threats and shouting or being left alone when Mother went away and she wondered if that would be the time Mother didn’t come back – look what you’re doing to your Mother… stop crying like that, that’s what people do when they’ve had something really serious happen to them, stop sitting there dripping like a blood machine – and nobody went to her when she cried at night and nobody was there when she got up and was terrified to move and terrified of the stairs. She couldn’t tell anyone when she wet herself because she was too frightened to open the door of her bedroom to go to the bathroom in the night because she thought Mother would be dead outside and that would be the night she would find her – but if she didn’t go out it wouldn’t be real in that child’s mind – she tried to hide the wet things and when Mother found them stuffed into the back of the wardrobe, smelling, she didn’t answer why she had done it. Mother was always there. Father took completely her side and the totality of everything she claimed was the entire truth in his eyes. But nobody was there for that child.

She’s still there and scared and she wants a hug and in the flashbacks she’s all I am and I’m frozen and terrified. She needs someone to take her and not let go and never let go and she really really wants to be real and not be bad, just be the real little girl she is and not the terrible other evil things that Mother said she was doing. Is she a little girl or is she manipulation and evil and danger and damage? Is she real? Is the world she prefers to escape into real? Because it’s so much better and so much safer and it’s there that somebody wants and needs her. Please could she be real.

It really really hurt when Mother did the things she did with her body, in front of the mirror and on the bed and in the bathroom and……. inside…… it really hurt and Mother told her how to breathe so she could do it.

Why didn’t she know it was wrong?

Why was it her normal?

Why didn’t she tell? Why didn’t she stop it?

Especially in the bathroom. Because she was older then. Why did she just let her. Why even when the problems started later did she still not connect it.

Why.

Why is she so dirty and disgusting.

And most terrifying of all what if all this is a lie. What if she’s a foul ugly silly little thing and she’s repeatedly punishing Mother and that’s all this is and it’s all a lie.

Voices. Voices. And crying. Crying tired. Crying for it to stop. Cold.

And was there anything that was good?

****

And what if someone so bad – as what Rev. F. did with the young men… what about me? I thought he was kind to me. I thought he encouraged me. I thought he was kind and he always remembered my name, said hello and said he’d pray for me, and told me hope when I was in the grip of bulimia and losing the plot. I held on to the peace in the evening services as we prayed. But then he did – was doing? – that with the young men. And that was pure hurt and wrong and never never can in any way be alright and so so much harm has been caused to them. What does it mean that I thought something he did was good? What was his thinking when he did the things I thought were good? Would I have become complicit? Why did I think he was kind – someone who could do things like that? Am I so so bad too if I could think he was kind? Am I somehow open to being taken? Taken and used and used to hurt even without knowing?

Yet again. There it is. Used to hurt, doing bad, doing bad without knowing.

Can good be done without good being the intention?

Does that just reinforce that bad can be done without knowing too? Does that mean you can be bad without knowing?

Ginny – – – but not Ginny, really, tonight. Ginny’s got a bit lost right now. Tonight I’m still the frightened child. (Dissociating again.)

I’ve called her Lily – the child. I’ve called her Lily. She’s always there.

Goldilocks and the three bears (with a sore head – or three sore heads I guess)

Goldilocks and the three bears (with a sore head – or three sore heads I guess)

[Artwork is not my own.]

Q “Why are you chasing after a giggling fortune teller with a crystal ball?”

A “Well, my therapist told me that I have to try to reach a happy medium…”

Yeah okay sorry about that one…

In therapy recently we’ve talked about different concepts of an emotional thermometer.

One view could be a bit like a normal thermometer which can read positive and negative temperatures (ie plus and minus zero, not positive and negative in the sense of value). When we reach a very extreme emotional state either side of the middle, it is a bad time for us and we are not able to use coping techniques or mentalise, because of the extreme we are at.

At the high, hot, “red” extreme, where the thermometer has “shot up”, we are experiencing very intense emotions – extreme anxiety, distress, hurt, anger etc. I guess it could also be an extreme of a positive emotion although I wonder if this would make coping as difficult? I probably should think more about that.

At the low, cold, “blue”, frozen extreme, we also aren’t able to manage because we feel so low, cut off from our emotions, maybe as if we are in a numb state.

