Show citation

Transcript of Audio File:


BEGIN TRANSCRIPT:

CLIENT: I'm feeling pretty proud of myself right now [ ] (inaudible at 00:00:18). I woke up this morning and I was really not doing well. I slept two hours later than I meant to because I'd wake up and I'd be like, "I can't get up. I can't do this," and then go back to bed and set my alarm for another half an hour. I'm sure James really likes that. (laughs) He's pretty good about it. I couldn't get started. I was wanting to hurt myself and was doing really bad. I kind of sat there and thought, "Well, my therapist would probably say that this was something about feeling this way sucks; but it's familiar so it kind of comfort for me." [00:01:10] I don't know about that. I thought, "Well . . . " (laughs) It is comfortable in the sense that as long as I am incapacitated like this, I don't have to figure out what to do next. I can say kind of "this isn't really my fault". I don't have to think, "Okay, what do I do if I don't have a job?" I don't have to actually solve the problem. I wasn't thinking about anything else. That was all I've been thinking about for the last couple of days. I thought, "Okay," and then I felt better. (laughs) [00:02:06]

THERAPIST: How about that?

CLIENT: Yeah. Go figure. (both laugh) (pause)

THERAPIST: I bet that was helpful. Good for you.

CLIENT: Yeah. The problem I have is that now I have basically a month of waiting because I've applied to all of the positions. There aren't going to be very many positions being posted because most schools do their contract renewals somewhere around spring break or earlier, like in February or early March, and so they post new openings in February or March.

THERAPIST: I see. You applied for . . ?

CLIENT: I've applied for basically all of the positions that I would be a good fit for and are ones that I want to apply for.

THERAPIST: About how many is that? [00:03:01]

CLIENT: About 20, I think. Yeah. People will have last-minute positions open, but those are going to be few and far between. Usually what happens as far as I can tell is the hiring committee meets sometime in late March or early April, figure out who they want to interview, and then call those people. So now I basically have to sit for the next month and see if anybody calls me, so that's going to be hard.

THERAPIST: That sounds like fun.

CLIENT: Oh, yeah. (laughs) I have pretty much the same conversation with James once a week where I'm so anxious that I'm like, "Well, maybe I should just drop this altogether and look at other fields, like look for a different job altogether." James always says, "Well, if you take a full-time job, you won't be able to teach next year. If you get a call you won't be able to take it. You can't do it." [00:04:18] I think my job for at least the next month is kind of keep my anxiety under control (sighs) which, you know, that's kind of a full-time job. (laughs) Too bad I don't get paid for that. (both laugh) Yeah. (pause) I feel like I'm getting better at it though. [00:04:59]

THERAPIST: Yeah, this morning sounds pretty different from how it often goes.

CLIENT: Yeah. It's like the last couple of days it kept getting worse and worse and worse, but I also kept feeling like I just needed something to snap me out of it and I wasn't able to find that. Yeah. (pause) I'm sure there is more to it than "I suddenly felt better", but that's kind of what it felt like. (laughs) I think it was that I hadn't looked at it that way and then said, "Okay, well if that's the case then . . . " I mean, I don't know whether that's true or not, but if I act like that's true then the next thing for me to do is figure out what I'm going to do next and say, "Look, no I actually have to figure out what I have to do next." So then I talk to James again and said, "No, I pretty much just have to keep doing the same thing. It's not time for me to decide that I've failed at this yet."

THERAPIST: Right.

CLIENT: Give it another month. Then we'll decide on it together. (laughs)

THERAPIST: Which, curiously, is sort of the same move again, isn't it? Like, "Well, what I've got to do is instead of deciding preemptively that I've failed at this so I don't have to sit around being anxious about whether I've failed or not, I'm going to sit around and be anxious." In other words, the move is to kind of admit defeat in order to get out of an anxious situation, you kind of stave it off or ward it off again. Do you know what I mean? [00:07:28]

CLIENT: Yeah. Yeah. No, it's like [ ] (inaudible at 00:07:32) Now I just get to be anxious. Hooray. (pause) I read an article a friend of mine writes about he basically writes about culture for a lot of little magazines and I did his thesis and he's a very good writer. He'll be like, "I wrote this," and I'll read it. He wrote about a show that I've never seen, Girls, which apparently is a big show, though reading it I was like, "It's just like Sex and the City and Gossip Girl, only better." I was like, "Okay, I really don't want to see this show now." (laughs) Not really my thing. [00:08:47]

He was talking about anxiety and describing having a panic attack the other night. The thing he ended on was he said, "Anxiety tends to cripple us and keep us in our harness and keep us from relating to people and keep us from looking outside ourselves, but it can also be this thing that spurs us to connect with other people and to write and to figure things out." I kind of had to look back through the rest of the article because I was like, "I don't see the second part at all." (laughs) [00:09:32]

THERAPIST: I see.

