Category Archives: interventions

reiteration

I want to go over something I briefly touched on earlier this week. In the post life means suffering, I said–

When I’m anxious it’s very difficult for me to smile, and as a result I look serious or angry or mean. Ironically, inside I’m terrified. I just want people to like me. The response I got from Ms. D reinforced my anxiety, and it was appropriate given my comment and how I looked. I really shouldn’t take it personally, because she’s responding to my social anxiety not my true personality, but I still do.

Essentially, I felt like I got criticized by Ms. D, my girlfriend’s half-sister, and I took it personally. But when I took a step back and analyzed it a little more objectively, I felt like she was attacking my anxiety, not my true self.

This is important because I take everything personally. When a co-worker’s having a bad day and doesn’t smile at me, it must be because I didn’t smile at him first. When a friend’s angry at someone else but he takes it out on me, it must be because I did something wrong. When a librarian is aggravated because she is busy and gets pulled from her schedule to meet me, she must not like me. When I’m with an acquaintance and there’s an awkward moment of silence between us, it’s because I’m boring and don’t know what to say. Whenever something goes wrong, it’s my fault because there’s something deeply wrong with me.

None of those are my fault, none mean there’s something wrong with me. They’re just negative situations which can be interpreted in a number of different ways, and more often than not, I find the negatives: it’s my fault and they don’t like me, personally.

Awareness is key. When someone negatively judges me, real or imagined, because of how I act when I’m flooded with anxiety, they aren’t attacking me personally–they’re attacking the anxiety.

***

Have a great weekend, and enjoy Halloween–if you have/celebrate that.

life means suffering

therapy and medication

My therapist doesn’t get it. Or maybe it’s I who isn’t getting it? I told him on Tuesday that I struggle through so many simple things most people take for granted, like saying hello, or making small-talk after saying hello, saying goodbye, shaking hands, smiling, playing with children ..

His response: “You went to an interview. Did you shake hands? Did you make small-talk? Did you smile? Did you say goodbye?”

I nodded several times.

“So, you showed up and engaged socially,” he said. “You were there–that’s the most important thing–and it sounds like it went well.”

I usually show up to things. I usually make small-talk. I usually smile. I usually shake hands, hello and goodbye. That’s not the problem. The problem is that I don’t feel comfortable doing any of those things. The problem is that I feel like an idiot while doing them. I think people are watching me closely, scrutinizing every move, and making negative judgments. After I leave, I think people are thinking, Wow. Mike really doesn’t know how to engage with people.

The problem is that I’m 27 years old, and yet I feel like I have the social skills-set of someone half my age.

But then again, I got the internship, so maybe I am okay. Maybe I’m not as bad as I think. Maybe everything will be okay. I don’t feel like it, though, and right now, my thoughts are in control of me.

***

In other news, I went back to the psychiatrist on Tuesday, as well. Now that my mood swings are a little more stable, the anxiety can be addressed once again. I don’t want to go on another SSRI, so my psych suggested Klonopin. .25 mg, twice a day. I don’t like being on a cocktail of drugs, and I don’t like being on benzos, especially everyday .. but then again, I don’t like anxiety.

So I’m going to give it a try.

Also, he made me feel very little by saying that my problems are minimal compared to others. He even said that it’s like I’m walking around and I get a tiny pebble (the anxiety) in my shoe, stuck between my toes, and I’m too lazy to get it out. So, not only are my problems tiny, but I’m not doing enough to alleviate the problems. Yes, I’m skeptical towards drugs, and, no, I don’t like taking them, but I think I am doing a lot to help ease the anxiety.

Leisure Time

This post got me thinking ..

Even though I’m not working, the past few months have been pretty hectic for me. School work has been slowly piling up as the semester moves on. I’ve also been experiencing quite a bit more depression as of late. Some days I can’t do anything at all for school, and so I’m always having to play catch up. This blog has also been taking up a lot of my time. Writing and doing research for posts, responding to comments and emails, etc. I spend at least an hour on a social anxiety message forum each day, as well. Talk therapy, hypnotherapy, yoga, meditation, CBT … it all adds up. It’s all too much.

