Musings on a cure

I've been thinking about Meredith's comment from a few weeks ago. She and I have talked back and forth about that stubborn, last little bit of anxiety that doesn't want to go away and looking for a cure that doesn't seem to exist.

I'm realizing and working on growing more comfortable with the fact that I may experience more anxiety than I would like to in my lifetime. This will probably be my challenge until I'm an old lady; that there may be no cure, but there is freedom in living a big life not run by fear and avoidance. There is also freedom in accepting all of our emotional states. Later in life, Dr. Claire Weekes was asked if she still experienced anxiety and panic and she responded, 'yes, but so what!'

My deep learning continues to be the lessons of showing up, experience and compassion. Every time I dread and anticipate an event - certain that I'll go crazy and make a fool of myself - and show up anyways, I get stronger. Every time I allow myself to feel anxious and not demand that it goes away, it feels a little more manageable. And, every time I am compassionate with myself when I do go down that anxiety rabbit hole and not make it such a big deal in my head, I worry less about having this thing forever.

So, a cure for anxiety and panic? Perhaps not. But freedom is certainly available in every choice we make.

*For further reading, check out Aimee's post on recovering from social anxiety.

On my bedside table

Sometimes I feel like a graduate student in anxiety & it's many treatments! I'm usually reading more than one book at a time (I like choices) & these are some of the books I picked up at the library & currently have on my bedside table (ok, within reach, but scattered on the floor):

The Worry Cure - by Robert Leahy, Ph.D.
*I love the introduction titled, "The Seven Rules of Highly Worried People" -- read it over & see how many of these with which you can identify. I'm still making my way through this one, but so far it's a great read!

What Would You Do If You Had No Fear? - by Diane Conway
Sweet interviews and stories of courage and a great question to ask yourself? What would you be doing if you had no fear?

Get Out of Your Mind and Into Your Life: The New Acceptance & Commitment Therapy -- by Steven Hayes, Ph.D.
I love the mindfulness approach already & it's value for those dealing with chronic anxiety, depression, emotional pain. This workbook helps you look at your anxiety in a new way & provides great experiential exercises.

*Non-anxiety related: Bend the Rules Sewing; The Sisters Grimm; The Life of Meaning: Reflections on Faith, Doubt and Repairing the World.

Happy Reading & I look forward to hearing your reviews!

Travelogue Part Two - In Flight Adventures

So I'll be honest with you. I was not happy to be sitting on that first plane before 7am in the morning.

As the aircraft sped up to takeoff speed & gradually lifted off the ground, soaring upward towards the clouds, I felt waves of anxiety coursing through my body. I figured that I had two choices: freak out the whole way to the Carribean or do my best to accept that I was going to be 35,000 feet in the air for a few more hours and get as comfortable as possible.

I thought about my tool belt of coping skills and started saying to myself, "I want this anxiety. I want it to get stronger." And, you know what? It was working. I couldn't make the symptoms any stronger than they already were.

Then, I thought about Dave Carbonell's "Rule of Opposites" - doing the opposite of what feels "safe" in an anxiety provoking situation. So, instead of pulling down the shades & pretending I wasn't on a plane, I started looking out the windows. I found that I really do like to see the tree tops, little tiny houses, and the outline of roads. Who lives in those homes & what is their story, I wondered.

Something else that really helped was the Truth Based Technique I read about in David Burn's book. I wrote in my notebook:
*How many times have I gotten so anxious that I ran down the aisle of the plane screaming?
*How many times have planes had to land for me because I absolutely couldn't handle symptoms of anxiety?
*How many times have I curled up in the fetal position under my chair & cried until it was all over?
Ahem, I think we know the answers to all of the above.


There were more moments with waves of fear and extended periods of time where I felt that pit in my stomach , but it was all manageable & my skills came in handy. Before I knew it, we were in Atlanta & preparing to board our second flight.

