MED COMPLIANCE

At night, the monsters come out. Since my dentist appointment last week, I’ve been having dreams of disembodied hands. Creepy and unsettling. I wake up in a cold sweat, and don’t want to go back to sleep. So I stay up and read. Or listen to books on Audible. I’m acquiring a collection of un-listened to books that will rival my to be read stack of paper books. But that’s ok. Somethings to look forward to.

Am struggling with med compliance again. I’m tired of feeling flat and numb, and blame it on the Abilify. I’ve been reading up on it, and apparently it’s a common side effect. Right away she was concerned that I was still taking them. She was genuinely concerned that I would quit it cold turkey. Given my history, I would have to say that her questioning me is warranted. I started at 2mg, and now I’m up to 20. That’s a big dose. Especially since the last p-doc I saw stated that I don’t even have bi-polar. I understand that I might need a mood stabilizer, as anti-depressants alone never work properly. I do question, however, the need for an atypical anti-psychotic. At such a high dose. The last p-doc I saw was just a consult, but she said I could see her in a year if I wanted to discuss a med change. So I need to call the hospital and find out if I can make an appointment through them, or if I need to go through my doctor. My therapist is all about getting it done. I hem and hawed and will be doing it in the new year. I may bite the bullet and call this week, so it’s not hanging over my head. But I hate talking on the phone. I have real anxiety about it. So much so that even my therapist only contacts me via email. Even if it’s the day of an appointment, she knows I’m on my email, but if I don’t recognize the number, I won’t answer the phone. I’m so glad she’s willing to work with my limitations and foibles, without making them a focus or a big deal.

I have a feeling, since last week we didn’t really touch on anything big, as I’ve been pretty stable, we’re going to do some EMDR on Thursday. Just in time to do three weeks before she takes her two weeks off over Christmas. She is also planning on taking a week off in the middle of January. I’m just glad she’s not taking all three weeks off at the same time. Three weeks is a long time when you’re used to weekly sessions. She asked me how I’m feeling about the two weeks off. I replied, “Besides feeling abandoned?” Then I laughed and told her I was joking. “You’ll be holding seminars on how to yank your therapists chain.” I have mixed feelings about starting EMDR again. I’m scared of how it’s going to go now that I’m having visual flashbacks. My flashbacks have always been somatic, meaning feelings only. Recently, I’ve been having some pretty severe visuals. Not just feeling his hands around my neck, but seeing them. His cold, cold eyes. The collapse when I tried to stand up and he grabbed me by the neck and threw me back on the bed. Instead of just feelings of dread and sensations, I’m full on remembering. Which sucks.

I have my protocols. Babette Rothschild has saved my sleep. Her “8 Keys To Safe Trauma Recovery” has provided some very solid protocols on dealing with flashbacks and nightmares. So much so that I wrote them down for easy access at night. And I’ve passed them onto friends. They’ve been so helpful. I recommend that book to everyone I know with a trauma history that impacts their daily lives. Even if only sometimes.

YOU KNOW IT’S GOOD WHEN…

You know it’s good when your therapist pinches the bridge of her nose and says, “Oh my God.” I didn’t think it warranted that kind of response, but then, what do I know. We were talking about early development, and how girls and boys get sexualized very young. “Who sexualized you?” I thought about it for a minute, and then told her how my dad was embarrassed by my developing body and made me wear baggy clothes. To which I got above reply, followed with, “He has a lot of problems”. I could only nod. Her reactions are usually not quite so abrupt: a sigh, a squeak, a gesture. But this must have really caught her off guard. I guess because my dad never sexually abused me. Mental, emotional, psychological, yes. Bare assed spankings with a belt, yes. But there was never a sexual overtone to it. It was about humiliation, not being sexualized. So it may have seemed out of character. But then, what IS in character for a narcissistic, over-bearing control freak? Other than the odd flashback, I’ve been having a fairly good week. Maybe because I’m relying on my tranqs more, I don’t know. Which really isn’t good, but it is what it is. I mentioned it at the end of my session Thursday, to say, ‘Hey, I’ve noticed this. I’m not abusing them, but I’m using them more than I’m really comfortable with.’ So we’ll see if she brings it up next week. Poly Vagal Theory is the next thing we’re discussing. How the Vagus nerve effects our affect and works with the sympathetic and para-sympathetic systems. I’ve just started reading about Stephen Porges, the father of the theory. Sounds fascinating so far. As I slowly start to get more and more control over my dissociation, we explore more and more things. My therapist knows I’m a reader, and that I really enjoy reading about neuroscience. And anything that helps me understand my body’s response to all it’s traumas helps me heal my mind and conquer my C-PTSD. I am sure that re-commencing EMDR is just around the corner. Just as soon as I can stay more connected. Which is happening, incrementally. The process is so slow, and it’s easy to feel discouraged. But this time last year, I was dealing with repercussions of self-harming from the memories. This year, I made it through intact. Which, if I’m being honest with myself, is huge. Every time I get stuck on how slow the progress is, my therapist helps me see just how far I’ve come. I’ve always described it as a spiral staircase, where even when it feels like you’re going backward, you’re still going up.

