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Exposure Therapy For Processing Sudden / Violent Death - My T.

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NovemberStar

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Sorry it's long. I need to write the back story to make it clear for myself firstly.

I'm currently trying to face one of my deeper traumas - abandonment and being left to 'cope' with being very traumatised as a child and having NO ONE.

In all honesty I do not know for sure what the underlying trauma is. I've only had flashbacks of the immediate aftermath - where I run to my bedroom and shut myself in my bedroom cupboard and wish myself to die, because I felt so completely ALONE and completely overwhelmed. I had no escape - and realised I really do have NO ONE and nothing will ever get better. I was 9 or 10 years old. It might have been following my mother punctually hitting me, or coming home from across the road after my friends brother molested me. I've had flashbacks of feeling the trauma in that bedroom, the same event from a hundred different perspectives / viewpoints, for the past year. The flashbacks are not in the house where my mother died - she died while we were in holiday at my grandmas house. We returned home 5 days after mum died.

It also possible the trauma relates to my mothers sudden death. I was 10 years old and saw her fatal heart attack. I had NO support after she died. I wasn't even told in a nice kind way. No one sat me down to talk of heaven and angels and her being at peace. I was told "she's dead". I had NO support in the hours or days afterwards. NONE. Not one adult sat me down, asked me how I was. I didn't get one single hug. I was back at school as usual within 6 days. I was teased at school for having a mother "rotting in the ground with the worms"'. My father was always incredibly emotionally shut off - that did not change.

My mother died 8pm on a Saturday night. Sunday morning, my sister and I were sent away to stay with Mums best friend and her husband. We were forced to spend the day around a nationwide fundraiser (a Telethon) around festivities and happy dancing people. Mums friends were helping organise it. It never occurred to them to perhaps cancel their commitments and take care of us instead.

I spent the day lost, afraid, trying to grieve, and had no one. I don't even remember them getting us lunch. I remember a boy on the playground saying to me 'why aren't you going to play??!!!'. I just stood and stared and said very quietly "my mum just died''. He shrugged and walked off. My sister and I were made to stay the night at their house. I remember feeling so angry because I just wanted to GO HOME - so I told them - over dinner - exactly what Mum's face and body looked like as she had her heart attack. It was the only way I knew how to hurt them. I can still recall the shocked looks on their faces like it happened an hour ago.

I remember having at least one waking nightmare about her death after she died. I dreamed she wasn't really dead and she walked in the front door. I woke only to remember it was just a dream but it was so real it really upset me. I had already had dissociation prior to her death due to the abuse; so I probably ALREADY had PTSD. Certainly don't recall any 'new' symptoms. Had already had suicidal thoughts and feelings and depression, and I suspect flashbacks from as far back as I can remember.

Fast forward: my T is going away on holiday next month for a month. I won't see her for 5 weeks. It's bringing up really huge fears and terror - whenever I've come close to being in touch with the 'Something' , I have been so traumatised by the mere existence, I've relapsed severely into anorexia and had to be hospitalised for it twice for re-feeding as a well as a night in the cardiac ward in the last 3 years.

The 'Something'' doesn't even has words - I tried drawing it once but it's bigger than the world; bigger than ANYTHING. It's so big it isn't name-able.

All I know is my T going away has triggered a huge fear she will die suddenly on me. Thinking about her going away for just a month leads me to dissociate and get really dizzy. But I think my ultimate fear is she will die. Besides my mother, I've had other people suddenly die on me - a number of suicides from when I was 19-25 years old and in PTSD already (misdiagnosed then however).

***trigger mentions suicides and methods ***

A guy I lived with gassed himself in his car. I helped the staff clean out his room and pack his things up.

A close friend I really loved killed herself by jumping off a cliff into the sea - she took a taxi FROM the psych ward and the taxi guy only rang the police because she wasn't going to pay the fare. She jumped anyway.

Two of my friends' boyfriends killed themselves also (Another car exhaust and the same cliffs).

And the very first psych. Dr I had killed himself 3 weeks after I began seeing him. He drove his wife to the same cliffs and jumped off in front of her on a nice Sunday afternoon. I was at the day program where he worked every day so got told the next day what he did. They never found his body - it was in the newspaper the helicopter had sighted it but couldn't retrieve it before it was washed further out to sea.

