up early in the morning

Up early in the morning

I woke up around 0028 and I am still up. I just can’t seem to settle down. Then my eyeball got really itchy. I thought I was going to scratch it out. I put in some eye drops and that seems to have done the trick. I think I got more drops on my face than in my eye, but that’s ok. I always do.

I am in a terrible frame of mind. I want to email my psychiatrist and tell her that Friday will be our last meeting and that I won’t see her anymore. I know that if I do that, she will likely become concerned and I might have to go in the hospital, involuntarily. I don’t know what to do. I am meeting with my therapist today, in less than 12 hours from now. I can’t let her know what my plans are because we are on the fritz. I don’t think she has earned that right to know my business anymore, including my suicidal thoughts. What is she going to do anyways when I can’t see her anymore? I doubt I will be able to see her next week. Her schedule is too “packed”.

I haven’t heard back from my psychologist friend on Twitter. I will give him a few days to help me, not that it really matters that much. If I don’t go through with my plans, at least I will have someone to call. Therapist #15 awaits me somewhere. I hope it’s worthwhile this time around.

When I was checking my messages when I got up, I had a FB message from my friend that really pissed me off. I told her not to send me those types of messages. And to think before sending. It really upset me because she knows I went to bed, yet still continued to ramble. WTF.

I don’t know why I feel so shitty (mentally). I slept for approximately two hours, but I have been sleeping all day. Now I am up and want to go back to sleep but I am feeling really hot. I am debating putting on my ceiling fan. I don’t know why it’s so hot in my room. It’s not that cold outside. I have been having hot and cold flashes through out the day. I don’t know why. That is the million dollar question.

I am really nervous to talk to my therapist after not speaking to her for about two weeks. It feels longer than that. I am going to bring up the fact that our meetings should be reconsidered and that this monthly business is ridiculous. I also want to understand why my blogs “pushed” her away. I thought therapy was a place to share your feelings, good or bad, and to learn from them. All I have learned was that sharing is a big mistake. I feel like I am being punished for speaking my mind. I won’t ever share a blog with a therapist ever again. That tool that I thought was a good idea has backfired on me and now I lost a therapist in the process. It all just sucks big time. I never would have thought that after 16 years or working with someone, it would be over because of a transference issue. I always thought transference was a good thing in therapy. Guess I was wrong.

Incompetence and needs: A story of transference

Incompetence and needs: A story of transference

My therapist read my Thanksgiving Eve blog and was basically horrified to find that she is inadequate for my needs. She wanted me, again, to see another therapist that was local as seeing someone in person on a regular basis might be more helpful to me. I nixed the idea because I don’t want to start over with someone new. She said it would be more as an adjunctive way. I don’t give a fuck, I am not setting out to see a new therapist. Then she brought up the whole CBT therapist idea. Nixed that too.

It got me thinking about what I need from my therapist. Frankly I don’t know. We have been struggling with my suicidality for so long that it just goes on without a resolution. It got me thinking about the CAMS philosophy and frankly, even though my therapist has been collaborative, she really hasn’t been. She acts more like a friend than a therapist at times. It has been driving me crazy since she took up the majority of the session with her guilt talk, whether it was directed towards me or her, I am not sure. She feels like she is failing me. Hence her incompetence.

There is more to solving suicidality than filling out the SSF forms. Again she brought up if she only knew how to get me to “open up” and write the answers she needs on the stupid forms, she will feel better. But that is not how it works. The SSF just provides you with problems that need solving so that you don’t end your life. The therapist and client are to work together to solve these issues so that life becomes more tolerable rather than intolerable, a “life worth living”. I’m never going to reach that stage of treatment because maybe I am too stubborn to give up my suicidality long enough to find a life worth living. I just go about my daily business of drinking coffee, writing this blog, taking care of my family and then dealing with a stupid therapist twice a week that drives me absolutely fucking insane with her idiocy.

Maybe we have been together too long and can’t see the forest for the trees. We are wrapped up in something and our path has gone so far astray that we just can meet anymore eye to eye. Maybe we are too close because my heart was really breaking today while she was droning on and on about seeing another therapist and how she was basically failing me. Yes, she is a pain in the ass. She is an idiot, but who isn’t really? I texted her that tomorrow will be our last session. I seriously doubt she will take me seriously. I don’t even know what no therapy will look like. I don’t want to know but what else can I do? Go on with a therapist that hates me on some level for calling her out?

Usually you bring up stuff and it gets dealt with and then you move on from it somehow, someway. A few years ago, we were at this impasse. The same issues were covered today. They haven’t moved on because they haven’t been dealt with. I know what needs to be done but I am just too much of a chicken shit. And there we have the needs piece again. I could list them and they would have NOTHING to do with the list from Shneidman. But I feel insecure and my therapist, even though she won’t admit it, does too. That was evident today and it was killing me inside. It broke my heart.