For our second flight, the longer flight, our seats were in the back of the plane. I'm not sure why the back of the plane is worse, but I kinda feel more claustrophobic back there. Our flight time was 3 hours & 12 minutes (but whose counting) & in my head I felt like a 2.5 hour flight would be so much easier. Isn't it funny how our brains make up rules about what's safe & what's not?

Once we found our seats, we looked at each other at the same time -- we were definitely in the "party" section of the plane. Three babies were in the back with us & some rowdy folks were starting the party early with cocktails. I wondered if some of them were drinking to cope with their own anxiety. A moment before take off, the 5 year old cherub behind me started to giggle & said, "Hey Mom! What if the plane catches on fire & we crash? Wouldn't that be cool?!"

Hey kid - who asked you? Huh?

Finally, we landed in St. Thomas, USVI - just a ferry & a few taxi rides away from our final destination, St. John. The whole plane cheered & clapped at the successful landing. Steve & I stepped off the plane, walked down the roll away staircase out onto the tarmac & just kept grinning. This was going to be a blast.

So, let's recap. What helped?

*Showing up & being willing to try something that creates anxiety
*Paradox/Bring it on mentality/Make the symptoms stronger
(Reid Wilson, Don't Panic - newly revised)
*Truth based techniques (David Burns, When Panic Attacks)
*Rule of Opposites (Dave Carbonell, Panic Attacks Workbook)
*Supportive mate
*Engaging with others/humor
*Being ok if none of these worked

Stay tuned! The next installment will be about our adventures in paradise!

Travelogue Part One - Getting on the plane

Friday night before the big vacation takeoff:

I am feeling excited, shopping for last minute beach towels & sunscreen, packing into the wee hours of the morning. I write little notes for my girls and fight the urge to say things like, "If we don't make it home, I want you to know. . ." and fill up their journals with memories and dreams for their futures.

I crawl into bed & the anxiety steps things up a bit. Adrenaline becomes my bedmate & I know I'm not going to get much sleep. I remind myself that this is to be expected. I expect to sleep terribly and feel anxious, even panicky. I haven't flown in almost 3 years & I'm leaving my children behind for a week - something I've never done before. Next to my bed is a pad of paper for notes & I write down, "I want this anxiety" - just in case I forget when the alarm goes off. I snuggle up to my man & try to ride the waves while he snoozes with ease. Thank God only one of us runs anxious!

Saturday morning - 4:30am:

I wake up with a real sense of dread. I feel nauseous & panicky. I look down at my "I want this anxiety" note with a smiley face & say "screw that - what a stupid thing to write"! In the shower, I'm weepy and yell out to my husband, "I changed my mind. I don't want to go. I just want to stay home. I feel terrible."

It's so hard in that moment to believe all those coping statements and truths - that flying is much safer than driving; panic always goes away with time; panic & anxiety are uncomfortable, but not dangerous; it's very likely that I'll be able to relax into the flight once we get going & if not, I will survive.

The first step is making it out the door. Then, driving to the airport where I take .25 mg of xanax & review my options - "If we get to our first connection & I feel terrible, we can always come home, right?" Walking into the airport feels familiar - it's been a while, but I've done this before. After going through the security lines & randomly having my shoes checked (are my Keens too stinky? I ask) I rush over to the gate attendant, tell her about my flying fear & ask for seats closer to the front. At first she says that the plane is full, but at the last minute I am called up to the desk & the lovely Miss Tina from Delta changes our seating to bulk head. I think I love her.

As they call our flight to begin boarding, Steve & I wait & I take another .25mg. The funny thing about many anxiety superheroes & meds is that we're actually a little afraid of taking them. From the extremes of -- "What if it's too much & I stop breathing?" to "What if I take it & it doesn't work?"

Finally we take make our way through the line and warm tears roll down my face as we board the plane. As we buckle up and they seal the doors, I close my eyes and remember where we're going.


