Trust in Mental Health Treatment (Part 4): Choose Your Own Adventure

So, I potentially have good news. I’ve gotten to the final round of the interview process for a new job in my same city. It’s what I do now but with a different organization. I’ll update eventually whether I got the job, but talking about it right now feels a bit too much like tempting fate. I’m not a fan of pure CBT, but even I’ll admit I’m engaging in a bit of magical thinking by staying silent. I know, I know. However, PTSD and its sense of foreshortened future mean talking about anything positive that hasn’t happened seems like it will only make me look like a fool when it doesn’t happen.

I have no such qualms, though, about talking about my fears of what will happen if I get the job. C-PTSD is fine with that. The commute will be just far enough that I won’t be able to make it to my therapist during her normal business hours. She was able to do a limited number of phone sessions while I was in the 9th Circle of Hell last summer because she knew that was an active trauma crisis, but she can’t, unfortunately, do regular phone sessions. I’ll also have to go to trauma yoga on Saturdays instead of during the week. That’s…not terrible. But, it will mean a bigger class in front of which to modify my yoga-for-hypermobility. There will probably be social anxiety compared to the three people that regularly go to the class I currently attend, but I guess I can live. How unsettled I feel not being able to attend weekly therapy, though, is one reason why I never fully wanted to develop trust with a therapist in the first place. Not all therapists are the abuse-permitting social workers of the 9th Circle of Hell, but, in the end, they are all running businesses. They’ll only modify so much, so my brain (bully and other parts) says don’t depend on someone for whom helping me lasts only as long as I am convenient. (Alongside the issues I wrote about in the first three parts of this series.)

Forget attachment. I’m still a survivor of enough systemic abuse that I’m shocked I even got to trust with anyone who is part of a system. But, shockingly, I did, and I don’t see myself being the kind of person for whom lightning strikes twice. My therapist attempted to suggest there might be others closer to my potential new workplace whom I could trust, but she shut up quickly upon seeing my look. She then switched to, “Ok, I think you are strong enough that you could do more like once a month. I think you’ve been through enough with irregular support during the Crisis of 2018 that you can manage in 2019.” I’d be willing to take a half day to see her once a month during her hours. I’ll admit to being scared of tapering therapy, but not scared enough to contemplate finding another therapist. The legacy of systemic abuse runs deep, and the system she is in – and the others that both my insurances have covered for outpatient therapy – are really not trauma-informed. She’s the rare exception in a clinic I’d otherwise bitch about. (My psychiatrist, who is not necessarily trauma-informed for most but likes me, has Saturday hours. I could keep seeing him.)

I’d actively choose once a month therapy over trying again with anyone else. But admitting out loud that therapy was an important part of my support system during the Crisis of 2018 was terrifying. What if I’m not really strong enough yet to taper? Last year was pretty damn re-traumatizing.

What if I shouldn’t even be looking for a new job at all because I don’t have the spoons? The commute isn’t just too far to make therapy: it’s also a commute at all. I’m currently a remote worker, and that saves a lot of physical spoons. It doesn’t save mental spoons, though, I’m only a remote worker because I exist within a limbo wherein my boss finds me too useful to purge, but too much of a hassle to talk to.

When I started to panic-think maybe I should just stay with my current company, my therapist very quickly shut me down by reminding me how many of my boss’s communications she has read while I cried. As she has stated, she “can’t ethically diagnose someone” she hasn’t met. But, while she can’t speak clinically, she did suggest that I do some serious research into the various presentations of narcissism and think hard about why my current boss was able to trigger full-scale PTSD episodes when I still saw him in person. 2018 wasn’t the first time I had to testify to ongoing abuse in the 9th Circle of Hell. I testified against the Thesis Defense Rests Stop the same week as my thesis defense (hence the moniker). Yes, each successive trauma adds a straw to the camel’s back. But my boss…also reminds me of someone who abused me personally in a way no one outside the 9th Circle of Hell ever has in my entire life.

The day of my end-of-year-review – which perhaps I will eventually write about – was a perfect example of my the way my boss can start the day in such a towering temper I wonder if I will still have a job at the end it, but then whiplash to being conciliatory to the point he asked if I could use more physical accommodations. What changed in between? A combination of a) something I produced being very well received by clients on a call between the beginning of the day and my review and b) letting him take all the credit for it. With my history, my instinct is to roll over and hand off intellectual credit for anything I do to anyone who scares me because C-PTSD says “stay safe by staying out of sight.” That…works with my boss. It’s probably a big part of why I got concessions and the rest of my office got fired last year.

But, as my therapist notes, he exacts a cost in mental spoons that is likely more damaging to me than the cost of the physical spoons from commuting. It’s not generally a smart idea to work for someone who pings your PTSD to flashback to childhood abuse. Even if I hadn’t experienced childhood abuse, working for someone who can flip moods so drastically and so quickly is not a great idea, period. Nor is working for someone who has flat out stolen the academic work of all those who are under him in a field that typically recognizes subject matter experts as experts. There’s also the pesky fact that I still have the gut instinct that the company itself isn’t financially stable, and I could lose my remote job by 2020 even if I’m able to keep my boss perfectly happy until the day the doors close for good. I’d rather choose my own adventure now, while it still is a choice.

Therapists don’t usually tell you what to do, exactly, but mine seemed worried enough by the prospect that I’d not take a job if I got it because of the fear of losing one piece of my support system that she ended with “we’ll work out what happens with therapy, but I really don’t think you should trust your boss longer when you have another option.”

