Tag: therapy

How often do you “need” to spend time with others?

I’ve been trying for a long time to arrange to meet to catch up with a particular friend. We used to be close and live in the same city, but we haven’t met since a very brief meeting at Christmas, and before then the last time we met was at a an event at her Church in September. I miss her a lot and have been feeling very sad that we live so close but meet a handful of times a year and never in such a way we can catch up properly.

Part of the reason we don’t is that she has a family now, including young children, and I completely understand and agree that family comes first before friends. Still I’m sad to see her so very little – and also (and this is a big part of my feeling) worried for her. She gives all her time to her children and various numerous volunteer works at her church and parish. She home-schools her two older children. She almost never suggests meeting up, she never seems to socialise except for seeing other mothers at home-ed groups, and she told me she hasn’t met up with a friend for over a year. She never takes any time for herself and she does not seem to have any desire to socialise.

Should I be worried about her? I am, very. I feel like she must be so tired and drained and stressed and never have a moment to take care of herself or do something she wants to. Most of all I fear she never has any time that really is for talking and sharing with her friends. I know I wouldn’t be able to cope with even one day of her schedule let alone the foreseeable future.

I think she is amazingly strong, dedicated and generous to her family and she is responsive to their every need (let alone all the time she volunteers). She has clearly made big sacrifices. She says she loves it and never feels the need for any break or to see any one. I just can’t see how she can possibly be well or happy and it seems really isolating to have so little contact with others.

At first I was hurt that she had no interest in meeting – i made no end of suggestions and she declined them all and didn’t suggest any alternatives and pretty much said she doesn’t do that kind of thing. I was lonely and upset already and I’m sad that we are no longer close friends. She really matters to me and I care for her and miss her. There’s only so much you can keep a friendship going and only so close you can be when you only text message and email. And I’m worried for her welfare, as I said.

Perhaps I should just accept that she says she’s happy and she is. It got me thinking, perhaps it’s a difference of personality. She’s happy not to leave the house for several days at times, whereas I usually feel compelled to go outside, see the outdoors, be around people,  even if I’m not meeting or speaking to anyone (except when I’m very low and not going out is then a sign I’m very unwell). Meeting up with someone is of no interest to her, whereas it’s very important to me, although there are few people I trust and am able to be with at the moment. That probably is a particularly bad combination and makes me particularly needy with the few people I do trust! I need time alone too and have times it’s all too much but loneliness is a big struggle for me. So I’d silence, which is another thing she loves. Perhaps it’s as impossible for her to understand my needs, or values in a relationship, as it is for me to understand hers and how she can be well and happy in her current situation.

I wonder whether she doesn’t value meeting in person, spending time together in friendship, catching up, doing some things for herself outside the family and so on? Or does she just need less of them?

This got me thinking, do we all have such very different needs firstly for contact with other people, and secondly beyond that, what I somewhat inadequately call deeper or more meaningful interactions (a good conversation with a friend you trust and can be “real” with,  as opposed to eg a passing interaction in a shop or talking to a work colleague – all are important but I know I very much need to be able to share how things really are sometimes, not just keep up the acceptable businesslike front where I seem to be well and in control of myself! ).

What do you find that you need? What is important to you in a friendship? How do we know which is normal?! I think my therapist would say that’s one of those questions where there isn’t a definite answer right or wrong. … I’m left wondering in this friendship,  firstly if she’s really okay or not and then how can I be there for her, when she has no interest in regular contact? How do we keep up a friendship with someone whose values here are very different from ours?

Ginny xxx

Scared I’ll lose it again

Tomorrow I have my usual weekly group therapy, then I have my monthly care coordination appointment (it’s supposed to be monthly but has been canceled more often than not since October last year). It’s challenging at the best of times when this appointment comes round, especially when it closely follows therapy group on the same day, which is draining in itself.

I’m very worried about the care coordination tomorrow. Last month I was really upset and desperate in the appointment, didn’t get the help I felt I needed to stay safe and left wanting to end my life and overdosed. There was a complete lack of understanding between me and my care coordinator.

