S reflects on her journey through art therapy

Learn about the journey of S as she took part in mentalization-based art therapy (MBT). S talks about her experience with disassociation and how art therapy helped her express what she was feeling. S lived with a diagnosis of borderline personality disorder (BPD) and found that art therapy helped her make positive changes in her life.

Audio Transcription:

S: Okay, picture number one is a painting of me not looking very happy and, instead of being a person, I鈥檝e painted myself as an octopus with eight legs and suckers on the legs. And the idea of this is to try and give a sense of not feeling real and not feeling human. And also, that the octopus legs are flailing about trying to catch on and latch on to the world around me and people around me, and I鈥檓 not able to do it. So, very definitely a sense of being alone and being isolated and feeling very alienated.

And in the words that I鈥檝e used in the painting; 鈥楪ods and monsters鈥 are supposed to provide the feeling that we have with BPD, of the world being black and white. Everybody鈥檚 either a God or a monster, and there鈥檚 no grey in our world.

And in the top left-hand corner, a statement which says, 鈥淗ow do you construct an all-new fa莽ade, so it feels bedded in?鈥 Because this is six months into my treatment and very definitely a sense that I need to reinvent myself.

And then we also have 鈥楤order country鈥 because I feel like I鈥檓 on the borders of things all the time, borders of groups, borders of families.

And in the left corner is our 鈥榗osy corner鈥 where I retreat to when things just get too much.

And I鈥檓 hoping for 鈥榤iraculous conceptions鈥 which is in the right bottom corner because I hope that鈥檚 what this treatment will eventually give me.

But I鈥檓 also aware that as the other statement says, 鈥淪afety not guaranteed鈥 and I have to work really hard to feel safe and get better.

At that time in the treatment, I was still experiencing quite a lot of disassociation. It鈥檚 very hard to explain, I really don鈥檛 feel- you feel like you lose time. You do lose time. Mild daydreaming becomes hours, sometimes even a whole day or even longer of not feeling that your surroundings are real, that you鈥檙e not real, and what鈥檚 happening to you is not real.

And I would even at times experience mild psychosis where things change shape, faces changed, very frightening. And I think that it what I was feeling quite strongly when I painted this picture, that I had quite a few episodes of disassociation, even with my loved ones, and my close partner.

And this painting came from nowhere, I didn鈥檛 plan it, but it basically summed up my sense of not belonging and everyday being a struggle, where you just don鈥檛 think you should be here, and you can鈥檛- you鈥檙e trying to latch on to real life and you can鈥檛 do it.

Yes, and I wasn鈥檛 very good at describing my feelings. I would intellectualise and I would give you huge great details and use big, long words that upset a couple of people in the group. And at the time, when someone鈥檚 trying to get you out of your head and into your emotions, it鈥檚 very difficult because no matter how many different ways they try and explain that to, you don鈥檛 know what they鈥檙e getting at. You鈥檙e going, 鈥淲ell, of course I鈥檓 explaining how I feel. I鈥檝e just spoken for the last twenty minutes. Don鈥檛 you get it?鈥 So, there鈥檚 a very definite sense that I鈥檓 always speaking one language and you鈥檙e all speaking another.

S: Yeah, in the second picture, this was just over one year into my treatment. And I had taken a rather brave plunge, for me, of joining a local choir. I enjoy singing very much and I had joined quite a few choirs in the past but never stuck at it. And it was always a reason why I felt I couldn鈥檛 stay because I felt I didn鈥檛 belong.

So, this picture is a representation of people who were at the choir on that evening. The yellow blob is the choir master. I鈥檓 the dark green blob. The pale green blobs are people who I had spoken to the previous week. I think I had only been at the choir- this might be the second or third session. And the red blobs are women, and the blue blobs are women.

And the reason why I鈥檝e kind of chosen to paint it this way was as an example of me being in a group and feeling uncomfortable but comfortable. Because it was new, but I was determined to give it a go and nine months down the line I鈥檓 still going to the choir so that鈥檚 a big plus for me.

The pale green blobs are people I had spoken to before, who I鈥檇 also spoken to just before the choir started that night, and I found myself in a bit of a dilemma because they weren鈥檛 all standing together. And so, I thought, 鈥淩ight, I need to make sure that I keep contact with these people.鈥 I remembered their names and I tried my best to make sure that I spoke with during the evening.

And I was aware that actually what I was doing was mentalising. I was mentalising my behaviour, I was thinking about 鈥淥kay, you鈥檙e in a new group, you feel a bit uncomfortable because you鈥檙e not good in groups. You鈥檙e identifying the feelings and recognising the right heartbeat, and recognising the dry mouth, and recognising 鈥榦h what if I say something silly or stupid?鈥 Sitting with the feeling, acknowledging the feeling but moving through the feeling and talking anyway.鈥

S: Okay picture number three, we have a multi-coloured snake with a tongue but also a beating heart. This painting represents the shedding of skins. We have a snake in the middle and then we鈥檝e got lots of different skins around the other- outside. And the fact that they鈥檙e muted colours is important as well because we associate extremes of emotion with- what I would associate with extreme colours. If you鈥檙e more in control of your emotions, you鈥檙e able to regulate your emotions more. So, I would associate that more with muted colours.

But also from spiritual terms, snakes are all about transformation and transmutation. And in the process of going through MBT as a therapy, the whole point of it is to change. And if I think about the skins that I shed, this painting is also about sort of thirteen/fourteen months into my therapy.

The things that I had shed were suicidal ideas. Haven鈥檛 felt suicidal at all for ages. Disassociation 鈥 I was no longer disassociating. Not taking things personally 鈥 it is very difficult not to take things personally, but I think by that stage in the process I had managed to be able to mentalise through comments or behaviours of other people and think, 鈥淭hat鈥檚 their stuff, it鈥檚 not my stuff and don鈥檛 take it personally.鈥 Which is a huge achievement. And other things related to relationships with family and relationships with you know close loved ones, just better- the kind extremes emotions, the anger had gone.

Those of us that have lived with BPD live with fear all the time, constantly. We wake up with it and we go to bed with it. And I can also say that by and large the fear had gone by then as well. I don鈥檛 have days where I just want to stay in bed and pull the duvet over my head. I don鈥檛 think I鈥檒l feel that ever again.

S: I definitely think, and I don鈥檛 know how it鈥檚 presented across- how it鈥檚 delivered across the country, but I definitely think that including art therapy in the process is fundamental. Because, for myself but also for some others in the group when I think back who were- when they came into group perhaps in a really bad place or determined not to communicate at all, and with gentle encouragement, even if they spent thirty seconds on their artwork, it delivered a huge amount to discuss and tapped in to where they were emotionally. So, I think it鈥檚 fundamental.

I think it鈥檚 absolutely vital that the therapists are very very well trained and experienced in what they do and that they have huge resilience, because you have to be extremely resilient to cope with what was on in that group. And that you try different ways of keeping people on track and making sure that they do come back to therapy. Because if Ann hadn鈥檛 tried as hard as she had, and Celia hadn鈥檛 tried as hard as she had, and you hadn鈥檛 tried then I probably would鈥檝e left. But then you gave time to reflect so I wanted to leave because things were too painful that came up in group, and you kind of gave me that space to work it through myself and think. You know, you gave me a few weeks to think and actually I have to see this through. So, it wasn鈥檛 just about me being persevering, or having perseverance should I say, it was very definitely how you handled me at that time.