Do No Harm

I’ve written about this relatively new path of stability Handsome and I are on. It’s great, but I feel like I – we, really- walked through fire to get here. It’s important to me that other partners who may be newer to this journey know that progress, if it comes at all, does so in a dance that often seems like two steps forward for every three steps back. Healing isn’t linear. Not individually, and not as a couple. In this post and the next few I’ll address some of the steps backwards, and then forwards, we took to get here.

Handsome’s therapist, Doc #2, basically fired him as a patient in mid- September. It completely blindsided Handsome. And me. (It apparently wasn’t a complete firing. His parting words were “Call me when you have something to talk about.”)

You run through a checklist in your mind about whether insurance was an issue (nope, great coverage), or cancellations (also no, only one in over 50+ visits a year), or anything else that might have prompted the move. Handsome was left wondering why someone else in his life decided he wasn’t worth the time or effort. He felt abandoned. He was hurt.

I’ve had months to ponder that decision and I have to say that I still don’t fully understand it. Perhaps I never will until I get to speak to the Doc again at some point. Our CSAT and Doc#2 are professionally acquainted and have multiple clients in common. I’ve heard through her that the Doc grew frustrated with Handsome’s lack of progress, particularly after the disclosure process imploded last summer.

Fair enough. I can understand that to a degree, but what therapist doesn’t expect any regression in their patients? This is a practitioner who specializes in process additions. Handsome has been sober for over 3 years, but what if he had relapsed? Would Doc#2 have booted him out of therapy? That’s a frightening thought to me as a partner. I’m sure it’s a horrifying fear for Handsome.

Doc#2 is the one who diagnosed Handsome with borderline personality disorder. That all good/ all bad thinking that alternately led Handsome to work crazy hard on the disclosure or totally give up on it is a hallmark trait of BPD. Maybe Handsome was more than he wanted to handle? I don’t know.

Doc#2 added insult to injury in early January. To prepare for his disclosure, and at the urging of our CSAT, Handsome swallowed his pride and reached out to Doc#2 to ask for help and to get back on his schedule. Doc#2 said “great” and scheduled an appointment for about 10 days later. Handsome waited patiently and worked on the disclosure. The morning of the appointment Doc#2 called Handsome and cancelled, telling him that he was overbooked and likely couldn’t fit him in for 2-3 months. All over again, Handsome was hurt, his fear of abandonment was triggered, and he really had to fight to stay centered and focused.

What therapist does that to a patient with mental health issues? And take Handsome out of the equation for a moment… how are you “partner sensitive” if you don’t see how these actions might negatively impact the partner too?

It’s easy for me to write here to vent about all the things Handsome does “wrong” but the fact is that there are many things he has done right. He is lightyears ahead of where he was in December of 2017. Can he still be a self-centered dolt? Absolutely, but it happens far, far less than it used to. His rage is mostly gone. He strives to show empathy. (It still doesn’t come naturally to him, but he tries to be intentional about it… when it occurs to him to do so. It’s still a big improvement and he does work on it.) I’m not a mental health professional but even I can recognize that his reluctance on the disclosure stemmed from his fear of abandonment. (“If I tell her everything she couldn’t possibly love me and she’ll leave.”) I was incredibly frustrated by his reluctance, but I was never surprised by it. Certainly his therapist shouldn’t have been surprised by it either.

Our CSAT advised Handsome to try to schedule at least one final session with Doc#2, basically for the purpose of confronting him about how he felt abandoned. I’m pretty sure that Handsome would have preferred chewing glass during a colonoscopy to making that phone call to Doc#2, but he made it. They actually met twice. Handsome reported that their first session was wildly uncomfortable, but the second session was incredibly helpful on an issue of importance. It likely saved their relationship. Handsome will no longer be seeing Doc#2 weekly but they have mutually agreed to work together intermittently as issues arise.

If you’re keeping score at home, as of early last Fall Handsome had stopped 12-step, refused to do the disclosure, and gotten himself fired from his therapist. There was one more big shoe to drop though before 2020 would come to a close…