#genuinely do feel v lucky to have a therapist like her for many reasons

[lesbiangracehanson]

lmao the therapy session i just had . no one will be hearing from me for 2-5 working days whilst i ponder…..

[letsdiscoverkitty]

Treatment/Recovery Update - May 2021

Okay, I will try to ramble less in this one (so sorry!) ^ well that didn't happen!

In terms of when I did leave hospital, as I mentioned a tiny bit in the last post, my EDP was completely AWOL. A month before I was due to be discharged she came to a meeting with myself and my consultant, during which we set up 4 appointments that would be over zoom before I was discharged to help with relapse prevention and the transition home, as well as setting out, in principle, the therapeutic support that I would be getting once home...it all sounded great, so great. But as usual when it comes to my team, it was too good to be true (should have called it). I attempted to contact her when our appointments never happened but I kept being met by a brick wall; no one knew what was happening, all I got told was that she was "off"... Time passed and I was discharged with only a phone call booked in from someone from the general team to check I was safe a few days later (it was literally 5 minutes, long if that) and an appointment to do physical monitoring the next wee....a far cry from the original discharge plan *sigh* Coming home was a bit of a whirlwind. We were approaching Christmas but we were still under a lot of restrictions with COVID, so it was a very strange/messy/weird few weeks.

Time continued to pass and there was still no confirmation around therapy or support, even the ED team didn't know what was happening with L, I just continued to go to two weekly physical monitoring. In the end, with nowhere else to turn, I contacted my consultant from hospital. To say that she was mad that nothing had been in place/I had no support would be an understatement and I thank my lucky stars that she was able to get involved. It took a couple of weeks but I finally had my first session with a therapist in February. In total it took about 8-9weeks from discharge to see someone, which, well, was hard.

Upon reflection, I think one of the biggest things I struggled with with coming home was that I had literally no leave to practice beforehand. This meant that I unfortunately slipped back into old habits very quickly as, well I know it is no excuse but coming back to the same environment your brain easily slips into automatic mode and you find yourself doing what you "used" to do without realising it.

I was in, I would say, quite a vulnerable state when I left hospital (the last few months there were pretty rocky to say the least) and the day before I was discharged (as I mentioned in a previous post somewhere) I was handed 3 different, very conflicting, meal plans and the nutritionist who had previously been very horrible to me and who had been away for a number of weeks, told me that she did not think I could continue to recover at home and that the best possible case would be if I only lost a bit of weight over the next 6 months....I think you can probably guess how badly this was taken and how messy my mind was. So with 3 meal plans in hand, none of which I had practiced, with little to no support from the ED team, I was, essentially, crisis managing, simply trying to get through each day.

I know, I know. Classic kitty - stuck record. failure. mess. making a million and one excuses. trying to make out like she is fine to the rest of the world when in fact inside she was falling apart. sigh.

In terms of my weight recovery I was not discharged at a healthy BMI/weight, which my consultant was sad about, however I was in a much better place than when I was admitted (I think I had gained about half the weight I would have needed to from when I was admitted to get to a healthy weight). I will admit that part of me does wonders whether staying would have been beneficial, because on a very basic level yes it could have helped in some ways. However if I stretch my mind back to when I was still on the ward ,it actually still floods me with anxiety and fear because of how UNHELPFUL the environment had sadly become. It is hard to explain to someone who has not experienced an EDU, but the patient groups can and do make a massive of differences. I was vvv lucky that when I was initially admitted, and for the first good couple of months, it was a v supportive and recovery focused environment. However, by about late Sept/early October ,things turned completely upside down (which was not helped by the fresh COVID lockdowns either) and even staff were saying how terrible it had gotten and how they could not believe the things that they were being asked to manage on the progression ward. There were times when I felt incredible unsafe on the ward and feared for others patients, which is not "okay". I genuinely believe that staying any longer would have likely made my mental health decline further; I had already found the massive shift was negatively affecting me and I think staying would have been unwise. I had also gained quite a lot of weight and was, I hate to admit, struggling with both coming to terms with that along with dealing with everything that you are continually facing when going through treatment/recovery alongside working on trauma stuff. I know none of that is any worthy excuse, but that was how it was...At this time I was struggling a lot with my meal plan and had quite a few lapses whilst on the transition phase of the unit however despite screaming out for help/support from staff, because of the acute situation on the ward, I was just left. They knew I was struggling, I was told time and time again that they had not forgotten me, but did I get help? no. It was actually made worse by the then nutritionist who sat me down like a naughty school girl and basically told me that I was a failure and that I would never achieve anything in life blah blah blah (please see a past post if you want to know more) which made me even more scared to reach out for 'help'/'support'. So no, I don't think staying would have helped much, which is a real shame.

