Therapy-less

Therapy-less

My airhead therapist got the times wrong for our session. She thought we were meeting today, not tomorrow. I am glad I canceled the Zipcar because I would have been pissed to show up and find I didn’t have an appointment. So we talked today.

She decided that we are going to talk monthly when I can get the zipcar and go out to see her, in person. She gave me names of five therapists, all female, in the area. I have no intention of calling any of them. I am not seeing another therapist again.

We talked about my pain and anxiety levels, my phone fiasco and being phoneless, and that was about it. She didn’t ask about my suicidality and I didn’t tell her. I was tempted to tell her about my dissociation I had last night but I didn’t. I felt like she wanted to keep the conversation light so I didn’t get into anything dark.

Today is our anniversary. I asked her if I could see her tomorrow and she said no. She doesn’t want to fall into her old habits. I was crushed but I didn’t let on about it. She wants to keep this as a monthly thing, fine. I will be dead soon anyways so it doesn’t matter. As we were setting up our next appointment, it was the week after that I would be dead. I felt sad about not telling her this but oh well.

I emailed my psychiatrist to let her know. She responded saying she wants to see me tomorrow but I had already made plans to see some friends. I will just keep our appointment for Friday. It would be nice to see her tomorrow but I really want to see my friends. I haven’t seen them in a long time. It would be good meeting them again.

For the first time in sixteen years, I am without a therapist on a regular basis. I have gone from twice a week to monthly. And it’s not because I have recovered or my symptoms have diminished. It’s because my therapist doesn’t know how to treat me anymore. Frankly, I don’t think the monthly bullshit is going to work out. I mean, why even bother? The least she could have done was wait until I had a therapist set up before going monthly. That would have made more sense, but nope. Not going to happen. So neither is me calling a therapist she gave me. I will check each of the names on Google to see what I can learn about them, though. Maybe if I see something in their profile it might change my mind and I will call her. We’ll see.

my stupid advice

My stupid advice

Whenever someone is feeling bad about something and I know it’s more than just the “blues”, I often tell them to seek out professional help. But if I took my own advice, where has that gotten me exactly? There are a million therapists out there, all with different degrees and modes of therapy. You often have to see a few to get chemistry with someone for it to be effective. I saw 11 by the time I was 25. And here it is, 16 years later and I might have to see therapist number 14. It’s getting old. I feel that I should be better by now or that I should have at least feel like I “cured” myself by some magic. I read enough about therapy to know what works and what doesn’t. Doesn’t that count for something?

I have seen psychiatrists, social workers, psychologists, and a psychiatric nurse working toward a doctorate. I can’t really say which profession was the best because they all left me before I could form an opinion on the matter and it hurt too bad. But the one that I am in now, the one with a psychologist, worked out pretty good until things just fizzled out. I think I just became too “smart” for her and she couldn’t keep up. She tried for a while until she realized she couldn’t anymore, that it was hindering my therapy. And now what to do?

The thought of starting over isn’t appealing to me. I really don’t want to go through the process. It’s difficult when you are already used to someone. I have read a lot about suicide yet it still eludes me. I want to act on my feelings of it yet I am still here. I know seeing someone new will have a great burden taking me on. I don’t know if they are willing to take that risk. I don’t know if I am either.

Someone I knew a long time ago and still do took my advice and is still alive today because she took it. She is grateful that I saved her life because she listened to me. I remember she was at a crucial period in her life. She was diagnosed as bipolar and at the time, I wrote a lot about the disorder. I told her she needed to see someone and be on meds to help herself. She is still alive because she took that advice. So sometimes, I don’t give out stupid advice. I just wish I could help myself. I have a great psychiatrist but for things to work in my disorder, you also need a therapist. I have yet to find one that is on the same page as me. I am too smart for my own good. And now another therapist is leaving because of it. Some advice giver I am.

More Reflections about Therapy

More reflections about therapy

I started a Twitter rant and before I knew it, I was crying as I thinking about how my therapist of 15 years is suddenly realizing, now, that she isn’t the one for me. I feel that I am the blame for this though I don’t know how exactly I am. I just feel that if I kept that transference blog to myself instead of sharing it, things wouldn’t be like this.

I had thought about what I was going to do with therapy. I figure I would give her a symptom of something of PTSD nature that we could work on and sort out. But now that has gone to crap as we are breaking up. I don’t know if there are any resolutions to us staying together. It is really sad that in her bag of tricks she has run out of things to help me, even though I have offered her many over the years of working together.