I can’t imagine adding a job to the mix. Dealing with my anxiety is a full-time job in itself, and I feel like I have to push myself more and more to overcome it–and I’m starting to think that’s not the right answer.

And when I look ahead, all I see is stress, and this stress leads to anticipatory anxiety. November is a mess: I have a wedding to go to, there’s Thanksgiving, and I have to give two class presentations. December’s even worse: Christmas, New Years, and party after party after party, all of which I probably won’t go to, which will make me feel like crap (actually, it already is).

My days are so full I have no time to think and just be present. I think we’re all conditioned to believe that if we’re not doing something productive, then we’re just wasting time. (Again, this is fuel for my perfectionism.) As a whole, we need to slow down, we need to relax, we need to enjoy (and learn to accept) our leisure time. I cannot keep going at the pace I’m at; it’s not helping to ease my anxiety; in fact, it’s doing just the opposite: it’s fueling it.

I want to do less. I need to keep up with school work, but I want to put less pressure on myself to always stay ahead. It’s okay not to get an A on every assignment; it’s okay to turn an assignment or two in late; it’s okay to fail–sometimes it’s the only way to learn. I want to put some boundaries on how much I work on this blog and answer emails and browse message forums. I want to take the train less and bike and walk more. Instead of taking the elevator I want to take the stairs. Instead of manically trying to fill my days with activity after activity after activity, I need to slow down and learn to accept my thoughts and anxieties and depressions, rather than pushing them aside–and hiding.

I want to have time for myself. I want to have time to think. And live. And be.

interview success

So, as many of you know, I had a group interview yesterday. The interview was originally scheduled for last week, but I canceled last minute because I was overwhelmed with anxiety. Fortunately, I found a good, partially true excuse and was able to reschedule for yesterday.

I already had one interview with them a few weeks back with the library director. It went well. It was very relaxed. We talked about my future and what areas I’d like to work in–nothing too formal. At the end of the interview, she mentioned that she wanted me to come back in to meet with her and the rest of the librarians. I said fine. On the way out, I asked her how many librarians worked there and she said ten, and she also said that out of those ten there are a few who aren’t receptive to interns.

That information hit me hard–not only am I going to be interviewed by ten people; not all of them want me there to begin with. And since I take everything personal, I took this personal.

This set off my hypothetical mind; I began thinking of different scenarios of what this interview would be like. Mostly I just pictured ten librarians sitting across from me, asking difficult question after difficult question. Me, barely able to breath, stumbling, blushing, sweating.

My original interview was on a Thursday, and we scheduled the next one for the following Monday. I was a mess that weekend. Actually, I think I probably wrote a post about it. Anyway, the anxiety intensified to a point where I couldn’t function. I couldn’t sleep Sunday night and had to reschedule for yesterday.

From that point until today, though, I’ve been doing great. So what’s different about this past week from the week before?

Well, for starters, my thoughts haven’t controlled me. The negative thoughts were still there–they just didn’t dominate my consciousness. Part of this is attributed to CBT, the other part mindfulness. By becoming aware of my thoughts, before they took control, I could use cognitive techniques to ensure that they wouldn’t take control.

Next, I began to use meditation to help me relax. Two hours before the interview, I was laying in the bath, listening to a meditation. Once I got out I felt at peace. This feeling carried me into the interview.

Finally, I hashed out the situation with my hypnotherapist on Friday, meaning: we tried to look at my hypothetical scenarios in a different light.

“What’s your worst fear?” she asked me.

“To get up at the end and have to go down a line of ten librarians, shaking each of their hands,” I said. “They’ll see how much I’m sweating.”

“Do you really think it will be like that?” she asked.

As soon as she said that it was clear: there’s no way it would be like that. I may have to wave goodbye, but shaking hands with ten people sounds absurd, and it certainly wouldn’t all be in one line. I always feel so much better after playing out scenarios in my head. Seeing just how absurd my thinking can be, reminds me that my logic can be irrational at times.

The interview, itself, went well. I met only with the library director and one other librarian–no biggie, especially since I was expecting ten people. I did have to engage in a formal interview, but it went well. The director called one of my references earlier today. I think I got. Hurray!

on binging

I haven’t felt well the past few days. I’ve experience several ups and downs, including one period of depression where I thought I’d have to binge in order to bring myself back up again. Fortunately, I kept control and didn’t binge, and eventually my mood brightened and I began to function again.

