Hi all, this is Wednesday’s 11/8/2017 therapy session. It is intense, and there are trauma details written in, so this is a huge trigger warning. I debated about writing leaving details out, and glossing over the intensity of this session but then decided that I wanted to show the the full picture of what a Sensorimotor Therapy session looks like. I decided that I’ve spent enough of my life glossing over details and pretending everything is no big deal. So just be careful when you are reading, take care of yourself. Xx Alice
I’ve been okay for the last two days, and I’ve been falling apart. I’ve had moments where things were just terrible and overwhelming but I managed to hold onto the fact that the feelings would pass. I wanted to cut, but I didn’t. I wanted to throw up, but I didn’t do it. I wanted to hide forever and disappear but I didn’t. I somehow consistently managed to put all the yuck back into the therapy box; not hiding, not pretending, just knowing I needed to function. I did use the busyness defense to help push the ick away, but I was going to be busy no matter what, so why not use it to help myself function?
Walking into Bea’s office brings about a strange mix of feelings. I want her to be proud of me for holding it together. I’m afraid that if she reads in my journal about the bad moments and how I coped, that she might decide I’m just all better and okay. I want to avoid all the yuck, and I want to dive into it. I also wish I had a blanket with eyeholes I could put on my head, because the shame and disgust I feel is so huge, it’s hard not to feel afraid to be seen.
She’s heating up her tea when I walk in. “Good morning, just let me grab my tea.”
I nod, and sit down. I go ahead and pull out my notebook now. I both want to avoid anything deep, and I want to get right to work because I hate when I feel like I wasted time. When Bea gets back into the therapy room, we talk about Kat for a few minutes. Parent teacher conferences are coming up and I’m a little worried about the classroom teacher and what she is going to bring up.
After that, though, Bea asks about Monday. “How did Monday feel for you? Did anything come up after? Did things feel okay?”
Silently, I point at the orange book resting on the couch next to me.
“Should we start there then?”
I hand her the notebook, and wait. Before she starts to read, she grabs me the teal colored fuzzy blanket, and hands it to me. I don’t hide under it right then, but I clutch the blanket like its my anchor to the here and now.
Sick like something bad is going to happen. It’s funny that I can think of it now, but not before. So many words to describe that feeling. So many better words. The words could be apprehension, trepidation, dread, fear, worry, tension, suspense, unease. So many words, and I couldn’t think of a single one. Ugh.
“This is so many words. But this was later, right? When the adult was back online? I still think that the adult you has words, while the little girl didn’t have these complex words. It’s a parts thing. The little girl doesn’t have other words. Adult you does. It’s interesting that the adult could get back online and help find words later, when you were calmer.”
I don’t say anything, but the teen bristles at the use of the word interesting. Why interesting? I hate that word.
I’m okay but not okay. When I left your office I was so off kilter; feelings and other parts of the same image or maybe the same memory, just a different piece were really overwhelming. There is pain and something sharp and too much physical stuff and wanting to move or do something or maybe not after all and it was all so much but it was time to go and that that was okay, it just isn’t always so quick to stuff it all back into the therapy box, just like it takes me forever to pull it all out.
I was okay mostly all day but now it’s night time and bedtime is hard. There’s less grown up here right now, I close my eyes and I see ick. I couldn’t move, he wouldn’t let me move. That came from the image which leads to memory and feelings and everything and it all snowballs. I’m okay, except I’m not.
You asked me about what the adult thinks, what she believes. I don’t know. I know that this is hard. All those words lead to extra shame and judgement and worrying that you see the truth now. I want to tell you the grown up knows the little girl didn’t deserve it. Except, I don’t know. I wanted to explain that the little girl needed too much, that she maybe somehow did this, started it. But it doesn’t matter. Not really. Because the little girl is part of all the disgusting stuff that happened and it lives in my head and my body now, so really, I’m disgusting.
He put _________ __________ in my mouth. I write that, I think that, and I see this image of it happening, I feel it and part of me wants to disappear forever. A piece of me wants to die. It’s just so charged, so overwhelming, so much shame, so much disgust, so much helplessness and all I want to do is go away forever and ever. It’s so much. So much. Too much.
Honestly, you read my folded over paper and yeah, it’s probably good I was a little far away or I might have never managed to stop hiding long enough to leave. Writing this, I want to hide. I’m pretty sure if I could hide forever I would. I think I’d walk into your office with a blanket over my head, if I could. So much fear and so much shame.
