Jennifer took a deep breath before logging on to the Zoom call. She felt a deep pang of anxiety over the call, knowing that she'd have to open herself up to a complete stranger. But Dr. Roberts came highly recommend by her regular therapist, who assured her that a session would be well worth her time. And this anxiety was exactly why she was in therapy anyway. She was finding it difficult to function, the lockdown and the time she spent alone in her house seemingly amplifying all the shame and insecurity that she was already dealing with before any of this happened.
She gritted her teeth, put on her headphones, and entered the meeting details. Soon enough, a middle aged woman was on her screen.
"Hello, Jennifer," the woman said. "I'm Dr. Roberts."
"Hello," Jennifer replied tentatively.
"How are you doing?"
Jennifer hesitated, as though the question was more complex than it was. "I--"
On her screen, Dr. Roberts started scribbling something on a notepad. Intrusive thoughts started eating at Jennifer, the young women suddenly fearing that she'd already done something wrong.
Dr. Roberts seemed to sense Jennifer's uneasiness. "Relax, Jennifer. I'm here to help you."
"I'm sorry," Jennifer said. "I'm just anxious all the time."
"Well, let's get to it, then," Dr. Roberts said. "Dr. Jenkins passed on her notes to me, and according to her you have deep issues with shame."
Jennifer nodded. She felt her cheeks burning at the very thought of having her life examined by another doctor, worried about what she'd find.
"Dr. Jenkins thinks that your issues stem from having very strict parents who chastised you for every little infraction."
Jennifer felt herself shrinking in her seat.
"I see this is making you uncomfortable, Jennifer," Dr. Roberts said. "I'm sorry, but we really need to establish a baseline understanding of your issues."
"No, I'm sorry doctor," Jennifer replied. "I'm making this difficult."
"Not at all," the doctor replied. "What you need to know, Jennifer, is that your issues aren't your fault. Shame is a natural reaction, and it can be healthy. But you can be conditioned to overreact to things. If your mother keeps telling you, for example, that you should ashamed for the things you're doing, the things you're thinking, then you're going to believe it."
Jennifer flashed back to several moments in her life as a teenager, when her mother told her exactly that. She had grown up chubby, and was told constantly by her parents that she needed to hide her body, that she looked ridiculous in certain kinds of clothes. And when Jennifer lost the weight, her mother would still tell her that her body was vulgar, and that she'd be a slut if she even considered wearing anything that wasn't completely shapeless and demure. Her wardrobe largely consisted of oversized sweatshirts and ankle length skirts.
Her father, on the other hand, instilled in her a deep shame for any sort of attraction to any one. Once, she mentioned that she thought a boy in her class was cute, and her father gave her a sermon about the perils of sex, and accused her of becoming a wanton woman. She once commented that she thought an actress was pretty, and her father threatened to disown over being sinful.
Later on, she'd find that any remotely sexual thoughts she had would trigger her anxiety. It had made it all but impossible to make connections to people, as any shred of attraction she had for anyone else could bring on a panic attack.
Dr. Roberts' voice broke through her reverie. "Jennifer," she said. "If this is too hard for you, we can reschedule for another time."
Jennifer considered it, but fought through her own neuroses. "No, I want to be better."
Dr. Roberts smiled. "Well then, let's just move on."
"So how does this work?" Jennifer asked.
"Well, I'm going to try to put you in a hypnotic state," Dr. Roberts replied. "Then, while you're there, we're going to do some visualization exercises that might help you recalibrate your shame reactions."
"Recalibrate?"
"Yes, that's the term I like to use. We're going to try to reset your baseline, basically. Put you in a place that's more in line with the rest of society. It's kind of a hack, I admit, but I've had plenty of success with other patients."
"How do you hypnotize someone over the Internet?" Jennifer asked.
"It's more of a challenge, certainly, but in the end, it's really just about getting someone to a more relaxed state." Dr. Roberts replied. "Now, shall we begin?"