It might, perhaps, be more possible for us to function in the low extreme than the high extreme – we might be more able to get through the day better than when we are in an extreme of eg distress and crying – but it is not a place we are calm or happy.

In the middle of the two extremes, so a range around the imaginary zero, is a mid-ground where we can have calm and balance and where we are able to mentalise about our thoughts and emotions and be curious and reflective about what we and others are experiencing. So the zero is not a zero in the sense of zero = no emotion, but it represents the mid-ground.

This happy middle ground is the “Goldilocks state”*- where we are not too hot, not too cold but “just right”. (Sadly the term just works with reference to Goldilocks and the porridge part of the story. It is not the emotional state one frequently reaches when finding someone else sitting in your seat on crowded trains and I’m not even going to touch on what happens when you find an unexplained person sleeping in your bed 😉 [joke!]…)**

In order to be able to employ coping strategies, the aim may be to find ways to bring ourselves away from either of the two extremes to this happy “Goldilocks” middle ground. No end of different factors, including our personality, what we have learned about regulating our emotions as children, the role models that we have had, and so on, can affect our ability to return to the middle ground and the extremes we go to in the first place. I guess this something I’m going to find my way through in therapy. Someone said to me that they find the term “emotionally unstable personality disorder” more accurately descriptive than “borderline personality disorder” because it better represents these extremes of emotion.

I think there are lots of ways the thermometer metaphor could be used. Perhaps instead of imagining a plus and minus end of the thermometer, it is more helpful to imagine a thermometer from 0 – 100 degrees and that the happy medium is around the middle of this range, too much is going towards 100, etc.

Personally I can identify with the metaphor that involves the minus temperatures because I definitely feel I slip into a state that’s like sub-zero, when I am so numb and cut off from my emotions (and others’) and can’t engage with anything. Sometimes I can’t even talk to anyone. It is not the heightened emotional arousal of my extreme distress but it is by no means good either. It may allow me to give the impression of functioning for a while, but I feel I am operating in a dream world, not really present. And it is very dangerous because of where it can quickly lead me to, or switch to.

Which brings me on to the thought that for me, as well as the thermometer there is a cyclical path that does not involve going vertically up and down the thermometer, but oscillates straight from one extreme to the other. My “sub-zero” state can very quickly flip straight to the high, hot, red end. My numbness can flick straight to anger, hurt, agitation, even thoughts of violence or fury which I would never normally experience let alone act on. I can flick straight into the compulsive need to self-harm and self-punish to turn the anger and emotional energy on myself. It feels like a frightening loss of control. I can oscillate in the other direction too. Overwhelming sadness and distress can suddenly plunge into numbness and disconnection and dissociation from the world into what feels like one of my other personalities and my memory of what has happened will go very blank. It feels very out of control afterwards.

I don’t know yet how I will start to learn how to some how get off this dangerous oscillating circle to get back to the happy middle ground or how to get control of the extreme emotions, especially managing anger.

Does anyone else switch or spin through emotions like this? I’d be really curious to hear other people’s experiences.

[Note – *and** : as in the children’s story of Goldilocks and the Three Bears, a famous children’s fairytale in the UK / USA. I know some readers are not from the UK so please ask if this reference is puzzling to you!]

Ginny xx

“When God closes a door, somewhere He opens a window.” Then again, if one door closes when another one opens, your house is probably haunted.

“When God closes a door, somewhere He opens a window.” Then again, if one door closes when another one opens, your house is probably haunted.

What a week of decisions and emotions rocketing out of control.

I resigned from my job on Wednesday. (My post “not working out” explains some of the reasons behind this.) It has to be one of the hardest decisions I have made and I can only begin to describe the feelings around it. It wasn’t a hastily made decision and came after months of trying to make things better and stay in my job. I am very sad because I had wanted to stay in that role for a long time. I wanted to be able to give back to the firm, to thank them for keeping me on after I was off sick with three hospital admissions at the end of last year and in January 2015 and for letting me come back part time (in principle at least). I owed them. Also as I am longing for some stability and security. Also because I had met two colleagues who were very special and I felt privileged to work with them, clicheed as that may sound. They were kind and compassionate and thinking and brought something much needed, special and rare to the team. I learned from them. I really hope we stay in touch.