More to come:
*Travelogue Part Two: In flight adventures
*Travelogue Part Three: Island Mama

Coping with matters out of our control

Here's a comment I received a few days ago & the impetus for this current post:

"I would love for you to do a post on the swine flu and how to handle anxiety symptoms related to something that's so out of a person's control. I'm having difficulty with it, with the situation in and of itself, but it also brings up symptoms related to the general fear that I've got no control over the future."

What's an anxiety super hero to do when the world feels out of control and scary and it seems like there's nothing you can do to protect yourself? And, I don't mean all the scary scenario's we regularly create in our brains - rather, things like terrorism, global warming and the swine flu.

I remember hearing about the avian flu a few years back and feeling terrified. Every time I turned on the news, there was another frightening report of how it would spread to a pandemic level. Newspapers printed full page stories about supplies you should have at home in case we all had to be quarantined. Picking up my children from pre-school, the avian flu was a hot topic among parents & many of us felt afraid. My husband & I talked about what we would do if a pandemic were to occur, thinking through how we could keep our family safe. (There's still a box of unwrapped, protective masks in our basement.)

So what can we do when life feels out of our control? How can we take smart precautions without going off the deep end and building a bomb shelter in the backyard - just in case? How do we sort out the necessary information from the fear messaging so prevalent in our world, threatening to limit and suck the joy out of our lives?

Here's what I do & some links that I find helpful:

*I greatly limit the amount & type of news I take in. Dr. Andrew Weil writes about going on a news diet in his book 8 Weeks to Optimum Health & I take it to heart!

*When something comes up that's bothering me, I might freak out a little bit first, to be honest. After I'm done with that, I find a trusted source or two & go to it for information. If I find myself anxiously surfing the web for every little article - any piece of information that might help me protect myself & my family - I recognize that for what it is - a symptom of anxiety. When anxiety arises, you know what to do - check out this & this. Scheduling a worry time each day also helps to decrease that feeling of constant worry weaving through your thoughts day & night.

*I try to plan and take control of what I can. With the swine flu, I talked to my kids last night at the dinner table (in age appropriate terms) and reminded them how important it is to wash their hands before eating, after going to the bathroom, when the come home from school, etc. It's such an easy, but extremely effective tool for keeping healthy. My husband & I have gone through what steps we could take if this flu became pandemic. Looking fears in the face & finding potential solutions can feel very liberating.

*I try to keep up with the basics -- exercise, a good night's sleep (I'm not so good there), & a healthy diet.

*Meditation, prayer/spirituality, progressive muscle relaxation, & yoga are all essential tools.

*And, finally, it's easy to take a healthy dose of humor each day when you live with a toddler. I try to laugh with my family, cuddle them up & be as present as I can when I'm with them. Life feels like it's going so quickly & I don't want to waste their growing up time preparing anxiouly for the "what if's".

I hope that helped as you strive for a balanced response to the craziness in the world. I'd love to hear from readers what works for you, too!

Just see how it goes

I was reading a blog post a few months back & a phrase popped out at me, "Let's just see how it goes." What a profound life lesson - why not give it a try, just see how it goes. I hear myself saying this to my 8 year old on mornings when she doesn't want to go to school. I hear me saying it to myself when I'm trying something new, a new challenge, something that feels uncomfortable. Sometimes we need to cajole the parts of us that demand to know how everything will turn out before taking a risk.

Just try. . . see how it goes. . . watch your life blossom. . .

I heart anxiety

Happy New Year!

I've been wondering what to write lately. I thought I'd be bursting with prose after the workshop. The busyness of the holidays hasn't helped, either, but as I read recently, we all make time to do the things we really want to do. You know, like thinking - if only I could find time to keep my house clean and exercise as I plunk myself down to check email.

