Showing posts with label therapists. Show all posts
Showing posts with label therapists. Show all posts

Monday, 29 September 2008

Part #14

So. First therapy session has now been and gone - this morning at 11am.

The dread I was feeling prior to this morning dissipated during the night and I woke up feeling numb, unwell and hollow. There had been a few 'Will she? Won't she?' moments, I must admit. I think, upon waking today, I had just resigned myself to the inevitable, but not in a defeatist way.

I really have felt unwell today. I cannot begin to express the pain which is searing through my legs and hips. Every step I take is like having a red hot poker going up through my pelvis. Sitting, standing, lying down, walking. I don't get any respite, no matter what position I attempt. It was a bit difficult for me to get comfortable at the therapist's. Although she had a huge sofa chair and also offered me a cushion, it just wasn't happening. Added to this, my bowels were on fire from the laxatives I had held off from taking until the very last thing, last night.

I allowed myself some pride in my efforts yesterday. I didn't go near the scales and had it in my head NOT to take any Dulcolax. I nibbled on 'safe' foodstuffs through the day and drank quite a lot of milk. So, I retired feeling pretty pleased with myself. But the slightest thing can make me feel inadequate and an ill-perceived slight led me to the Dulcolax and the fridge...then the toilet...And it was all my fault, and I know that to be true.

The therapist was everything I hoped she would be. Her name is Susan. Her room was like a sparsely-furnished living room, but not so austere as to make you feel cold and uncomfortable. And she was approachable, warm, understanding, pertinent and competent. She didn't make me feel a time-waster like some therapists have. And nor did I think she would feel I was fabricating things - indeed, I asked her that after she remarked that I had been surrounded, for many years, by people who had criticised me and dragged me down.

It's a strange thing when someone acknowledges this. Although I want someone to understand, the minute they do, I feel inordinate guilt - as though I have been 'naughty' and ratted on someone. She remarked on this, too. It's normal to respect your parents, and therefore, when you have no respect for them, it goes against the norm...if you know what I mean? 

We talked a lot about Anal, actually. Probably more about him than my family. We also talked about my relationship with Ian and the girls - I think these mentions were the only ones at which I smiled. I also confessed the one thing I have 'achieved' at which I do, secretly and quietly (but not any more, I guess!) give myself a pat on the back for - and that's the integrity I have instilled into Beth. Beth has more moral fibre than any person, adult or child, I have ever known. She looks out for the underdog, is fierce about right and wrong, and is not frightened to stand up for the 'right' side, either. She's as vocal and adamant as I wish I could be. We've talked morals together for hours on end. I've tried to teach her right and wrong; about love, care and consideration - about unconditional love. She's soaked it up like a sponge. Rosemary also has these morals - I am sure of that as I witness the way she defends her friends when they are in trouble...but she, at the moment, is absorbing boys, make-up and education more than 'fighting the good fight'. And that is how it should be for her, too, at this time of her life.

I must confess that this first session was quite draining for me. I had to use the bathroom part-way through and suddenly found myself wanting to 'grey out'. Some deep breathing cleared my head and didn't make me lose my sight. It left me feeling very nauseated, though, and I admitted to Sue that I felt somewhat unwell. She offered to end the session, but we ploughed on.

These spider webs of memories can be painful. Ian and I went to the pub afterwards for a chat. And I tried to relate to him as much as my tangled head could recall. So much junk in there which needs taking to the bin and destroying, once and for all - no recycling here, thanks!

When I was little - I can't think that I was much more than 7 or 8, I ended up in hospital. I had made myself ill with my own thoughts, I guess. My mother was constantly threatening to desert me; impressing upon me that her own unhappiness and malcontent with my father was due to my existence - "I'd have left if it hadn't have been for you being born" - and I started to fear that every time I left the house, I'd return to find her gone. I stopped coping with food due to the nausea. I found eating very, very difficult. And I also started pleading sickness in order to stay at home and keep an eye on her. Ensure that she didn't leave without me. I lost a lot of school that year. My mother took me into her bed with her at night because I was sick so much. I liked that even more - I had her under my beady eye 24/7 in effect.

When I started vomiting blood regularly, I was taken into hospital. The medics suspected kidney or liver damage but tests revealed nothing of the sort. I had hospital schooling for a while and pleaded to go home on what seemed like an hourly basis. My mother had been told she could stay with me in her own room if she wanted, but she decided that she didn't. So, I didn't have her anyway.

Upon my discharge, tensions were very high at home. My father was sick of me; my mother was, too, and I was just so bloody terrified of my own shadow that the nausea was there on a permanent basis. I started vomiting, involuntarily, at school, too. I'd only have to have a drink and it'd come straight up. And I could never get to the toilet on time. The amount of times my teacher berated me are numerous.

My mother has mentioned this time to me only once and described it as when I was 'a total pain in the arse and going round the bend...' Then again, she has often described me as a 'useless bastard'...

I did get over it. My father threatened me with all sorts of punishments if I didn't 'straighten [myself] up'. So I had to as he terrified me. One particular night, when he had really had enough of me whimpering for my mother's return, he smacked my backside so hard, it was raw, and then threw me into a scalding hot bath from which I was not allowed to move. The heat was so high it was like ice, almost. I cried quietly, not daring to move as this would mean the heat circulated even more. He roared at me to stop crying, but the pain was intense and I didn't know what the hell to do. I will never forget that night as long as I live. I remember staring at my face in the bath overflow, all distorted and strange-looking, sitting on my hands, attempting to protect my buttocks. 