Jennifer wasn't sure she was ready, but she nodded in spite of herself.
***
Dr. Roberts took Jennifer through a series of breathing exercises, prompting her to focus on the sound of her own breath. The doctor guided her through it, her voice soothing and melodic, even through the Internet compression.
"Are you feeling relaxed, Jennifer?" the voice asked.
"Yes."
"That's good. Keep focusing on your breathing, the regular rhythm of air going in and out of your body. With each breath, I want you to go deeper into this relaxed state. Can you do that?"
Jennifer didn't answer. She was relishing the absence of her anxiety, and found herself wanting to go deeper herself. In her mind, she was following sound of her own breathing down a gentle, sloped path to a place deeper inside herself.
"You're doing very well, Jennifer" Dr. Roberts said, her voice now sounding strangely distant in her ears.
"Mm," Jennifer managed.
"Now, Jennifer. I want you to imagine a place where you're safe and comfortable. Can you tell me where you are?"
"I'm...in my treehouse," Jennifer said. "The treehouse that my dad built for me on my fifth birthday."
"That's good, Jennifer. Be in that treehouse. It's a good place to be. You can be completely yourself in there. No one else can come in."
Jennifer smiled, feeling safe and secure.
"Now, Jennifer, I need to ask you a question. Is that okay?"
Jennifer nodded languidly.
"Can you tell me a time when you don't feel any shame at all?"
Jennifer furrowed her brow in thought. After a moment, she spoke. "When I'm working."
"What do you do for work, Jennifer?"
"I'm an accountant."
"Ah, you work with numbers." Dr. Roberts said. "What do you like about your work?"
Jennifer thought for a second again. It wasn't really something she thought about. She realized that she did find some real satisfaction in it.
"I like...being good at something," she said, finally. "I'm good at my job. I take pride in it."
"Great," Dr. Roberts said. "I want you to remember this feeling. This is what it feels like when there's no shame in you. This is you when you're just happy about yourself."
Jennifer smiled, finding comfort in that feeling.
"Now, I'm afraid this is going to be a little more unpleasant," Dr. Roberts said. "But it's necessary to help you, okay, Jennifer?"
Jennifer frowned, but nodded languidly again.
"I need you to think of a time when you're most ashamed," the doctor said.
Jennifer shook her head. Why would she want that?
"You don't need to tell me about it, Jennifer. Just put it in your head, and tell me how you feel. Remember, you're safe in your treehouse. You will be fine."
A rush of thoughts came at Jennifer, twenty-four years of feelings coming to the surface. She thought about that time she had a sex dream, and woke up having soaked through her sheets. And she went into a panic thinking about what she'd say to her parents. She remembered bundling up the sheets in a panic, and trying to sneak into the laundry room to clean it herself. She thought about all the times she saw herself naked in the mirror, thinking of her body as either being gross and overweight, or sinful and slutty. She thought about all the times she found somebody attractive, all the times she had a fleeting fantasy of being with someone, before falling into a shame spiral and punishing herself mentally for having such thoughts.
She flashed back to the day that she lost her virginity. One of the school's football players was suddenly giving her a lot of attention, and in spite of everything she was flattered by it. She thought little of going under the bleachers with him, and what reluctance that arrived was overcome by his insistent prodding. When he was done, which was not long, he laughed and called her slut. And the rest of the football team was waiting outside the bleachers, giving her looks that would stick with her for the rest of her time in high school.
Jennifer tensed in her seat, her skin bright red from all the shame being brought to the surface.
"Okay, Jennifer," she heard Dr. Roberts say. "Stay with me. You're still safe. You're in your treehouse."
Jennifer gritted her teeth. This feels awful, she thought, and she desperately wanted relief.
"Jennifer, listen to me. I want you to imagine a dial on the wall of your treehouse. Like a thermostat, with numbers going from 0 to 10. It's set at ten right now. Do you see it?"
In her mind, Jennifer looked around the treehouse, and saw the dial. She nodded.