Having said that, I do know I feel that this choice is going to be better for my health. I have had to leave jobs before, but it has been a question of giving up at the point I am totally exhausted and cannot cope anymore, my health is spiralling down (well that part still applies, I guess!) and have lost all hope and there just seems to be nothingness. This time, it doesn’t feel like nothing. Making this choice, I have borne in mind being able to be stable and being able to find a job I can sustain whilst also having some balance in my life – being able to do some work but also not being so utterly drained from coping with it that I can’t do anything else (I stop eating properly, can’t look after my home, don’t do housework, cut myself off and have even less contact with friends than I usually do, can’t manage my finances because I’m so vulnerable to giving in to impulsivity). I have also borne in mind being able to fully participate in the treatment programme I’m in at the moment – getting to appointments, being able to be present in them not having to keep part of me shut off because I will not be able to bear the pain of openness and exposure necessary to examine thoughts and emotions and relationships, if I am then to rush back to work afterwards and somehow keep it together.

Admitting my limitations and my fragility at the moment takes humility and trust in the support systems that are there at the hospital community team and willingness to make myself vulnerable in order to begin to learn. Knowing what I fear, what I love, what I care about, what I struggle with, what I feel, what I think; learning to understand what is in other people’s minds and hearts and how to be able to reach out and walk forward, to respond to what I feel from them without being terrified or crushed and without the spiralling storms of thoughts in my head obsessionally spinning, trying to prevent disaster…. This takes energy, hope and a space in which it is possible to be vulnerable but not crushed and somehow also hold on to hope despite knowing all I cannot, at the moment, do.

I feel so many things right now. The actual meeting on Wednesday was made much easier for me than I thought that it would be. I was surprised to encounter compassion I did not expect. I was pleased to find that there is someone who has come as a temp into my post and who seemed very calm and very nice, so I know that the team I used to work for do have secretarial help. I was very thankful to get to speak to two colleagues in particular – and I really, really hope that we will be able to stay in contact – and to leave a couple of notes. I was reassured to be able to “hand over” on a few points of work  to be assured that things will not be lost or forgotten (though as ever I’ve remembered so many more things I should have let people know – where things are kept, where things are up to, etc, etc!).

It was a very very hard day with the highest anxiety for a long length of time that I have experienced for a while. I cried a lot. I walked a lot, trying to stay out of the flat where I’d be alone, to at least be around people if not with anyone, because I would be less likely to crumple completely that way and give in to the self-destructive urges.

It was done.

And somehow I did get through that night to the next morning, even though it was one of those nights where I hurt so much it blacked out everything else. I know it sounds so terribly ridiculous writing this. So childish and stupid and self-centred and incapable. It is no disaster or tragedy and it is a very very little thing in the scheme of things. Everyone else will move on in an instant. Yet that is the reality of what these things are for me at the moment. I am ashamed afterwards and feel ridiculous thinking how much I felt it would be impossible for emotion to pass but at the time it is absolutely that complete and total that it as if a cloud or a wall has fallen over every other factor in my world, enclosing me in spiralling thoughts and plunging emotions and frightening voices.

***

I can’t really describe what I’m feeling now. After the meeting on Wednesday, more happened, which left me feeling further conflicted and intensifying the guilt I feel over leaving and that I really should have been able to keep doing it. I think these will have to wait for another post.

This week there were many little gifts too. I started applying for other jobs. It is incredibly fortunate that I came to my decision at the time that there is an abundance of Christmas work which gave me more hope of being able to find something, at least temporary. Trying to keep focus I took a deep breath and a lot of coffee (not at exactly the same time 😉 ) and redid my CV, walked round town to clock the job adverts in windows and shopping centres and made several applications. Thanks be to God that once I had got over the initial frozen feeling (which was a hard fight) it was not as awful as I had felt it would be.