I think I've been avoiding fully processing what I took in that weekend and what I have to do from this point forward. I know I went in having an unrealistic expectation -- the hope that I would drive to North Carolina early that Saturday morning a person with an anxiety disorder and come home Sunday night cured for life. The truth is, as Dr. Wilson said, anxiety disorders span the life cycle - which means, much can be done to cope with anxiety and it's very treatable with the latest techniques & research, but it will always ebb and flow throughout our lives. That's not what I wanted to hear. He also emphasized that the best way to conquer anxiety is to choose to enter anxiety provoking situations on purpose; want to get anxious; want the symptoms to be intense; and want the symptoms to stick around for a long time. Basically, you've got to learn to love your anxiety. On top of that, you gotta drop all the crutches you use to protect yourself from feeling anxious and just feel it all .

I had a chance to practice this provocative approach when driving to my Mom's recently - a nice opportunity for regular practice. It was raining cats & dogs & sideways. I thought about taking the back roads, but picked up the girls from school and began driving on the highway toward my favorite bridges in West Point. Adrenaline surged, went away and came back again in concert with tired old thoughts and images of freaking out on the bridges. It's so easy to ride around in circles on those well worn thought grooves. I just kept chanting in my head, "I want it. I want it." I didn't employ my usual crutches of favorite music or engaging conversation - I simply expected the anxiety & tried my best to want it to come, be intense and stick around. I also tried to drop the need for certainty and just reassured myself with, "Whatever happens, I can handle it."

When I finally approached West Point, I saw the first bridge and crossed with no problem except for anticipating the bigger one. As I came up on the ascent of the second, the rain pounded against my car and, this may sound crazy, but I greeted my anxiety, like Reid suggested, and asked it to make my symptoms stronger ("Anxiety, I'm so glad you could meet me here! I need more adrenaline and pronto!"). I looked straight ahead, added the mantra "More" over and over again & remembered "I can handle this". It wasn't easy, but I did feel proud afterwards. A few months before, I wouldn't even consider driving over these bridges on a sunny day without my cell phone within reach and Stevie Wonder cranking on the stereo. And, now, here I was, crossing them with my 3 kids on a dark & stormy afternoon.

Ok, so maybe this work never gets easy. But whatever happens, I can handle it. And, if you're reading this and struggle with anxiety - you can handle it, too.

As we step into 2009, I invite you to look at what's holding you back in your life. How will you work with what ails you, whether it's anxiety or something else? Who will you share this with and who will walk by your side in community or as support?

This is the year to not let yourself off the hook. Don't spend another moment living a smaller life than you dreamed.

**Something fun & new for 2009 -- "Anxiety Gear" on Cafe Press. Let me know what you think!

http://www.cafepress.com/AnxietyGear

My Treatment Resume

Subtitles: No wonder more people don’t seek out help when they need it; and, What’s up with all the counselors pushing medication?

*Almost done with graduate school, having fun doing exploratory work in counseling (recommended for social workers) & I have my first panic attack driving on the highway in Colorado. Grad school counselor sends me to campus doctor to get a prescription for xanax. Doctor says to take it before driving (label says “don’t operate heavy machinery after using”) & to give up caffeine. Counseling stops with the end of school with the message, “you’ll be fine”.

*6 months later I receive a six week sample pack of Prozac. I take it for six weeks and then stop because of the side effects.

*About a year later, I try again & seek out an anxiety center in my area. The shrink is very nice, we have a great rapport, but he doesn’t really do counseling. He does a thorough social history, establishes that I have excellent memory skills in repeating number sequences and sends me on my way with one month worth of Paxil samples. He, too, offers me xanax & this time I say no thanks. As I’m leaving, he tells me that once I beat my anxiety, I should come back and talk to him about a counseling job. I take Paxil for one month and then stop because of the side effects &, really, this isn’t helping.

*A co-worker recommends her counselor. He says that I just need to relax & have a little fun, lighten up a bit. I say, “I have a great, happy life except for anxiety, which is a pain in the ass”. We try EMDR. I try to help the process along and bring my own treatment plans and info that I’ve gleaned from reading. After a few more sessions & more “relax more & just do yoga” messages, I know that this is not what’s going to help & give up on counseling for a while.