I’m scared something similar may happen. I’m scared that I might lose it like I did a couple of weeks ago. I’m so so ashamed of that and I feel dread when I think of it. I’m scared I won’t be able to control what I do and it’ll happen again because I’m so unstable right now, flicking into distress and hurt and anger so quickly.

Also, I’m scared because there are really difficult things I want and need to say. I can’t say everything’s good and fine or that I’ve made progress; I can’t say I think I have the support I need because there are massive issues and have been huge failures in communication and so many things promised have not been acted on. I now operate by expecting nothing from the service and expecting whatever is arranged not to happen. It’s “safer” that way. It doesn’t open me up with hope and trust then twist the knife with another let down or betrayal. It means I don’t ask for help either.

I need to communicate these things. I never do, usually, but if I don’t there’s no going forward. So I’m going to try to say at least some of them and write a letter as well in the next few days.

I do not know how to stay calm whilst I do it. How do you stop yourself losing it? How do you control the aftermath of feelings without harming yourself? How do you keep your emotions level when things that are really deep hurts to you, are unanswered or ignored?

I’d be seriously thankful for any suggestions!

Ginny xxx

Crisis Plans

Last week, after the really distressing meeting on Tuesday, where I completely lost it and just screamed and screamed, I had another meeting with the same CPN on Thursday. It went quite well although I am still reeling from Tuesday. I never lose it like that when anybody else is around. I do that alone at home, usually at night, usually cutting myself before I can reach that point, because it stops some of the noise in my head for a while and quiets the fury and hurt. On Tuesday all my control methods didn’t work and the worst of me exploded. Since then I’ve been feeling both raw and outside myself at the same time.

We tried to come up with other ideas for what to do when I am extremely distressed when I am on my own, other than always turning to cutting or overdosing. The problem is that no matter how harmful those things are, they do “work” to stop the feelings (if only by stopping me being conscious!) punish myself, so bring down the emotion and enter a state of numb nothing for a while, or at least explicable pain.

One of the things we came up with was the Rescue Box, which I’ve posted about previously. I’ve committed to making that up this week.

The other things my CPN suggested were: putting my head under cold water eg cold shower for 20 seconds, to shock the body and so bring down the emotion (a bit like the lemon juice idea!), starting some activities that would give me more social interactions and so leave me on my own less, developing a relaxing routine for evenings (which I’ve got out of the habit of), and sorting out my dodgy internet access so that I can have more contact with people via blogs and similar, as well as making use of online resources for relaxation and mindfulness.

I’m not very sure how this is going to go. I’m starting with small steps, making up the Rescue Box this week and getting in contact with my internet provider.

A large part of the problem for me is that all these techniques are great ideas but I too quickly reach too high a level of distress to be able to use them. When I’m in that state, or when I have more of the psychotic symptoms (which tend to accompany higher distress), it’s as if the part of my brain that would reflect enough to try one of these techniques just shuts off. I have an overwhelming need for someone else to keep me safe and almost hold me and ground me and prove something exists beyond the fear and distress. But the PD Service seem absolutely against anything that would lead to me not being on my own in these situations (like being referred to the Crisis Team who’d come to see me at home, or being admitted when I’m overdosing etc). I’m not entirely sure why. They are written into my “crisis plan” as ways to keep me safe when I can’t keep myself safe, but when it comes to it they are withdrawn or refused. This is something I’ll be talking more to my 1:1 therapist and/or Care Coordinator about.

I guess I have to learn to discover earlier when the extreme feelings are coming – at the moment they spring up at me from nowhere and that’s terrible. It feels very out of control. There’s no doubt that as I’m experiencing more emotions, I’m becoming less stable.

I’ll post an update on how things are going with trying these techniques.