Therapy wise I had a bit of a rough ride in there (god I'm really selling this aren't I?!). When admitted I was not in a place for 'traditional' therapy what so ever; looking back I honestly have no idea how I was even 'functioning' (was I functioning? probably not) and even the group therapies were a struggle but my consultant stuck with me and with time I was able to process a little more. One thing that helped me beyond words was 1:1 Art Therapy. This was not something I had accessed before, only ever doing group sessions in the past which was mostly about getting away from the ward and doing a bit of art. I cannot reiterate enough how different and HELPFUL the 1:1 sessions were. The art therapy, who I knew from the last year and is an absolutely GEM, helped me to begin to process and work through the trauma that I had experienced with dad. It took a lot of time and persistence but I was able to use those sessions in so many ways and I will forever be grateful to P for supporting me (I was so lucky to be able to have 1:1 sessions for the majority of my 8 admission).

The more traditional therapy initially took the form of 30min sessions with my consultant once to twice a week (as much as I hated them, she was bloody good). I also had a review and a few sessions with the lead therapist via zoom (she was heavily pregnant so was working from home) not long after being admitted, but she soon went on maternity leave. This left me to be picked up by her student, who was actually incredible. We did a long extended piece of work on my perfectionism which, again, was SO helpful but she sadly left (for bigger and better things) and I was left hanging for a while as there were no other openings. A new lead therapist started and after a while he did a few sessions with me before leaving suddenly (I think even staff only had a weeks notice, which was ridiculous), so I was back to twiddling thumbs for a few weeks. I then met with a therapist who worked 2 mornings a week that I saw a bit during my last admission but we didn't do many sessions and it just fell away. This was mostly my fault as by this point I was questioning my admission and whether I would self discharge as there were some not good things going on on the ward, so I wasn't really in the headspace to explore things deeply and had been picked up and put down so many times that I just couldn't do anymore. Throughout that time though I continued to see my consultant weekly, mainly focusing on mindfulness and other therapy styles thrown in there too at times.

I will forever be thankful/grateful for the admission I had, especially to be under a different consultant (for COVID reasons they had to split things differently as they would usually do it by area but that wasn't possible at the time I was admitted) as her approach made a huge difference. I still remember one of the first things she said to me was that she couldn't believe/was that I had been placed on the SEED pathway and that she believed that I could be more than that, which honestly, gave me a little bit of hope (something that had been ripped apart and shredded by my usual consultant multiple times).

But back to now.... I have now been seeing a new therapist weekly (when possible) since February and, in a backwards way, I am so glad that L disappeared off the grid because the "support" I was going to be getting under the original plan was just sessions with her to do some self guided self help stuff, whereas with this therapist we have actually been doing some HELPFUL work. In terms of L, I think the last I was told she never returned to work and has now left the team (we have a sneaky feeling that she either had a complete break down or that it was due to too may complaints (mum called this a long time ago as she was not qualified for the role at all and was utterly useless), which, yeah, was strange to not get an ending as I had worked with her for a few years. Anyway, I've been doing SCHEMA therapy with this new lady (I'd not heard of it before) and at first I was a bit reluctant but it's been incredibly insightful. I continue to learn more about myself and the reasons why I may have gone down certain roads each session. HOWEVER. and this is a big however. There has been a bit of a snag in the rope.