It’s really strange that something so destructive (my binges) can make me feel whole again. I like to call it a release while my therapist calls it avoidance or suppression … regardless, I feel so much better after I binge. Actually, I want to step back: I want look a little closer at what happens before, during, and after a binge (because I just love breaking things down into tiny, manageable pieces). Without going into too much detail, before a binge I’m low–really low, obviously. My body, my mind, everything aches. There’s tension, there’s stress, there’s negative thoughts. Usually, I’ve stirred up some feelings or memories that I haven’t touched in a while. My brain feels mushy; there’s no other way to describe it.

When the actual decision is made (most of the time I feel like it’s already made for me beforehand) to go out to get food or alcohol–whatever I’m feeling like at the time, depending on the time of day (I never drink during the day, except maybe on the weekends or some holidays … ), etc–shame and guilt hit me. Before I even go to get the food, there’s guilt for what I’m about to do. But not enough guilt to stop me from doing it in the first place. At the store, when I’m picking up the ice cream or burrito or beer, the shame only increases. I feel like the cashiers know me by now. When they’re all together at some bar after work, they talk about me, referring to me as the “binger” or “loser”, that sort of thing. They know exactly how sad and depressed I am, because I wear my feelings on the outside. Everybody knows, for that matter.

After the food is obtained, my heart starts racing and my mood begins to lift. I have to get home as soon as possible. I race back, running up the stairs two at a time, and then consume … and consume … and consume. In all, it probably takes me less than thirty minutes to eat a burrito and a pint or quart of ice cream (my staples). If I’m drinking, though, I like to spread out six beers over a period of three or four hours. I hate getting drunk. My only goal is to get rid of the feelings.

The actual consuming is all done unconsciously. I usually plop myself in front of my computer, watching an episode of Star Trek or Seinfeld while shoving the food down my throat. There are no thoughts, the feelings disperse. Sometimes I’ll catch my reflection in the computer screen which causes me to pull back a little and assess the situation. I begin to feel shame, regret, remorse, anxiety … but before the feelings can take a hold of me I return to the food, unconscious once again.

When I’m done, the feelings begin to return little by little, but they’re different. Less tangible, and more abstract. They’re probably deeper in my body, too. Then, they start to grow again and I feel worse and worse, but, again, they’re still different. I’m not depressed or hopeless, but I just feel so much shame and regret. Eventually, those feelings disperse and I’m left with just a sense of contention. What’s done is done, my mind says. Pull yourself together. You have a future, you have worth. It’s like I have to hit some sort of rock bottom to see things clearly. When you’re down, the only place to go is up.

On Thursday I really felt giving into the temptation. The triggers were there, the environment was just right. But rather than giving in, I pushed through using a combination of awareness and cognitive techniques. I caught the thoughts before they could take control of me. I then distracted myself, and, finally, I replaced my negative thoughts with positive one’s.

It was a minor victory, but I learned something extremely valuable–I learned how to take back control. In the end, though, it’s not about controlling my thoughts or feelings or urges, because they may always be there; instead, it’s about not letting them control me.

No Relief

I’ve been overwhelmed with anxiety and depression these past few days. I honestly don’t know how I’m writing this post right now. My thoughts feel far away, I can’t connect with them. I wish I could describe to you the feelings going on inside my body–but I just can’t. My hands are pretty much shaking right now. I’m honestly scared. All I can think about is food, alcohol, and Ativan–those are the only things that will bring me relief. I’m going to try to push through it and just sit here and suffer, but I don’t know how long I can hold out for. I need relief.

Depression hit me on Friday, which carried into Saturday and on into today. I can’t seem to shake it. I tried drinking on Friday, and I binged on food yesterday. Neither brought any relief.

Anxiety has been with me too, especially anticipatory. I have to go to another interview at the library I’m trying to intern at in the Spring tomorrow. Supposedly I have to meet with all the librarians at once. All ten of them. I’ve been going over in my mind what that will be like. In every scenario I fail, and even when I do win, and get the internship, things will just get worse, because I will then actually have to engage with people in the Spring. A part of me doesn’t want to get this internship at all. I’d rather just sit at home, where I feel comfortable.