My mother has denied this event ever happened. That my father would never do any such thing. But how would she know? She was out dancing with her fancy-man.

Ian has referred to this, and other things, as 'abuse'. It doesn't sit easy with me. I often remark, At least I wasn't abused as a child. He refutes this. It's hearkening back to my statement above. One doesn't want to think ill of one's parents, and to do so goes against the norm.

I told Sue today that I really miss 'A Mum'. Not her - A Mum. She discussed this with me very empathetically and perceptively. I got a lot out of her empathy there as I have often felt a bit of a wuss admitting it. Many people are unlucky enough to lose their parents and some struggle to get over it. A close friend of mine is still heartbroken at the loss of her lovely Mother and I have wrestled with my guilt at divulging my own feelings towards my mother to her. Thankfully, she is an objective woman and can see big differences in my upbringing to hers. (And thanks for that, Melon.)

So, the start of new and hopefully good things to come. I explained to Sue that I want to get rid of this rubbish once and for all. She has told me, honestly, it's going to be a long journey. I know that - I'm not daft! 38 years of incessant degredation and criticism don't disappear in six weeks, do they?

Ian told me today that he was proud of me for taking this step. He told me he wondered if I would go through with it as twice I had threatened to cancel. I have asked him to turn Captain Caveman on me if I wobble, sling me over his shoulder and club me. But get me there. We got into a bit of a debate as to 'who should be thanked/praised the most'. I have agreed to disagree on this one and asked him to tell me he is still proud in about four weeks - perhaps I will then have the grace to accept it?

Thursday, 25 September 2008

Part #12

Yesterday, I received this letter through the post:

Dear Dr R****

Re: AAT

Thank you for the referral for the above lady. As you know, at the Eating Disorder Service, we aim to assess and treat people with the eating disorders of anorexia nervosa and bulima nervosa. I am afraid that with respect to this referral you would need to give more information as to the presence of an eating disorder that has recently worsened in view of the problems that you describe.

From reading this referral, it would appear to me that the principal problems currently are her history of self harming and a number of psychosocial difficulties. If this case were appropriate to our Service, I would expect to see a history of resurgence of eating disordered behaviours and a possible drop in weight. We will not triage or process the referral until we have received this.

I know my doctor well. We have an excellent relationship and he has told me, repeatedly, that he wants me well as he knows I soar when I am. Last time I went to see him, he agreed to state everything as plain as the nose on your face to this ED service. He also looked rather glum and confessed that he had never had a referral who had been accepted by them.

This letter is almost a carbon copy of the same one he got about me 18 months ago. He told them about my repeated 'episodes', but also advised of the self-harming history (which is now history) and concomitant depression.

Ironically, I rang the Chester ED Service and spoke to a wonderful counsellor there. I told her how bad things were and she said it ALL needed to come out in a referral letter which would make my 'case' for treatment stronger...but because I am two miles out of their boundary, she couldn't help me at all and I needed to be referred to Macclesfield. And their stance is somewhat different as you can read above.

I have no doubt that my doctor has told them this is the third time he has seen me with an ED over the last three years. He's not daft! If he is referring me for anorexia, he's going to bring the ED up, isn't he? So why have they chosen to concentrate on my cutting 'history' - literally something which happened in the past. As I have admitted, I haven't cut for two years. My 'psychosocial difficulties' are easily the cause of the ED and so how do we get out of this goal-post moving exercise? 

A lovely lady left a comment yesterday explaining her story with her daughter who has suffered for three years. Her daughter sees a therapist twice a week. I wish I could see a therapist just once a month! It feels like pulling teeth. Ian is pushing me hard to go for private therapy, but I am refusing point blank at the moment due to financial constraints. God willing, this will all change in about four weeks when his house sale goes through, finally. Then I will go all out to get private treatment.

And do you know, I approached the two private ED therapists who advertised themselves on the B-eat website for this area some weeks ago. One dismissed me, despite my lengthy email explaining my ED, how it was affecting me, how much weight I was losing, how I felt and that I could pay (we initially believed that I was covered under Ian's private medical policy through work) and the other didn't even bother to respond.

Lexy advised me not to 'wallow'. I reckon sometimes that's a frame of mind one can fall into. And I have to admit, today, I am wallowing as I am fed up, disillusioned and wondering where to go next. I am honest enough to admit that reading self-help books have rarely done it for me. The only one I have ever read which gave me some relief was Cosmic Ordering by Jonathan Cainer...and he's an astrologist, so am I as potty as the women who buy Heat, Sugar and Shout!? 

I need strategies and guidance because I simply don't have the tools to do it completely alone. I need someone to show me how to do it. That's the simple truth - I am always better following instructions: always have been. A good friend of mine reads self-help books like they are glossy magazines. They do it for her. She is calm, peaceful and light itself - it glows from within her. And she puts it down to her meditation, Reiki healing, reading, and relaxation. She lent me the books. No matter how hard I tried, I just couldn't do it on my own. The minute I tried to meditate, I'd start to worry that I hadn't made the dinner, hadn't finished off an article, how would the atmosphere be when the ex came home? Rubbish.

I'm going to return to my doctor tomorrow - he wants to discuss this letter with me. I'm going to make notes for him and suggestions as to how we can impress upon Macclesfield that I could really do with their help. You can't give up without some form of a fight, I know that.

But today, the fight has temporarily drained from me.