My confidence is very low right now and I was so frightened walking in to shops to give my applications, actually physically feeling I was shaking. It was not helped by a couple of very difficult experiences. I went into one store to give in my application and went up to the two assistants who were chatting to each other. Instantly I felt incredibly intimidated and uncomfortable and that they thought I was ridiculous. Swallowing my feelings I spoke with the supervisor and handed in my application and she told me she would pass it on to her manager and I thanked her and turned to leave.  As I was walking out I am certain that she and her colleague burst into laughter and made comments about me. I was shaken, not least because instantly I did not know, had that actually happened? Had they actually laughed and teased or had I imagined it and heard it all in my head because I was so much expecting that to be what people would really think of me? I still have no answer. I am just trying not to think of it.

That one clearly was not going to go forward, but I did have some better news and was extremely surprised and thankful to be offered two interviews, including one for a sales assistant in a department store. The selection process was scary for me because after quite in-depth online testing it involved a group task assessment as well as individual assessment. Though I did not feel that I had done well and looking back, could see so many things I had done wrong and ways I should have responded differently – and again, so many ways people would see how stupid I am – I did also somehow manage to enjoy some of it and enjoy being with the people I met, which had to be a good sign, I thought. It suggested I would find some common ground with colleagues and be able to interact with them. It was interesting too. The managers who were present seemed supportive and one was even encouraging when I needed to discuss my health/disability needs – straight away she said that she thought it would certainly be possible to adjust my hours so that I could attend all my hospital appointments.

A couple of days later, I was absolutely astounded to receive a conditional offer! In a very hard week this was a very precious gift! Not least because this means that things will not be completely terrible financially in the next few weeks, though this is a major source of anxiety, both because I will be working fewer hours so managing with a much lower salary, and because in times of distress and anxiety I can be much less able to resist the impulsive urges that come as part of BPD, and one area in which I can be far far too impulsive and irresponsible is spending money.

I still cannot believe it and it does not seem real and I do not think I will quite dare to count on it until I actually get to my first day. I’ve been completing the final questionnaires and going through the health screen, which was much less uncomfortable than I had expected – I’ll post about that another day soon because it certainly was food for thought – and was passed fit with a couple of suggested “reasonable adjustments”.

I thank the Lord for this opportunity. Yet again, it is a situation I did not think I would be in, which I really did not want to come to. Something I really counted on – being able to have a little bit of trust that I could do my work and do a good job and try to please and help people – was taken away and even seemed never to have been real, when I discovered how poorly everyone thought I was performing and how little they thought I could cope. But there is a better way forward being illuminated bit by bit and right now (since this is a moment of relative rationality!) I can remember that we may not be where we planned to be, but we are right where God needs us to be.

“When the Lord closes a door, somewhere He opens a window.” I hope it will be a French window because otherwise it’ll be a bit tricky to walk through, not that I’d complain at this point.

Ginny xx

(Title – first line from “The Sound of Music”; second line adapted from a funny meme someone sent me a while back – I am not sure whose was the original idea.)

Sitting with uncertainty – Part 2

Sitting with uncertainty – Part 2

I apologise for not writing this Part 2 yesterday as hoped.  I had a weekend away for a very dear friend’s 80th birthday. It was special and lovely but I was very drained when I got home and I did not manage to write. I’m sorry.

***

I am starting to realise that it is terribly difficult for me when I realise that my thoughts or emotions are different from someone else’s about a certain situation or matter.  It could be about a particular situation or experience we are both sharing in right now, or a memory of something that happened before, or a matter of belief (religious belief, a principle, that kind of thing), or any case of sensing someone’s strong emotion. It was my therapist and someone else in a therapy group I’m part of who identified this first, then went on to identify that this difference of emotion/thought between individuals is another instance of uncertainty we must learn to sit with.

I sense other people’s emotions more strongly than my own. I find it hard to identify and name my own emotions. When I do feel them they can be very frightening and overwhelming; I may feel them so strongly that they block out anything else, becoming to me everything that there is, frightening me about what will happen and what it means about who I am. They can feel as if they physically pain me. I may feel physically utterly drained or consumingly panicked and driven, unable to sit still, pacing constantly for hours (compulsively, despite the physical pain this causes by aggravating my joint conditions). Times of overwhelming emotion are times I often self-harm.

Other times, I may feel numb and nothing at all. I may be painfully conscious that the other people I’m interacting with feel very strongly but I feel unable to reach out, to come to any connection with them. I may want to say something and know I should and know I should and want to empathise, but feel frozen and unable to respond, and know that by this I am hurting the other person still further.