*After having my first two babies, I’m ready to try again. Anxiety doesn’t own me, but I’m not driving on the highway much. I still remember what it felt like before anxiety infringed on my territory and I want it gone. I find more resources & begin reading everything I can find on the subject of “how can I get over this”. I begin exposure work on my own & make progress “taking back the roads”. I set up an appointment with a recommended counselor & it’s not a great fit. I go three times & keep looking.

*Second try: nice lady, a little rough around the edges, but she goes out in the field with clients & I like her spunk. I tell her that I don’t want to do meds, but she says that if I go on celexa for 2 years & do behavioral work at the same time that my anxiety will be gone. I try it, but don’t like it. I switch to Zoloft & stay on it for about 6 mos. We drive a number of bridges and highway stretches together. She’s got the behavioral piece down. I say that I’d like to work on the cognitive piece, that in some places on the highway, I’m still feeling really anxious & there must be something I can be doing differently. She says, I’m not sure why the exposure isn’t working for you, keep trying & the anxiety will go away. We part ways & I keep working on my own.

*Third try: I contact a psychologist friend of mine & say, Look this time I really need to find someone who’s an EXPERT on this anxiety stuff, won’t push meds & is up on the current research. I find Dr. C. who is fantastic & I really like, but still encourages I try meds. She’s worked in anxiety for years & has trained most of the area clinicians in CBT. I go on Lexapro & do a lot of great work with her. She says that I’m a dream client, that no one works as hard as I do and that it’s part biology & that I really need to work on acceptance. “I know you don’t want anxiety, but you got it. You have to accept what is.” True, acceptance is important, but I’m still feeling like with all the work I’m doing, I’m still missing an important piece. After monthly visits for a year, I feel done for the time being.

*I go off Lexapro during my 3rd pregnancy, experience big waves of panic in my third trimester and it comes back with a vengeance at about 12 -14 weeks postpartum. I go back for 2 or 3 “booster sessions” with Dr. C. and go back on Lexapro (after getting the green light from my midwife & an international breastfeeding expert). Things get better slowly. I come out of hiding and begin telling everyone. This helps tremendously & others begin sharing their stories. I’m dying for community. I start up a workbook study group (with some very cool, fellow anxiety super heroes) that meets inconsistently for a couple of months & fizzles out.

*Currently – I’m “off the junk” & not seeing a counselor. I don’t have anxiety mastered as much as I would like, but I'm realizing that what I was missing was not just the acceptance, but inviting & provoking the symptoms and, yes, acceptance. Good practice means doing something that guarantees that I'll feel anxious. I wish I could transport Dave Carbonell, Reid Wilson or David Burns to my hometown so that I could work with an anxiety guru and kick this thing once and for all (well, at least feel stronger in my skills and ready for the expected ups & downs).

Looking back over all the steps it’s taken to get good treatment, I see why so many people can live with this disorder much of their lives and never learn to beat it. Access to good information, counseling & community (plus a big dose of tenacity) makes a huge difference. When I get to be an anxiety master, I am going to open my own clinic & help offer others a more efficient path. More about that later!

Showing up

Woody Allen said that 80% of life is showing up. This is a great reminder for everyone, but especially so for people with anxiety. So often when I'm working through anticipatory anxiety, I remind myself - all you gotta do is just show up.

One of my big pitfalls with doing exposure work in the past was that I measured my success by whether or not I experienced anxiety & panic. Even though I felt good about the fact that I was regularly going out and driving parts of the highway that were hard for me & sticking it out, I wasn't satisfied because I still had spots on the road where I would get huge waves of adrenaline & experience that familiar doubt of "can I really do this?" I kept waiting for those feelings to go away.

