After an appt with the PD therapist.

So yesterday morning I saw this therapist specialising in personality disorders about whom I wrote recently that she will talk to me and see if I indeed have or might have avoidant personality disorder and also that we’ll talk about my dysthymia which still isn’t diagnosed but the two years that are needed have passed and not much has changed. My therapist wanted me to be evaluated by someone from the outside, pplus someone who’d be more qualified as for personality disorders, so she was the best choice in our area. Before my appointment both therapists talked about me, my background and stuff like that.

I was very very anxious about this appointment and I felt lots of contrary emotions about it and what may come out of it. But it went really well. We talked about my experiences in different kinds of interpersonal relationships, my self-esteem, how I am very often suspicious towards people and their motives and almost always look for some hidden meaning behind their words or actions and my feelings of inadequacy, or, how my friend used to call it but not in the context of my issues “alien syndrome” which name I really like. 😀 Basically we discussed everything in one’s personality that may be affected by AVPD. We talked through all the WHO criteria, I also told her about very various kinds of anxiety I have and my experiences from the boarding school. She asked me how I came to the conclusion I might have AVPD so I just told her how it started and how I felt like I resonate with it so much and how it was both scary and relieving for me, scary because it’s often somehow scary when you name your problem for the first time, plus I’d never expect I might have personality disorder and it just was so sudden, but relieving because I realised that if it’s really my issue, I’m not alone with it, there is a name for it so other people are struggling too and I felt more valid. It was a bit overwhelming and weird to feel both these contrary emotions so intensely at the same time, but I think I got used to it with time and now i’m not so scared. I told her that actually before I started to read about AVPD, I didn’t realise that the fear of being rejected might be why I’m so anxious, I still think there might be something more to it, but yeah, I guess I was always scared of being rejected, but never fully realised it, as I didn’t really want to realise it consciously cause it would make my self-image even worse in some way. I don’t know if it makes sense for other people, but, that’s kind of how I’ve felt about it… Then we talked about my emotions, how I’ve started to suppress them very early on and still can’t fully unlearn it and expressing what I feel is still so challenging and stressing out for me. Most often I don’t have issues with positive emotions now, in fact if I happen to feel lots of positive emotions I would most willingly like all the world to know about them and why I feel them and share it with me, but expressing my negative emotions still feels kind of like either baring myself or self-pity. And what she told me was almost exactly what I’ve thought about this whole AVPD thing. Some of the traits are milder, some are more severe, but overall I fit in the criteria and she told me she’s almost sure I have it, but she’d refer me to a psychiatrist for further evaluation and getting an official diagnosis. She honestly told me it’s too complex for just being social anxiety as the reasons why I avoid social situations are multiple, which I know, and she also checked whether and to which degree I might have schizoid or paranoid pd traits, but only some single ones fit me. We talked also about my dysthymia and she said it seems to be extremely common in people with avoidant personality disorder that they have dysthymia and/or generalised anxiety. I talked to her about how I’ve actually always been more or less depressive, although apart from some harder days I am able to hide it very well from people and many years have passed since I’ve been really suicidal, although I couldn’t say I’m not suicidal at all, I have some ideations somewhere in the background, I’d say. We talked about my sleep being pretty irregular for most of my life and I told her that I think my thyroid issues also may contribute to the low mood, but although my thyroid hormones are more stabilised now than they were in the past, it didn’t make that much of a difference. We had a long chat about dysthymia in general. My Mum was waiting outside of the therapist’s office when we talked but then she asked her to come in and join us. She wanted to have her point of view on the whole thing, on some of my behaviour patterns and stuff, as someone else’s view on things is always helpful and my Mum is with me almost 24/7 even if we’re not constantly together we’re at least in the same house, so obviously she knows me well even despite all those years I lived out of home. Of course after some time my very sensitive Mum started to cry. She always cries when she talks about some painful or just moving things, or even when she says something beautiful, that is how she reacts, although many people feel embarrassed and my Mum does too, but that’s just her nature and how she reacts to things and it doesn’t necessarily mean she isn’t stable or anything, in fact I think she’s one of most emotionally stable people I know, just incredibly tearful. 🙂 And she was talking about how she is feeling so much guilty recently that she didn’t see on time what was going on with me back then and that she didn’t change anything. I actually didn’t realise how much of guilt she feels and I felt so sorry for her and actually felt guilty too, for making her guilty. It sounds ridiculous. 😀 But I really didn’t realise it fully. I told her I don’t blame her at all and that I don’t think there was anything more she could do than she already did. I told her just what I thought. That it’s the easiest way to blame the parents for who you are, for your childhood, for what you didn’t achieve etc. so many people do it. Of course I don’t count in abusive or purposefully neglectful parents. But so many people would like their parents to be perfect and always know what to do. But are there any trainings for how to be a good parent? Do they get this knowledge anywhere? Are they somewhat enlightened after getting a baby? They aren’t and that’s why I don’t like it, putting all the blame for your trouble on your parents. My therapist agreed with me. It just moved me so much how guilty she feels and how I didn’t notice all of her guilt for so long, although I think I know her so well and am so good at “feeling” other people. Then the therapist summarised for my Mum what we talked about without her very briefly. Whenever she was writing something in my notes she was telling me about it and finally she ended up unoficially diagnosing me with dysthymia. Then we also talked for a while about the fact I don’t actually have real therapy as my therapist has too much on her plate and had to cut some of her hours, thus we almost only have phone or email check ins. She was very kind and direct and offered me that if the psychiatrist will refer me to therapy, which will in her opinion most likely happen, she is willing to take over my therapy. I feel like if I have a personality disorder, I need some more appropriate support. I don’t mean I didn’t feel supported by my therapist, she was working with me for many many years and was always there for me if she could, but, you know, sometimes a monthly phone check in isn’t enough, plus knowing how busy she is, I often felt like it wouldn’t be appropriate to email her in between check ins when I struggled so it had to be really almost an emergency or something if I decided to bother her. So I think I’ll start with this new therapist, the more that she herself came out with it. At first as I met her yesterday I had an impression she’s so very blunt and direct it could be hard to get along with her, but I felt very comfortable around her with time and actually now I think it’s her advantage, as she still is very diplomatic. She’s completely different from my therapist Monika, but I think I like her and she seems to be a very attentive listener, which I obviously really appreciate. I still don’t know when I’ll see the psychiatrist, I am sure it’ll take quite a bit of time, but anyway, I now feel more validated and am glad of our appt. My Mum is too.