In short, yes I have been engaging really well with the therapy side, my weight and physical health has only continued to deteriorate since i was discharged. We are talking classic kitty of slowly slipped backwards, nothing dramatic, nothing to make alarm bells go off or warrant a review, but it's not been good. Anorexia is screaming at me for saying all of this, it shouts "but you weigh so much more than when you were admitted, you are a complete fraud blah blah blah" which is all the same old boring drivel it always spews out. But basically Im in dangerous waters now in terms of losing therapy/not being able to engage with therapy properly if things dont improve. Ive been in classic stuck mode, getting so absorbed by the numbers and the bubble that AN offers, that I have been numb to it all. The HCA I was seeing was really trying to help me to make changes but she left a while ago (she was going back to train as a nurse) and since then I have had the odd appointment here and there (I think it fell to every 3 weeks for a while as there were no available appointments) with people trying to cover the clinic until someone else is hired for the role, which is far from ideal as they literally just do the necessary obs and send you on your way.

Okay that sounds like yet another excuse, which is probably is, but it's not been an easy ride since I left hospital to say the least.

BUT this past week things have begun to shift a little. I was honest with my therapist about the whole food/meal plan side of things and we actually spoke about how we can't focus on therapy things until I am in a more stable place, which is both really hard to hear but also exactly what I need to hear. I am actually being more open to change, which is a shift from where I was just a week ago. It is bloody painful, even just thinking about it all hurts/is exhausting and I am still very much in the darkness /struggling with it but there is now a little part of me that is screaming out and trying to be heard. There is a little part of me that WANTS to get out of this endless messy limbo that this relapse has been and wants to start stepping back into "recovery". There is part of me that wants a chance. And I've got to start listening to that side a little more.

I promise, the next update will be a little more positive Stay tuned.

[ashwayssunny]

carry that weight.

hello! here’s a lil fic that nobody asked for. aka, dennis spends the night on the couch. set during “the gang gets romantic,” so it’s tagged for spoilers! warnings for brief mentions of v*miting, drug use, and dennis-typical creepiness.

Like most nights, he couldn’t sleep. He’d felt a headache building for hours, had known it would be a nasty one as soon as the woman Mac had unceremoniously decided to pair him with revealed she was no single woman after all. He wasn’t sure if he’d lost interest in the scheme then, or if he’d simply never had any to begin with. Either way, he’d had to swallow his complaints. It would’ve been so simple - should’ve been so simple - for him to crawl into Mac’s bed, drift away, and forget the scheme altogether, but the way his skin burned like he’d laid down on a bed of hot coals told him it simply would not be. 

The couch was not meant to host an overnight guest. It was uncomfortable on the best of days, and today was not one of its best days. It was cold, the leather warped and torn in odd places, and so lumpy, Dennis felt as if he were trying to get comfortable on the head of a giant mushroom. He was cold, too, as he always was, and the throw blanket he must’ve stolen from his sister no less than ten years ago offered him no support. He dreaded the way his back would ache in the morning, and the thought of it was almost enough to send him running back to Mac’s room with his tail between his legs. Almost. 

The woman - Lisa, he remembered vaguely, though he’d thought he’d made it a rule for himself that knowing their names cheapened the experience - was attractive enough. Slender figure, inauspicious features, a face he’d forget once it wriggled out from underneath him. He liked redheads. Mac knew that, of course. Mac seemed to know many things about him; Dennis didn’t know why that surprised him after nearly twenty-five years of cohabitation. I know you, man, Mac had said to him once in a way that sounded quite like he was saying something else. Dennis remembered fighting back tears for the first time since childhood. Mac was so close, he thought, just in the other room, nothing but paint and drywall between them. If Dennis concentrated hard enough, he could make out the sound of him snoring obscenely; he pictured Mac’s arms and legs tossed haphazardly over themselves, knew he was drooling into his one and only pillowcase-less pillow. He wondered, if he had stayed, if Mac would be drooling into his shoulder instead. 

