It’s been a while since I last updated, apologies. I didn’t get around to giving my therapist that letter but I did manage to express most of the thoughts in it.
Quite a lot has happened with him since I last posted. As I expected, after the awkwardness of previous sessions he explained (in a careful and considered way) that he doesn’t think that CBT is right for me at this time and that he felt like the sessions were “tortuous” for me because of the many questions that I have to answer about my thoughts and feelings (which despite how frequently I complain on this site, are hard for me to express verbally). In a way he is right, I do find it hard and I don’t think I really made any progress in the CBT sessions I had. To be completely honest, and this is not depression talking, I think my problems are far more complex and deep seated than the examples I have read about when it comes to treating social anxiety. My chronic depression makes things a hundred times harder because I cannot even answer the basic question “How do you want to be different?” or “What do you want to change?”. I simply cannot visualise myself as any different because I have been this way for so long, and the only memories I have from before I was so bad that it could be considered a mental health problem rather than just extreme shyness and sadness are from when I was a child. I have never experienced being an adult without depression, crippling low self esteem and self loathing. I have been suicidal in varying degrees for the past 6 years, I don’t know if I can ever shake that.
However much I could possibly change, even in this “magic wand” scenario they seem fond of presenting, presumably in order to give them some idea of what I should work towards being/doing, I can’t change the past and how much of a complete mess I have made of it and how much time I have wasted and pain caused to others. There is no part of me that feels like I would be better off alive than dead, it’s only the anguish that my family would suffer and lack of a quick method that is keeping me here and even those things are tenuous.
The result of all this is that he recommended that I would be better off having someone who I could meet with informally to discuss things with but I don’t honestly think that it would be any easier than talking to him in a therapy setting. I probably painted an unfair picture of him in my previous entry, in truth he is the only mental health professional that I have been able to speak to truthfully. I don’t trust any of the others any more. I can’t tell them about my constant suicidal thoughts, I don’t want the stupid useless crisis team on my back again. To be completely honest, seeing anyone for an hour a week (and that is the most frequent as it could get) is never going to change anything for a severely messed up person like me, it’s pretty hopeless.
A couple of weeks ago I went for the assessment (another one, yay!) at the city where I go to university and the people who “interrogated” me were quite unpleasant. I find it very unsettling when they go from acting like your friend one minute and then asking if you hear and see things that aren’t there and baffling questions about whether you think people have taken ideas out of your head the next minute. In addition to this, the fact that I just can’t answer any questions about myself as a person (what do you like to do? what kind of music do you like?) it made for an extremely uncomfortable hour. I left feeling more downhearted and disillusioned than ever about the mental health services. I don’t think this is a failing on their part entirely, I am just too much of a weird case and I don’t think they are equipped to deal with someone who is messed up in such a bizarre way.