Today I went to my CBT session, and if you read my post yesterday, you’ll know I was feeling very anxious and scared about it, and really didn’t want to go. I decided to be kind to myself and got a taxi instead of walking up that massive hill for a change!
As suggested by some of you here (being the lovely and helpful people that you are!) I spoke to A about it, and told her that I had really struggled with writing down the memory, and about the flash backs, nightmares and screaming in the night.
She said we will wait a bit longer before we start the trauma work. In a way I am disappointed because I wanted to get it over with, but I am also relieved because I think it probably was too soon, and I probably wouldn’t have been able to deal with it very well at the moment. So instead we are looking at the thoughts which come with the feelings.
CBT says that thoughts cause feelings which cause behaviours, so in order to change feelings and behaviours, we have to change the thoughts. And that means starting by identifying the thoughts which cause the feelings. For example, I may think “I am useless” (thought) which will cause me to feel down (feeling), so I hide in bed (behaviour).
I need to become more aware of my thoughts so that I can start to counteract them with evidence. And realise that they are only thoughts, so they don’t have to be right.
A gave the example that even if I think about her crashing her car on the way home, it won’t cause it to happen! I said “That’s not very nice!”
We will look at the thoughts that I identify, and test them, to see if there is evidence for them. It all sounds very scientific!
I did some crying in my session (as usual) and A also said she thinks we need to look at the anger as well. As well as feeling upset/hurt/sad about the memories, I am also very angry. Angry at myself, angry at him, angry at anyone who didn’t do anything to help.
Also this week I will be seeing my GP (tomorrow) and the psychiatrist (on Thursday) so it’s a very busy week for appointments! I am really hoping that the psychiatrist will be able to make the right diagnosis/es and hopefully work out the right medication for me! Although I’m pretty sure that he will say I have anxiety, depression (as previously diagnosed) and PTSD (which has been suggested but not diagnosed).
I asked A about my mood swings and tried to explain that even when I am feeling horrific, and at my lowest I normally manage to do things that I have committed to, like going to lectures, but that doesn’t mean I am ok, and it doesn’t mean I take anything in! I know that part of what they measure how bad things are on is your functioning level, but even though I appear to function, I’m really not. My memory and concentration are appalling, and I sit in lectures without listening to a word half of the time. She said that I need to make sure I tell the psychiatrist all of this, and that he will understand where I am coming from. Apparently he is very good** and is nice, so hopefully it will go ok on Thursday. I just want things to be sorted out and to start making progress.
So all in all, today was a difficult but kind of helpful session. AND afterwards I took the decision to go home and rest instead of going to class because I need to start looking after myself and stop doing things just because I “should”.
*There was no week 5, in case you’re wondering where that went!
**Well I should hope so too!