I increased my dose of Lamictal today to 50 mg. I really wish that would start working, I want to feel some relief, but for now all I feel like doing is covering myself with a blanket and crying.

What’s more, outside it’s sunny and warm, and all I can think about is everybody else in the world enjoying the day, without me.

I want to say more, but I can’t.

anxiety attack, interview, yoga

Wednesday night. I turned off all the lights, got into bed and shoved my head between two pillows. I felt ill. My head throbbed, my stomach hurt. I was sweating, and it was difficult to breathe and almost impossible to stop the negative thoughts. My heart pounded loudly. I could feel each and every beat, and I expected each one to be my last. After a few minutes, I got up and took an Ativan, and after it kicked in, I went to bed.

In the morning I took another Ativan and then went to an interview for an internship (in the spring) at an academic library. It went really well. I’m pretty sure I got it. I’m crawling back into the real world, one step (err, Ativan) at a time.

On that note, I’m a little closer to getting hired by the public library. I’ve been trying to get in for the last six or seven months or so. This week I found out I passed the civil service exam, and I’m currently tenth on the list for the position(s) I’m going for. My hope is that once the person in charge of hiring sees that I am in Library Science school, they’ll bump me to the top!

The rest of Thursday felt great, and I had all but forgotten Wednesday’s setback. You see, I was feeling down about something (probably resulting from anticipatory anxiety about Thursday’s interview) and fatigued. I wanted to just binge and watch Star Trek, but instead, I went to the gym and killed myself on the treadmill. I’ve been running a lot lately and need to take a break, so even though I didn’t go as far as usual, my run took a lot out of me. Once done, I staggered off the treadmill, skipped stretching, staggered down the stairs and into the shower, and then limped back up the stars and all the way home. And then I ate ice cream for dinner.

Yes, you could call that a setback. But it’s okay: I wasn’t perfect, and I’m fine with that. I don’t expect to feel good all the time.

The rest of Thursday went well. I met my girlfriend later, and we went to yoga.

“Slow your movements down,” the teacher said, “link it to your breath. Let your breath catch up.”

Maybe I should slow down, instead of always planning, thinking and anticipating, letting the world catch up to me? I try to live my life one step ahead, but I just don’t think I can do it anymore. I’m tired of living the way I am. I need change.

therapy, 10-5-10

Therapy’s supposed to be safe. It’s supposed to be a place where I can share and my therapist can share, and I can grow and my therapist can grow, together. It’s an intimate bond between two people. In fact, there’s probably nothing more intimate than two people sharing the same space, just being who they are.

“Therapy isn’t safe,” I told my therapist, J. “I can’t run or hide, and I can’t use distractions either. I can never get the attention off me. I have to be here, and I have to be present. I have to be me.”

“You can’t protect yourself from the intimacy in here,” J said.

He paused, and I looked away. When my eyes returned, I saw him looking at me–I mean really looking at me. I don’t think anybody has ever taken me in like that before. My eyes darted away again.

“You can’t protect yourself from yourself,” he said, breaking the silence.

He’s right: Therapy, like meditation, has only one demand–that I be myself. Simply me. Whoever that may be in the moment.

And that’s why it’s not safe.

I spend so much of my energy outside of therapy just trying to fit in and remain anonymous. By doing so I don’t live in the present moment, and I think people probably recognize this. When I’m feeling comfortable and can be present, people respond to me. They enjoy being around me. People like that; they want me to be there with them, not somewhere else. And if I am somewhere else, people can sense that too. Their response changes, they see me differently, which reinforces the anxiety.

I’m very fortunate that I have a place where I can be present. I may not be present all the time in therapy–I can go places in my head, make lists, think about what I’m going to do outside of therapy etc.–but I really believe that I spend a little more time in the present moment each session, and that this present awareness is beginning to spread to other parts of my life.

therapy, 9-28-10

Well, therapy this week continued right where we left off last Tuesday.

It was like I never left …

Last week I ended with- “Well, now I feel like I can’t bring anger into the room, which makes me angry.” And this week I began with- “I’m angry.”

