Every year is filled with new exposures

Every year moving forward in my career brings new challenges related to the intersection on my professional life and my experiences on the patient side of the mental health system.

This brings me sitting in an employee bathroom at a Psych hospital looking at the cuts on my legs. I think about the hypocrisy that my clients would be placed on one to one observation over this behavior while I have the freedom to cut or not cut as a choose. I have the keys to the doors and come and go as I please.

I have anxiety about whether I am doing too good a job of validating patient frustrations about being in hospitals. If I validate too well does it dislodge my mask of someone who is psychologically healthy?

I am glad I wrote so much down in this blog. As I read through old posts sometimes I scare myself realizing how I have forgotten some details. I think documenting what I have felt is good to make sure I don’t lose perspective. I wanted to join this field partially to be able to fix things from the inside. But if I lose what I felt when outside the field I can’t properly advocate for situations relevant to past me.

My first day at the hospital, hearing the doors shut behind me was very anxiety provoking. I feel more confident having used the key many times. But when a key is finicky and gets stuck I feel trapped in the moments while I wiggle it into position.

I grapple with the tension between the type of therapy I have gravitated towards preferring to implement (CBT) and the type of therapy I like for myself. I find supportive and psychodynamic approaches helpful. Yet when I do supportive therapy for clients I feel guilt over not teaching concrete skills. When therapists through skills at me I am a master of trash talking any emotion regulation skill that I don’t feel like using for myself. I went from hating CBT based on personal experiences to considering it a solid first line treatment.

I am going to a conference where I might run into the therapist who kicked me out of my undergrad school. I don’t know if I am terrified or just looking forward to getting over the inevitable first meeting.I am bound to run into him at some point. We have lots of mutual colleagues. I kind of just want to pull off the bandaid and get this interaction (or awkward hallway eye contact) over with. I have been playing disaster scenarios in my mind for 9 years about running into him. Sometimes in them I’m snarky, others I’m panicky, others I run away. None of my anxious imaginary situations are as simple as a handshake and pretending to have never met him before. I doubt he would recognise me. I look very different. Worry is about worst case situations. If I can get the event over with I can finally stop this worry.

Working at a college counseling center softened some of my tendency to view them as villains. However I did leave still with the feeling that they are deeply flawed organizations. The flaws though are less about them trying to shove students out of school. I have had the good experience of seeing the center strongly defend student confidentiality from nosy administrators. I still worry though what might lurk in a corner that I didn’t see.






One thought on “Every year is filled with new exposures

  1. The sadness and melancholic tone to your posts makes my heart break for thoughts :( I’m so so so so so sorry that you are going through all this- and especially for the harsh emotional clash that comes from working in a field that heals people but not feeling, or being able to heal yourself. Your so introspective and self-aware, and that sense is the first step to being able to heal, and you can gauge how you may change over time, and you will change for the best. I don’t know if you’ll read this, but I promise promise promise that you deserve to be happy. Of course you must have heard it all by now, but I really really mean it. You deserve happiness, so give yourself that chance okay? From the few posts I’ve read of yours I can feel your pain leaking through your words, and I just want to hug you.

    I hope whatever happens, you work toward loving yourself and healing yourself as well. You deserve healing too, and lots of love, especially from yourself, just like anyone else. Please please please take care of yourself and see your worth, as trapped and hopeless you may feel sometimes, especially with graduate school looming over you. It’s not an endless toil- you will graduate one day. You can do it. Above all take yourself to places, in the present and in life, that make you happy. Whenever you can, you deserve it, and anyone else feeling this way. Take care of yourself, please. I hope to hear some amazing things you’ll do with your life, and with yourself.


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