CLIENT: I don't find that anxiety does that for me. (chuckles) I think what he was saying is that he saw this connection to the anxiety of this character on the show and it spurred him to write that article. Anyway . . . (laughs) I don't know. I feel like my depression and anxiety just makes me a worse person consistently. (pause) Certainly a more selfish person. (pause) [00:10:53] I reread the end of The Affair yesterday. I told my sister that's what I was reading and she said, "Are you sure that's a good book for you to be reading when you're having a bad day?" (laughs)

THERAPIST: I've never read that.

CLIENT: It's Graham Greene. I've read it before but I've forgotten everything about it. It's about this man who had an affair with this woman. It's set just post-World War II in London. The affair mostly took place during the war. She broke it off with him completely unexpectedly a year and a half ago and he's been basically grieving her ever since. He's kind of a terrible person so he's super jealous of her and hates her and hates her husband. [00:11:45] He's hiring a private detective to track her because he thinks she's sleeping with somebody else now. I'd forgotten that it's essentially a book about God. Graham Greene was a convert to Catholicism. I picked it up because I was reading a biography of four American Catholic writers. It's a really good book. Anyway, it's about God and it's about suffering. It's pretty theological as it turns out. It's about God as both a suffering God and someone who's with you in your suffering, kind of the redemptive qualities of suffering. (laughs) [00:12:37] So it's like okay not seeing this. And now it's Easter, so that's basically all we're going to be talking about for the next six weeks the suffering God, basically the theology of suffering.

THERAPIST: Because of the crucifixion?

CLIENT: Yes, yes. (laughs) If you believe Jesus is God, what does it mean to have a God who suffers with you, et cetera. (pause) That turns into you. There are a lot of really terrible theologians out there.

THERAPIST: Okay. [00:13:42]

CLIENT: (laughs) Every priest has to give a sermon, every parish priest. Some people are really good at sermons and some people are really not good at them. I'm both picky and kind of skeptical about things. I feel like one [beat] (ph?) of sermons are good. So anyway, a lot of people end up talking about suffering as something that is a good thing or it sure sounds like they're talking about suffering as a good thing. Maybe they're not trying to say that, but that's what they end up saying by accident. I don't really feel like this has done me any good.

THERAPIST: I would imagine that implications of it piss you off.

CLIENT: (laughs) Yeah. Yeah. (sniffles) Partly because it sucks to be misunderstood, and partly I'm just like, "Well, am I doing this wrong?" (laughs) Yeah. Sermons, in general, tend to piss me off to be honest. [00:15:17]

THERAPIST: Oh, really?

CLIENT: Yeah. You know, I really like going to church. In some ways I have no idea why I actually believe, and so it's very . . . you don't find very many priests who are comfortable admitting that they don't know or are comfortable talking about things that they don't know. You get a lot of complacent certainty that is difficult for me to deal with, even when I'm not depressed. It's always difficult for me to deal with. (pause) [00:16:14]

My sister is the same way, actually, which is funny because she works at the church. (laughs) She forms people, form young Christians. She's getting confirmed, which is like you get baptized as an infant and then, at least in Episcopalian and I think in Catholicism and, I'm sure, in some other religions, but you get confirmed as a young adult as like entering into an adult relationship with the church and saying, "I affirm these things and this is who I want to be and this is where I want to be." You usually get confirmed when you're like 13, not when you teach the confirmation class. (laughs) When she was in eighth grade she went through the confirmation class because, you know, you're the priest's kid and my dad taught it. And then she said, "I'm not getting confirmed. I don't believe it. I'm not doing it." (laughs) I think my dad was not super happy about that. I think she pretty much has to now. (laughs) Sorry, I was wandering. (pause) [00:18:05]

THERAPIST: Maybe you're a little anxious to be mad and critical?