Now I realize that good practice and getting past anxiety is to take the power back & upset the normal pattern of anxious thoughts & symptoms which can lead to panic. . . I realize that I can choose to be excited when I feel anxious in a situation & see it as an opportunity for good practice. Whenever I can, I try to say "yes" to my symptoms, even if I don't really mean it at first.

In Dave Carbonell's workbook, he says that you should ask yourself these questions to measure your success in doing exposure work.

Did you show up?

Did you work through the AWARE steps to the best of your ability?

And, after reading Reid Wilson's article (The Anxiety Disorders Game) I would add that you get extra credit for these -
Did you try & provoke your anxiety symptoms? Did you invite & say yes to them? Did you try & make the symptoms stronger & keep them stonger for at least 45 minutes?

Sometimes this is exciting work for me - I get psyched up and am ready to face anything. Other times, this is hard, hard work and I just want anxiety to go back to where it came from. But, I know that showing up time and time again and saying yes to my anxiety is the way to freedom for me. What kinds of tools/techniques are working for others out there - whether you're working through your own anxiety or helping someone through theirs?

Look behind the curtain

One of the most enraging parts of anxiety is that one day you feel completely fine and the next, you’ve had your first panic attack and normal, everyday things you’ve done your entire life become places where you fear you might freak out, go crazy, or die. Driving in general, highways, public speaking, going to the grocery store, standing in line, elevators, heights, bridges, tunnels, getting your hair cut, signing your name, crowds, meeting a friend for coffee – I don’t claim this long list, but they’re some typical situations that people end up fearing after experiencing the height of panic.

In Dave Carbonell’s workbook he talks about what happens when we experience that first panic attack. He says that because we can’t explain away the intensity, we make something up. So, if your first panic attack is on an elevator, you tell yourself that you must have a problem with elevators. You see, our brains like to make connections and make sense of things. We either assimilate information into our current mental files or accommodate by making a new hanging file all together that says “Don’t go there. . .”

While we might think it has everything to do with the situation, it’s all about the fear of fear. What might fear do to me this time & in this place? Did I narrowly escape the last 100 times I got anxious on the elevator and THIS time I’ll lose it, go crazy, or die?

I know, I know, it sounds ridiculous in the light of reason. But imagine stepping into a grocery store and all of a sudden your heart begins to race, you feel like you can’t catch your breath, adrenaline surges and your legs feel like jelly. Internally you might think, WTF? I’ve got to get out of here. By the time you get home, you’re feeling better, but wondering if it will happen the next time you try to go shopping. Suppose it does. It makes sense that you’d want to stay away from the local A & P. But, then you find the symptoms & thoughts hijacking reason again while you’re driving, and then at a dinner party, and then at the office.

This is where exposure work is so important. In order to retrain your brain to turn off the alarm when sensations and thoughts of anxiety arise, you have to willingly go into any dreaded situation, stay long enough to feel the full extent of your fear, let it pass, and realize that you’re still alright. It actually works best when you have the attitude of expecting & wanting to feel the fear. Because, really, it’s like The Wizard of Oz. The voices that say “maybe I shouldn’t” and “you can’t” are big and booming, but anxiety is just that little punk behind the curtain. And honestly, you're strong enough to stay and take him.

Existential angst:

I’ve always had a fear of death. I can remember trying to fall asleep at night as a little girl and thinking about how I was going to die some day. The fear would rise to such intensity that I would race down the stairs at full speed and jump into my mother’s arms. “Oh sweetie. Most people don’t die until they’re very, very old and that’s a long time from now. It’s ok.” We would talk about God and heaven for a while. She would hold me and I’d watch a little TV or read a book with her until I was settled down. Then, I’d get tucked into my bed again for a good night’s sleep.

I think anxiety, for some, has to do with these questions of “Why are we here? What’s the meaning of life? Where’s God? Why do people have to die? What happens next?”

