Scattered pieces

So, long time no posting…  I wish I could report some wondrous reason for my absence, but unfortunately not.  The only reason is pure dysfunction.  The reason for the dysfunction are my lessons for the week…

Lesson 1: Remember, listen and pay attention

I’m often reminded of the ripple effect any incident can have in a dissociative system.  Something that doesn’t even register as a ripple to you, can be tidal wave to another part of the system.  So when I briefly posted an entry on this blog that contained the words “good girl”, I had no idea what the consequences would be.  I didn’t sense any real warnings about the meditation when I read the original entry.  But then, I don’t think I was really listening and paying attention to what was happening internally.  I was thinking of sharing what I thought was a valuable resource with others – librarian mode in full flight.

The first hint that things weren’t right, was a message from S:
“I’m no ones good little girl”

Once I saw this message, I edited the entry to something I thought was safer. Ellie tried to reassure S -
Ellie: “it’s been changed”
S: “too late… pay the consequences”
Ellie: “it’s been removed, no need for consequences”

The thing is, I should have known not to use that phrase – it was listed in one of the original trigger inventories that I did early in my healing journey.  But I was arrogant, careless and disrespectful.  I was thinking of sharing a resource, more than I was thinking of the ones who carry the wounds.  There were consequences to using that phrase, and it’s impossible to blame her.  I trampled all over S and her triggers, so why should I expect niceties in return?

Yes, it would have been great if S could have dealt with the situation differently.  But, it also would have been great if I’d thought about what I was doing.

Did I really pay attention inside? No.
Did I think about the phrases I was reading and using? No.
Was I being a self-important pompous twit by finding something that others might find useful? Yes.

I was thinking of myself more than the system.  No wonder they don’t trust me.

Lesson 2: Be responsible for your own safety

Yes, the consequences of my actions meant that S lashed out.  The flashbacks were horrific and all consuming. This allowed the ones who are dangerous to come forward and, for want of a better word, play with the body.  But before we reached this point, I had the opportunity to ask for help from Allison and the crisis team.  That would have been the sensible thing to do, but what did I do instead?  Basically, I set Allison up for failure.  I was unable to say the words “I need help”.  Instead I buried the message in emails from M and the young ones tried to tell how scary it was within therapy.  It wasn’t surprising that Allison couldn’t work out how bad things were.  But her inability to read all the messages that seemed obvious to us, meant that she had failed.  So after therapy on Monday there was a dangerous incident that meant we ended up in respite care for two nights.

The truly sad thing, is that even after the incident, I wasn’t able to communicate to the crisis team that I was still in danger.  Both Sophie and M were telling the team that we were in danger, but also didn’t want to cause a fuss, so were going along with their plans to send us home.  When it became obvious that this was going to happen, a very restrained Frank came forward and indicated how unstable we were.  At least some part of me was willing to step up and protect us.

So this is what I’ve indicated to Allison that we need to work on immediately, my inability to communicate the level of danger I’m in.  I need to know how to read the signs within the system and communicate it clearly.  I know I’m hampered from this free communication because so many of the young ones are triggered by hospitals, and our fear is that if we are honest about how bad things are, we’ll end up there.

If I’d been honest today, I probably shouldn’t have been released from respite.  But respite was different this time.  I was in the same place, but the carer in charge for the week was different, as were the mix of the clients.  This threw the dynamics off to the point where it didn’t feel safe.  It felt like my house growing up; rather than the healthy, vibrant place that the other carer made it.

I know I’m not out of danger yet.  I’m seeing the crisis psychiatrist today, so I’ll get another chance at trying to be honest about my level of danger and establishing what options are available to me.  I’m almost resigned to a hospital stay… some think this would be a good idea, especially in the secure ward where we can release some of the pent up emotion in a safe environment.

So at the moment I feel like a complete and utter failure.  I put the system under more stress at an already stressful time, and I didn’t take adequate steps to protect us once the damage had been done…  Yup, a failure.

Note: Please be aware that I am getting support, I’m not putting this out there and expecting readers to save me… although donations gratefully accepted (especially therapy vouchers) – you know, just saying :)

I said in my last post that I’m treading water in an ocean rip… well the current just got bumped up a notch or three…

I had my last session for the year with Liz on Tuesday.  I’ve totally forgotten everything that was said except for one thing… I told her that I wasn’t angry and she laughed, saying that she didn’t believe me as she could cut the pain and anger that was in the air with a knife.  I’m honestly not aware of the pain and anger.  Sometimes I can get a glimpse of annoyance with something, but not pain and anger.  But they must be there, I’ve disclosed two more abusive events over the last two weeks, that must generate some emotion… surely.

As a result of the session, I had a really bad night trying to work through the different messages and fantasies that were coming through.  It was a blur of switching, talking to a friend and negative behaviours.  By morning the previous day was a gone from my memory and I had a made a firm commitment to taking further steps toward respite care.  I still hadn’t heard back from my psychiatrist, so I went to see my GP yesterday afternoon.  The appointment was very surreal…  I explained why I needed respite care and she was so unprepared for organising it that she didn’t have the right referral forms with her and was unsure if they would accept me because I have suicidal ideation.  I can understand them not wanting to accept someone with suicidal intent, and I’m not sure how far along the scale I am between ideation and intent, so I’m possibly not a safe bet for respite.  But I have to try.

When I got home, after assurances that the doctor will fill in the forms the next day and send them off, I found an email from my psychiatrist.  I’d also asked him about respite, but basically he passed the buck to the crisis team.  To put this into context, I haven’t physically seen the man in over six months.  He’s changed and increased prescriptions via email based on my reporting of issues.  So this latest passing of the buck is a bit of a blow.  Whenever I’ve asked the crisis team about respite care in the past, they’ve always said that they are full.  The only option is the psychiatric ward.  The psychiatrist said that he will warn them that I might need respite care… well that’s pretty meaningless in the scheme of things…

So… I have no therapist for the next month; a GP who has said that I might not get into respite because of suicidal ideation; if I do get into respite, it could take weeks to get a spot; and a psychiatrist who is fairly casual in their level of response.  I wasn’t expecting anyone to come and save me… but at least someone to offer some realistic hope would’ve been good.  I’m now at work and can feel the heaviness of the depression and hopelessness closing in.

In the good news stakes, the mother has suggested that she doesn’t come up for Christmas.  I can’t yet bring myself to confirming that I don’t want her here, but I know I have to.