I wanted to cut, but I didn’t. I wanted to throw up, but I didn’t. I wanted to hide in my closet forever, but I didn’t. I went on with my life, and that was good, but it didn’t mean no feelings. Some moments were good, and I felt connected to people but boundaries in tact, and sort of just content, that I’m good and I like my life and I’m happy and fulfilled. Some moments were just crap. Awful. All the ick leaking out. But even that was okay, sort of. I always managed to put most of it away, knowing I really only had to hold it for two days and then we would deal with it. Even when I wasn’t okay, I could hold onto the fact that it wasn’t going to last forever and that all the feelings, thoughts, sensations, feelings were in the past. It was hard, but not like times when I’ve been triggered and there is no being okay, no processing whatever it coming up. I feel mostly okay.
“So I know we need to talk about Monday and pick things back up. Can I just celebrate first, though? You felt okay even when you weren’t okay. You managed to put the ick back every time it leaked out, to contain it. You coped without harming yourself. Alice, this is big. This is awesome!”
I shrug. It embarrasses me to have the praise and attention and it worries me because now I’ve set a precedent of being okay. So what happens when I can’t contain the ick on my own? Will Bea be there or will she expect me to do it because I did it before?
“I don’t want to take you back to be triggered and in too deep, so let’s maybe stay away from the memory of the image and see if we can’t focus just on the feelings. Is there movement you wanted to make back then? It sounds like some came up at the end on Monday.”
I don’t know. I don’t say a word. Bea waits, patient as always.
Finally, I start. “I….he…..I’m laying down. And I can’t move. I….just can’t.”
“You can’t move. Are there movements you want to make now?”
“No….no, because…it doesn’t matter. It wouldn’t…he wouldn’t let me move.” My words stumble through the shame and fear but still come out mostly coherent.
“He won’t let you move. But you can move now.” She insists.
“I can’t.. I can’t tell you! I can’t do this. I just can’t.” I’m frustrated with Bea. I can’t separate out any movement I want to make now from the story of the memory. It’s all the same to me. I need her to know where it’s coming from. I need the words. The words matter to me. But I can’t tell it like I need to because that is not how SP works and because she doesn’t want me to be too far away and I seriously can’t do anything right. I ruin everything.
“Take a minute, okay? Feel the blanket and the safety of that boundary. Remember that nothing bad can happen now.”
“I don’t know what to talk about now.” I whisper.
“Well, reading this, *there is pain and something sharp* can we talk about that?”
I shake my head. “No.”
“Okay. That’s okay. Can we talk about what is going on right now?” She asks softly.
“Nothing.” I mumble.
“Nothing, huh?” She pushes a little.
“I just…I can’t separate everything.” I’m still frustrated. My biggest complaint about all the SP junk is there is no talking about things and it feels superficial because it doesn’t care about the memory, about the words.
“Separate what? What can’t you separate?” Bea’s voice sounds genuinely confused.
“Everything. You want me to talk, but I can’t talk about feelings or physical sensation or whatever without the memory.”
“We aren’t ignoring the memory, the image, I just don’t want to take you so deep, to such a difficult place to be.”
I don’t say a thing. This is why I hesitated to even write the truth of how bad I felt at moments, why I was a little unsure about handing my notebook over. But I wanted her to know, because even when it was really, really bad this time, I managed to cope and to stay grounded enough to realize that the feelings were from the past. But now she wants to avoid the memory anyway.
“Alice? Talk to me.” She really does sound like she wants me to talk to her.
“You don’t want me to!” I cry. I’m hurt. The little girl feels shut down, as if her voice has been taken away.
“What is it you think I don’t want you to do, to tell me. I want to know whatever you want to talk about. It’s not about me. Can you tell me what is wrong?”
“You want to know about…what I wrote?” I ask.
“Yes, I was curious. I knew a lot had come up at the end last time, and I wanted to make sure we got a chance to go over it today.” She explains.
I shrug. Throw the blanket over my head. “I’m hiding now. Okay?”
“Okay.” And her voice tells me it is okay that I need to hide.
“I…..I can’t tell you…..I mean, I can’t explain it without the memory or the image and I can’t…I just…you don’t want me to tell it.”
“I’m not trying to make you stop telling it. I just want to make sure you are safe.”
“Ugh!” I’m tired of this round and round. “I can not tell you about what I wrote, I can’t talk about feelings and what they are linked to, not without you knowing the memory. I know it doesn’t matter or you already mostly know the memory or something, but it’s important to me. The words and all of it. The story, it matters to me. And I can’t do this! I can’t tell one without the other, I don’t know how, it’s all too twisted up together. But you want….the right way is to tell only one thing and I can’t do it. I’m screwing it up, again. And I just feel like I can’t do anything right.”