We’ll see what happens. I don’t know if I will know yet by next week whether I’m their final candidate. Whether or not I do, next week’s post will be a review of the strategies that kept me sane while testifying to abuses in the 9th Circle of Hell in 2018 without consistent access to therapy. Maybe if I write out what helped me then, it will help others unable to access good therapy now, whether because of a therapy break, because they only have access to those horrible therapists in their area that are the reason I’m so afraid of ever starting over with someone new, or because they can’t afford decent care. (The U.S. sucks at mental health, did I ever mention that?) And, maybe it will also help to reassure myself that I can eventually return to working in a real office – with its increased physical demands upon my EDS/dysautonomia – because the mental benefits from reduced anxiety, depression, PTSD and panic are worth it. Maybe it’ll convince me that I can be strong later since I was strong enough before.

Also, if I flat out state that I won’t be writing about what happened with the job next week, then perhaps  I won’t feel internal pressure to “follow up” with the “bad news” my brain thinks it will inevitably receive. I write a lot about failure on this blog, but I’m trying at least this week to tell myself someday I might also write about success.

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Need a recap of anything I’m talking about in any post? Check out the Glossary of Terms.

 

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Remote Control

Image: Toothbrush says “Sometimes I feel that I have the worst job in the world!” Toilet paper thinks in reply, “Ya…right!”

If a bully-of-a-boss screams in an office, and there is no Lavender around to hear it, can he still control her amygdalar fear response?

We’re about to find out.

I am now a 100% remote employee?!

Improv #8: Dramatic Irony

*Knock Knock*

“Who’s there?”

“An indecisive person”

“An indecisive person who…?”

“I have no idea. Who would you like me to be?”

I just finished my first level of Improv training advanced enough that we actually get formal feedback from our instructor, who is a member of the main performing troupe for the theater, and a written evaluation which goes to the next class if we’ve successfully made it into it. (I did, for those wondering. I can legitimately say I didn’t influence that decision, as you will learn if you read this post all the way through, though that’s not necessarily as good a thing as you might initially expect!)

You know how they say art imitates life? My art is dramatic irony at its finest.

According to my instructor, I’m actually a great performer when I’m leading. I offer up creative narratives with a lot of humor potential, I willingly offer side support, I seem to have a good sense of how to create relatable characters with genuine emotion –  though I should play more with being the high-status character instead of always the low-status character – and my next instructor should encourage the class to engage with what I offer because I’m a strong leader who drives scenes forward when others do follow.

The problem comes when others don’t follow. Even though “Yes, And” is the foundation of Improv, failure to “Yes, And” – or just “Yes, Anding” in a thoroughly unexpected fashion – is a thing that happens often enough that I need to learn how to play off of it as strongly as when I do generate consensus. At the beginning levels, there can be a failure to accept an opening offer because the actor just isn’t experienced enough to recognize it. At the more advanced levels, since many actors that make it that far come from a theatrical background, many will just see my offer and raise it anyway because they think they have a better idea. If I ever do make the main troupe, I will be playing against audience members who will often offer complete non-sequiturs simply because they legitimately don’t know what “Yes, And” even means.

If my initial gambit is accepted, I’m decisive. If it isn’t, I’m too often indecisive and reorient the character or emotion I was exploring to be in consensus with whatever the other person(s) offered up.

Some performers get told they need to be more open to emotions or to improve their object work. Some just get told, “hey, be willing to share the stage a bit more.” Most performers get feedback that they need to remember to “Yes, And” more frequently. Me, however?

I get the feedback that I need to remember that there can be too much of a good thing. When an actor gets on stage and goes a totally different direction from what I initially was exploring, I need to remember that it is possible to “Yes, And” and still be decisive in who my character is and how they feel. “Yes, And” means that I have to accept whatever new facts are offered without disagreement. It doesn’t mean my character has to agree with them or come to a consensus on how they feel about those facts. If my character just lost an eye in a war (actual scenario from one of our sessions) and the entire rest of the characters react indifferently, I need to not be afraid to commit even more to how my character would react to that level of additional betrayal after such a life-altering event instead of instinctively deferring to the other characters’ opinions. The best humor comes from the audience recognizing authentic reactions to universal life experiences played out within fantastical and weird situations. It’s inherently funny to see my character decisively show his hurt and frustration because we all know that feeling, even if we can’t quite express it in such an over-the-top way…

So, I need to have the confidence to act high status and lead even when others don’t follow, I need to act decisively and I need to be true to who my character is even when others try to paint them as something else? Sure, why not?

It seems appropriate that I’d discover that I do have the potential to go all the way. The only thing standing in my way is just that pesky “resolving the central conflicts of my life born of experiences that shaped me long before I had any say in the matter” bit. Never ironically call Improv trauma therapy: you’re daring the universe to “Yes, And” you on it…

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P.S. – as in real therapy, there is homework. Mine is to find situations that are fundamentally safe – not work, obviously – and practice coming to snap judgments, expressing them loudly and just sticking to them despite opposition. Bonus points if it’s a different decisive decision than what those who know me well would expect and if I don’t tell folks what I’m doing so they can’t inadvertently make it easier on me by giving in too easily.

My first decisive expression of this is that I’m going to my About page and removing that bit where I invite constructive criticism. My instructor also told me he had a feeling that – of all the class members – everyone but me would offer at least some justification of why they felt they deserved to go on to the next level regardless of his judgment about their readiness. I’d just say “whatever you think, you’re the expert.” Part of being decisive, however, is defending my right to my creative voice. Improv is subjective, and future instructors might not always rate me as highly as he did. That doesn’t mean I should automatically accept their judgments as gospel. So, given that advice, at this point, I’ve decided that my blog is what it is. If you don’t like it, go read something else. Art is subjective, after all. 🙂 )

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Need a recap of anything I’m talking about in any post? Check out the Glossary of Terms.