Good morning, Theresnoquestion. Take a seat. How have you been? Tell me what’s been happening since the last time you were here.
(Remember to face body towards him. Appear interested. Don’t wiggle. Don’t look like I have shifty eyes. Look somewhere around his face. This is important to describe. You want him to listen to you. The spiderwebs inside. Not sure where to start. Difficult. Can’t express emotion verbally. Wish I could write you instead. Oh, try not to look too distracted. Look at his mouth moving when he’s talking. He’s sitting there with his notepad. Appears relaxed. Okay. Maybe it’s okay. I need this. I want this. I need someone to understand. The complexities inside. Impacting everything since forever. I want someone to tell me why I can’t be different. Oh, shit, don’t zone out. Look at face. Wow, his mouth moves not very much when he is talking. His eyebrows go up and his head tilts a tad. Oh, I am supposed to answer a question. What did he just say? Stop looking at me, I can’t think. Um….Okay, look to the left so I can concentrate and think.)
I’ve been okay. Can’t function very well. (the rabbit hole. Words are unimportant. Tell him about being at the bottom of the rabbit hole. The weight above that keeps my arms and legs tied, and my mouth gagged, and at the same time how something is yanking at my hair, my skin, that I just want to learn to be up top, different. I want to learn to be close to people. I don’t want to be weird, or scared, or overwhelmed by sensory stuff. Tell him that. How I can’t be warm like people are supposed to , well when it matters. Faking it. Masking things. Taking on persona when needed. About, feeling incompetent. And really want to just do “my things”. I don’t want to look after children or myself or my home or the world stuff I should try to do. Wait, am I talking? Did I just zone out? Is he looking at me strangely? Glance over to him. He’s looking a bit like he’s waiting for something. Maybe I just stopped talking. Um…I’m feeling really like I want to run. Like the room is on fire and I should run. Oh, um. okay.) I’m just having difficulty and can’t manage very well.
I see. Tell me more about how you feel you are’t managing very well.
Okay. Well, I have all these sensory things. And I can’t stop doing these things.
Oh, like…ugh, I don’t know. Like I can’t stop researching things I like, and I don’t want to deal with people. Including my children. And I feel guilty about it cause I know I should be different. I just want to zone out. And pull my hair or pet the cat, or be by self.
I see. How long have you not been working or out of the home?
Um….five….five years. ( Oh shit. he thinks I’m complaining because I’m bored. His legs shift. A slight sigh escapes from his breath out. I see a slight movement from his mouth . I think he is thinking about how to respond in a not-so-direct opinion/way. He is looking at his paper. He asks if I ever meditate. Why is he asking me this? Doesn’t he care to go deeper, help me dive down, I have issues with explaining, or describing, or what the feelings are, or the things I have issues with. Why did he turn his body away towards his desk. He is writing something. I think he’s annoyed with me. He looks up. I take it for a second to make it look like I care and pay attention. I glance away and look at bookcase. Wow, I would like to read those books. Why can’t we talk about something more interesting like that book. I wonder if they pay for those. That dmv dvs or whatever it is called. I wonder if he even uses it. I wonder if the library has that, I never thought to look. Shit, I forgot to bring those books and dvds back. Ugh, I’m never going back in there. I lost three items the past month. I just want to pay for them and forget about it but I guess I have to go into the library to pay and then I would have to try to like shower and get dressed and think too much of how to be out there and it’s exhausting and ugh…I might have a panic attack for having to do all that and I hate feeling even more crappy than I am………)
So, what medication are you on? I see we adjusted it back in October. Have you ever tried medication A, medication B, C, D, E, F , G, H or any of those types on top? Do you have trouble sleeping? They can help.
Um…no…..I don’t want to try those and I’m sleeping fine. I actually have hypersomnia so I don’t want any more reasons to be more tired in day. I want to find out why I’m having so many issues, and have always had them. I don’t think adding more meds are going to help me be intimate, or responsive, or want to participate out there in the world more..it’s not going to quiet things down. Things are too loud. Too bright. Too fast. Sickening. I feel sick, nauseas, like carsick .
(He thinks I’m just having more anxiety. Ugh. Why is he talking like that? His pitch sounds different. He’s annoyed with me. Maybe I’m over reacting. Reading too much into things. Nope. His brow looks frumpled. His legs and his arms are different. He’s leaning towards his desk and paper. He does these things. On sides of face, in the wrinkles. In hands, and body parts and his voice that was like this—————— is more like this —-____——_____—-_____. Well, a bit different in the picture but my keyboard won’t draw it like I see it. He lets out a big breath like he’s tired or I’ve made him annoyed. Those are weird socks to wear with those pants at work for a dr. Look his shoes are dirty. Maybe he isn’t such a type A perfectionist. I wonder how he got through all this schooling without being a perfectionist. Maybe he just doesn’t have time anymore to have clean shoes because there are so many people to see. I wonder if they think I’m dumb. I hate that. I have to play even more dumb for them to listen to me. This is pointless. Once again. I feel like crying. I can’t explain why. I want to go in a room by self and cry. No one understands. I can’t explain things. They are in pictures. I’m sad.)
Okay, well let’s just leave your medication at what it is now. Try to deep breathe and maybe look into meditation. It can help. I’ll see you in say about 6-8 weeks for a follow-up.
Okay. But, what do I do about all the sensory things I have. Always had. I don’t know how to make it stop. I’m having lot of issues with them. (ugh, I can’t explain anything to him. Or anyone. The touch. Sounds. Lights. Temperatures. Movements. Talking. I hate words floating out there bugging my brain. Can’t they know I’m trying to learn something? Hate talking about emotional stuff, ugh excruciating.)
(Sigh.) Meditation can stop the …..thoughts. The constant thoughts. Practice it.
Okay. I’ll do that. Thanks. (Smile. Look appreciative. Look towards Doctor. I don’t want him thinking I’m being hostile. Another useless appointment…I feel sad. Confused….embarrassed…..why bother talking…..)