Ginny xxx

My cell phone is depressed (and Catholic) – on walking through cognitive dissonance

My cell phone is depressed (and Catholic) – on walking through cognitive dissonance

Just now I was typing a text message to my friend to say thank you for a good catch up that we had a couple of days ago. Like most Android phones now (I think – dodo alert!) it not only has predictive text in terms of suggesting the word you are currently typing, it also predicts the following words (so for example, if I type “hello how” it will prompt “are” then “you” “?” and so on). Sometimes it is rather over zealous in that function and inserts words you don’t want. Or, as I said, possibly dodo alert again.

So there I am starting to write “It really was good to see you” and my phone changes it to “it really hurts”. Then tries to do it again the next time, too.

It’s not just me you see – now it’s official, my cell phone is depressed too. It’s going for all the sad options!

This made me laugh and also realise that I must whinge a lot more than I realise if it has learnt that word combination. Then it reminded me of the time a while back when I had to send numerous messages about the choir arrangements over  Holy Week* and Easter at my church, so frequently that come Easter Sunday my phone’s predictive text learnt how to spell “Triduum”* and  “Attende Domine”*. So I’ve got a Catholic phone too 😉 .

On a more serious note, this got me thinking that my cell phone mirrors what the cells in our brains – y’all see what I did there 😉 – what the cells in our brains do as we have our life’s range of emotional and interpersonal experiences. Like my phone literally expecting “hurt”, the more hurts and pains we experience, the more we can readily expect this, the more we feel it and the harder it may be to feel anything else. Perhaps the longer we’ve suffered in an abusive or otherwise harmful relationship, the more we are only able to see ourselves and others only in the light of how our reality and our identity and our relationships were in that abusive trap. It’s somehow sadly a lot easier to continue to believe a very painful belief about ourselves that we’ve always held, than to be able to dare to adopt a new belief and to tolerate the cognitive dissonance we need to go through in order to begin to switch our beliefs. It’s easier to continue to believe rubbish about ourselves that our abuser(s) indoctrinated to us, than to accept any good. We long for care and help but we may be unable to receive it. Which sounds bizarre and I hope that it does not sound offensive.

To give an example, in therapy this week I identified that I have lots of rigid and entrenched beliefs along the lines of: “if N. wanted to be my friend, s/he would do xyz” “if N. cared about me, s/he would have [replied straight away to this message because I said abc in it] and because s/he didn’t it shows s/he doesn’t care and doesn’t want to be in touch and couldn’t stand me anyway, what an idiot I was to think s/he’d want me around anyway” or “if you’re someone’s friend and they are upset you do xyz, it’s just obvious, and N. didn’t so it just shows they really think abc [negative thing / opinion that I’m evil] about me”. The thoughts that spiral from these beliefs mean that if they aren’t fulfilled and someone doesn’t do one of these things that I have set as absolutes in my mind (and which, incidentally, I would hold myself to in relationships as well, as rules I must follow as a friend) then very quickly I use them to confirm an even deeper-seated view of myself which stems from things my abuser told me. Such as that I’m evil really, I manipulate people, everyone will think it isn’t my fault but she and I will always know it’s because of how evil I am, xyz person I care about will die or be taken away because of the harm I’ve caused, I’m disgusting and ugly, etc, etc. It’s impossible for me to get past these beliefs and they are a big block in therapy and in everyday life. It’s impossible to believe that my beliefs and motivations are what I think they are and impossible to believe anyone could really want me. My cell’s predictive text is set to “hurt”.

I’m not sure how to get around this at all. I’m not sure if my psychiatrist is either. I met with her yesterday. It was a very helpful meeting and was about a lot of things other than this as well. However, I think to this there isn’t a short answer. How do I go through this? How do I learn a new setting, a setting in my mind that is open to a different belief? How do I dare to actually feel differently? I can try to explore other possibilities cognitively, but I cannot link it up to the emotions and what I really feel and believe about myself and others. I just cannot reach that. What the psychiatrist did help me identify is that only with repetition can we learn something new (as with my cell phone’s expanding Catholic vocabulary). I need to try to continue in relationships long enough to get past the point at which my default beliefs about myself as evil are (or so it seems) absolutely confirmed. Currently I don’t. Like my cell phone I go into “predictive” mode and I pull away from the interaction or even end the relationship at that point.

