Tag Archives: anxiety

an example of avoidance

Yesterday my boss asked me to go downtown today to pick up some tax documents at the state’s local field office. I didn’t think they could provide the documents, but I didn’t have the nerve or desire to argue with him so I reluctantly agreed.

I’ve had to go to this field office a few times before. Each time, I’ve had to endure a rather difficult social situation because the receptionist is very attractive and socially adept. In other words, she’s beautiful and perfect, and I’m not. These thoughts happen in a split second and ensure that I will fail. Now, CBT has taught me to catch these thoughts before they happen, to counter them with positive, rational thoughts. But this never seems to happen quick enough. I sum up that she’s perfect and place her on a pedestal before my rational mind has a chance to kick in–and I’m left playing catch up.

Anyhow, earlier I started having anticipatory anxiety about the situation: Not only would I have to face this perfect being but I also don’t feel comfortable asking for the documents since I don’t think they could provide them. And so, I started coming up with ways to get out of going–

  1. I could lie to my boss by telling him that I went and that they either didn’t have the documents or couldn’t give them to me.
  2. I could call in sick.
  3. I could call the tax office to see if they could even provide the documents.

The third choice seemed the most logical, but I’m terrified of making phone calls, especially when I have time to think about what I’m going to say beforehand, so I wanted to do the first choice. Eventually though, I talked myself into calling, which was horrible in itself, but I found that I was right: They couldn’t give me the documents after all.

I’m now beating myself up, telling myself that it wasn’t that bad and I shouldn’t have been fretting about the situation at all. I’m also disappointed in myself for avoiding another social situation.

Why can’t I look at the good parts? I mean, I made the phone call even though I was terrified and obtained an answer without lying. Those are positives, I guess.

If I’m not perfect then I’m nothing at all.

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a setback

As expected, depression caught up to me last night. Along with it came intense claustrophobia, which brought anxiety and at times near panic; sadness; unfulfillment; and the inability to do even the most basic tasks.

I tried to just go with it, to let the feelings pass by actually feeling them, but they became too intense. I binged on food, which didn’t help, and then tried to binge on alcohol but after one drink I felt sick. I spent most of the night lying on my bed in the fetal position unable to move.

Suicidal thoughts returned in full force. I felt like I did two weeks ago. I’m disappointed with myself for succumbing to the depression and binging.

back in san francisco

I got back yesterday. Honestly, I miss Kansas City and my family. Even though we didn’t get to talk about the letter, I think a lot was accomplished, and I had a lot of fun with my family. My relationship to them is different. On the surface, we’re the same, but deeper down, I think there’s more understanding between all of us. It’s strange being back. I feel like a part of me is still in Missouri. I feel like I could walk out of my apartment right now and be back there.

***

I’ve been thinking more about this blog and decided that I want to spend less time on it–and the “blogsphere” as a whole. I’m getting a lot out of writing about my issues, and I am so grateful for all the support I’ve received. I cannot thank you all enough. I am going to probably spend one day a week posting, answering comments, and reading other blogs.

That said, I am feeling a lot better about life in general. I’m doing more, engaging more, and, for the most part, I’m happy. There are days where I feel down, but, at the end of the day, all feels right. I think it’s a combination of all my interventions–and, again, your support. Also, over the holidays, I think I finally realized that social anxiety is my choice. That is, it’s my choice how much of my soul I put into social anxiety. I am the one in control. Social anxiety is not who I am. It’s not my friend, it’s not my child–it’s a part of me, but it’s not me.

Finally, I got runner up for Best Neurotic, Stress-Related and Somatorm Disorders Blog over at Mental Nurse for the 2010 TWIM Awards. I’m surprised, especially considering how new my blog is. Anyway, I just wanted to say thanks to them and to those who voted for me.