YOUNG ONE

As most people who have done trauma work, my therapist and I do extensive parts of self work. I find this awkward and, at times, makes me feel crazy. Yet there is no denying the fact that I do, indeed, have different parts of self. The twins, Young One and Angry Dude, two sides of the same facet, one with the anger turned outward, and one with the anger turned inward. I had a bit of an epiphany regarding that this week, when I wrote Young One a letter. I don’t cry easily at all, but this brought tears to my eyes:

Young One. I know you’ve been neglected. More than neglected. Blamed. Held responsible. Mistakenly so. I can see that now. With all that was going on in our life, how could you ever have had the ability to say No?

I wasn’t your fault. Vera and I have talked a lot about being groomed.

GROOMED: PREPARE OR TRAIN (SOMEONE) FOR A PARTICULAR PURPOSE OR ACTIVITY

As far as dad was concerned, we were to be obedient and obey him without question. Lessons we didn’t learn easily and rebuffed at every opportunity. Oh but Young One, the fear of the consequences of disobedience was very real. It didn’t stop us, though, did it. Incorrigible. Defiant. Even when we knew it meant bruises coming our way. Not that it mattered. There were enough times the “discipline” wasn’t even understood.

DISCIPLINE: 1) THE PRACTICE OF TRAINING PEOPLE TO OBEY RULES OR A CODE OF CONDUCT OR BEHAVIOUR USING PUNISHMENT TO CORRECT DISOBEDIENCE.

Harsh, cruel discipline disguised as love. We never were very disciplined, were we? Do you remember a time we never feared dad’s wrath? Discipline, in and of itself, isn’t bad. We need discipline every day. It was the punishment, the abuse, that led to so much fear. The arbitrary rules, with the over the top consequences. Groomed to fear displeasing. Groomed to associate the lash with love. Oh Young One, did we ever stand a chance with Michael? How often were we “disciplined”, not even for breaking some rule or other, but simply because he didn’t like/was unhappy with our behaviour?

Conflict led to abuse-even if it was just a back hand across the face. Or, if not physical, than emotional and mental. Oh Young One, I’m sorry it’s taken me so long to understand just how groomed and conditioned we were.

CONDITIONED: TRAIN OR ACCUSTOM (SOMEONE OR SOMETHING) TO BEHAVE IN A CERTAIN WAY OR ACCEPT CERTAIN CIRCUMSTANCES.

Conditioned to accept abuse as a consequence of conflict. Conditioned to accept abuse as a demonstration of love. Michael was the first. There was so much we could have done had we not been so conflict avoidant. Our first. Vera likened it to an emotional marriage. And the honeyed words after.

Oh Young One, so naive. So empty. Made us believe it was our fault. That we deserved it. That we wanted it. Natural consequences for coming home with his wife. One thing to disobey father, another to disobey this stranger, standing over us, naked and torn.

Oh Young One, we were so lost. So starved for affection. And Michael provided that. Brilliantly. The kind words with the abuse. A perfect fucking storm.

And the perfect rationale: DISCIPLINE = LOVE DISCIPLINE = ABUSE ERGO LOVE = ABUSE

Oh Young One. I finally understand. Today, as an adult, even in a safe environment where there is trust, NO is still not an option. If NO is not an option today, how the hell could it have been an option for us back then?

Young One, I’m sorry. I’m sorry for failing you and then blaming you. I’m trying to make it right.

ONE ROUGH WEEK

It’s been a while since I’ve written. So much has happened. We almost lost my mom after her cancer surgery. She had two blood clots, one on each lung. And no one wants to tell me anything. I talked to my mom in the morning, and she was coming home the next day. An hour later I talk to my aunt and find out mom’s staying for a few more days. When my dad and my sister come home, I talk to her. Find out what’s going on. Also that my dad has a leaky liver, that’s why he quit drinking. My sister tells me that no one wants to tell me anything because they’re afraid of setting me off. Which means setting my anxiety and depression off. Like I have no coping mechanisms. It’s so frustrating. Mom could have died, and no one wants me to know. Sigh. It’s better to know where I stand, I guess, so I know to ask more direct questions.

Moms surgery was also the anniversary of my most recent sexual assault. The struggle not to self harm was so very very real. And then I found some sharps. Tucked into the staple box in my art kit. My world reeled. Fortunately, I have some very good friends who were able to talk me down from it. Three different text conversations with three very different foci, but all with the same outcome: I stayed safe. Something even my safety contract couldn’t guarantee.

