thirty years of therapy and what I have learned

Thirty years of therapy and what I learned

I’ve been in therapy since I was 15. After 30 years and 15 therapists, I’ve called it quits. Not because I was cured because I couldn’t get the care I needed. Not all therapists are the same. And even if someone has the credentials I am looking for, doesn’t mean it will work out. I have seen social workers, psychologists (PhDs and PsyD), psychiatrists, and psych RN. The first 10 I saw within the first 10 years of starting therapy. Each therapist I saw didn’t last more than a year. One resident I saw lasted three years, till the end of her residency, but she moved on and I didn’t see her again. I tried DBT (Dialectical Behavioral Therapy), CBT (Cognitive Behavioral Therapy), and the various psychodynamic therapies out there.

My suicidal career took up talk for the last 10 years of therapy, maybe more as it got more serious and I didn’t want to live anymore. I started researching into the different treatment options and found very little to help myself. The therapist I was seeing at the time was stuck in her ways didn’t want to adapt to what I wanted her to do in therapy to help me. It was frustrating. Then I saw a PsyD with the credentials and I thought yes! This is going to work out finally. But it didn’t because she didn’t have empathy and couldn’t give me validation when I needed it the most.

What I learned from my research into suicidology is that the person needs to tell their story of why they are suicidal. It needs to be heard by an empathic person who validates why they are suicidal. They also should appear eager to listen and to know more about the person, their pain and suffering. To find out where it hurts and to try and heal it the best they can. I can go on about things like perturbation, lethality, constriction, and psychache but those are just words no one uses anymore.

Living with pain— physical or emotional— for years is a traumatic stressor. The experience of living with pain evokes many of the same responses that being subjected to abuse or neglect does. — Dr. Glenn Patrick Doyle

I came across this quote while scrolling through Twitter. Dammit this guy always posts something when I am in the feels. He is correct. Pain does have the same responses as being abused or neglected. I have suffered physical pain consistently 24/7/365 for the past twelve years. Each time my foot or ankle flared up, I had flashbacks of when my back gave out ten years prior. I had to go through a series of checklists to make sure it wasn’t happening again, each time, nearly every single day. Once I had a diagnosis for the pain the checklist checking stopped but the feelings of the trauma didn’t.

My therapist who I just stopped seeing, asked me what I was looking for in therapy. But I didn’t have the words. As I am reading the book Building a Therapeutic Alliance with the suicidal Patient, I am figuring out what I need in therapy. I knew she wasn’t able to give me what I need. I am not really sure what I need. I know I want someone to talk to tell my story to. For them to listen, empathically and compassionately to what I have to say about why I am suicidal and why it has become my only option left to me.

Saturday blog 22012022

I was having a hard time last night. 4 family members were upset with me because I didn’t bring the recycle down. I had asked my niece to do it and she never did so I got the blame. I got called a hoarder and it really hurt because i know I am not.

Today I slept until my bladder was gonna explode. My sister was in our bathroom so I had to go downstairs to use my other sister’s bathroom, which meant not cathing because she doesn’t have catheters in her bathroom and I didn’t grab any before leaving my room. I had something to eat and coffee. I feel like I could go back to sleep. I actually went to bed around 7 last night but I didn’t sleep. I felt guilty going to bed so early.

I had a difficult day as I got my haircut and then had to go to urgent care for my blood pressure issues. I was having side effects from the blood pressure pill and the doc wanted to put me on a Holter monitor. I said no. My new pcp is going to see me Thursday to start me on the beta blocker lebatalol. But I got to be seen in person. At 0830. Yuck. Next week is going to be a busy week so i hope by Thursday I have some insomnia so I can go to the appt. Otherwise i could sleep through the appt.