She takes a deep breath. “Okay. There is no right way. It’s just what works for us. I’m sorry if that hasn’t been clear, if I didn’t make that clear. We do what works for us. If this is a memory that is too twisted together, then talk about all the parts. It’s okay to do that. Tell the story. It’s not one or the other. It’s okay, you aren’t messing up anything. Maybe you will always need the words and the story, because like you said, they matter to you. I still believe you know what you need.”
I’d been curled up, crying, feeling all the pain and failure of my little girl self every time I did something the wrong way, every time I wanted to do something different than what my mother deemed was the right way. Now, listening to Bea, my tears slow. “O-Okay.”
She waits patiently, and I try to find my words. I don’t know how I’m to explain this to her, how I’m to describe the details. It’s sickening. The shame lives here. I shake my head, tell her this is hard. “Take your time, it’s okay,” she says.
Finally, I start. “I….he…..I’m laying down. And I can’t move. I….just can’t.”
“You can’t move. Are there movements you want to make now?”
“No….no, because…it doesn’t matter. It wouldn’t…he wouldn’t let me move.” My words stumble through the shame and fear but still come out mostly coherent.
“He won’t let you move. But you can move now.” She insists. And suddenly, we are right back where we started earlier, even having almost the same exact conversation. And that makes me so irritated.
“No!” I snap at her. “He’s…..I can’t move because he is….because….” I want so badly to get the words out, but there’s a blockage in my throat and I can’t talk.
“Because why? What’s he doing?” She pushes.
I look to my left. “I had a bruise. On my arm. I lied about it. I said it was from gymnastics. No one ever questioned.”
Bea says something, some kind of quiet understanding and comfort, some kind of sorry and horror for the little girl to be bruised.
“He….knees……..” Like a traffic jam, my words are all backed up.
“His knees were on your arms? So you couldn’t move?” Bea helps fill in the words.
I nod. “Sharp.”
“His knees were sharp? That’s the sharp and the pain,” she says, almost to herself, because it finally makes sense to her.
“Yes.” I whisper. I look back to my left again, down at my arm. It’s not real, and yet I can see knees right there, holding me in place, and I can feel them digging into my inner arms. Maybe that was easier to focus on than what else was happening. I don’t know.
“You can feel that now?” Her voice is quiet, gentle. The voice you use when speaking to scared children.
“Yeah.”
“Is there anything you want to move now?”
I nod. It’s scary to think about it, to say it aloud. I’m not sure how long it takes. Maybe a minute, maybe twenty. Bea waits patiently. Finally I answer her question. “Yes.”
“Try to just let yourself do it, then. You can stay under the blanket, even. I’m right here.” She says carefully.
I think about moving, but I can’t. The idea of it….it’s scary. So very scary.
“What wants to move?” She asks softly.
“Arms, my arms.” I can feel it. When I think about what was happening, and let the little girl run things, she wants to go away. But if things are slowed down, and we are only looking at one image from a memory, and that leads to emotions and physical feeling, the then everything the little girl felt and wanted to do is sort of pulled apart, and while that urge to go away is the biggest feeling, beneath that is this other feeling. It’s a wanting to move, to pull away, to push him away, to cover my mouth, to turn my head. This scares me though. If I let myself feel this urge to move away, to push him away, then I have to accept that I didn’t want this, that I had no control, that I was helpless, that I didn’t cause it, and that I was not playing a special super secret game with him. And that’s a hard thing to swallow.
“What do your arms want to do?”
“Move.” My answer seems silly now, but in the moment when the little girl was more present than the grown up, it made sense to me.
“What way do they want to move?”
“They wanna do two things. No, three things. Maybe. I think.” I whisper. I’m spilling secrets I didn’t even know I held.
So they want to push? Pull? Cover your mouth?” She gets all of them right, and her saying some of the words first helps.
“Pull away……to the side. That’s first.” I finally say.
“Okay. Can you let them do that?” She asks.
I try. I really try, but I’m frozen. Bea encourages me to focus on the fact my hands, my fingers can move. (And now, as I’m writing that I got a picture of my fingers always moving, of holding on to blankets, sheets, grass, my yellow fluffy rug, whatever was there to hold onto. I guess that’s another something that has popped up since this session I’m currently writing about.) Finally, I manage to throw my right arm to the side of me.
“That’s it! How did that feel?” Bea asks me.
“I….I don’t know.” It feels sort of exposing in a way. But also…..I’m proud of the fact I stayed with the memory and moved my arm.
