The Pandemic Pull

It’s a confusing time to be alive, amiright? I honest-to-God feel like I’m living in some kind of macabre TV show, a Groundhog Day/The Good Place/The Walking Dead mashup.

Every day brings a new challenge, usually in the form of an ethical or moral conundrum. We don’t want the economy to collapse, so we want to open up—but if we open up too soon, we may amp the spread of virus and overwhelm our healthcare systems. We yearn to see our family and friends, but wouldn’t be able to live with ourselves if we unknowingly carried COVID-19 to anyone we love. We want to support our local food places by ordering take-out, but are we bringing virus home on the food containers?

The very hardest thing for me lately, though, has been the polarity of my emotional responses. They are, in layman’s terms, “all over the fucking place.” Those who know me well know I’ve never exactly been a “medium emotion” kind of gal—I tend to have big feels. But this? The reactions that are coming with this pandemic bullshit? I’ve never felt so drawn and quartered, so pulled in very different emotional directions all at once:

I am in love with humanity for the sacrifices many have made to protect people at risk. I am disgusted with the many who continue to act in ways that puts their entitlement, shortsightedness, and lack of empathy on display. I am so grateful to be able to work: for the sense of agency and usefulness, the structure, the income. I am exhausted with the weight of others’ despair, anxiety, and grief. I want to be as connected as I can to my family and my world. I want to be alone as much as possible. I want to swallow the news cycle whole. I want to never hear the words “uncertain times” again. I am doing enough. I am never enough.

(I honestly get tired just reading that paragraph.)

If I were my client, I'd say to me, “You don’t have to choose. You don’t have to be either happy or sad, you can be both. People are neither entirely good nor bad, they’re both. Let it all in. Make room—I know you can. Let all the feelings make you bigger, so that you have more space in you the next time something is hard.”

And yet. Suggesting to anyone that they can hold all of these pandemic feels at once—the rage and the compassion, and sorrow and the hope, the restlessness and the acceptance—it’s a big ask. It’s so much holding. It’s exhausting. And I’m feeling it.

And I wonder if you are, too. 

Annals of a therapist during COVID-19: Day 1

3/26/2020

I’d intended, since I went into social isolation about twelve days ago, to write a few blog posts. Funny, uplifting stories and perspectives was the goal, because I think now more than ever, we need the ability to find joy and laughter.

And I might still do that. All bets are off.

But I haven’t yet been able to access that part of me that can pop off a funny anecdote like it’s nothing. The inside of my head is usually a ticker tape parade, colorful and chaotic and overwhelming, and often joyous. Now, though, it’s more like a funeral procession. My brain mechanics feel rusty and worn, slow and heavy, like maybe one of the gears fell out altogether and the others are having to compensate, but aren’t quite up to snuff. Like maybe the whole machine is about to go kaput.

The era of COVID-19 isn’t easy for anyone, so I’m not trying to say my mental distress is special. It’s not. I’m floundering in a completely foreign situation just like everyone around me is. Problem is, I’ve got people looking to me for help, too. I’m still a therapist, even if the world is upside down and inside out. Especially because the world is upside down and inside out.

It’s been a weird road, these past two weeks. The week leading up to Friday the 13^th of March, I was still in a state of heavy denial. The virus was just another flu. I was going to Jamaica on March 21, as planned for over a year. Over that week, I started the process of acknowledging and grieving what my losses were shaping up to be. And on Saturday the 14^th, I woke up and was like “waiiiit holy shit, hold the phone, what are you doing?” It was a strange experience, like all of these new and very real thoughts had infiltrated me and I couldn’t understand why they hadn’t been there all along. I accepted the reality and gravity of Coronavirus in a new way, and grasped my responsibility in flattening the curve. I cancelled my vacation. I got a telehealth platform set up for my practice. I emailed every client to tell them there would be changes in my service delivery. I created consent documentation and consulted consulted consulted. Between Saturday and Monday, I transformed my practice completely. It was exhausting, but exhilarating. I love learning, and I had to—and fast.

Fueled by caffeine, novelty, and optimism, I marched into last week. I saw twenty clients over telehealth, and the process went beautifully. No tech issues, and the whole videoconferencing thing felt a lot less interpersonally weird than I thought it might be. It felt empowering to be able to offer hope and guidance in bleak times. I ended the week with a sense of relief that I could still be a steady presence for my clients, put some good into the world, and also bring in some income for my family.

Enter this week. Now, I was supposed to be on vacation this week, so I opted to keep my caseload light. I scheduled nine people. I had hoped for a restorative week, filled with mostly reading and junk TV and personal stay-at-home projects. It has turned out to be a week of battling with insurance companies, intense client stress, and coming to grips with the mortality of my world. It has turned out to be a week of increasingly horrifying news, a week where I had conflict with family and friends about what “social distance” means in terms of how to enact it successfully, a week of fear and frustration and almost constant anger and anxiety. I’m trudging into Friday feeling like I’ve been steamrolled.

Today I held the sadness of a senior who will likely not celebrate the end of her high school career elbow-to-elbow with her friends. I held the desperation of a refugee who is running out of food with no apparent means of getting more, and whose children have fallen ill, possibly with Coronavirus. I held the anxiety of a pregnant mother who is unsure her partner will get to be in the delivery room with her when she labors. I witnessed the fear of my colleagues as we wonder if and how we will be reimbursed fairly for the important services we provide to others, in the age of telehealth, and I went to bat with and for them in the ways that I could.

Today I had my first panic attack in years.

Because the trauma of my clients is different than mine, but the same. I hold for them the very things I fear myself. Scarcity, financial ruin, loss, and death.

I assume tomorrow, if operating on a better night’s sleep, I will wake with a sunnier disposition. Optimism is my default, to the extent to which clients have described sessions with me as “hope infusions.”

But euthymic mood notwithstanding, I have no delusions of the next few weeks being easy. On me, on anyone. I think we’re in for some real shit, people.

And I guess until my funny bone kicks back in, I’m going to document it.