I explained to Mr. J., my therapist, that I felt hurt because he didn’t listen to me last week. In our previous session, he made me angry because he changed the subject while I was in the middle of dealing with some difficult feelings, and he concluded that anger arose because the session was difficult for me–because I was trying to avoid something, in other words. I tried to explain that my anger was just anger but he didn’t listen.

He immediately apologized for not listening (which seemed sincere). I felt a lot better, and we moved on.

It’s interesting (and ironic, I guess) that I started going to therapy to get help with my relationships, and yet in the beginning of our session yesterday, we had to work on our relationship. A part of me thinks that was just a waste of time, but another part thinks that it’s great those feelings came up because my relationship with my therapist is a microcosm of how I view the world.

Once I become content with myself in therapy, and with our relationship, those feelings should extend to all my relationships.

***

Afterward, I told J. about my weekend (see the camping post, if interested), and we chose to look deeper at what’s behind my desire to keep my girlfriend away from my friends.

I’m very uncomfortable with my girlfriend connecting (or cathecting, as J. put it) with my friends, because in a past relationship my girlfriend “stole” one of my friends after we broke up–that is, for whatever reason, my friend stopped being friends with me (who I was friends with first) but kept hanging out with my ex. So I’m afraid this will happen again, and so my solution is to keep my girlfriend away from my friends, which is hard for me to do because she’s my “safe” person, so she ends up hanging out with most of my friends, and because she’s fun and outgoing and interesting (and I’m not) this makes me very uncomfortable (did I say that already?).

Why would so and so want to be friends with me when they can be friends with her–someone infinitely more interesting?

What’s more, I don’t have very many friends, and so I’m very protective of the ones I have, and I keep them at a distance because I’m afraid if they get too close, they’ll see the real me and then run the other way. Because of this I don’t have true relationships with them, and the relationships are very fragile.

“I don’t understand this behavior,” I told J. “I really want real friendships; I don’t like having to cling to my girlfriend all the time, but I just can’t seem to let my guard down. What can I do?”

“It’s simple,” he said. “Develop a relationship with yourself. Relationships come and go; the only constant is your relationship with yourself.”

If I can develop an inner relationships (sounds easy, right?) I will have stability in life no matter what comes my way, and the real me will open up. My friends will see this and will connect more with me.

Okay, sounds great. How do I do that?

“You’re doing it right now,” J. said. “We’re doing it together, you and I. I give you the space to be yourself–the real you, whatever that may be in the moment–in here, while you slowly open up to yourself. It’s a lifetime of work, but it’s necessary because you can’t have happiness and joy in your life if you don’t have affinity for yourself.”

“That’s too abstract,” I said. “It has no practical meaning for me now, in
the present. I don’t know what to do”

“You’re doing it.”

We sat in silence for some time.

“I know that you feel vulnerable and exposed in here,” he said breaking the silence, “but all I really see is a man trying to develop a relationship with himself. That’s all.”

“I feel like I’m twelve years old,” I said.

“You feel like you need someone to look up to and to take care of you?”

Yes. And I didn’t have anybody there–emotionally speaking–when I was twelve, but I do now–I have myself.

camping

I went camping in Big Basin over the weekend with a friend (Ms. M), my girlfriend, her brother, and two of his friends. It was rough weekend.

I hadn’t seen Ms. M. for quite some time, and, honestly, I think that my girlfriend connects more with her than I do at this point. But since I have very few friends, I’m very protective of the ones I have, so I’ve tried to keep my girlfriend and Ms. M. somewhat apart. (Which is a separate issue altogether.) Anyway, I rode down with her on Saturday, and it didn’t go well.

I put a lot of pressure on myself to try to somewhat reconnect with her. I had to say the right things. I had to be funny, witty, and interesting. I put so much pressure on myself and I worked myself up so much beforehand that I had to take something. I wanted to take an Ativan, but I took Propranolol by mistake. All my pills are getting mixed up because I have to cut them and I keep all of the cut halves together, in the pill cutter.

Mental note: pink = Ativan, round and white = Propranolol, triangle = Lamictal. Or maybe that’s pink = Propranolol, round = … ?

