I saw my psychiatrist Wednesday. I really didn’t want to go. Not because I don’t like her but because I really didn’t think there was anything she could do to help at this point. The medications don’t seem to help me. ECT and TMS aren’t options again. Going inpatient is not an option. And while I was weirdly starting to peruse what readings and music I would want at my memorial service I wasn’t actively suicidal. I just badly want to cease to exist but not be the one to cause it. And the exhaustion and despair have been beyond description.
The short version is basically I am being flooding with emotions from the past, also known as PTSD Hell. But because of my dissociation and where my life is at the moment they are being confused by me for present day emotions, when its really the past getting mixed up with the present. All because I felt none of these emotions in the past. I started at her and told her she had broken my brain. On a purely distant academic level what she said makes sense to me. But trying to think it through and apply it to my life, that is where it hurts my brain.
Apparently this absolute suckiness is why she was so adamant I commit to not killing myself. Because this kind of pain can make people jump off bridges if they aren’t ready for it yet and some therapists do make that mistake, pushing people too soon. She knows I’ve struggled with the thoughts and cutting thoughts. But she seemed weirdly excited or happy that I’m in this place. The entire thing is still mind-boggling and hard for me to process.
She wants me to really work on trusting her and my therapist to get me through this. I already trust them both more than I’ve ever trusted anyone before. It scares me already how much I trust and rely on them. I very much want to be an island unto myself, not needing other people or help from them. Apparently my visceral reaction when she mentioned the trust and attachment to her and my therapist is yet another clue what a big issue that is for me and not a “normal” reaction. And neither was my response to cry hysterically for 30 minutes straight because a friend of mine from church asked if she could talk to my therapist to learn how best to help me.
I’m supposed to stay as grounded as possible. Work even more on self-esteem and self-worth, areas I hate. Work on not feeling the need to apologize for daring to breathe at times. I felt better Thursday, which stunned me. I’m still having a hard time processing everything we talked about but there was a big difference Thursday. I let her know via email and she said she wasn’t surprised.
Therapy on Friday went well. It was hard to stay present and grounded for parts of it, but it was finally a session that had some productivity and wasn’t just constant damage control. I still felt like throwing up at the end. I wanted to go hide in bed, instead I went for a walk on the beach.
One thing I’m still trying to get through to my psychiatrist is that I’m not afraid of rejection. I basically don’t let people get close enough. What I AM afraid of, with many valid reasons, is of people getting close to me, getting to know me, and then using that knowledge to really hurt me or cause setbacks. I can deal with people leaving, so long as its done with some notice and a chance to say good-bye. And in general I don’t think I care much about what people think of me, I’m used to being somewhat wacky and an outsider. But given all that happened at my former church and with my horrible ex-therapist it is very hard for me to trust people not to turn on me and hurt me.
It is also hard because both of them have been there for me in ways no one else ever has. They are always there. I don’t have anxiety about them leaving me or not getting back to me. I can leave a message or send an email and I know they will respond when they can. Prior to working with both of them there was always a constant anxiety that the therapist was going to leave. I’m not really worried about that with either of them. Maybe because both of them have had ample opportunities to stop seeing me. The location my psychiatrist was working out of shut down with little warning. I was terrified of losing her but I was one of the few she offered to keep seeing as she figures out when and where she is going to open her own practice. That stunned me. The situation sucked but it also made her more human to me and enabled me to see that she really cares, that I’m not just a number on a sheet. I’ve tried at least twice to directly quit therapy with my therapist but she gets me through it. She knows its my DID, depression, and anxiety that is saying it, not me. Even when I was so mad at her for not letting me quit on the phone she didn’t let me stop.
Its also very helpful for me that because they are both in private practice I don’t have to deal with an on-call person who doesn’t know me. That was always a huge issue for me due to my trust issues. I don’t talk to people I don’t know when I’m in crisis. That was true before my DID diagnosis and holds even more true now. A person who doesn’t know me is going to err on the side of caution and force an ER evaluation on me if I’m not careful what I say. My past two therapists used to get so frustrated with me about that. In all honesty, especially given one was in the process of becoming certified in treating trauma and the horrible one claimed to treat trauma, they should have known that trust was a huge issue in that situation. Also, weirdly I feel like I call both of them way more than I did my pervious providers, which they all used to get upset with me for. And mostly they would all rush me off the phone within 5-10 minutes. But neither one of them has gotten upset with me for it, in fact my therapist ends every call by saying she’s glad I called her. I can tell she means it and she usually spends 20-30 minutes talking me through. I worry so much about being too needy but both have said to ask or they will let me know if its an issue.
I said to my therapist its scary and odd, to feel like they see me differently than I see myself, and maybe see me more realistically. That its good but I’m not sure I like it. My therapist said its just because they have perspective I don’t have yet.
I’m exhausted, this is a good time to stop. But my psychiatrist also understood why I have been feeling like I’m psychotic. In a large way I’m having to revaluate everything in my life to try to figure what is real, true, false, and what is a matter of perception. It is crazy making.