Sometimes I’ll be gazing up at the sky or simply going about my day and thoughts will come in like a Fox TV newstream, “You might want to sit down for this one folks. . .This just in. . .We live on a planet. . .you know, one that’s spinning & traveling through space. . . and did you know that outer space is just beyond our atmosphere. . .and, here’s the kicker people, we’re all gonna die someday!” When we’re fully aware of this amazing existence of ours, it can take you back a bit.

Sometimes, I have to remember that these repetitive thoughts are simply symptoms of anxiety (where content has little meaning). When that happens, I start going down the “AWARE” list.

But, other times it’s a reminder to dig deeper. A reminder to have gratitude for life and the love around me. A reminder that the spiritual task of anxiety calls for us to have faith in something we cannot see and to surrender in the face of it’s awesome mystery.

Naked

I spent a lot of years feeling ashamed of my anxiety. Feeling like it meant something was wrong with me deep down. Wondering if people would still like me if they knew. Even though I told my family and some close friends, I held these competing feelings of wanting to talk about what I was experiencing and also not making it a big deal.

The problem with not telling people, of course, is that it makes the anxiety monster that much bigger and higher maintenance. If it’s something you have to hide, then it must be pretty bad. And, eventually, you start feeling very alone.

It’s not the right time to talk about it, I would think. Or, I don’t want to get into it -- because how do you explain that fears, which sound utterly ridiculous, feel very real in a moment of panic. And, how do you also explain that anxiety is only a small part of you, even if it tries to act big and has a flair for the dramatic?

One time I disclosed to a friend and she joked, “Well, at least you don’t hear voices in your head. . . do you?”

After having anxiety under control for a long stretch of time, I experienced a really hard postpartum after my 3rd child. Part of what brought me out and helped me heal was sharing with others what I was going through. I can’t tell you how many people stepped up and either said, “Me too” or “I get it and I’m here.” One friend said, “I hope you take this the right way, but it just makes me feel so much better knowing that you’re dealing with the same stuff that I am. It makes me feel more normal and less alone.”

Maybe there’s a gift in this anxiety after all? If we can stand psychologically naked among each other, we realize that none of us are immune to life’s challenges – And, just knowing that we’re all in this crazy life together brings us strength and makes the road all the more manageable.

I'll cross that bridge when I get to it.

I’m quickly learning that one of the problems with blogging is that you’re accountable. But then, maybe that’s one of the reasons I started writing.

So, this week my husband was out of town for work. Grandma came to visit the first half of the week. The second half, I packed up my mini-van with 3 excited girls and we traveled about 90 miles to Grandma and Gramps’ house, which happens to be on the water.

About 4 or 5 years ago, I would get pretty anxious driving the highway route to her house that included two long, but low bridges. I worked on it first by driving with my husband as a passenger. Then I graduated to following Grandma’s car while I drove my own. And, finally, I took it on by myself (that is, me with the kids).

Just when I felt like it was no problem & couldn’t remember why it seemed so difficult, this particular town decided that they needed bigger bridges to let the passing cargo boats go through. “Dammit”, I said, “Why would they destroy those sweet little bridges? There’s no way I’ll ever drive over those huge monsters.” I was really irritated. Why would the town do that to me? ‘That’s fine, I really love the scenic views of the back roads’, I thought. ‘There’s no shame in driving that way.’

Well, over the past year I’ve driven over the new “monster” bridges with my husband riding as a passenger & cheerleader. It’s been predictable – real scary at first (I hate the ascent); then not so bad; and finally no big deal as long as someone was with me.

So, as Mom & I drove our separate cars this week she checked in.
“Which way do you want to go?”
“Let’s drive through the point.” I said.
“Wanna lead or follow?” she asked.
“I’ll lead.”
“Alright. See you there.”

As we approached the first bridge I felt a flutter of adrenaline, but it was alright & I felt good. But, my mind was already thinking of the return trip. I could always take the back roads and it would be no big deal. Then again, I’d started this blog and had been talking about facing your fears. Didn’t I just say that I didn’t avoid anything in my daily life anymore? Well, this route was not part of my daily life, but avoiding anxiety in general does tend to feed the beast.