I hope everyone is well. I’m looking forward to catching up on my favorite blogs later today. And Happy New Year!

phone therapy

Three posts in as many days! I don’t know what’s come over me. 🙂

***

So, since my therapist is out of town this week we arranged to have our regular session over the phone yesterday. I was dreading the session most of the day, even more than usual actually because I don’t like talking on phones. I don’t like checking voice mail. I don’t like seeing/hearing others talk on their phones. I don’t like hearing them ring (or vibrate, in my case). I cringe when I hear other people’s phones ring. I’d get rid of mine, but that probably wouldn’t be smart for someone with social anxiety.

It must have something to do with the fact that there are no distractions over the phone. It’s me and the other caller–that’s it. There is no one else to take the spotlight off me. There are no external distractions either, like television or eating or music or a movie, etc. But there are no distractions like that in therapy anyway, so I don’t know what I was so afraid of.

Anyhow, about thirty minutes before the session started, tension, nervousness, and anxiety hit. I just wanted to get it started (or over with). My stomach hurt, and I began sweating a little under my arms. I felt like I was getting ready to go to a large social gathering or something. I think it must have been the combination of the phone and pre-therapy jitters.

I’m probably freaking out about nothing, I told myself. So I’m going to stop  indulging in my negative thoughts. Once I became aware of what was happening and told myself to stop, I felt better.

***

The session started like all our other sessions. We talked a little about how this–therapy over the phone–is new territory for us and what not. I wish we would have explored my phone-phobia a little more. I brought it up, but we quickly turned to other things.

I told him about how I was feeling anxious about Christmas, about how I’d be seeing my relatives. I told him how anxious I felt as soon as I found that out. We spoke about this for a while (mostly about how I’m afraid of interacting with my cousins’ children) before he said–

“You can push back if you want but what I think it all comes back to is self-acceptance. It’s okay to be introverted and reserved. It’s okay to be soft-spoken. But these things are not okay for you.”

He went on and on, and yet I was still stuck on his words push back. It had a negative connotation to it. To me, the words said–

Now you can push back, but if you do, you will be wrong because I am the therapist and I am right.

After he got done talking about self-acceptance, we were both silent.

“Where are you?” he asked, finally breaking the silence.

I told him the truth. I told him how I didn’t hear much of what he said because I was still stuck on him saying push back. I told him how I’m uber sensitive to his wording sometimes and how I’m afraid to stop him because I’m afraid he’ll say I’m just avoiding things (like he’s done in the past). We had a good discussion about that, and I feel a little better about it, actually. I think he understands better that when I do stop him, sometimes it’s not that I’m avoiding–it’s just that I want to say something and that should be okay. I don’t think there has to be a hidden/deeper meaning in everything.

One thing interesting that he did mention is that therapy is the one place where I can–and should–feel comfortable pushing back. A lot of times in life, I want to do that, but I just don’t have the self-esteem.

We then went on and talked more about the letter (part 1, part 2) I sent to my parents and how I can use that to start more discussions. I’m scared to talk more about it, yet I do want a closer relationship with my parents. I know my relationship with them hasn’t changed because of one letter. I have to keep moving forward, and I feel a lot of pressure to do that.

Finally, at the end of the session, I started getting flooded with anxiety, as I always do, and I checked out by browsing Facebook. When we finally said goodbye, I found myself looking at pictures of someone from high school who used to pick on me. Whenever I get on Facebook I’m unconsciously brought to the people who did me harm. I should probably bring that up in a future session, among other things. I’ll add it to the list.

going home

Before I start, I just want to preface this post by saying that I am experimenting with a higher dose of Ativan at the moment, and I am feeling quite stoned. So, just keep that in mind. 🙂

***

I’m going home on Friday. Actually, I shouldn’t call it home. San Francisco is my home; Kansas City is where I grew up. Anyway, on Friday I’m going back to my hometown to see my family for the holidays. I’ll be there a total of ten days, which is probably seven days too long!

