Intake Ramblings


The ramblings part of the title is veeeery accurate here! This is about my experience with intake and therapy and (1) I most certainly do not want to discourage you from seeking therapy if you have access to it! Intake may suck, but it is (usually) worth it. (2) I wrote this last night and refused to let myself do anything fun until I’d sent in my therapist request. So these are Thoughts and Feelings, but they are also out of date. 

It’s 2 a.m. and I can’t sleep. It feels a little like the insomnia is coming back. 2:30 am last night. Probably even later tonight. And awake at six, disoriented, but not exhausted.

There’s no AC, and a hot day turned into a warm and sticky night. So I’m on the couch, and I can’t sleep, with a mug of tea that won’t help.

I need to send in a request for assignment to a school therapist. I’ve been delaying. Again. I was late last year, too. My file will get a little bit longer, and a small and silly part of me thinks that’s worse than the feelings.

Eating disorder. Then, eating disorder again, with a new year and a new therapist, and a footnote–obsessive tendencies?
This year: anxiety.  Maybe. Probably.

I’m going to have to do intake again and auuuuugh. I will sit in a room and cross my legs and quietly spell out the last few years. I will ramble a little, because you’re speaking into silence and getting nods in return and I want to sound functional, but I need them to help me, and that means finding the worst parts.

“I believed I had the tendencies under control when I left for college.”
“And by the end of that year I was unable to keep from swinging between bingeing and depriving.”
“Invasive thoughts…trouble leaving my house once or twice.”

There will be a series of questions when I stop talking. I’ve sat on the other side and asked them myself, ticking boxes and nodding. I know what they are, and I know why they’re asked and I will still feel weird and shift uncomfortably, even as I answer honestly.

Have you ever felt suicidal?

Have you ever been sexually assaulted? Raped?

And then they will nod and smile and thank me for sharing, as though I’d set pretty cupcakes on the table between us, instead of my insides.

They’ll let me know when they have a therapist for me, they say as we shake hands. I’ll go sit in the campus garden for a bit when I leave. It’s become a ritual, this. The story, the niceties, the third bench on the right, behind the tulips, letting the feelings crash down.

And then, in a week or so, I’ll get an email from my new therapist. She’ll have my file, but she’ll ask me to explain why I’m there, and I will retell the story again. And then, finally, the work will begin.

 

Comments

  1. says

    Intake/new therapist appointments rip me to pieces every. single. time. Having to remember all the details of exactly how bad it has been… ugh.

    But then, it’s also been worth it, every single time. Even the time where my first assigned therapist suddenly had to take medical leave after 4 sessions, and after her replacement passed me off to behavioral health 2 sessions after that. Because therapist #3 got me through leaving my abusive fiance, 2 years of grad school hell, and getting kicked out of grad school. Worth it.

  2. Props says

    Great description, and just wanted to say I really enjoy your blog! You and my daughter share a name. I will be quite proud of her if she ends up with your communication skills and apparent self-awareness some day…

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