Or, despite not knowing at all what I feel, I may feel the other person’s emotion (especially sadness, anxiety or anger) so strongly that beyond what I think would be described as empathy, I actually feel their emotion myself to a level that I cannot stand it. It can happen very fast and I do not make any conscious decision or any particularly strong attempt to pick up the emotion. It just happens. Sometimes, I have as little as passed people on the street, sat beside someone on the bus or had a minimal “meeting and greeting” interaction on the reception at work, and this wave or wall of emotion will hit me and stop me in my tracks. I passed someone on the street the other day and was suddenly hit by a wall of such strong anger and hurt that I stopped walking. It was like a physical presence around me and in my lower chest and I gasped and this was swiftly joined by extreme fear. The person had done nothing to me, not even noticed me nor interacted in any way.

A couple of people who share my religious faith have told me that it is a particular gift to be able to empathise to a particularly great extent – it could allow me to help someone, be there for them, pray for them, understand their needs, know if they are in danger, and so on. I think perhaps it can be a gift and could be something from which good can come. Not that I think I have any particular ability, certainly not any power, but it is a sensitivity that could lead to good.

The problem is the intensity is so great it is frightening – as frightening as my own emotions can me. It can be there to such an extent that I can no longer continue to be with the person / people, and withdraw completely in exhaustion and confusion and fear and feeling huge guilt that I cannot resolve what is happening to the person and can’t be sure – there’s the uncertainty again! – is it my fault they feel this way and how should I respond? Then I end up back in the numb place of then not knowing how to respond and not being able to give anything at all.

Whichever of these happens, I’m left unable to interact socially. I haven’t yet unpicked quite why sitting with the uncertainty of the differences and unpredictability of emotions between people is so very frightening and overwhelming to me.  However it does seem to be shared by several people I know who suffer with personality disorder.

A particular problem where thoughts, emotions, intentions and communication are involved is that you can never check enough. You can never get to be completely sure what the truth is and what is right or wrong and if you are good or bad.

In Part 1 of this post, I gave some examples of other kinds of anxieties in situations of uncertainty. All of these are around things that are more concrete, if that is the right word, where eventually you will find out some answer.  For example, to go back to the same examples I gave: tomorrow will come and I will find out what will happen, I can ask my friend which colour she prefers and be sure to choose the mug that colour, and in time I will eventually find out the interviewer’s opinion of me and whether I get the job or don’t. If I’m trying to overcome an obsessional activity or belief, for example, if I don’t wash my hands 10 times before I speak to my friend she will get sick because of me, it is possible to test out this belief in the concrete world – it will be extremely distressing to me at first and cause a huge amount of anxiety, but I can if I dare to, not wash my hands 10 times the next time I speak to my friend and see what happens. If she does not get sick, and if I dare to keep testing this out, eventually perhaps I may be able to see that I do not need to keep doing this ritual to keep my friend safe and I will be able to stop washing my hands so much. I have suffered and still do suffer to some extent with this kind of obsessional checking and in the past, CBT therapy I’ve tried has focussed on changing behaviour and seeing that the awful things I fear do not come to pass.

But where the internal world of thoughts and feelings are concerned, I find it is not possible to check or “see what happens” in the same way and I never find peace.

For example, in the above instance I can see at least to a large extent without doubt that my friend does not get sick physically. But if I am fearing that I have hurt someone emotionally, how can I be sure? If I ask them, how can I be sure they are not just saying something to reassure me? If I think that someone is having a particular thought or a particular emotion, can I be sure that I got it right? Often it’s harder to ask in these situations (and I suppose I feel that it would be socially inappropriate to do so in many situations – I don’t want to inconvenience other people with my own obsessions and fears). If I say something, can I be sure that the other person understood it the way I meant it?