I have plans to see a few friends, but other than that, I’ll just be hanging around my family–which actually could be difficult because of the letter I sent them a few months back (part 1, part 2). I don’t know what to expect; or, what I want to talk about. I have no agenda, in other words. I guess that’s good. I’m not expecting to make deep connections with my family, but I would like to talk about the things in the letter a little more in-depth. I do want to have closer relationships with my mom, dad, and brother, but I also want to relax and have fun at home, as well. I don’t want it to be a constant therapy session. On the other hand, if nothing is talked about, I will be greatly disappointed in myself. I just need balance. Regardless of what is said–if anything is said–we are already closer because of that letter. I have already accomplished the things I wanted to accomplish (I just feel pressure to keep moving forward), and my trip is a victory in and of itself.

One thing I am starting to stress about is seeing my relatives (on my mom’s side) for Christmas. I haven’t seen them in years, and I know they all really want to see me. My cousins are all around my age, and they have husbands and wives, and each of them have two kids. I’m a little behind. My aunt and uncle are really religious, so I know they disprove of me and my lifestyle–and so I know they’ll be judging me negatively.

Actually, let me step back: They may not be judging me at all. Maybe they’re proud of the things I’m doing. They know how passionate I am about helping people and how much I want a career where I can make a difference in this world. But then again, they know I am somewhat of a nihilist, as well. I do believe there is meaning in the world, but it’s subjective. That is, beyond science and reason, everybody has their own beliefs. Those beliefs are not right or wrong. I think in my aunt and uncle’s situation, though, they are so attached to their beliefs, they have become truths.

Anyway, my point is is that I have no idea how they view me or what’s going through their head–I am not a mind reader.

So, in the past, I usually got flooded with anxiety around my aunt and uncle and my cousins and their families. I’ve never really interacted with their children (because I didn’t know how and was afraid of being judged by the adults); and so, I just ignored them. I feel pressure to make more of an effort to engage with them.

Plus, I know the attention is going to be on me most of the time, as they haven’t seen me in years, which I do not like. But, it will be okay. I will slow down and use some of the cognitive techniques I’m learning to ease my anxiety. I’ll also be able to fall back on my meds if things get a little too rough.

I’m trying to remind myself that the present is not the same as the past. In the past, I may have been flooded with anxiety around them, but that’s the past. I will probably handle it better. It will be all-right, regardless.

Autobiography in Five Short Chapters

Chapter 1

I walk down the street.
There is a deep hole in the sidewalk.
I fall in.
I am lost … I am helpless.
It isn’t my fault.
It takes forever to find a way out.

Chapter 2

I walk down the street.
There is a deep hole in the sidewalk.
I pretend that I don’t see it.
I fall in again.
I can’t believe I am in this same place.
But, it isn’t my fault.
It still takes a long time to get out.

Chapter 3

I walk down the same street.
There is a deep hole in the sidewalk.
I see it is there.
I still fall in … it’s a habit … but, my eyes are open.
I know where I am.
It is my fault.
I get out immediately.

Chapter 4

I walk down the same street.
There is a deep hole in the sidewalk.
I walk around it.

Chapter 5

I walk down another street.

***

I love that poem. It’s from There’s a Hole in My Sidewalk by Portia Nelson. I feel like each chapter represents a stage of my recovery.

Chapter 1 encompasses my middle school and high school years, when social anxiety began to develop. I started avoiding social interaction by ending friendships and isolating myself; developing powerful, yet irrational beliefs and attitudes; and reinforcing those same beliefs and attitudes with my thoughts and actions–all while being unaware.

The years (early college) which make up Chapter 2 are even harder than the previous years, as I’m in denial. I know that I am an introvert and highly sensitive, yet I know there’s much more to it than that. That is, I know there’s some deeper issues. I avoided them by locking myself in sexual relationships, avoiding friendships, and abusing alcohol. I was absolutely miserable, yet I put up a happy, normal facade. I hid my problems well, and that’s the only way I knew how to cope–because I didn’t know what was wrong or where to seek help.

Chapter 3 represents my latter college years and the year I spent in New York after graduation. By that point I knew I suffered from Social Anxiety Disorder. I knew I kept people at a distance because I was afraid of what they may see inside. And I knew I needed to seek professional help, but I didn’t. Again, I coped by drinking and denying; however, those tactics began to lose their power because I knew there was a deeper issue.