***end trigger ***

(The same Dr who is diagnosed me as having BPD I might add - although it took years for me to think 'hey, maybe, given the fact he killed himself, he was so sick himself he really didn't know what he was doing'. It helped me feel validated that he was wrong).

Tonight's I had the thought that I think I might need to grieve my T's possible death WITH her, just in case she does die suddenly. To have the conversations with her I never had with my mum. We did talk a little about it today - it sort of helped when she said she would hope I would continue on with the work she and I had started together.

She also tried to say she isn't unique, that there are many other T's out there who can hear me and validate me - I get why she said that but I'm NOT there yet - she is irreplaceable to me and there HASN'T been another T in all 20 years of therapy that has 'got it' like she has.

I had the idea - could I ask her to write me a letter 'just in case' and give it to me now so IF she died suddenly I'd have her words if encouragement. Don't know if I will ask her that, but I wild like to talk to her and hear some encouraging words and have her tell me she believes in me and that I COULD survive her sudden death if it happened.

Sort of like an exposure therapy?

Facing the fear of losing her but while I HAVE her to work it through with?

I'm not necessarily afraid she will kill herself (although it's impossible to know that for sure - my psychiatrist worked in a large work environment with multiple psych nurses and consultant psychiatrists and no one saw that coming). But I worry about car accidents (I live in a country so small every single road accident causing serious injury or death is breaking news nation-wide - I am not exaggerating). I worry her plane will crash, or she will be killed when on the other side of the world on her holiday.

Questions:
Has anyone else had those same fears / sudden death fears following trauma from sudden loss / abandonment?

Anyone grieved the loss of their T, WITH their T, just in case?

I'm ask so afraid she might not want to go there - why would she want to talk about her sudden death with ME? Not exactly a cheery conversation and not everyne wants to consider their own mortality, much less with a client?
 
NovemberStar,
if you accept I would like to offer you a hug of security, serenity where time stands still within the moment.

Visualize the breathing of two people safe in friendship and hearts beating in a community where you are not alone such as ours here. A doorway of soft light, warming you- allowing a safe passage where many, compassionate people are smiling to greet you within a thriving, scenic, living world. Hear the soft music to gently move your energy through each chakra until you feel grounded and know how special you are within the universe. Perhaps in the visualized moment, light some incense or place a drop of a soothing oil mint, rosemary or lavender in hot water nearby: inhale gently as you regulate your breathing, knowing you are not alone.

I offer one moment, at a time. To reconnect visually and believe you are connected within a community that has endured much, seen much and will feel much with you is a place where you can rest and be safe. You have shown me testimony through your courage in your offer of your experiences and quest to maintain your path to heal. I can not offer a quick fix nor even begin to think I could offer the appropriate comforting answer. So I humbly offer the only thing I have across the miles- my words of extension, a heart offered vision of virtual comfort that holds you as unique as the songbird at night. You are not alone. We are here and hear your voice.
 
NovemberStar,
You are not alone. We are here and hear your voice.

Wow @ November Star

I am amazed at what you have endured. I too have a diagnosis of BPD.

I've learned that facing your fear is what minimizes it. So discussing your idea with your T seems reasonable.

Hope it all works out--- not sure what else to say, except that I understand fear & how paralyzing it can seem at times.
 
@Recovery4Me thank you so much. I will read and re-read what you wrote when I need to.

@Running to music I was misdiagnosed - I don't have BPD. I also happen to think it s a crock of a so called diagnosis but that's another long vent! being lamp led that damaged me further - because the so called 'treatment' for BPD 20 years ago was to avid at all costs, 'encouraging' the 'manipulation' for 'care' so any distress I expressed was ignored. In reality I had PTSD. It took many years for me to realise that and today, I do have the right diagnosis.

When I was 18, anyone and everyone who was a) female, b) self harmed, c) had a history of abuse was automatically labelled BPD. Men were given other labels. Even if they behaved or expressed the same symptoms. It was right up there with so called female hysteria back in the dark ages.
 
@NovemberStar I definitely can relate to your fear of abandonment. I actually hate feeling reliant on anyone or anything, though, as I've always ended up having to be self-sufficient as I had to be for my survival.

Recently I began to feel dependent on therapy (I'm not implying this is the same case for you though). I hated feeling that I needed anyone. So I've taken a month's break (for this and a couple of other reasons). I'm now finding it so hard not having my T avail to call on. I've began to admit that I actually do need her and can't do this all alone anymore.