Anyhow, I didn’t live up to my expectations on the car ride. I didn’t always say the right things (I never do), and I wasn’t funny enough or witty enough or even interesting (I never am, never am, never am); and thus, I was very anxious throughout the ride. I think the second I got in the car in fact, I just wanted to be somewhere else. It was a different kind of hell being in that car with her, but it was still hell.

When we got to the campground, I stopped worrying about conversing with Ms. M. and started worrying about meeting my girlfriend’s brother’s girlfriend and her friend. They arrived with my girlfriend a day earlier. I was actually supposed to go with them but I avoided it, opting instead to ride with Ms. M. on Saturday.

Once I got through the formal introductions (which I think I’m great at)–

  • To my girlfriend’s brother’s girlfriend: “It’s nice to meet you.” (Smile, shake hand.)
  • To my girlfriend’s brother: “It’s nice to see you again. (Smile, shake hand.)
  • To my girlfriend’s brother’s girlfriend’s friend: “It’s nice to meet you.” (Smile, shake hand.)
  • To my girlfriend: “I missed you.” (Smile, hug, kiss.)

–I didn’t know what to do, what to say, or how to act. I wanted so much to make a good impression, but I really just sat there at the picnic table while everybody else conversed. I didn’t need to be there. Nobody cared.

After a quick breakfast, Ms. M., my girlfriend, and I went to Santa Cruz so they could register for the triathlon. I wasn’t in it but I wasn’t about to stay behind with the others. On the drive into town, I sat in the back, while my girlfriend and Ms. M. conversed, while I consciously told myself I wasn’t going to compete with them (or anyone) to say things: instead, I’ll just be quiet until there’s an opening. What that really meant: I just won’t talk and feel like shit because I’m not talking. I just stared out the window, wondering how I’d get through the weekend and why I was there to begin with. They acknowledged me once during the whole ride, commenting about how quiet I was.

I didn’t need to be there.

Back at the campground, I avoid conversation by taking a nap–and by that I mean I pretended to. I stayed awake, hoping that someone would say something bad about me so I could confirm my suspicion that I am a piece of shit. It didn’t happen, though, but then again, no one seemed to mind that I wasn’t around. I got up around 5:00 to help make dinner.

After dinner we all sat around the fire talking–everybody except me, that is. I didn’t say much to anyone the rest of the night.

Put simple, I felt very depressed throughout the day. But was my depression caused by my anxiety, or was it a mood swing? Probably both. I binged on Friday night and felt like shit (even more depressed) in the morning, and I think I went into the weekend feeling depressed, because of a mood swing, and then that depression made it even more difficult to engage socially, which, in turn, brought me down even further.

I barely slept that night, but I woke up on Sunday feeling a lot better. My girlfriend and Ms. M. left early for the triathlon, while I stayed behind to help the others pack up the campground. I ended up staying with them most of the day, watching the triathlon. I never really felt comfortable but I got by.

Pic of the athletes warming up:

I love watching endurance events because everyone gets so emotional. At the end of the race, I hung out by myself watching the runners cross the finish line. Some laughed. Some cried. Some shouted. Each one evoked emotion inside of me, and I started crying at one point. It was therapeutic.

When my friend crossed the finish line I gave her a big hug. I felt the connection between us. It felt good.

On the ride home, my elevated mood rose even higher. I couldn’t stop talking. What’s more, I was witty and funny and interesting and felt no anxiety, and I didn’t really want to say goodbye.

Overall, Sunday was a much different day than Saturday. On Saturday I felt so depressed I couldn’t converse with anyone, and during the night I felt suicidal. I didn’t feel even the least bit depressed on Sunday. I sought out social situations and spoke up rather than hide.

I hope others didn’t notice this swing.

Finally, I want to end with some positive thinking. I don’t think my girlfriend’s brother’s girlfriend liked me very much. I don’t really know why I think this, but I could just sense it. She didn’t really talk to me much and when she did it felt forced and she gave me some funny looks. I know it could be anything, but I’m interpreting it negatively. Interestingly, I feel somewhat okay with that–I’m not a bad person because someone doesn’t like me. There isn’t something inherently wrong with me because someone doesn’t like me. I don’t need to change something every time I come across someone who doesn’t like me.

Rinse. Repeat.

I hope everyone’s day went well, and I hope this good mood of mine lasts for a few more days!