Today, I’m somewhere after chapter three but before five. (I don’t want to say I am in Chapter 4 because sometimes I feel like I’m beyond it and sometimes I feel like I’m not even there yet). I am seeking professional help. I am aware of my thought processes and where they can take me. I know not everybody is a fan of CBT–or its wording and metaphors–but it has greatly helped me. I know, for instance, that certain thoughts will lead me down familiar roads, and I know at the end of those roads, there is nothing good there. I know that if I continue to take those roads, I will continue to feel a certain way. I haven’t totally changed my habits, but I am getting closer. I think Chapter 5 is in sight.

Now, for those who are at an earlier stage, there is no shame, because how you are feeling is not your fault. You are not explicitly choosing to feel anxious or depressed. We’re all at different stages, and we’re all in this together. What’s more, recovery is not linear. You don’t go from bad to good to better to best. Sometimes I’m in Chapter 4; other times I move back to Chapter 2–but, in the end, I am moving forward. More and more of my time is spent in the latter Chapters.

job hunt

I’m tired. I’ve been applying for jobs the past few days, which is very exhausting because I have to continually fight the negative thoughts.

I read a job description, and I immediately pick out everything I can’t do. These cant’s have nothing do do with me not being qualified–they are the social aspects of the job. Behind every single can’t is a negative experience, or failure on my part, from my past. For example, if one of the qualifications is that I need to be able to to work independently and as a team member, I immediately think back to my former job when I failed at this; or, more precisely, what I perceive as failures. I was fine with working independently, but I had trouble working with others, socially speaking. I never knew what to say or how to act. I questioned everything I did .. every .. little .. thing.

I also put up a difficult front. My anxiety caused me to appear stoic and unapproachable. This, coupled with shyness and introversion made it difficult to connect with people. My co-workers thought I didn’t like them, which couldn’t be further from the truth–I so desperately wanted everyone on my team to like me. (Why do I let other people’s opinions affect me so much?) But I couldn’t break through this pressure. Day in and day out, I wanted to make connections, to show that I was a valuable member of the team, and to not make any mistakes .. and everyday I failed in some way.

The more and more jobs I look at, the more and more I tell myself I can’t do something–and the more I rehash something from the past. I am just rehearsing my failures, and the more I do this, the more I believe that I am a failure, and eventually I get locked in a cycle.

Fortunately, because of CBT, I am aware of all this, and can break through the cycle; nevertheless, it’s still exhausting having to continually fight my negative thoughts. You see, each thought means much more than it should. These perceived failures are in the past. I am a different person now, and I am capable of so much. I can do anything I want. Yet, I forget this as I apply for jobs. My exhaustion has lead to a small depression, and now I’m feeling hopeless–all because of my negative thoughts, which are just based on distortions of my past (they are irrational interpretations, in other words).

What’s more, I’m applying for jobs I don’t necessarily want.

I want to work in the public library, but none are hiring because of the economy right now. I’m worried that when I do graduate (next summer) and get a degree, I’ll just have to go back to some office job. I’m trying to prepare for that now. Maybe if I get some simple part time job, I can slowly immerse myself back into the “real world.” I think if I wait and jump back into a stressful office job in the summer, it won’t go very well. I need gradual exposure in order to learn how to manage my anxiety.

So, I’m stressed, worried, and anxious about the past and the future. I’m not present. In conclusion, I’m concerned–

  1. I won’t be able to use my degree to get the job I want.
  2. I won’t be able to find a job at all (and if I do, it will be similar to what I did in the past and I’ll just be miserable again and end up quitting).
  3. Because I won’t be able to find a job or quit some other job, I won’t be able to pay rent and I’ll either have to move in with my girlfriend’s family (if they’ll take me, of course) or move back to Kansas City with my family (again, if they’ll take me).
  4. As a result, I will be a failure.

Do you see how powerful thoughts are? I have to continually remind myself that I am capable of anything. I may have struggled in the past, but I am changing. I just need to try to take it slow, gradually exposing myself to situations I’m afraid of–and, above all, stay present.

I guess I could always fall back on something like this if I can’t find a job.