CLIENT: Yeah. Usually I'm pretty comfortable being mad and critical at the sermons. I have been kind of the skeptic in the pew for a long time, but on this topic I'm anxious about it. I would really like this to mean something, but I just don't think it does. (pause) [00:19:14]

THERAPIST: What do you mean by its meaning something? In other words, I guess one of the things that occurs to me is one sort of meaning, which is often the way we talk about it, is more like how does it work? When you feel bad, does it do this? What does that do? In a way, that seems like one kind of meaning; but then there's something else, which is ratified by anything redemptive about what's going on. We're just talking about how it works. There's also meaning something, which I think is often true in this context, that there's something redemptive in the suffering. I'm not sure which one you're referring to which sort of meaning it lacks or maybe both. [00:20:23]

CLIENT: I guess I feel like we talk a lot about how this works, how it happens and the first kind of meaning, what triggers it, how it plays out. I guess I'm talking more about why is this happening to me? Why is this my life? (sniffles) I guess that's got to be the question everybody asks, and so I guess it makes me angry to hear people offer answers that are, to me, clearly not the case. I hear a lot of "suffering will bring you closer to God" and I hear a lot of "suffering will help you be a better person", "understand other people better" or "be closer to other people." I don't feel like either of those are the case. (voice breaking) I feel like I just get more and more alone and less and less capable of seeing anything outside of my self. [00:22:24]

THERAPIST: I agree that for you that's often true.

CLIENT: (crying)

THERAPIST: I don't mean to make a larger point about suffering, but one more local to you, which is yeah, I think mostly what I hear is depression and anxiety have made you more isolated and when you're suffering the most, you're suffering alone usually.

CLIENT: But that doesn't have to be the case for everybody? I don't know you're going there or not. (chuckles) [00:23:19]

THERAPIST: I think part of what that is for you, which may not address the kind of broader issue, but is you for the moment forgetting who's responsible for this you've rarely been able to share your suffering with the people around with whom you might. (pause)

CLIENT: Yeah. I very often feel like when I'm doing badly and I talk to somebody about it, at the end of it I sort of feel like, "Great, now we're both unhappy. Awesome." (laughs) (sniffles) [00:24:35]

THERAPIST: Yeah, I think this is a part of the kind of background noise or background radiation worry is; like when am I going to get sick and tired or frustrated with caring about how bad it is?

CLIENT: Yeah. Particularly when the last couple of days there's nothing really new to say. It's pretty much the same thing happening. It kind of happens over and over and over. Yeah. I feel like James gets frustrated with me about that or I worry about that. [00:25:44] I feel like, "Well, if my life sucks, at least it should suck a new way." (laughs) (sniffles) Or if it sucks in the same way I should be able to come up with something to do about it. Yeah. (pause) [00:26:48]

THERAPIST: I think it's kind of an indication or an illustration of how much you feel like you can really suffer. You had better be by yourself because nobody really wants to hear it, or at least not for very long.

CLIENT: Yeah.

THERAPIST: So if you're suffering, it means you're going to be by yourself.

CLIENT: Yeah.

THERAPIST: Which, again, is probably some broader existential question, but I'm not intending . . .

CLIENT: No, it's okay. (both laugh)

THERAPIST: Clearly. [00:27:41]

CLIENT: I talked to my sister on the phone yesterday and I was doing pretty badly. She was having a good day. I didn't want to go into too much detail about not doing well because then I'd start crying on the phone and all of those things. Where I was going with this is that for me, when I'm with somebody, when I'm suffering I can't think about the other person at all. I can't enter into the other person's life. I can't talk about the things that the other person wants to talk about. It's like I don't have anything to give. That sucks. I feel terrible about that. [00:28:59] We talked for a little bit and she told me all about what was going on with her and then there was just silence. (pause) [ ] (inaudible at 00:29:17) I told her what was going on and that I was having a bad day and that I was anxious about finding a job and haven't heard back from anywhere, et cetera, et cetera. But to kind of summarize why I'm not doing well takes about 30 seconds and then I just have the same things to say over and over and over again. That's all I've got. (chuckles) It's like this huge, giant thing for me that's blocking out everything else.

