When I started therapy four months ago, I really wasn't sure what to expect from it. I was well overdue to start treatment but was resistant to making an appointment. I have a hard time talking to strangers and an even more difficult time addressing my feelings. The last thing I wanted to do was talk to someone I didn't know about the thoughts and emotions that had consumed my life.
Prior to making my first appointment, she and I spoke for nearly an hour on the phone. She asked a lot of questions, listened intently and agreed to take me on as a patient. But there was a condition - thinking about or attempting suicide needed to be taken off the table. When I feel the thoughts of worthlessness and hopelessness start to pour in, I had to promise to find a way to overcome them using the tools I've been given before. Anything from taking a moment to pause and breathe to taking a walk by myself to reaching out to a friend. If I wasn't willing to do those things, she wasn't going to see me.
I don't know if this is her way or a normal thing that therapists do, but after talking to her and sharing my history and where I was at the time, I felt comfortable enough with her to make that promise. This agreement, in no way, was a guarantee that those thoughts would not arise again, and it didn't mean she wouldn't help me through them. It just meant that if she was going to invest in me, I needed to be willing to work and not go for the easy way out.
We made an appointment for the following week. My comfort level going in was somewhere in the middle. I knew I'd be able to talk to her but I'd never done one-on-one therapy. The only therapy I'd ever had, in fact, was almost twenty years ago, short term and in a group setting. I wasn't sure what I was supposed to do. Is it like an interview and I answer questions for an hour? Is it a back-and-forth exchange? Do I just start word vomiting? I had no idea.
She made it easy and started by asking about basic things - family dynamic as a child and family dynamic now, what close personal relationships I have, special interests, and so on. We discussed a friendship that I'd watch dissolve about six months prior and that was the end of session one. FYI - if you're my friend, she probably knows your name.
As the weeks went on, the topics became more sensitive and tougher to navigate. I was there to get out of this pit of depression I'd found myself in following my dad's death. I was there to learn how to become more assertive and communicate better. I didn't go to figure out why I hated myself, why I had trouble trusting people and relationships, why I never felt good enough or worthy. But this is where we are and how therapy became my jam. What I thought was something that was meant to fix me and help me move forward had somehow become something that got in my way.
I'm not saying I feel trapped by therapy, because I don't. I love my therapist, even more so after she told me she likes when I'm oppositional! I just didn't expect to find myself in a place, after four months, where it feels like I've made little to no progress.
I've come out of almost every session completely exhausted and most times we've only touched on one or two subjects. I understand the reason for taking it slow and not trying to conquer it all at once. But week after week of having no real idea of whether or not it's working is frustrating. I'm a person who likes to see immediate, tangible results. I have used the comparison that maybe the progress I see myself making is like watching my own child grow - I don't notice it because I see it all the time. In a time when we aren't isolated from others, I'd be able to ask others if they've noticed anything. But the only regular human connection I have outside of my family that I live with is on Zoom. Yes, you can form real relationships on virtual platforms and some of my dearest friends have come via Zoom since quarantine began in March and through social media. But is this really the best way to gauge progress?
I knew going into my first appointment that overcoming nearly four decades of this pattern of thinking wasn't going to be quick or easy. She told me over the phone to expect a minimum of six months to a year of treatment, with sessions being weekly. That seemed like a really long time estimate in May, but at four months in, I'm not sure it's going to be anywhere near enough.
I am also aware and okay with one thing not being the fix-all for a problem. In addition to therapy, I have been working with a mentor. Between the two of them, I'm spending a lot of time doing homework that often includes writing but always involves introspection. I don't enjoy any of it, to be honest. But I know that working outside of therapy sessions is necessary. If I only devoted an hour a week to fixing myself, a self that's been broken for 40 years, I'd be dead before I made any progress at all.
While this work is not fun or easy, I know when I do it that it is being suggested by someone who cares about me and my wellness. I've spent the majority of my life wondering if anyone would ever come along that truly cared for me. I know they care because they hold me accountable and tell me they're proud of me, but they also extend grace when I mess up.
I started taking medication about three months ago, and this is the first time I've ever had someone that's properly managed it. Finding the right medication and the right dose is a lot of trial and error, and without someone to monitor it, finding the right fit can take even longer. I started on a low dose and after dealing with a few minor side effects for a week or so, but generally tolerating it well, we gradually increased the dose. It seemed it was improving my overall mood and the dark thoughts faded for a while. But now I'm starting to see myself where I was when I started therapy, and I'm not sure this medication is the right one. Being on a medication for three months only to find I have to start over with something else is discouraging and only adds to my frustration.
One of the first things my therapist said to me that it was sad that in
all of the years I've battled depression, I've never had individual
therapy or properly managed medication. She followed that by saying
"that means there is a reason to hope. We have another option." Seeing a situation from a different perspective is one of the greatest lessons I've learned from working with a therapist and a mentor. If I can learn to do that in all things, I can beat this battle. I can win this war. I can change these broken patterns.
Perhaps my true frustrations with therapy aren't from therapy at all but
from my own skepticism. I don't trust people, even the ones that have
never let me down. I don't trust processes, even the ones that are new
and untried. I don't trust the possibility of progress taking place when
there is nothing to prove to me that it has.