I know I have called my therapist a lot of names in this blog today, but I still believe she is right for me because we have a connection. Granted right now, that connection is a little frail but we are still tethered. The last time we talk about this, we went over Shneidman’s needs. He had 20 of them and I think I boiled them down to less than 10 that affected me, because part of his theory was that frustrated needs causes suicidal thinking. A lot has happened to me this year, more than any other year to date. Problem is that we just talk about shit in circles and we just go around and around because we are just on this merry-go-round that doesn’t have a stop.

People go to therapy for different reasons. I have a whole slew of them that are basically being neglected and possibly fueling my suicidality. I could list them but if you read my blog or my tweets every day you can probably figure out what the major ones are. I know my therapist can’t do shit about my physical pain, neither can my psychiatrist. I have trauma history, a death in my family that still hasn’t been quite dealt with, PTSD that I don’t think is managed, etc. just to name a few. I read blogs from fellow friends that suffer the same kinds of things that I struggle with yet they are dealing with differently. One of my blog friends has severe PTSD and has anxiety that tears her apart at times. My anxiety, though not a principle symptom, has becoming more of a problem lately because of my damn pain syndrome. It drives me to suicidal thinking. And there is no cut off valve when that level has been reached. So far I have managed but I still plan and strategize my suicidal plan because it comforts me to know I have a way out. I still don’t know what is going to happen this week. I know I have put off my plan but it’s back on again because, why the hell not if my therapist is pulling away from me, even though she says she is not.

In my head, I think I have spoiled my therapist. I bring her treats and indulge in her fantasy that I won’t kill myself. Maybe we both are trapped in that fantasy because I am still here either way you look at it. I have tried to bring her the reality my death will bring and even tried to say if I die, here is the help you need to find. I once brought her an article about it that she refused to read. She doesn’t think I will kill myself. Maybe that is what is keeping me going but it is also draining me to keep up this front week after week. I want to die very badly, to get away from myself because there are so many things I can’t stand about me. Being in pain every single day and night is also taxing me. Knowing the fact that my pain syndrome has changed course on me hasn’t helped matters. All I can do is what the voices tell me to do at the end of the day. So far I have ignored them, but one of these days, I will give in and things will finally be at peace. For me anyways.

Hate

I have been stuck on transference of my therapist since I wrote my last blog. I don’t know why, but I just hate her and I don’t want anything to do with her anymore. I want to end therapy. I know I get this way whenever she goes on vacation. The more she is away, the more I don’t want to go back to therapy. Then I feel guilty and try to get back the sessions I canceled. I go back and forth with this until I get settled back in. But this time it’s different. I really don’t want to go back or settle in therapy because I am feeling so much hate towards her. I don’t know where this hate is coming from. I don’t know if it is because she wants me still alive and I don’t want to be or because she went on vacation when I needed her the most. I know that sounds pathetic but it could be that I am hurt by her being gone and I just don’t know what to do but hate her. I don’t even want to talk about it, if only to spare her feelings.

I don’t like this hating my therapist. She technically didn’t do anything wrong. She didn’t disrespect me. She didn’t break any boundaries. All she did was try and save my life. And I can’t help but hate her for it. I feel the same way towards my pdoc. I guess what is really hurting me is that I haven’t expressed this hate towards either of them. I just go with the flow. In my family, if you hate someone, you don’t have anything to do with them ever again. My father has done this to numerous family members. That is why he is alone.

I am very tired as I didn’t sleep well. I woke up around 4, in pain. I took something for it and then went to sleep for a couple of hours. I finally gave up around 0930 when I couldn’t go back to sleep. I went to my father’s after I had my coffee. It was really good today. I don’t know what I did differently, but the flavors of the coffee were really full and rich. I need to get more half and half but it was too hot today to be lugging it in this heat. If I get a chance today, I will get my sister’s car and go to the grocery store. That is the last thing I need to buy. I bought my T-pass for the month so now I am broke. This sucks. But I should be getting my rebate from Sprint soon so that will be good.

What keeps ringing in my mind is an article I read a few years ago about counter-transference hate in relation to suicide. It was co-written by two Harvard University psychiatrists. To my knowledge, there has not been a paper about the patient’s experience of hate towards the therapist or psychiatrist and how it interferes with treatment. Way I feel right now, I just want to quit therapy, for good. I am just so damned pissed.

My pain medication prescription has not come by mail yet. I am almost out of my pain meds and it is creating anxiety for me. I only have the strong pain meds, but am reluctant to take them because 1) they aren’t for regular pain that I experience and 2) they constipate me really bad. I have to pick up my niece soon. I am hoping my therapist calls me because if she doesn’t, that will only make the hate worsen. Course, I do have the laziest mailman on the planet. We usually get the mail around 1 and lately we have been getting it after 1530. We literally never know when the mail is going to show up, if it is at all. This isn’t helping my anxiety around not having pain meds because I have to walk several blocks to pick up my niece. And it’s hotter than hell outside.