I am going to try and shower today. I want to shave my head but don’t think I can do it. I haven’t brushed my teeth in three days. I am so bad when it comes to this stuff. My new toothpaste has become community property. I am not happy about this. I am so tired I just want to go back to bed. I took my morning meds when I got up at 2pm. That is really late to take my twice a day pain med. I just had a really hard time sleeping during the night. I kept waking up to pee.

a going off blog

A going off blog

I am just going to bitch about the problems in my life today because I have a therapist I can’t really talk to at times because she intimidates me. I have been slowly getting the recycle in my room together to be thrown in the recycle to be picked up tomorrow. It might seem like I am a hoarder but I am not. I just get overwhelmed and I don’t want the criticism that I drink too much Gatorade every single time I bring down the recycles. I have one bag of trash that needs to be thrown out. The problem is that the blood pressure medication that I am taking has been causing me heart rate problems. My heart rate went up to 156 and all I did was bend down to get something off the floor and when I stood up, I got wicked palpitations and heart racing. I sent a message to my doc that I want to be back on the beta blocker I was to control my BP. It was 142/94 today so the medication isn’t helping just causing problems/side effects.

I sent a message to my psychiatrist last night because I was so fed up with being in pain and being tired all the time because I am not sleeping during the night. I fought fatigue most of the day yesterday and didn’t nap. Last night was the same deal. I woke up around 0130 to pee and I couldn’t go back to sleep. I tried to stay off my phone even though I had messages. My psychiatrist wrote back saying that he supports me. I told him I hadn’t showered in days or brushed my teeth. Last night before bed I did brush my teeth. I haven’t done so today yet. I still need to shower. I stink because I was sweating yesterday. I also need to shave. My stubble is going to turn into a beard soon if I don’t.

My ribs are hurting. Actually everything on my left side is hurting. During dinner I put heat on my shoulder. My mother made pork chops and mashed potatoes. It was good. Now I just want to listen to some music and maybe read a bit before taking my night meds. I haven’t touched my book all week. So much for setting aside reading time. I can’t help it sometimes I am just too tired to read. I got 11 days to finish it. I want to try and read one book a month.

fatigue continues

Fatigue continues

I had a difficult night sleeping. I had a bad dream where my molester was at my house and I was accusing him of abuse, which he denied. Then he got so mad he tried to kill me. I woke up very scared and it took me a while to get back to sleep. I then had to pee and I must have been holding on to the pee longer than I thought because then my abdomen started hurting after I was empty. I managed to go back to sleep and slept till a little after 8. I used the bathroom again and it was the same thing. I was very full and my bladder hurt when I was empty. I didn’t drink that much during the time I was awake. I was careful not to. I took my morning meds when I came back to my room and then went back to sleep again. I woke up a little after 12 and I was so damn tired. I wanted to go to the grocery store to exchange a coffee but I fear the trip will wear me out too much so I don’t want to go.

I also have been having frozen moments where I feel like I can’t move. Like I am stuck. I don’t know if it a symptom of PTSD or a side effect of the medication I take. I got to talk to my psychiatrist about it when I see him on Tues. I also need to ask him if he would give me a 90 day supply of the Latuda as it is the most expensive medication that I take and it will a lot when I have to pay again next year. I got to budget my meds until I reach $300 deductible. I have six meds that I get at the retail pharmacy. The rest are mail order. If I can get the Latuda on mail order that would be good because it is $140 for 90 days.

I took a double dose of Miralax today because it has been days since I moved my bowels. I am getting so backed up. When I got up, I had two cups of coffee and sometimes that triggers me to go to the bathroom but lately it hasn’t done it. I will double dose until I go and then go back to regular dosing. I take this with Gatorade and it just seems like the stuff takes away the flavor and just leaves the sugary taste behind. That is all that I feel like I am drinking, sugar.

Usually after every shower, I take a selfie and post it. I do this so there is a record of when I last showered as I usually don’t remember. It has been five days since I last took one so I might end up taking one tonight before bed. I stopped shaving the back of my head and sides so I am just going to let it grow. Yesterday I was going to see my barber but I used the money to get the keys to the house as my mother didn’t have the full amount to pay for them. I canceled my appointment but will go sometime next week.

Shoulder is really hurting so when I went downstairs to put my dinner in the oven, I heated up the heat pack. It helped a little bit but caused my neck to hurt. So now when I go back downstairs, I need to put heat on my neck. I am making a beef pot pie for dinner and hope I don’t burn myself again. I have not had luck with these pies. The first one, I got a 2nd degree burn and the last one I made, I burned my finger. Think I got to wear oven mitts when taking the pie out of the oven and when I transfer it to a plate.