THERAPIST: Well, actually, my suspicion is that you're sort of in the middle ground there. When I first heard you say it, it was like I bet that's more than you might have shared sometime in the past, to say that you're having a bad day and give a more or less overview. [00:31:03]

CLIENT: Oh, yeah, that's a lot more. (laughs) And to think that I'm having a bad day. (laughs)

THERAPIST: But there probably is a lot more you could say that doesn't occur to you because, again, you kind of don't want to go there. I'm not suggesting that I think you should go there, but what I'm interested in is that it doesn't even occur to you that there's more to the story such as you always get down and feel like you haven't done a good enough job, which is how you feel when you haven't gotten a job, which is part of why you're feeling so bad. You're probably also thinking about suicide. In a way, that's a relief, but in a way it feels crummy and you're probably worried about staying in this really downward jag after having felt better for a while and that sucks. [00:32:19]

CLIENT: Yeah.

THERAPIST: There may be other things, too, I just know these are things you have often thought. And, again, I'm not saying you want to be telling your sister, but it doesn't even occur to you that there's more to the story than those 30 seconds.

CLIENT: No, I was just going to agree with you. (laughs) That is interesting. (pause) After we talked about jobs and what to do, what I should be doing for the next month, she said, "Let's not wait another week and a half before we have this conversation because you just stew for days and then we talk about it. Let's just talk about it before you start stewing." (laughs) [00:33:25] That's an idea. (sniffles) (pause) I'm worried about trying your patience, a lot more about trying James's patience. (pause) [00:34:32] Yeah, I don't know why it doesn't occur to me. (long pause) [00:35:35] I don't know. (long pause) [00:36:56] We always have these weird conversations like, "Hey, how are you doing?" "Oh, I'm not doing so well. I'm kind of having a bad day. How are you doing?" (laughs) She talks for 15 minutes about her dog. (laughs) (sniffles) It's like I'm pretty good at keeping the focus off of myself and then feel kind of resentful about it, which doesn't help. [00:37:44]

THERAPIST: You're in a difficult situation, where it's hard to be in touch with yourself and hurt at the same time. I don't know. Maybe she was more in touch with you that way or has been consistent in responding.

CLIENT: I don't know. It's like we can either have the conversation about me or we can have the conversation about her. It doesn't feel like both can happen in the same conversation.

THERAPIST: I see. [00:38:43]

CLIENT: So I can either tell her what my life is actually like right now or, in order to listen to her at all, I sort of have to pretend that the rest of my life doesn't exist. I have to pull out of it. Yesterday I just couldn't do that. (pause) [00:39:52] Yeah, I guess I also don't know what else to say because I told her how it is. I mean, she's somebody I really trust, somebody I'm really close to. Maybe it's too scary. (pause) Or I feel like if I tell her then she will have to deal with this, too, and I just don't want that. I think that's it. [00:41:21] (pause) I guess part of me is like I'd rather be alone in this than having other people hurting like this; but I also sort of want other people to be there with me, so clearly part of me wants other people to feel like this and I feel bad about that. (sighs) Somehow it doesn't occur to me. I'm not that good of a storyteller. (laughs) (sniffles) [00:42:25] You know, I'm not going to give this to other people by talking about it. (laughs)

THERAPIST: I see. It feels a little like you might.

CLIENT: Yes. It feels exactly like I will.

THERAPIST: I see. Contagious.

CLIENT: Yeah. Clearly. (pause)

THERAPIST: We should finish up.

END TRANSCRIPT

1
Abstract / Summary: Client discusses applying for jobs, how depression and anxiety intensify her feelings of isolation, and her sister.
Field of Interest: Counseling & Therapy
Publisher: Alexander Street Press
Content Type: Session transcript
Format: Text
Page Count: 1
Page Range: 1-1
Publication Year: 2014
Publisher: Alexander Street
Subject: Counseling & Therapy; Psychology & Counseling; Health Sciences; Theoretical Approaches to Counseling; Psychological issues; Work; Teoria do Aconselhamento; Teorías del Asesoramiento; Sibling relationships; Job security; Depressive disorder; Psychoanalytic Psychology; Isolation; Anxiety; Psychotherapy
Presenting Condition: Isolation; Anxiety
Clinician: Anonymous
Keywords and Translated Subjects: Teoria do Aconselhamento; Teorías del Asesoramiento
Cookie Preferences

Original text