Well, I heard back from my T and he said he would honor my request and read my letter at the beginning of my next session. Here's what I wrote:
I keep trying to work up the courage to tell you some things but that doesn’t seem to be working. There’s a lot going on with me that you don’t know. It would be better to tell you and I apologize for doing this by letter. Hopefully you are just reading this in my next session and not wasting your time outside of my session.
As you already know, I realized and started reliving 20 years' worth of trauma back in October. The memories themselves are intrusive and difficult (the container exercise does help). I can be doing other things and just wind up accomplishing nothing because I’m stuck in the past. Sometimes it hits out of nowhere. This can go on for hours some days. This is a hard place to live. So, I started on a journey to figure out what exactly is going on. It feels like an outright war in my head. The problem is, the emotional side of my brain, as I’m realizing, is very stuck in the past. I never realized that at some point in my life I mostly stopped feeling things.
This journey I’ve been on has involved a lot of reading and watching YouTube. I think I’ve been sticking to mostly credible sources of information. I’ve also been reading the book “The Body Keeps the Score”. I can only read it in small doses because it’s a lot to take in. There are definitely parts of that book that apply to me. I’ve spent a lot of time on a forum for PTSD trying to figure out if that’s really what’s going on. I’m not one to suggest diagnoses and honestly don’t care what I officially have (don’t need the label) but I did feel this need to know what was going on, to try to explain some things and know how to handle things. It seemed worth exploring and it was a place to start. At the very least I have a lot in common with some of those people and the conversations have been helpful. If you have any suggestions of things I should be reading or doing instead, I am all ears. I feel really guilty just going my own way on everything because I respect that you know far more about where to go but have been afraid to have this conversation. I’ve been stuck in crisis after crisis and have essentially turned you into a firefighter.
Here’s the list of things that I think you should know (I may be missing things):
• I keep people at a distance and look for reasons to reject new relationships.
• I dislike nearly everyone when I meet them. I’ve been aware of this for years and will generally give people a chance but will likely reject and distance myself from people at some point anyway.
• I have significant avoidance behaviors. If I think someone is going to get angry with me (doesn’t have to be founded in reality), I will physically hide. I have literally worked in my car so that I can’t be found at work. I will ignore emails or phone calls. I quit a past job to avoid getting a performance review that I was concerned would be bad.
• I can’t reach out for help with simple things. I will spend hours looking for answers when a simple email to someone with the question would save me a lot of time. I feel like I’m bothering people by asking for help. It has to be dire for me to ask.
• I get really angry when people are nice to me. I have learned how to smile and say thank you when people are nice but I get angry or at least sad. My impulse is to argue with people and try to convince them that they’re wrong about me.
• I can’t go anywhere with a crowd. I freak out pretty badly most of the time. If I have to go to the grocery store, I’m going to go late at night.
• Nightmares are not uncommon for me. They’re one of the primary reasons for my insomnia. This many really intense nightmares was a new experience though.
In our last session, I didn’t tell you about the nightmares because they are hard to talk about. I am willing to describe them in detail if needed but basically, they are always about you and me. In every single one of them, by the end, you betray me in some way, usually involving my death or complete abandonment somewhere. At first, I thought this was just my fear of abandonment coming up. When I paid more attention to the details, I always had a way to change the outcome. I couldn’t do my part in any of the storylines and it ended the same way every single time. It was always my fault.
The topic of mom was an important one as well. Right now, there are a lot of important topics (most of which are mentioned somewhere in this email) and I never really know what I should be telling you. It’s like there are a whole lot of trains at the station and I have no idea which one needs to go first. Some of the trains are on fire and the station keeps catching on fire. The homework you gave me (no mom conversations until Christmas) has been a lot more challenging than I thought it would be. It’s day 6 out of two weeks but I started struggling with it immediately. When you asked me what I thought the challenges would be, I should have told you that I have a hard time not taking care of her. I’ve been taking care of her since I was a young child. I have spent my whole life being relatively invisible and worrying about taking care of everyone but myself. I have trouble existing without it being in relation to taking care of someone else. My entire value exists in my taking care of others.
I’ve never been in any kind of relationship that exists to help me. You’ve done and said a number of things that have shown me you’re committed to helping me. I have no value to you whatsoever. If I disappeared tomorrow, it would be one less patient for you to deal with and therefore less stress and work for you. Based on your Kaiser bio, I’m not even the type of patient you typically work with. My doubts come from this place that doesn’t understand why anyone/you would want to help someone like me. What could possibly be the reasons? I have friends that are therapists and I know they are much like teachers in the sense that they want to help people. Therapists certainly don’t get into it for the money or the prestige. They tell me that they like their clients/patients but that doesn’t work with me because I’m pretty damn unlikeable. Maybe then the fulfillment of helping someone? I’m not really sure I can get better. I feel like a lost cause. On top of that, I’m pretty high maintenance. I started out in crisis. I feel like I eased up over the summer a bit but in October, I got a lot worse. I hate dealing with myself and I hide most of what I am from other people because I know how messed up I really am. Some people can’t get better. At what point do you give up?
As far as I can remember, I haven’t willfully lied to you. I’ve given partial answers and left stuff out, which is not good, but in the past, with other practitioners, I’ve either refused to answer or straight up lied. I don’t know if it’s because you had the opportunity early on to prove you were committed or if I was just ready to start trying to dig my way out of this hole that I’m in (possibly both?) but this experience has been very different. It’s made me realize how deeply I struggle with my feelings. I keep trying to give you this analytical report of what I think is going on instead of letting you in. This is totally new for me and I’m not doing a very good job. I finally found someone who is enough of a masochist to put up with me and I’m screwing this up. I don’t know if I even have the ability to actually do any of this right. I’m trying and the only thing I can say is that I’m sorry.
Thank you for reading this. Hopefully it was enlightening in some way. This took me many hours to write and despite the amount of effort, I’m certain it’s still not right. I’m sorry for how long it is- I tried to keep it brief and relevant. Also, it’s okay if you have no response or if you now realize that I am wasting your time. I don’t have a lot of choices in all of this but you do and I respect that.
I highly suspect that he's already read the letter. In a way I hope he has- it will give him time to think. If he doesn't bail on me after this, I guess he's really in it. If he does bail, hopefully he'll send me to someone who can handle me. Honestly, I probably won't feel secure with anyone based on who I am at this point in my journey but if he isn't equipped for trauma, hopefully the next person will be and will be able to handle my insecurity. I probably didn't say everything I should have said but I said an awful lot of things and at least I got some of the trains out of the station. Hopefully it will give him or whoever works with me moving forward a clue on where to really start with me. I hope, as much as I am sitting here shaking over sending this letter, that it will end up having been a great choice to put me into a better position to heal and grow how I need to.