Bea gives me a head’s up that we have about fifteen minutes left of our time, and then she tells me she has no ten o’clock appointment. “You have a busy day today, and I know that, but if you like we can stay and work on this a little longer.”
“Can we stay?” I feel like if we wrap things up now, it will be hard to get back to this place again.
“Absolutely. So, do you want to try the movement again?” She asks.
“Okay.” I’m a little anxious about agreeing but I can try.
“Maybe try to really slow it down this time, okay?”
“Why?” Teen, snarky and questioning everything.
“Well, studies have shown that it is easier for your brain to remember the new movement and to form new neural pathways when it’s a slowed down movement.” She’s not surprised with my why question. She’s never surprised when I want to know why we are doing something or why she wants to know something. And why never seems to bother her.
“Oh.” Is all I can say. I think about moving slowly for a while, “That’s a scary idea. It’s safer to move fast.” I hear the word, and wonder why it’s safer and not easier. Bea wonders, too, and so she asks. “I think it’s like the…..if I’m fast enough then no one will see me…..it’s still a version of hiding.” I explain.
“Well, if it feels safer to move fast, then let’s start there. We might need to stay with this for a while. And that’s okay.” Once again, Bea is willing to start where I am. She told me once that is the secret to therapy— to be willing to start wherever your client is at.
“Okay.” I agree.
We work with movement for a while longer, and by the end of session, I’m able to move my arms to the sides, slap one hand over my mouth, and out the other out in a *stop* gesture. We talk about the fact that it still needs to be slowed down and really felt, but decided that we will do that next time. I can’t do more today.
“This might never feel right, and I don’t think this would be good for this first time you are trying some movement, but I can bring my hands up to yours, or hold a pillow so you have something to push against. Sometimes people like to push against the wall. Or maybe you won’t need that.” She suggests.
“I….I don’t know.” I whisper.
“It’s nothing to decide today, just something to keep in mind. That’s all. In case you ever do want something to push against.”
I’m not sure about this idea. “But then I’d be…..pushing you away.” (See? Really not pretending anymore that she doesn’t matter, or the relationship isn’t important.)
“Yes, you’d be pushing against my hands, but I’m not going anywhere. We can talk about that though, if that would feel too hard because of that. It’s all okay, it’s about doing whatever feels right to you.” She’s so calm and grounded and just here. I don’t know how to explain it.
“Okay.” I shrug.
“Is there anymore to do today, or are you ready to come back and be grounded here?” She asks.
“I’m okay. I don’t…..I think we should pick this up next time, but I’m done for today. It’s a lot.” If you had told me even a few months ago that I would willingly be done with something for the moment and suggest we pick it up next time, and believe that it would be okay and that Bea would hold all of that and remember to help me pick it up next time, I’d have laughed. Yet here I am, doing just that.
“It is a lot,” she agrees.
“Even though I moved, it still feels scarier to move. It’s safer to be frozen.” There’s a question in there somewhere but I can’t figure out how to ask it.
Bea picks up on the question anyway. “Well, your brain has had a lot of years where hiding was the only answer. The little girl couldn’t move then, so she did the best thing she could. She went far away, she hid inside herself. And that kept her safe. And she needed to be able to do that for a long time. Now we just have work on teaching your brain a new response. It won’t surprise me of your first instinct is to hide or go far away when things feel threatening, or uncomfortable, but now you know you have another choice. It’s just a choice that we will need to practice, and the more we practice it, the easier it will be to choose it.”
“Okay.”
We end things just chatting about normal stuff. At some point, in between talking about our crazy dogs, or my crazy kid, I pull the blanket off my head and fold it up. It’s a struggle to look at Bea today, and I know she won’t push it, although she gently try to get me to look at her. Finally, as we both stand up and I hand her the blanket, I sneak a glance at her. No disgust is visible in her expression. I breathe a sigh of relief.
“Hey, try to pay attention to how things feel, if they feel better or if other things come up or what feelings may surface, okay?” I’m on my way out when she asks me this.
“Yeah, okay. But first I have to put all that away and go help teach Kat’s class writing and then do lunch duty, take care of PTO stuff and then take Kat to OT. After that, I can pay attention to stuff again.” I smile. In my book, it’s okay to shove things down to be able to function when you know you are doing it, why you are doing it, and there is a set time limit of how long you are going to lock up the crap.
“That’s all right. Just when you are done, see how you feel. See what is coming up. I’ll be curious to know.” She smiles at me.
We wish each other a good day, and I head out.