But I still feel like I need to give it the month break, to prove to myself that I can cope without her if it came to it. That I could find another therapist if it came to that.

Though I do not want anyone else either. And I have brought up my fear of her failing and abandoning me with her. She has just promised me that she is fully committed to working with me and that she would hope that I wouldn't give up on therapy if she couldn't be there for me for whatever reason.

I think there is a natural element of transference at play here. I feel that you need to work through this with your T for sure and tell her what you need to feel safe and reassured while she's away. I don't know how she works, though my T will take the time to try to text whilst she's away or reply to me if I contact her. She's okay with this once I'm not contacting her with any issue she couldn't immediately help me with e.g. if I were feeling suicidal or something she wouldn't be much help while away and I wouldn't want to put that on her while away either.

I really hope you can work through this with her and come to a positive arrangement to get through her time away
 
Has anyone else had those same fears / sudden death fears following trauma from sudden loss / abandonment?
I am so sorry to hear of all the losses you have endured. One of my traumas is the sudden and traumatic death of a loved one.

Worrying about sudden death and abandonment regarding those I love is still an issue for me even though I wholeheartedly believe in the afterlife. Even when someone I care about does not get back to me right away, I often jump to worse case scenario. When I was in therapy, I did used to worry very much that something bad could happen to the therapist. So I do understand and can empathize that it can be a tormenting feeling.

I see no problem bringing this up to your therapist. If she understands sudden traumatic death, then she will not worry about her own well-being and that something bad will happen. She will understand that it is an issue that you are trying to work through, an issue of sudden death/abandonment.

Also, therapists are used to having fears or whatnot projected onto them as well because they are a huge part of many people's lives. So it comes with the territory I think. By bringing it up, I think it could be a good opportunity to work on this issue together. I think that is what therapy is for anyway and sometimes it involves the therapist.

Best of Luck to You. Despite all that has happened, you are highly resilient and I believe you will heal from these things.
 
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I think that fear is normal, in so far as it's been your experience. I have it too. Time helps somewhat, or to think well same could be so for myself, but that doesn't mean it definitely will. To some degree I just find it helps to "say it", like "I'm afraid something will (might) happen".

But ya, my sister & I always give each other a kiss or hug when we leave, it used to bug her bf. She said, 'he doesn't get it', that might be the last time, no one knows.

I don't know much about 'abandonment theories' but loss I've been there.
 
Thank you for the replies everyone. I'm sorry I don't have the mental or emotional energy to reply individually but I did read what everyone wrote.

Been busy the last couple days. Today was quieter. I've moved from fearing she will die, to just really REALLY DREADING her going. It is bringing up so much stuff. And some flashbacks. And with those - more dread.

It's almost as if her coming departure signifies a repeat of a trauma - it feels like I'm on a countdown to the past; such are the flashbacks.

My biggest fear in all this is it will hit me most when she is away, and of course, she won't be there when I need her the most.

I'm trying to see it as 'an opportunity for healing' - but I am really really afraid :(
 
I'm sorry that you are feeling afraid.

I'm not sure what to suggest other than to remember to breathe deep breaths and be extra kind and gentle with yourself.
 
Hi November Star, I remember reading your post of encouragement and some of your story when I first joined as a new member last week and thinking how strong you were that day. It sounds to me like you are facing something big, one of those steps forward in therapy that take more courage than others. I would have to agree that the old issues are being activated by your T going away and that you are attempting to face that with great courage and insight.

I remember when my four kids were little they all went through a stage somewhere between 5-8 that they became concerned about my death. They would usually cry when it was bedtime and say they were scared what would happen if I wasn't around. Once I remember my 8yo had just had a fantastic day, it was his birthday and he had a party with 24 kids. I realized that he was just loving me a lot that day and that he imagined the loss of the good our relationship brought to him.

What I'm suggesting is that it is a normal part of childhood development to fear the loss of the attachment figure once the child reaches a certain level of maturity and understanding. You also have a number of very relevant experiences that have reinforced the actuality of loss.

I had 12 sessions with my present therapist and then a year off. I've just started again with her 5 weeks ago. During the time I didn't see her, I realized that I had 'internalized' her. I would have a hard time sometimes and think 'What would L say?' The more time I spend with her the more I realize I have internalized the loving, Motherly person she is and her words of wisdom. Much like we do as children growing up. She will always be with me, no matter where she is or how old I grow.
 
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