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.

a rest day that wasn’t restful

A rest day that wasn’t restful

I had a shitty night of sleep. I kept waking up like every two hours with my shoulder hurting me, all because I checked to see if we needed juice. I had reached into the fridge with my sore arm and then lifted the gallon of juice. A bad idea as I was rewarded with pain in my shoulder that would continue all night. Around 0200 I got up and started writing and that helped. I went back to bed around 0400 and stayed asleep until 7. My baby sister’s birthday is today and she needed a wingman to help her with errands today so I got up around 8. I had my coffee and half a bagel. We then went into town for my sister to do her things. On the way home we stopped at the pharmacy so I could pick up my new blood pressure medicine. I asked questions about it as I don’t know much about it. It could make you drowsy so I was being aware if I was any more tired than I already was. I had tried to nap several times today but couldn’t.

I ordered my groceries last night as my mother needed somethings. They were an hour late so they waived the delivery fee. I then had anxiety bringing up all the groceries by myself. There is still four gallons of water in the front hallway that I am too tired to bring up. My sister said she will bring it up after work. I had to bring up the water with one arm as I couldn’t carry a gallon with my bad arm. It was a long process with many trips up and down the stairs. I got hot and sweaty and tired. I had to have a cup of coffee to try and stay awake for my sister’s party and for dinner. My sister is making raviolis.

All I wanted to do today was rest and I didn’t. I got a huge anxiety attack despite going up and down the stairs. I think it was because I was carrying something heavy and trying to keep my balance on the stairs. I also knew that I would be the one to do it all by myself and that overwhelmed me. My mother is coming around to the idea of getting a bubbler of water for the house so we don’t buy water anymore. It probably will be cheaper in the long run to have delivery service. The only question is where to put it.

My right knee still hurts from the fall. I meant to have my pcp take a look at it but I forgot. Maybe I can get the ortho doc to look at it when I see him Mon. I think it is just bruised as it only hurts when I kneel on it. I need to take a shower as I am really sweaty and feel icky from it. I also need to shave my head. I have decided I am going to grow my beard out for the month.

I had asked my therapist if I did the work on the hopelessness paper if she wanted to see it. She said yes. Fuck. Now I got to work on it. I am getting there as I have been thinking of what to write. I just hope I can pick up where I left off. That is always a hard thing to do.

haircut and shower exhausted me

Haircut and shower exhausted me

I had some energy this morning so I decided to get my haircut. When I came home I showered and now I am exhausted. I went to Starbucks for my mocha and something to eat. While walking back to the barber shop, I got winded and it took a while for me to catch my breath. I thought I was over covid but I guess not. It has been five months and I am still experiencing some side effects of the illness. Please, if you are reading this and haven’t been vaccinated, please get the shot.

I have been feeling depressed and my sleep has been awful. I was up most of the night. I just couldn’t sleep. It is pay week and I am worried about my finances. I already messed up and am overdrawn on my checking account. I thought I could pay all my bills with one check and I can’t. I need the supplemental pay I get from my long term disability claim to help with my bills. I still need to pay my cell phone and cable bill. I get paid tomorrow from the LTD so I won’t be in the negative but I will be down a hundred bucks. I should have some money to pay my sister back for the loan she gave me.

My therapist responded to the message I sent her about how to proceed in therapy. I asked her if we could just free associate rather than stick with a topic because I just am not motivated to work on my trauma right now. She said that we could do that if that will bring me in. I honestly was thinking of canceling next week’s session because I see it as pointless. I just am not really in the mood to talk about stuff. I just feel kind of stuck and don’t want to do anything. I have been reading so my concentration hasn’t been affected. My appetite has been sort of ok. I am eating less than what I should be eating. The other day all I had was a yogurt and an Ensure for the entire day. I just am not eating calories to get through the day. I am drinking fluids though because I have to make sure my bladder is empty every four hours, two if I drink coffee. I am so frustrated with the discharge. I am glad I am seeing the surgeon tomorrow because I can’t take wearing pads anymore. It has been five weeks that I have been wearing it and they are starting to irritate me.

My neurologist granted my request for lidocaine patches for my nerve pain on my thigh. I am so glad. I had a box of them but they expired years ago so I had to toss them. I am going to try and put them on my shin where most of my pain is most days. I don’t know if it will work because the skin is so sensitive it might hurt. I can no longer where socks that are thigh high. The elastic hurts me.

I have an easy week next week with just one appointment to see my therapist. I just put some money on my T pass so I might go to Starbucks to read or write while having my mocha. I meant to bring a book today but I forgot. It’s hard when I don’t carry a bag. I forget things. I am so tired. I think I am going to take a nap and then make a black bean burger for lunch/dinner. Hope I can sleep and not have weird fucking dreams. Last night I dreamt I was with my cousins and was laying in their bed after they made it. I don’t remember the reason I was there. But it was just weird.

a good review

A review

I got this review that I found on my Amazon site the other day. It was written two years ago. Amazon doesn’t notify you when someone leaves a review. But I am happy this person left it. I sent it to my former therapist and she loved it. I sent the review to my cousin and now he wants a copy of the book, signed. I got to order more as I am running low on my copies. I think I gave away my last one. I plan on mailing it out today. It is really nice out.

I had therapy yesterday. It went ok I guess. She doesn’t think going back to school is a good idea. She gave a good example of how therapy is more than just an hour session and so is a class. You need to do the work so now I am thinking of how to do the work outside of our sessions. It bothers me that I can’t go back to college. I really would like my bachelor’s degree from UMass/Boston. I am not sure how I will pay for it but the idea that I just can’t go kills me. I know the stress will not be good for me. It is why I had to quit in 2008. I suffered a psychotic breakdown and I never recovered from it.

I am so fricken tired. I took a two hour nap and I am still fricken tired. I have no energy for anything. Wed is going to be a long day. I have an 8am appointment. I plan on shaving and showering today. I really need to wash my hair as it is very itchy.

I finally am registered for the vaccine and have an appointment Thursday. It is at the convention center in Boston. It is going to be a bit of a walk for me. I think I am going to get off at the T stop rather than walk from Copley. It is going to be 70 degrees out that day so that will be so good. I love going to the Back Bay area. I used to go to college around the corner from there.

I woke up this morning with my shoulders, neck, and ankle hurting me. I had to take a breakthrough med. I didn’t want to so early in the day but I was in so much pain. My PT is not going to be happy about this. I also took some Zanaflex to help relax the muscles. I hate that it gives me dry mouth. I have the lozenges for dry mouth. It helps a lot.

My phone is acting up today for some reason. Apps are closing while using them and I keep getting messages for other apps that something is wrong and it need to close. I’ve restarted the phone several times. There is an update that I just checked. I am installing it now so I hope that helps this issue. I also updated the PRL profile. OK, updates have been installed and I still cannot open the wordpress app. Fuck. I hope I don’t have to do a uninstall/reinstall. There is no update for the app. I don’t know what happened to my phone overnight. I really don’t want to get a new phone. I do need to take a line off my phone because I am not using it. I got to go to the store and have it removed because I tried with a chat and they are so dumb they didn’t know what I was talking about.