It is so hard to articulate exactly what goes through my mind when the urge strikes. Relentless begging for release. But release from what exactly? Too many feelings? Not enough feelings? Release from memory, from thought? From the too too much. It all gets to be too much. Existing. Being. Living. Breathing. Feeling trapped in a mind that is malfunctioning. Emotions hi-jacked all the time. Never being 100% present in my own life. That’s the hardest part, I’m coming to realize. The fact that I zone out all the time. I don’t know if I’m zoning out more, or if I’m just more aware of how often I do. Vera, my therapist, says it’s fine tuned to happen so often, and that I’m just starting to notice. So I take her word for it. She’s the expert on all things dissociative and traumatic. And, more importantly, I trust her and what she says. It’s been a long time since I could trust someone so implicitly to always do what they honestly believe is in my best interest.

HELLO DARKNESS MY OLD FRIEND

I don’t know if things are settling down, or if I’m just getting used to it. It’s like that Simon and Garfunkel song, “Hello Darkness my old friend”. Or Gordon Lightfoot, “Sometimes I think it’s a shame/ When I get feeling better when I’m feeling no pain.” Or maybe I’m just numb to the pain. Either way, I still am fighting the urge to self harm. I had a cigarillo Friday, and another one Monday. As my friend comforted me, “Whatever it takes to get through this.” Three more weeks, if past experience tells me anything. I don’t think I can survive three more weeks. I saw my therapist on Thursday. Got into a disagreement about self harm. Of course, I lost, and have a fresh copy of my safety contract in my bag. My work this week is to update it, since it still has my ex girlfriend as an emergency contact, and we broke up in April.

How to update my safety contract when four out of five of us don’t want to be on it anymore. I remember when she first mentioned it. I ignored her the first time. The second time I said I’d consider it. The third time, I said to her that since she’s mentioned it three times, she must feel it’s important, so we signed one. Did I mention this was all on my first or second visit? She knows it’s a valuable, strong tool. And I’ve proven to her again and again that it works. Many times it’s the only thing that has kept me from self harming. This week, if I had the means in my room to do it, the contract wouldn’t have mattered. But the only thing I have in my room is an art x-acto knife, and they aren’t really very good at deep, clean lines. I have disposable razors in the bathroom, but the act of pulling it apart gives me too many opportunities to really think through what I’m doing and stop it. Or deliberately chose to go through with it at each step of the way. It’s different when you’re desperately searching for something and you find something you missed in your last sweep. But no such luck. I purged very carefully last time.

So I sit in my bed, my safe zone, and try to keep my hands loose, so the nails don’t dig into my palms, which seems to be the thing I do these days. Ugh. My mind and body conspire against my brain.

ON MY KNEES

This time of year is so hard. I feel ready to throw in the towel, crawl into bed, and never come out. The siren song of the razor blades is strong and sweet, necessitating bringing my thoughts back to my safety contract over and over. My eyes are permanently on the verge of tears, watery and weepy. That one man can bring me to my knees in despair. That the memory of one man can bring me down, leave me curled on the floor, shattered and broken.

The memories come fast and thick. Leave me whirling in confusion as to where I am in time and place. The nausea and the disorientation. Rock is huge, always, these days. My mom is going for cancer surgery next week, so I have to hide how bad I’m feeling so she doesn’t worry. I’m not doing a very good job of it, but she isn’t getting the depth of my shadow self.

Shadow self. My being crawling to The Pit. The body tremors as I fight it. As I fight the flashbacks, the memories of violence done to my body; to my being. Knowing that I can’t let him win. But the body, the mind, wants to cave; to collapse in a puddle of blood and tears.

The days long, the nights longer. Soaked sheets as the body remembers the torment; wakes in a frozen panic. “Just move one finger, just a little bit,” encourages my therapist. So hard. So hard. But I do it. Then the next one. Defiance that he hasn’t completely broken me. My body comes back to me, sore and achy, but mine.

THIS THE WINTER OF MY DISCONTENT

I’m sitting here at my friends cafe, drinking a latte, feeling lost and bereft. I met with great friends on Tuesday, with whom I really feel connected. We all had shared an “A-ha” moment, comforted each other, supported each other. It was a beautiful thing. But tonight, I’m feeling particularly lost. Maybe it was the lack of therapy yesterday, or the fact that I have no plans this weekend, I don’t know. All I do know is that I’m feeling disconnected from people. This has never bothered me before, but it’s bothering me today. I was going to go to bed early, in hopes that tomorrow will be better. Instead, here I am, people watching at a board game cafe. I should be working on my writing, instead I’m whining about these weird feelings of discontent. It might be the weather, as it has been grey all day today and I haven’t been using my therapy light. Maybe I should be. Chase away the sleepy feeling I have been living with; maybe reset my circadian rhythm.

And every night brings me one day closer to D-Day, dental work day. I’m in a panic every night, and I’m missing my therapist terribly. There isn’t much she could do, it’s not like she could come to my dentist and hold my hand. Oh that would be wonderful, wouldn’t it.