Alexander Goes to Psychotherapy: The Third

Today my therapist will be known as: Vincenzo

I’ve been sitting on this post for a few days. There’s something about it that seems mean spirited and petty. But on reflection, I realise these are things that have contributed to me and my depression in someway. Just like everything I’ve spoken about in my previous posts. Examined individually, they’re relatively minor incidents. But everything I’ve written about so far and everything I’ll write about in the future are parts of a larger picture.
I know there are people out there whose childhoods make mine look like a hedonist’s wet dream. People who suffered physical and sexual abuse. Who never had the privileges I had. But that knowledge doesn’t suddenly make me all better. Their suffering doesn’t cancel out my own. And acknowledging that I have problems doesn’t mean I don’t feel sympathy for them. If you’re in a similar position, you should try to remember that.

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Alexander Goes to Psychotherapy: The Second

I hate writing “my therapist”. So from now on at the beginning of each entry I shall be picking a new, probably silly-to-the-anglo-saxon-ear name for him.

Today my therapist will be known as: Klug

Stupid stupid stupid. This isn’t going to be very long, because my session was well over 100 hours ago and I can barely remember a thing. Maybe it’ll come back as I write. But I shall not make such a stupid mistake again. I shall not.

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What to do if you can’t stop telling yourself that you’re a piece of shit (or if you feel broken inside)

If you think that you’re about to kill yourself in the next few minutes or hours. If you’re about to do that. You’re probably not well. Apparently, healthy people don’t do that kind of thing. I know, right?

You are completely allowed to call an ambulance. There are people at A&E/the ER who go through loads of training to help people like us who know we’re pieces of shit. It doesn’t matter if you don’t deserve it. They’ll help you anyway. The suckers. 999 or 911. Do it.

If you can’t face an ambulance and you’re in the UK, call The Samaritans: 0845 790 9090

If you can’t face an ambulance and you’re in the USA, call The National Suicide Prevention Lifeline: 1-800-273-8255

If you’re somewhere that isn’t the UK or USA and can’t face an ambulance, click this link to find your country’s very own suicide prevention line.

And if you can’t do any of those things. It’s okay. I wouldn’t. But it might help you. Try and tell someone. You can always wait a bit and kill yourself tomorrow.


I’ve been sent a number of messages from people who told me they’d been struggling with mental health problems, or the crushing hopelessness that is life, and either felt let down by the help they’d been offered and received. Or hadn’t tried to get help for fear of not being believed. I’ve fallen into both of those categories. I’m by no means an expert, but I have experienced them. I know it’s piss.

I also have experience navigating the workings of the NHS and the private medical sector because I’ve worked in both of them. My NHS job was literally helping people navigate it so they could get the best care as quickly as possible. Just to be clear, I’m not a clinician or a therapist. But I know how this shit works. And even though my experience is entirely in the UK, the steps are more-or-less the same worldwide.

I won’t pretend to know why you feel bad about yourself or what kind of bad you feel or don’t feel. My experiences have differed from others I’ve read or heard about. I’m sure there are similarities with someone, somewhere. Probably. I’m not special. You’re not either.

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My First Psychotherapy Session

Tuesday 11th August 2015

Psychotherapy so far is not what I expected. I’m not sure what I expected. But I know I expected the therapist to ask me more questions. Instead he asked me a few things and then just let me talk. There were of course long periods of silence. He asked me if I was frightened by my aunt asking me to move out of her house back in March 2014. He said his impression was that it was cruel. I’m still not sure on both cases. I’ll have to think on it more. I feel I’m more just accepting of my innate uselessness to get anything major done. I suppose it’s a typical case of what David Wong described in his article about self-sabotage.

It did get me thinking about things I am frightened of. These are:Read More »