When my T started suggesting meds, I told her very directly that I felt it was important for me to experience the pain as it truly was - not as some blunted or reduced form. I know that may sound strange, but I feel that is important for my recovery. I feel that if I don't know what true pain is, I cannot know what true joy is either. I guess that makes me a "reality" girl all the way. (Not to say I don't enjoy a good fantasy from time to time - like having Publishers Clearing House show up at my door with a really big check.)
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