Today I had quite intensive day. I went for a big shopping with my Mum. I needed to get a few things, mostly Easter presents and some things for myself, from different shops and Mum needed a lot of groceries for us. I must say I rarely go out for such long shopping escapades, it is always quite exhausting and challenging for me, you know, all these crowds and all other shit. I was tempted to just ask my Mum to buy me things I needed when she told me she plans to go buy groceries and tell her what I need, but decided to challenge myself a bit. Plus my Mum had a lot to carry so it definitely wouldn’t be kind of me, would it? So we went together and besides the anxiety which was significant at times, it felt good to have some time together. I bought all I needed and also some snacks for Misha ans we are almost running out of them, so gourmand is he recently. We both were exhausted afterwards, not as much because of the long walk we did, but because of visiting soo many shops, my Mum also isn’t accustomed to such extensive shoppings as she only does them before some bigger holidays like Easter or Christmas. So Mum watched some TV and I went to my room and had some Mishtime which was just so fantastic, Misha was so very cuddly today.

Then I got pissed off by my Polish teacher. Actually she pissed me off already in the morning, but even more when we came back home. For those of you who are new to my blog and don’t know, I formally attend to part time school for adults, something between college and high school I suppose, but practically I am learning on my own, because it is a mainstream school and basically most teachers just treat me like I’m invisible or like they could pick up optic nerve hypoplasia from me. plus they often use things like slideshows on their lessons, so it’s just easier for me to learn on my own, I’ve never had trouble with it, and of course it’s emotionally much much easier. The only occasions I go to school are exams. Me and my Mum just talked about it with the headmaster and with my teachers and they agreed to send me what they’re doing in the class every term as well as the subjects of control assignments and exam terms and the rest is for me to do. I only have Maths lessons with my tutor who is a typhlopedagogist, as Maths is very hard for me and I’m clueless about it and although my Maths teacher at school would be eager to teach me and is really open-minded and communicative, it’s hard as for this particular subject because it differs how you explain things for sighted people and for the blind, and she’s not educated as for how to teach blind people. But now the thing is they are SOOO incredibly busy they don’t even have time to email me. I was sending them emails to remind them about our “agreement”, Mum called the secretary multiple times and even visited the school personally twice. My Maths teacher responded very quickly, then two others responded after much more time, but my Polish and History teacher still didn’t bother to write anything.

And today in the morning I checked my emails and saw that my Polish teacher wrote me an email asking whether it will be possible for me to come for Polish exams this Saturday and if not, we can find some other time. I felt a bit disoriented. OK, I’ll come willingly, but what’s the material for these exams? Does she suppose I’ll just come and pass whatever she’ll ask me without having any information about what this exam includes and what I should be prepared for? So yeah that made me feel very pissed off and stressed and I wrote to her just that, that I am absolutely OK with the time, but first I’d like to know what should I learn as despite my Mum’s and my messages we didn’t get any information from her, so it might be “a little bit hard” for me to prepare in four days to an exam from the whole term. So when we got back home I checked the email again and she wrote that she is “surprised” because straight after she talked with the secretary, she sent me an email with everything. She wrote she’ll check her another email and send it again. I was afraid that maybe indeed she sent it but I just missed it so I checked all the folders with emails I had, but I couldn’t find it anywhere, so I felt rather confused. My Mum says it is just her excuse, but what I’m curious about are her motives? Is it really so hard for her to send me an email? Is she really so busy? Is it something in me that causes people to turn off so desperately? Or has she some early onset Alzheimer or other neurodegenerative disease that makes her forgetful? Striking. I must say I don’t get it at all… Don’t really know what I should do with this now as I still didn’t get any message from her, and I’m afraid that even if I’ll get it tonight or tomorrow, it might be very hard to prepare in such a short period of time. I’m not a perfectionist as it comes to school, I never freak out about marks and they’ve never mattered to me, actually at all, so I’ll be just glad if I’ll pass it, but if I will know hardly anything, it will be so terribly stressful. I feel like doing this to your students is at least disrespectful. Unless it is indeed some unfortunate accident. Oh gosh what a rant, didn’t expect it to go in this direction. 😀

And in the evening I watched some documentary about Wales with Dad, who was constantly like “Wooow! They have only ruins there, don’t they?” 😀 and that’s it about my day. Now going to have some Mishtime again. Somehow I have an inkling I won’t sleep very well tonight. I am having so intensive time recently and I feel like I might have migraine soon, hope I’m wrong, but if not, I doubt I’ll get any sleep tonight. HOpe you all had or are having a nice day. 🙂