(For) Better (or Worse???)

I think that therapy, both the interaction with the therapist, and the individual work, are a lot like a marriage...without all the hassle of fights, sex, jealousy, etc.) I don't mean to say that it is only good things, just that I can see a correlation between these two parts of therapy (individually), and marriage.

In marriage, there has to be, MUST be, a relationship of trust and commonality (or some other foundation to foster communication). In therapy, there is NO way it's going to work without trust AND a foundation for communication. I have read a lot in the last year about therapy and, quite frankly, I am more and more convinced that I made the right choice in sticking with my current Doc...even when I struggle with feeling like she's ready to "divorce" me.

One of the topics I read about was that of choosing a therapist. This is no easy task...at least it wasn't for me. I talked with a Doc about possibly getting a referral to an Anger Management class. Imagine my surprise when he said that I had PTSD. THEN, I had to have two other doctors "look" at me (no including the doctor picked by the VA for my CMP check), and THEN had to wait for a fucking phone call. The Doc I have is actually the one who called me, but she called to tell me that my choices were limited to females, and to interns at that. At the time, I felt that I had to stick to my guns on two requirements: the therapist HAD to be a male AND the therapist had to be around for awhile. A female intern obviously wan't going to work at that time.

So, much like choosing a life partner, you have to maintain some level of standards. Some contradiction here also parallels life's reality....I didn't get what I thought I wanted and the one I thought would NOT be a good choice ended up being the absolute best. I kind of liken this to my marriages. In my first marriage, I got exactly what I wanted...and it was HELL. In my current marriage, I had NO intention of marrying her. Hell, she was supposed to be a one-night stand and for whatever reason she continued to call me to come over...and that was over 13 years ago. As with my wife, I didn't see anyway that the Doc could be useful long term. I figured she'd be OK as a 'stand-in' until someone meeting my requirements became available.

I think another way that I have to liken my therapy as a whole to the marriage, or at least the relationship process, is in terms of impatience. After I lost my virginity (the time I was willing and with someone I loved), I wanted sex all the time...maybe even too much. I didn't know it then but I think I was basing all of my actions on what was expected of me as a kid. So much so that when my first wife I would have sucked some dude's dick just to make her happy...even when she had used my telling her a little I remembered about my CSA, against me. But I have digressed. After loosing my virginity (and before) I don't think that until the last few years that I didn't FEEL a need for sex ALL the time. Even when I wasn't horny, I just knew I needed a release. So, I would masturbate at an average minumum of four times a day...even if I was in a sexual relationship. (the masturbation wasn't always about sexual relief...at least 60% of the time it wasn't...or still isn't). Much like, well...very much like my overly needy desire to have sex, to include some of the shit I was willing to do for that relief, it's the same with my my desire to seek treatment.

I KNEW that if I didn't see a Doctor soon, that I would be done. I had already half-tried to kill myself once and had thought about it more than once since then. But I had a STRONG urge to get help. What I had thought of earlier on was only a sever issue with my temper had turned out to be PTSD, I knew my thoughts and my mental state were spiralling down quickly. I had a STRONG, hourly, urge to get help...a different, non-sexual,  type of relief. So I think that this is very similar too...my desire for physical/emotional relief and my desire for emotional/mental led in different directions but certainly felt and manifested in similar ways (not making any jokes about genitalia here).

I am sure that anyone in therapy for similar issues, and especially those going through the CPT or PE protocols/treatments probably alreay knows all of these comparisons. I just myself though realized it, although I don''t know how I could have missed the correlation earler!

Like marriage, therapy and a working/WORKABLE/HELPFUL relationship with your therapist require:
- patience AND standards during your search
- a desire to get better
- Communication about what's working AND what's not working
- Persistentce to stick with it. Therapy, like marriage, can be very taxing and without some strength to make it

In any event, I think I have a great wife and a decent marriage. I also think that I have the best Doc in the VA system. I wish I could list her name here and sing her praises. I've had to work at both relationships but, and this is important, when I started to include my wife in my treatment....at least with letting her in a little more....that really, REALLY provided some support I needed to percivere in my therapy!!!