That’s the one thing I can change, though with a great deal of help from what I think would have to be incredibly supportive and understanding friends. That’s almost too much to ask. This is going to be a long road.

Ginny xx

*Quick (hopefully simple) explanation of Catholic terms: Holy Week is the week leading up to Easter Sunday. The Triduum is a term which refers to the Thursday, Friday and Saturday immediately before Easter Sunday: Maundy Thursday, Good Friday and Holy Saturday. “Attende Domine” is a piece of chant music often used during Lent at one of the churches I attend – “Attende Domine et miserere” or “Hear, O Lord, and have mercy”. I find it quite beautiful and relaxing to listen to.

https://youtu.be/t7Glyu7tEWU – Attende Domine – with thanks to Petrus Josephus for the video

Image from Gilmore Girls (sorry I am not sure which Season) – Lauren Graham and Scott Patterson – Gilmore Girls produced by Amy Sherman-Palladino and Daniel Palladino. All rights belong to respective artists.

 

What do you do to stay safe?

Today I’m going to the hospital again for another meeting with the CPN. I’m very scared of going after I lost it there on Tuesday. I think I’m scared what will happen, scared of losing it again, ashamed about what happened and still feeling very out of it, although not in the way I usually am when I dissociate. That gives some kind of protection. This is raw at the same time as shaken and disconnected.

Also I’ve got an inescapable question that has been in my mind for several weeks. I’m not at all stable or safe at the moment. I want to continue with therapy. I committed to the group that I’d do it and not give up. I promised to God and Mother Mary in prayer. I’ve made quite a few sacrifices for it – I don’t think I’d have had to leave my last job if it weren’t, at least in part, for my therapy appointments (though my last employer were definitely at fault too, in my opinion). I’ve seen the therapy as the only hope of learning how to get better and manage my condition. I’m privileged to live somewhere MBT is actually available (there aren’t specific PD services in all areas of the UK). I really don’t want to have to stop therapy.

However, at the moment I’m actually more unstable, at least in part because of the therapy and the emotions, memories and questions that it raises. This isn’t necessarily a bad thing. Other people tell me they can see positive changes in me, for example communicating more clearly about emotions and things that happened to me in my childhood, none of which I can yet see for myself. However I trust the people who tell me this and think it has to be a good thing. It’s another thing I don’t want to waste.

So the big question is, what to do.  I can’t keep myself safe at the moment. For example I’m “coping” by cutting, taking overdoses or higher than prescribed doses of medication, drinking* (and this really isn’t me, I do not enjoy drinking in this way), escaping from daily life by ignoring letters, calls, etc and not able to keep on top of the basics of looking after my home and myself (cleaning, cooking etc). I’m more unstable in my moods, especially anger, and I’m struggling more to hide everything to try to participate in daily life by eg going to work. Things like hallucinations or paranoid thoughts or feeling dissociated are pushing their way more into the working day.

I don’t know what to do to change this.

I’ve some hope that medication changes could help and I’m seeing the psychiatrist on Friday. But I doubt that’s going to be the only answer. I’ve tried to exhaustion (both daily and when in crisis moments like the extreme distress or wanting to end everything) the techniques I know like distraction and grounding and self care / self soothing (this latter is very hard for me to do when I feel as I do about myself). It isn’t working. And I feel that the things other people could do to keep me safe, many of which are on my crisis plan, are not happening or not working either. I’m experiencing more and more let downs where xyz help is promised then doesn’t materialise (appointments canceled, calls not returned, planned sources of support withdrawn, mistake after mistake, discharge plan not followed). Or I’m told that the help I want to keep safe doesn’t exist or I don’t qualify. What is offered – and don’t get me wrong I’m grateful that it is offered and I know it’s more than many other services provide – is not enough to keep me safe. For example when I’m suicidal a 5 minute telephone call may calm me a bit for a few minutes but an hour later in usually feeling worse than before and – this is key I think – still on my own trying to cope.

