Tag: therapy

Great moments in tuba performance

During the third part, a piece broke off of my tuba. I managed to reattach it before the 4th part, but when I started playing again, I was about a quarter step out of tune. During the rehearsal, the composer – not a student but a visiting artist, known and respected in California – had worked with me on the tuning, specifically because he didn’t want the fourth part to be out of tune. I tried lipping it up, but my god I was flat. Maybe I was on the wrong note? Maybe I was lost? The ensemble was getting thinner and thinner as the pitch of the piece dropped until it was me, the piano and the basses. I got flustered. My heart raced. I was sitting on stage in front of all of the composers and a good portion of the sonologists. Take deep breaths. My god, I’m having a panic attack on stage and I can;t play my part. Normally, I like playing because I specifically don’t get tweaky, but this is a panic attack in front of everybody while holding a tuba which is being held together by soggy gaffing tape. I stopped playing until the final section. The composer did not smile at me after the piece. I came home and drank.

I’m on a waiting list to see a shrink. Anxiety is treatable. Not with meds, but with talk therapy. Six to eight weeks and it’s gone. this is considerably longer than I’ve been waiting. If they keep me waiting long enough, I can start all over again when I move in the fall.
I can’t decide if the way to deal with tuba problems and stage fright is to take the tuba out busking this weekend or to throw the goddamned thing into a canal;

Gender Therapy in the Low Lands

I’ve been putting off posting about this for a long while, so I’m hazy on the details. But how many Americans can give a first hand account of gender therapy in the Netherlands? I feel a duty to post. This kind of meanders into TMI a bit, though. Be warned.

Ok, so when I last spoke of my therapy issues, I’d seen a regular shrink who wasn’t sure what to do with me and who did not speak very fluent English. (I want to clarify that I’m not criticizing anyone when I say they don’t speak English well. It’s not like I speak Dutch well, which is the language of the land. When I mention that somebody doesn’t have high English skills, it’s just to clarify that communication was not overly clear. This is a sub-optimal situation to have with a shrink.) She asked me about going to see the gender specialists at the university in Amsterdam. There was back and forth. Finally, she referred me to a center in Voorburg.
Several days later, a letter came in the mail giving me a date and time for an appointment. Fortunately, my assigned time did not conflict with my class schedule. I biked the several kilometers to the PsyQ building there. PsyQ is some sort of organization that deals with people’s mental issues. I don’t know if they’re public or private or some mixture thereof. People seem to largely have private insurance in this country. Anyway, so I showed up and walked through an automatic door to an entry alcove. There was a large glass window with a woman behind it and a microphone. There was no opening in the window at all. It was solid glass (or whatever). I had to show ID to the woman behind the glass and also present my appointment letter. She pressed a button and the automatic glass sliding door to the lobby opened.
Of course, they deal with crazy people, so they need security to protect themselves. From people like me.
The woman took my insurance card (they only reimburse and don’t cover anxiety, which is specifically mentioned on my appointment letter, but whatever) and asked me questions so she could fill out paperwork for me. Because my Dutch skills are too low to fill out any of the forms by myself. People are generally very nice about my inability to communicate in their language. Anyway.
I went to the waiting room and a woman came to meet me and explained that she was filling in for whomever I was actually supposed to meet with. She asked me all the stereotypical shrink things while taking copious notes. How did I get along with my mother? My father? What was my childhood like? I told her about coming out in Catholic school. The first girl I kissed. blah blah blah. She wanted to know about my earlier childhood. At home, I played with boys. At school, I played with girls. My parents and grandparents always got me girl toys. I had a collection of Barbies, but found them to be dull. You dress them up? Who cares? Until, one day, my friend Christy from school came over one afternoon and wanted to play with my Barbies. She pulled off their clothes and a bisexual Barbie orgy ensued. Apparently, what you do with Barbies is make them have sex with each other.
“So she taught you how to play with Barbies?” the shrink asked, very seriously. Um, yeah, am I paying for this? Because I suddenly feel like I’m stupidly wasting everyone’s time.