Dennis rolled onto his side, pushing those thoughts away. The current occupants of his room seemed to still be awake; the walls in their apartment would certainly win no awards for protecting anyone’s privacy, and despite his best efforts to soundproof the room, sound escaped just as frequently and as forcefully as so many failed sexual escapades that passed through that very same door. Twenty-five years’ worth of sexual escapades. Dennis tried not to think too hard about how long twenty-five years truly was. Until recently, he’d been twenty-five in his head, willfully ignorant of the passage of time, but now as he stared down the reality of being nearly twice that age, the bliss that came with his willful ignorance had all but disappeared. At twenty-five, he could shoot tequila till the sun came up, sleep for a few hours, and go on about his day, rinsing and repeating each night in a pattern that became as comfortable and familiar to him as waking up and falling asleep. He would always vomit, of course, because a weak stomach and an easily triggered gag reflex was something, among other things he didn’t care to admit, he shared with his twin sister. Now he was lucky if vomiting was all that came of nights like that. After thirty-five, his hangovers seemed to evolve, lasting days and robbing him of usefulness for what seemed like weeks, like months, like years. Now, pushing forty-five, it was not so easy to rinse and repeat. 

A brief but unmistakable sob came from his room, and Dennis rolled his eyes but was secretly grateful for distraction. His thoughts returned to the woman, Lisa. He remembered trying to stare at her. It wasn’t unusual; he often studied his targets, drank them in like a smooth crème de menthe. He knew it made them uneasy, and he’d liked it that way. But his eyes kept drifting, and it was jarring to him in a way he could not pinpoint. He didn’t feel anything when he looked at her; then again, he didn’t feel anything when he looked at any of them, but a deep, burning lust that boiled in his brain and in his stomach and told him he would combust if he didn’t touch someone was ever-present. Or it had been. It wasn’t now, and that was most jarring of all. Lisa was attractive enough; sweet-faced, red-haired, curvy in the best places, and totally, completely uninteresting to him. He wondered if something in him was broken for good this time, if he could never get it back, if he even wanted to get it back. If he even wanted anything at all. 

Another sob choked its way through the silence of their apartment, grating on Dennis’s eardrums. He groaned aloud, hating Mac for putting him through this. He considered turning on the TV in the living room and popping in a Rambo DVD just to rattle him awake with the sound of gunfire. When more muffled whimpering made him clench his fists tightly to his body, he decided he needed some other noise, anything else, to drown it out. He reached for his phone across the coffee table, sliding past the home screen and opening his Spotify app. With shaky hands, he pressed the ‘shuffle’ button on a Rock Classics playlist, closing his eyes and placing his phone next to his ear. Soft, simple piano chords started to loosen the knot in his chest, and when Paul McCartney’s sweet voice began to dance against his eardrum, he smiled in spite of himself. His eyes drifted shut. “Once there was a way to get back homeward,” Paul sang, “once there was a way to get back home...”

He’d tried to look at her legs. He’d forced himself to stare. They were nice enough, as was the curve of her ass, but he felt no familiar twinge of desire. Why couldn’t he just look at her legs? Instead, he felt fear. Months could by at times without him feeling anything at all, and though that frightened him, he knew he could substitute physical arousal for emotion with a relatively high rate of success. It didn’t make him feel happy, but it made him feel something. And that counted. Every drop of water in the desert of his emotional terrain was appreciated, was needed. Like any desert, he could dry up for months, not a feeling in sight, but once the rainy season began, it ran its course with such forceful agony, he wondered if the therapist he’d seen with Dee so many years ago was on to something after all. 

“Sleep, pretty darling, do not cry...”

Why had he agreed to the scheme at all? As the verses repeated, he turned the question over and over in his mind, poking holes in his own arguments, tearing down his own defenses. Obviously he’d done the scheme to satisfy Mac, but... why? Dennis bristled at the thought of Mac having purposefully booked a married couple to force Dennis into his room, but his reaction to the unfortunate existence of Lisa’s husband seemed genuine. Dennis knew Mac well enough to know when he was lying. He paused, considering that thought. He’d seen Mac lie through his teeth a thousand times, and he was bad at it because Dennis knew that he wore his heart on his sleeve, but how many others knew that about him? How many others could sniff out Mac’s lies, pick his laugh out of a crowd of a thousand, recognize even the faintest hint of his scent when Mac’s clothes inevitably mixed with some of his own in the wash? I know you, man, Mac’s voice whispered in his head. 