From the start, I always thought of treatment plans to help us get going and she was amenable to these ideas. I never thought that she would depend on me so much. I honestly have no idea when we stopped being client and professional to being something along the lines of being “friends”. We care for one another deeply, there is no denying that. But I think we got too close for comfort and that is what is destroying the therapeutic relationship.

I still can’t understand why she cannot take time out of her schedule to become a CAMS trained therapist. Maybe she thinks it will cost too much or that it will take too long. I don’t know. She never said why. All she has said was that she is not a “suicidologist”. You don’t have to be one to get trained. Maybe this pressure is what is tearing us apart. My suicidality is too tough for her to handle anymore. Maybe she is just burned out like any therapist would be with chronic suicidality. I don’t know. I just know that you can’t “expect different results with the same experiments”. Or something like that. It’s by Albert Einstein. I wrote it in one of the book I read on suicidality. Much good my book did for her.

I keep thinking where did I go wrong. I just don’t know. I just know that I was tired of her anxiety interfering with our therapy. Even when we were talking about my PTSD she was anxious and she didn’t even know it. I had to bring it up. What the hell is that about? I’m a sensitive person so I pick up others emotions pretty quick. In my household growing up, you had to or you got smacked. I’m not saying my therapist is abusive in anyway. Not at all. But she definitely has issues that are not my issues to control. I am just a patient in her care. Not for that much longer.

It hurts like hell that after 16 years in January (that is our anniversary month), we will be saying good-bye. We haven’t discussed formal termination. We are just on a break right now. I wanted to talk to her today or tomorrow but I am being a stubborn fuck and not going to call her. I can manage on my own without her. Hell I have done it before, I will do so again. I know I need a therapist that handles PTSD symptoms and other stuff. I won’t say suicide because that freaks therapists out and I won’t be able to get a therapist if I tell them I am suicidal or have a suicidal history. It’s just the way the therapist world works. The care you need the most is not given due to fear. And I have scared the shit out of my therapist so many times she is having anxiety attacks over it.

I also need a collaborative therapist that won’t be up my ass about their treatment style is the best in the world for me. Horseshit. I don’t work that way. Either we work together or see ya later. I don’t know if I can trust someone just out of the gate again. It took at least five years of working together before I was able to let my guard down with her. I can’t imagine how long it will be for another therapist. That is, if I decide to see a new one. I haven’t completely decided to go ahead with someone new. My therapist has a few names for me, which I will take but I doubt they will work out. I’m just a high risk suicidal case with PTSD out of control with chronic pain that makes it difficult to work through. I am anything but “easy”.

Random Saturday Blog

Random Saturday Blog

I had a fairly decent sleep, but I still woke up in pain. It’s getting worse as I am moving around. I haven’t done much except make coffee and have something to eat. But then, I don’t need to do anything for it to flare. That is the unpredictability of pain syndromes. It was snowing when I got up this morning but it seemed to have stopped. If it’s raining like the forecast had said, I can’t tell. I just know I am hurting and all I can do is pop a pill to make it go away.

I wanted to change my sheets today but after I had my coffee, my gas ran out. I feel so unmotivated right now that all I want to do is sleep. I really didn’t want to be taking pain meds around the clock today. I wanted to go out for a burrito but the snow is not making that happen. I will go out tomorrow when it’s warmer. I need to get multigrain bread and more pumpkin. I have one can left but I want to have at least two or three so I can make my cake whenever I want. I also want to try to make pumpkin muffins if I can find a good recipe. My cupcakes don’t come out right.

I really need to clear off my bed. Maybe I will focus on that today. Just do one thing and it will be a sense of accomplishment. My sister wants me to babysit tonight, if she goes out. She plans on going south of Boston. The snow is heavier there than where we are. I hope she decides not to go.

I’ve been thinking on and off about my therapist. I still don’t know what I am going to do. It’s just so damn hard to think about these things. I have no idea where to begin. I might call the intake again at the hospital where my psychiatrist works and see if I can get a therapist there. But not right now. I need some time to get over my current therapist before I start seeing someone new. I really don’t want to go into downtown Boston weekly but if I have to, I guess I will. Least it will get me out of the house. And there is a Starbucks at the corner so I will be able to have my coffee before therapy, if it’s at the same place where the CBT therapist was at. I still want to go there to take pictures of the new Government Center T stop. And go to the Irish restaurant across the street for their yummy Asgard burger and fries.

The thought of having a therapist not be collaborative and go through the process of “interviewing” them instead of them interviewing me is daunting. I went through it once when I had good insurance. I don’t think I can go through it again with the insurance I have now. And with me getting paid just once a month, I am not sure I can pay copays weekly. It’s just stressing me out. And that is the last thing I need right now.