She changed the subject. “So what makes you think you might be -”
“I don’t know.” I cut her off. I said “I don’t know” a lot. She asked me if I would rather talk to a man or a woman. Was this a trick question? If I say woman, then I’m really a lesbian? If I say a man, then, I’m really a man? Which way should I go? Ack. I asked for a fluent English speaker. Then I started coughing and couldn’t stop. I went home and felt crappy and got a fever and was sick in bed on my birthday (I’m 31 now, btw) poor me.
A week or so later, I went back to the same place, still feeling like I had a cold. I met a different woman, the head of the sexology department. She explained that the woman I had talked to previously was no longer employed by PsyQ and since they are having a staff meeting on March 5th to figure out what to do with me, somebody there should have met me in person. I was very careful the whole time not to say the word “transsexual.” (Because I am totally logical.) She asked me a few times the same question that the other woman had asked more than once. Did I have problems during sex? (Problems only in that the ladies can’t get enough of me. heh heh.) I asked her to explain herself. Well, my lack of a penis might make it difficult. (good lord) Then she asked me how I felt about my period. (um, well, questions about it make me feel uncomfortable.) I don’t think I dislike it significantly more than anybody else I know who has it. She asked me why I hadn’t stopped it with birth control. I explained that I really don’t like taking pills or whatever and don’t want to mess too much with things like that unless I have to for some reason. I’ve heard women talking about birth control side fx and stuff and always have felt glad I don’t have to mess with it. Emotional messes. Mojo killing. No thanks. “But it’s possible to stop it. Why don’t you do it?” she pushed. Yeah, but it can make your breasts bigger, I pointed out. She accepted that. She wanted to know why I hadn’t gone to Amsterdam to the university. Hey, I’ve just been going where y’all have been sending me.
I got the vibe that if I had asked for a referral for testosterone, she would have been willing to write one right then. (Actually, normally, they make you get 5 appointments in Amsterdam and then you carry forward. I don’t know if the appointments are to get a note for hormones or for surgery.) She clearly thought I was – that word that I was carefully shying away from. Which, I mean, what did I expect? A pat on the back and a “good for you being genderqueer!”? If I was fine just the way I am, why am I seeing a shrink anyway?
Then she talked to me about what she’s going to recommend they do with me. Anxiety therapy is the first priority.
god help me, I’ll get off Zoloft soon.
I’ve been off school for the last week. No classes! I didn’t go anywhere. I did an application for Birmingham (UK, not AL) and sat around. Today, I had a duo recording with a improv guy from the composition department. I took a deep breath and screamed “I don’t know who I am” as loud and as long as I could, though my tuba. (Metaphor, but not really.) Blat blat blat, I screamed, inhaled, bellowed improperly attacked breathy notes that don’t know where they’re going, what pitch they want to be, how they will resonate, where they are now, what valves are pressed or how much. Wail, blat blat blat.
Afterwards, I felt so much better. I didn’t even know I felt tense, but afterwards, I just felt so like I’d worked something out. so maybe the key to getting off Zoloft is playing loud, angsty tuba? I came home and actually mixed a piece of music. this entailed both me getting Ardour to work and having the attention span to mix something. Tuba is key.
I’m trying to be proactive. I used to tell myself to wait on things. I didn’t need to worry about my mental health problems as long as I could walk and eat and stuff. In the book Breaking Silence, I read about lesbian nuns developing stomach problems from stress and what I got form that was that I could wait until I had stomach problems. Yeah, last summer counted. I always wait like that. I went to a support group for FTMs once in San Francisco. One old guy there said that if you have to transition, eventually you’ll have to. In She’s Not There, Boylan writes of her experience at age 41, just being totally unable to carry on without taking action. I don’t want to be a mess in 10 years. I don’t want to delay and have my first stubble come in grey. I want to deal with this now and take action or put it behind me. I want to move forward from where I am now.
I know that’s it’s not a path of discovery, that it’s a path of creation. I have agency. I apply technologies of the self to create my own identity. It needs to be an identity I can make some peace with. that might require some more therapy. Or more tuba.