What do I do in this position? Are there other techniques I can learn to cope better? Are there other or higher doses of medications? When I so so much feel I am not safe on my own and really need someone with me (especially when I’m really distressed but also day to day because the slightest thing, as little as a letter that makes me panic or a canceled appointment,  can thrown me into extreme distress, self harm etc) what can I do? The PD service are adamant I mustn’t be admitted and don’t qualify for any carer help and ongoing support in person isn’t possible. I haven’t any other way of getting that kind of support. I live alone, my dad and step mum live hours away and I don’t have friends very locally or whom I see regularly.

So how do I do my therapy and stay safe as well? How do I either answer this need not to be on my own when I’m so much at risk and unstable, or what solution do I have to learn instead?

What do you do to stay safe between therapy appointments or between times you can access support?

I know this probably sounds silly and I do get a lot more support than most people and all I’m talking about coping with is simple daily life. Right now this is where I am.

Ginny xxx

*just to be clear, I’m not diagnosed with any alcohol problem and I’m not comparing my struggle with that of someone who is struggling with alcohol or other substance use. That is a much more painful place. I sometimes use what is probably an objectively average amount of alcohol taken with my tablets to make myself fall asleep when I can’t cope. Not a great thing to do but I’m not trying to compare the two.

I lost it.

I lost it today. And I wasn’t on my own this time. I went to an appointment with one of the CPNs. I was shaky before I got there, anger rising in the waiting room as two other patients and I were talking about how let down they felt by services, and in my appointment everything I said it felt like it was minimised or dismissed, I think. I can’t remember what we talked about or what we said.

I snapped. I screamed and screamed and then I can’t remember. Pain. Then I was on the floor screaming and then I couldn’t breathe and I was crying and couldn’t stop. I thought I’d hurt the CPN and took a long time to believe I hadn’t. Then I couldn’t speak and somehow nearly an hour had passed with all this, though I couldn’t understand it. I was so tired.

I’ve never flipped out like that in front of anyone. I cut so I don’t get there. Now it isn’t working. Usually it just happens on my own usually at night. Now they’ve seen the worst of me. Now I’ve lost control. I want to take responsibility but I’m losing it more and more. Nothing is working.

I’m home now. On the way home I felt out of my body but unable to get away from everything being shaken. Tea and blankets and NCIS tonight, my usual escape. But I have to face it.

Silly post, but just to hold myself to it!

This is a pretty silly post but I’m writing it here in order to hold myself to it, because if I write it here I’ve made the commitment to all of you (lovely readers) as well as myself.

I went to group this morning. I’m so boiling with feelings and hurt and loss and anger (not with group or anyone in it but with the whole PD Service). I desperately need to shut off and the best ways I know without help are things that hurt me. And it’s very possible I could just go home and do that and dissociate or literally knock myself out. I am going to try to make myself take another action instead.

I commit that this afternoon I will write a card to send something to my step-sister that she needs. Then I will clean in every room in my flat. It is in a complete state as i have not cleaned or cared for it in the state I’ve been in in the last two weeks. I may not finish all of it but I will vacuum everywhere and I will clean at least three things in every room (it’s a small flat!).

And to keep going in the promises I made in my commitment to getting better, 5 things I’m thankful for today are:

  • I have a flat of my own to live in (well I say my own; it’s rented but it’s home and I’m blessed to have my place and my safe space).
  • I went to therapy today and talked about horrible feelings and the other members of the group listened and didn’t treat me like a freak. They actually seemed to understand.
  • I saw an old friend yesterday who I have not met in years. She seemed happy and well and she’s having a baby very soon.
  • My step-sister and I are getting in contact with each other more.
  • Um… I didn’t have to wait ages for the bus back to town after therapy, does that count 🙂 ?!

I’m wishing for something good to happen to you today.

Ginny xxx

Group and no more trust

Tomorrow is MBT (mentalisation based therapy) group. I don’t know whether to go.