Lisa, he said to himself. He needed to think about Lisa. Lisa, with her red hair and her red, snotty nose and her husband. Dennis nearly scoffed. What a ridiculous thing to want to have. Perhaps if he tried hard enough, conjured Lisa’s face above Jackie DeNardo’s chest, it would work. He could rub out a quick one and be asleep in twenty minutes. For whatever reason, however, his mind’s eye could not linger on her. Lisa’s face warped and changed shape, shifting into something so unrecognizable, he could not remember it at all. What was it he’d said to Mac earlier? That this whole thing felt desperate, felt unlike him? Odd, he conceded, for a man who once purchased a boat to help him attract women. But Dennis had run the same course, danced the same steps so many times between twenty-five and forty-five, he’d finally begun to dream about packing up his tap shoes and retiring the show for good. Performing, yes, it was all a performance - albeit an excellent one, he gave himself - but a performance nonetheless, and one he feared may finally be better left to a younger man. But perhaps he could do it. Dennis Reynolds had done everything in his life with grace, with poise and mystique. Why should aging be any different? He could retire the skin of his old self like a baseball jersey; some ill-fitting thing at which he could look back and smile but no longer had the power to squeeze him to fit its mold. Yes, that would be nice. 

The drums cascaded like a waterfall down the track and forced in a new tune. “Boy, you’re gonna carry that weight, carry that weight a long time...”

And what would be left there, in the empty space between the old Dennis and the new? Dennis swallowed hard without meaning to as another face took shape in his mind, a much more familiar face. Mac smiled at him so sweetly that morning, his giddiness about scheming together again palpable in the air. Mac smiled at him earlier, too, lying next to him silently, their arms brushing just enough to set that part of Dennis’s skin on fire. Mac had always looked at him that way. It made him seem younger. Dennis wondered if perhaps that was because it reminded him of high school, of smoking pot underneath the stadium bleachers, of Mac staying late at his house and beating him for fifteen rounds of Killer Instinct just so he wouldn’t have to go home. Mac still looked at him that way, even when that Dennis and the Dennis he was now seemed lifetimes apart. 

“Boy, you’re gonna carry that weight, carry that weight a long time...”

Feet moving before he even made the conscious decision, Dennis slinked off the couch, feeling his way through the darkness until his fingers curled around Mac’s doorknob. Yes, maybe he’d done the scheme to make Mac happy, to spend time with him, to make-believe their friendship hadn’t taken a turn for the worst in recent years. Dennis knew he had to shoulder most of the blame, but perhaps it didn’t have to be that way. He was so tired of performing, so tired of playing a character that nobody, especially Mac, believed in anymore. And if Mac already knew him, truly knew him in the way that he had so long feared being known, then why play the character at all? 

Dennis assuredly but slowly creaked open Mac’s door, shuffling forward until he nearly tripped over the bare mattress. Mac was snoring, but the sound was familiar, and Dennis was suddenly tired enough to deal with it. He laid down as quietly as possible, but Mac’s cheap old mattress practically screamed beneath him, and Mac rolled over, eyes wide and stark white in the darkness, searching until he found Dennis’s face. 

“Den?” he asked. “What are you doing?” 

“Shhhh, go to sleep,” Dennis said, slipping his legs underneath Mac’s blanket. He curled his arms inward on his chest, contouring his body to fit around Mac’s shape without actually touching him. Mac didn’t protest, only sighed softly and inched just a bit closer. “The couch was killing my back,” Dennis whispered, and Mac chuckled. 

“Figured,” he yawned, rolling back over. Dennis’s eyes popped open, and he stared at the back of Mac’s head for a long moment before swallowing and letting out a little yawn himself. He released the tension he’d been holding since that morning in his jaw, and with the familiar scent of Mac’s hair gel on their shared pillow consuming him, sleep finally came.