Often, if I have said something that I intend as encouraging, helpful, etc, I worry afterwards that I have communicated a message that I did not intend, which is bad and that is going to be terribly hurtful and upsetting to the other person because they will get that message rather than the one I intended. Then I worry that I actually, unbeknown to myself, subconsciously intended and thought the bad interpretation, and that’s why I said what I did. This must show that I’m actually evil and nasty and need to punish and hurt myself to make sure I don’t hurt anyone else. Then I will self-punish or self-harm. For example, a friend was worried about her baby girl who could not be with her during her medical appointment, and was instead with a babysitter in the waiting room outside. I said to her something like, “It looks like she is with someone who’s looking after her very well,” intending to reassure my friend that her baby was well. Immediately I’d said it, I panicked that this sentence could have implied “she’s with someone who’s looking after her well, because you don’t” and that my friend would think I was saying that she didn’t look after her baby properly. And my mind spiralled out of control thinking that although I didn’t know it, I was really being nasty to my friend and judging her as a bad mother and my intention, although I thought that I wanted to encourage my friend, was actually to upset her because I’m such a bad person inside. I wanted to check with my friend and say, oh no no I didn’t mean this, I meant… etc, etc, but I didn’t dare to, in case that would only make it worse, because if she had not seen the bad interpretation, it would only make it even worse to mention it. I felt the desperate urge to self-harm immediately to punish myself for being so bad inside.

In these kind of instances, nothing whatever will ever reassure me as to what my intention or thoughts really were (whereas, in the earlier example about obsessional hand-washing, I could obtain the concrete proof that my friend did not get sick). There is no way to check for certain what my real intention was, that it is not unconsciously something terrible which I’m not aware of and can’t control. There is no way to check for certain what effect emotionally I’ve had on someone else, or what they have understood from something I have said.

So I don’t know what the way out is.

For some reason, self-harm does seem to be the only (maladaptive) way that I do cope with this kind of uncertainty. When I can’t check enough that I’m not actually doing bad, or intending bad, then I have to hurt myself. The one thing that does seem sure is that if I’m doing something to hurt myself, it will somehow keep other people safe, because I can make sure I’m hurting myself, not other people. I can make sure I’m punishing the evil greedy part inside me so that it doesn’t burst out.

I don’t know how to begin to deal with these kinds of uncertainty. In time I think I am going to give this a Part 3, to look at ways of trying to sit with uncertainty in communicating with people. I’ve a feeling that it’s going to be an important part of my therapy as so much of my interpersonal problems, and perhaps for others with personality disorders too, are connected to these themes.

Thank you for reading, as ever.  I would love to hear your thoughts and experiences and what you find good, or difficult, in interactions with others and in communicating about emotions.

Also, an important note: I know that in this article, I have contrasted examples of anxieties and obsessional thoughts surrounding what I have referred to as things I can check in the concrete, external world, with obsessional thoughts and fears about what is going on in one’s head / emotionally / internally. I say that it is harder for me to find the way out of the latter obsessional thoughts and fears. Please note that in no way do I wish to belittle or minimise the distress experienced by those who are struggling with OCD thoughts and actions and fears relating to the external world, for example checking doors or switches, or cleaning. I know from my own experience and from hearing loved ones’ experiences, that these struggles are deeply distressing and the thoughts just as consuming. I empathise very much with what you are going through. All I wished to do here is draw a distinction which I have come to in my own mind and to suggest that the way out of the two sides of these obsessional thoughts may perhaps be different. As I’ve said from the start, I am neither a clinician nor medically trained, and these are just my own thoughts.

Ginny xx

Sitting with uncertainty

“Sitting with uncertainty” is a phrase I first heard one of the psychologists for whom I used to work use.  The department that we worked in was going through a lot of change at the time and I think we were all anxious about what was to come – changes to our jobs, changes to service users’ treatment plans, worries over how we would continue to give good care and whether or not the changes would bring good.

As we talked, it struck me it is a challenge and a skill valuable to acquire across so many fields of life, particularly therapy and social interaction. It is a theme coming out prominently in my therapy at the moment.

I like the phrase “sitting with”, in particular, as it describes living in/with and encountering uncertainty without judging or supposing a particular response.  We might more commonly think of “resolving” uncertainty, “dealing with” uncertainty and so on.  However, sometimes it simply is not possible to do this. We cannot find a definitive answer, we may not be in a position to change (at least certain aspects of) our situation, or we may not yet, or even never, be able to be “sure”. Especially in interpersonal sharing of values and thoughts and emotions. Then, we might also commonly talk about having to “accept” uncertainty and say we have to learn to do this as part of growing up.  However, can we always do this? Perhaps often we feel that we cannot truly accept it, for instance, because it may be intensely uncomfortable, or something we really wish was not there, or something we feel frantically, painfully driven to eliminate. Hence, I like the words “sitting with”, because it describes the situation and at the same time acknowledges there may not be a resolution and attaches no judgement or obligation to either resolution/removal or acceptance.