All trust I had in the service has gone. It’s been completely wiped out by the lies and let downs of the past months, the proofs they don’t believe me, the tricks, the cuts that open me more and more vulnerable then leave me with nothing and noone.

I don’t really want anything to do with a service that does this, but I’m desperate and have nowhere else to go. I’m desperate for help but it’s denied, it’s promised then withdrawn, or I’m deemed not in need or not believed. I want to do the therapy but I can no longer go forward safely with it. I cannot cope between sessions except by overdosing to black everything out and self harming to punish myself, temporarily quiet the voices, temporarily be something other than the utter pain. I’m not allowed any of the things that would keep me safe between sessions.

If I go tomorrow, I will be so angry. I can’t say I’ll keep it under control in the session. I can’t say I’ll stay “stable”. Nothing keeps it in anymore. I can’t mentalise like this and really I don’t want to. These things just are as they are. There’s nothing to be “curious” about or explore my feelings or someone else’s thoughts. Their thoughts have been made totally clear – they don’t believe me, I’m not allowed help, they’re tricking me, they’re cutting me open then leaving me and finding more and more ways to do it. My feelings are exploding and total. Fury. Hurt. Trapped. Over the edge. Liar. Fake. Fraud. Pain. Screaming.

If I go to group I can’t avoid it being clear I have no hope and no trust left. If everyone or anyone else does trust the service and does believe they’ll help them, then maybe that gets them through and helps them and is a lifeline for them. I don’t want to destroy that.If I say what’s happened to me, even in the last couple of days, I could destroy it.

I could go and just try not to talk about anything to do with me and just be there for other people and listen to them and try to mentalise about what other people bring. But I’m so far gone over the edge I don’t think I can trust myself not to explode.

When the group started committed to do it all. I committed to not leaving. I committed it to everyone in the group – not out loud, we didn’t do that, but in my head I did. I promised to God and Mother Mary too. If i leave I break my commitment to everyone, not just the service. I really don’t want to do that.

Yet at the moment I’m just ending up in more and more danger. It seems as if I should just accept this’ll never end, dissociate as much as possible, hope for something sometimes bearable…. but I think I’m too far gone for that. I wish I’d never trusted them.

Punished for hope

Go on then. Smash me into the ground and kick me as hard as you can.

That’s what they do to me.

I was promised “victim support” when I went to the police about the abuse. I was promised support from the victim support team’s specialist CPN and to finally get help with the trauma, flashbacks and PTSD. A phonecall with the CPN was booked in for today by the support team. The police officer who took my statement knew.

I got the call from the CPN who told me she is employed by the same mental health trust as the hospital I’m seen at for my personality disorder. Oh good,  I thought, that should help, shouldn’t it? She’ll know my mental health background and have my records. Wrong! She said that she’d organise support for people who aren’t currently seen in the mental health trust and get them therapy to help them deal with the trauma of what they’d had done to them but because I’m seen in the personality disorder service I’m “already in the most appropriate pathway” and she can’t help me.

But the personality disorder service specifically don’t address trauma and PTSD. The therapy I have there doesn’t deal with flashbacks, memories, hallucinations etc.  It deals with here and now. Which is great and important but leaves all the trauma untouched. I need help with that.

Why am I not allowed that because I have personality disorder, when a victim who does not have personality disorder, would be allowed to access it? Why am I denied help with one condition because I also have another diagnosis? You wouldn’t say to someone who had been in a car accident and fractured their leg as well as aggravating a pre existing back injury, “oh sorry we aren’t going to get a surgeon to set your leg to heal because you’re already being seen in the spine clinic.” So why is it deemed okay to deny me victim support because I have BPD?

The CPN said I should make a list of all my unmet needs and take it to my appointment with the psychiatrist next week. Oh my days have I not already begged for help with all the “unmet needs”! She just didn’t seem to grasp that the personality disorder service simply do not address the PTSD area. Which in itself is fair enough, it’s a specialist PD service – but it’s not okay if you’re denied access to other specialist services!