Shrink

Before I begin, I want to clarify that the Dutch are actually pretty ok as far as restroom etiquette goes. Best are the French, then the Dutch, then a tie between Californians and Germans (I think CA might be a teeny bit better) and at the very bottom is Spain. (Also: waa, waa, waa, nobody understands me.) Ok, so on to our story.

I went to see a Dutch shrink on wednesday. Over the summer, I got a book that said that therapy can cure anxiety. Zoloft can also cure anxiety, but it stops working if I stop taking it. Also, it has not been stellar for my concentration. I haven’t written much music since being on it. So a long-term cure that leaves me able to think would be very good.
“Why do you think you are anxious?”
If I knew the answer to that question, I would have a solution already. I dunno. I think there’s something bugging me that I’m not thinking about. When I have something that is really bothering me and I try to ignore it, I tend to have panic attacks. Maybe that’s the cause of all my panic attacks. I don’t know. Lyme disease was pretty stressful. Lack of sunlight might be a problem. I dunno.
I said “I dunno” a lot. She took copious notes and asked extremely open-ended questions. One of them was “how is your identity?” Ok, this was not out of the blue, since I was sort of without one right after I got divorced, but how does one answer such a query?
“Is there anything else?” she asked.
“How do you mean?” I asked.
She noted that it was open ended.
I took a deep breath. “I have a lot of friends who are transexual. And it’s something I’ve been thinking about.”
She started a new page of notes. “You know people who have had The Operation?”
Gah!!! The Operation. What operation would that be, exactly? Would it be the operation where folks take T (or E, since I’ve known folks going both ways) until they pass? Would it be top surgery? Would it be a hysterectomy? Would that be a medioplasty? A phalloplasty?
“Um, I know a guy who had a hysto?”
Did you mother know? Did your ex-wife know? Does your girlfriend know? How long has this been going on?
no. sorta, not really. yes. I dunno, a few years. You know, I’m not at all sure about this.
So you think you are denying your real self and that’s making you anxious and maybe having The Operation would fix that?
What?!! No, I don’t know! Augh!
Would you like to speak with gender specialists in The Hague?
“I don’t know.” I’m all wary now. Outside the window, a gigantic orange cat has climbed to the very top of a barren tree. It’s among the empty branches, looking around. It’s not acting uncertain, but I wonder if it must be stuck, up so high in the tree. Why did it go up there?
“You don’t have to make any decisions. It’s your life, you know. You can just talk about it. It’s an emotionally safe place to talk.”
That’s easy for you to say. I looked at the bookshelf behind her head. It was red and in the shape of a first-aid cross. “Um.”
“They can also help you with anxiety.”
“Ok, I’ll talk to them.”
“Your friends who have had The Operation- are they happy?”
“Um, as far as I know. I dunno.”
“Well, I think we’ve probably covered enough for this session. How do you feel now? Relieved to get everything out?”
No, that’s not exactly how I would describe my mood at all. How does it make me feel to talk about anxiety? It makes me feel fucking anxious!!
I speak virtually no Dutch. Her English skills are probably not high enough to be doing therapy sessions in English. No, I was not relieved. I left and went to class where I was all jumpy.
On the way out, I tried unsuccessfully to explain to the desk person that while I was happy to provide any insurance info they wanted, my insurance specifically excluded treatment for anxiety and regardless, they just reimbursed me for things, so it would be really better if I just paid cash now. The desk person went to ask a supervisor. Out the window behind her, I saw the orange cat running along the top of the fence, like it was on a mission, had a plan, had a place to be.

New Cell Phone

So apparently, it was not beating my cellphone against a pillar in Oakland that temporarily cured it of it’s antenna woes (although that seemed to help). My pld phone existed on a different frequency than the new system in Connecticut. this explains why my reception was steadily degrading (as they changed the system) and why it would spring back to life in NYC and CA.

I have a new phone as of today that works on both the NY/CA frequency and the new CT frequency and it didn’t cost me anything. The guy at the phone store assured me that my old phone would be sent to CA and sold as refurbished and not go into a landfill. He also gave me the name and phone number of a recording studio in Hartford that often needs bassists to sit in on pop/punk recording sessions. I also learned that the fancy new cell phone rings are actually mp3s. so my dream of composing cell phone rings is a bit odd then, since any song can already be a ring. I’m going to double check this last fact. But maybe I can play in a poppy punk band at least.
My personal ad is liove, but doesn’t yet have a picture. So far, no replies. I’m feeling far less certain about things than I did earlier. My confusion and unhappiness is great. My tears flow freely. I went to the school shrink and cried a lot. She wants to see me for the next two weeks. she does a great concerned expression. It must be hard to listen to woes all day. I had dinner with some undergrads and said i had seen one of the shrinks and they all knew her. Everyone in Middletown is insane. The people in the mental hospital are insane. The people in the halfway houses are insane. the people in the grocery stores are insane. everyone connected to the university is insane. we’re all damn crazy around around here. I want to go home. I kind of wish that I had never come.

couples therapy is a lot like that Simpsons episode where they go in for family cousilling and the shrink gives them foam covered bats to hit each other with. then bart realized that you can take the foam off and promptly breaks Homer’s leg. If you didn’t need help before, boy, you sure will afterwards. How this is suppossed to do anybody any good, is beyond me. In times of stress, the guru to turn to is not any shrink you can think of or anyone that advocated airing all of your dirty laundry all at once in an attack-like barrage. no the voice to listen to, the voice of reason is Miss Manners. Clearly what is required in times of stress that people make an extra effort to be polite, not let everything negative out in a vian quest for catharthis.I would rather grow back my wisdom teeth every week and have them removed every week over and over again like that mythical guy whose spleen grew back every night, than go to couples therapy. The wisdom teeth thing is much nicer. Everyone had your best interest in mind and people are nice to you afterwards. Your spouse doesn’t start crying and avoid you. she brings you ice cream instead. Isn’t it better to get ice cream?When I was a kid, my mom dragged me off to family cousilling along with the rest of my family (but i was the primary target). that was pretty miserable. it gave me a terrible opion of shrinks. i decided they were all bad people who tried to sow discord in order to keep themselves employed longer or maybe because they really hate people. I could never tell which. Everyone assured me that going as an adult (even if pretty much against my will) would be very different. Nope. It’s exactly the same. No, it’s worse, becuase I end up paying cash for it at the end. Before it was miserable, but at least it was my parents money.And then I went out to the car afterwards, and there was a parking ticket. Yes, it just gets better and better. No-one will ever get me into a shrink’s office again. I’m going with the they-all-hate-people theory.