In the language of the MBT therapy I am participating in at the moment, perhaps we would say it describes the situation and allows us to explore or be curious about the existence of the uncertainty.

I’m starting to be more alert at identifying uncertainty, and it’s effects on me.  It’s clear there is uncertainty about events that have not yet happened (I can’t be certain what will happen tomorrow), or that we do not know about (I can’t be certain if my friend would prefer me to buy the pink or the red mug for her birthday because I don’t know which is her favourite colour), or that are for now out of our control (if I have just had an interview and I know I did my best, but it’s now with the interviewer to make their decision, I can’t be sure if I will get the job or not).  And so on.  These are just some categories that sprung quickly to my mind which I think we might recognise are particularly difficult for someone who suffers a lot of eg anxiety or depression. For example, if we have a sense of dread something awful is going to happen, we might be terrified about what will happen the next day.  If we are socially anxious we might worry a lot about doing or saying the wrong thing or upsetting someone or being thought stupid because we do the wrong thing. If we are desperately seeking a job and have had lots of rejections we might feel very low waiting for the outcome of an interview and frightened about what will happen if the interviewer thinks we are rubbish and we don’t get the job.

It took me longer to consciously recognise how much uncertainty is going on all the time, particularly interpersonally, and how much – even though I did not recognise it – this affects me.  This kind of uncertainty seems to me to be a difficulty often encountered by people with personality disorders like me, and no doubt, many sufferers of anxiety or other conditions as well.

There is just so much that it is not possible to be certain of. This can be a frightening thing to me.

If we are speaking to someone, can we really be sure that the meaning they have understood is exactly the same as the one we intended? Probably not – every person expresses him/herself differently, and words hold different connotations for all of us in different situations. Could there be implications in what we have said that we did not intend, but that the other person infers? Probably. Could this hurt or offend the other person? Possibly. (For example, if I come home after work and my sister is sitting in the living room reading a book. I say, “Oh dear, this room is a bit of a mess.” I could be thinking that I really left it in a tip that morning because I rushed out to work late, and I shouldn’t have done that. If my sister were already feeling guilty that she had intended to tidy up that afternoon but had not been able to because she hadn’t felt well, she might make the interpretation that I had been intending to imply, “Why haven’t you tidied up, you’ve been at home all day whilst I was out at work?” It would not have been my intention, but she might have taken that understanding, and so without intending it I could have upset her. And if I then realised that, I would feel bad that I should have chosen my words more carefully or not said anything at all.

If we have an emotional reaction to a comment, an event, a situation and so on, can we be sure whether we should communicate it? What effect communicating it , or not, may have on another person? Can we be sure what their emotional reaction really is, and whether they are being open about how they feel? What if we feel something very different from what they do? Does that make us wrong? Or stupid, or bad, or… the list goes on. How do we respond, what do we do, when our emotional reaction or our thoughts are very different from everyone else’s? Does that mean there is something wrong with us?

And the ever, unanswerable, uncheckable, frightening question – have I done something to hurt someone? Am I really evil inside? Have I done any good, even though I think I want to, have I done good or have I done bad? Have I done something awful without knowing? Does everyone know I’m bad really and I just fool myself if I ever think I do good? Is there a terrible evil thing in me that I can’t control? We don’t always know even what we ourselves think or feel or intend – do we? Can we ever be sure enough that we are good not bad?

It is much, much harder to ever definitively answer these questions than it is to answer some of the other kinds of obsessional thoughts or anxieties which have a more “external” or “practical” element.

In part 2 of this post, coming soon (tomorrow, I hope!) I will continue with this thought to describe some of the thought processes and actions that this then triggers off in my personality disorder, and to think about how to learn to sit with these kinds of uncertainties.

…..More soon!….

Ginny xx