Why was I promised psychological help from this victim support team and this CPN if this is the outcome?! Everyone knew I am being seen in the PD service.

Then the CPN said oh they just don’t offer this help in the community teams. Yes and don’t you think I know, after fighting for 15 years plus. … and that’s why it’s speed to be coming from her!

This is yet another kick and yet another betrayal. Yet another thing I held on to snatched away. Yet another desperate hope gone. Yet another trick, this time effectively from the police, it feels like, though it isn’t the officer’s fault, he was nothing but supportive and this victim support team is separate…. but this is the last hope of people believing me and allowing me any help. And it’s now gone.

It’s absolutely proved everything my mother threatened. People would think the fault was hers, if they ever found out, and they’d take her away. Nobody would imagine a child could do all this. But really she’d know and I’d know that it was my fault all along, and what I’d done (and how evil I am, the voices add). I told. They found out. They think the fault is hers. But I must remember, the voices say, really it’s me all along, really I don’t deserve anything because I’m so evil. It’s confirmed it. 

It’s the hardest kick and tightest grip of the terror and memories again.

I was promised support when I went ahead to make the statement. Now I’m left and left more raw than before. I don’t regret doing it but can’t cope and I’m not okay and I’m not safe.

To top it all off I called the personality disorder service to be told there are no calls back today because the team have gone on an away day. Shame the voices and flashbacks haven’t gone on an away day. Shame the planning for how much hurt I can cause myself hasn’t.

 

In person

I phoned the GP Surgery last week to try to get an appointment. I wasn’t feeling well at all after trying to cope with memories and flashbacks and really high anxiety. It’s unusual I ask for help like that but this time I did. The duty GP phoned me back. After we’d talked very briefly she said there weren’t any appointments left and it sounded as if I “had insight” and knew the coping strategies (which means distraction, grounding etc) so there wouldn’t be anything to gain in having a face to face appointment. She would not book me in. Actually there’d have been everything to gain in seeing someone and it would have helped me greatly.

This and many other incidents got me thinking how much it helps me to meet with someone in person or have someone with me. It’s very important to me. I’ve been very upset when a friend has canceled meetings. I find the telephone support offered by the clinic is not enough to keep me safe and I’ve longed for a safe place and someone with me when I’ve exhausted all possible coping techniques i can do alone.

In my last 1:1 therapy we talked about what does it mean to me to have a meeting with someone arranged, whether it’s friend or professional. I think it means a certain amount of hope, something I desperately try to keep going until, it means I have some worth if anyone would spend time with me, it means not being alone. .. It’s easier to find what it means when meetings are canceled or refused – I’m worthless, nobody wants to be with me, I’m clearly the last person anyone would choose, everything else in their life is of more worth, I can’t do any good to the other person, they have written me off, I don’t deserve help, they don’t believe me, I don’t deserve. … all along they just couldn’t wait to get rid of me, how stupid I was to ever think differently. It just confirms what I already knew.

Then there are also certain rules, I guess, which I hold myself to and which define rrelationships. Like that friendship means always being there for the other person no matter what. Or that it’s important to keep arrangements and commitments to friends and do what you promise and if you don’t you’re rejecting the other person and not treating them with respect or kindness.

This means I really struggle when meetings are cancelled. Also, having someone with me and someone I can rely on is a huge and fairly childish longing in me. The concrete presence of someone with me is often the only thing that calms me or prevents my self destructive behaviors. Equally though, it has to be someone I absolutely trust not to leave, which means very few people. And part of me is always waiting for them inevitably to leave, when I show too much what it’s really like inside me. It’s something that can almost never be fulfilled (and the people who make decisions about the support I’m allowed seem set to prevent that need being answered and in my most desperate times that can lead me to very paranoid thoughts). Needing it brings me massive feelings of guilt now I’ve admitted it.

Does anyone else feel this desperate need for the concrete presence of someone with you?

Ginny xx