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The Storm |
Chapter 3: Shock
Sarah
came to the next session deeply shaken. Her second HIV test, the
Western Blot, was also positive. She was in shock. Her feelings
and moods again took on the quality of being on a roller coaster.
"I feel awful, like my guts are torn out. I feel really scared, really
sad. I feel like I am in a little boat, or no boat at all, and there
is a huge storm all around me. It is so empty inside me right now.
It is horror, horror, horror."
My reactions
were like Sarah's in a way...I, too, did not want it to be true that Sarah
was HIV positive. Whereas she was very shocky, and in denial, I felt
tremendous grief for this young woman. The lines from T.S. Eliot's
Four
Quartets "Oh dark dark dark" kept running through my brain. I
knew Sarah would have a lot to deal with over the next few days, weeks,
years, and hopefully decades. I also knew that Sarah's HIV status
would affect Rebecca's life, as well as everyone who knew and loved Sarah.
I began my own process of grief. I asked for the help of Kuan Yin, the Bodhisattva of Compassion, to help me hold Sarah's pain and grief. Her name means "She Who Hearkens to the Cries of the World". She is also known as Quan Yin, Kannon, Avalokitesvara, Miao Shan and Tara.
Here she is depicted with
a bottle, pouring out her endless compassion and mercy on us all. (For
more images of Kuan Yin, please go to Kuan
Yin.) One story of Kuan Yin states that she was on the threshold of
Nirvana when she heard the cries of human pain. She (or He; Kuan Yin is
sometimes referred to as male) stopped and would not cross. She will stay
with us until all the tears have been shed.
I was remembering Mike, a dear friend who died of AIDS. Mike was a therapist, an MFCC, who got AIDS from his lover, Alan. Mike was afraid to be tested for HIV when Alan was diagnosed. He said he would rather not know. In retrospect, it seems that he did know that he too was HIV positive. Mike's first signs were sores on his skin, which he ignored. Mike knew about KS, Kaposi's Sarcoma, as one of the signs of AIDS. Mike was finally diagnosed about two years after Alan's death, when a troublesome cough turned out to be pneumocystis carinii pneumonia (PCP), a type of pneumonia that is an 'Indicator Illness' of AIDS. |
At this
point, I made a suicide assessment of Rebecca. She had some suicidal
ideation, but no plan. I felt that her love and connection with her
daughter was sufficient to keep her alive. I did, however, make sure
she knew that I was concerned and available to her. I also gave her the
number of the suicide prevention hot-line should she need support and be
unable to reach me.
People newly diagnosed with HIV or AIDS can feel suicidal, and it is important to assess for this. This is different from those people who make a conscious decision to end their lives when an illness is terminal and they are suffering. Please consult with your ethics board and an attorney for more information on end-of-life issues. |
Sarah's
grief was very deep and very real. She was mourning not only her diagnosis,
but also the loss of her future. She continued to swing between shock
and grief in this session and the next several sessions.
I went to the HIV Insite website and went
to the section You
Just Found Out You're HIV Positive. There is a piece written by Antigone Hodgins, who has been HIV positive for 8 years. She states "The most important things to remember are:
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