Over the visit, the thought of crossing those bridges stayed with me, popping up here and there in the middle of otherwise fun events. This morning I woke up feeling anxious, but also feeling like I really had to do it. It was important not to run away. But, a chorus of voices offered differing points of view.

“You have to do it. Avoiding fear makes it grow exponentially.”
-Well, I don’t HAVE to, but the 2nd part really is true.

“Just take the back roads. It’s not big deal. We’ll be back next week & I can really take the time to practice and do it over and over again. That’s a good idea.”
-Sounds reasonable.

“Looks like rain. No one would expect me to drive over big bridges for the first time in bad weather.”
-True, but Gramps’ says the rain isn’t coming until much later.

“Then again, not doing it today will make it harder next week. What’s the difference. If you’re going to do it next week, why not today? Getting to the top of the bridge will take 30 seconds & it’s all downhill from there.”
-But what if I can’t. What if I have to stop on the bridge with my babies. (Insert image of kids crying on top of the bridge while I’m frozen with fear. Fast forward to images of them all in therapy because of me).
-Ok, in the 12 years I’ve been dealing with this crap, that’s never happened. In all my
experience and in all the books I’ve read, the thing you fear never happens. It’s a hoax. Am I going to let myself be tricked today?

“Do what will make you proud later today.”
-Alright, I’m still anxious, but bring it on.

As I packed my bags, I scribbled out a new coping card to carry with me. I looked over some notes from a pain coping class I’d taken as we prepared for baby #3 (the same philosophy that I teach to expectant parents -- I’ll post later about how amazingly similar childbirth support & prep are to working through the sensations of anxiety). "Looking good man, keep going" is from a sweet note my 8 yr. old made for me before her baby sister was born. You have to read Ina May to get the horse lips reference.



We began our drive. I looked at the faces of my sweet girls. They weren’t worried. Why should I be? I told them that we were going to drive through the point and over the new bridges. “Remember how Mommy’s been working on driving over those bridges? Will you help cheer me on like last time?”

Silence at first. Then a request for food. Then music. Finally I heard from the back, “Go Mommy Go!”

“Yeah! Ok, I wonder how many seconds it will take to get to the top of the bridge and then all the way over?” (I was thinking 30 seconds to the top, max). “Will you help me count?” They were sold. Now I had to work with anticipation.

As we drove the 30 miles it took to get there, I had some waves of adrenaline and visions of getting stuck on the bridge. I was still looking for a way out. I countered those unhelpful thoughts with mantra’s – I can do this. Up and over. Don’t fight it - that’s it. Lean into it. Watch the feelings go up and down. You are stronger than these sensations. I remembered uttering some of those same words, with compassion, to a powerful Mama in labor just last week.

3 miles to go. I called my husband for a little support and he didn’t answer (you needed to do it without me, he later said - which was true). I thought of my friend Melissa, who I teach with, as she leads parents through contractions and heard her voice, “Get up in the face of this sensation. Don’t look for a way out. Do it like your life depends on it!” It may sound dramatic, but my life does depend on it.

Now here’s a funny twist about anxiety for me & many others. The moment I saw the incline of the bridge, I felt relief. The anticipation was far worse – it always is.

I turned on Stevie Wonder (who helped get me through postpartum) and we counted to the beat of “Signed, Sealed, Delivered”. It took 22 "Stevie Seconds" to get to the top & I yelled out, “Woohoo!” out of relief, put one hand in the air and did a little dance. We kept counting – 46 seconds was how long it took in total. The second bridge was 21 seconds to the top and 64 total. I thought about how I could have not done this today, but I did. I felt proud.

The rest of the ride was quiet and uneventful. I threw in a book on CD for the girls, they played peek-a-boo and entertained the baby, we talked about what the world would look like if we could create it ourselves. And, in small, but life changing ways, we can.

When King Kong Sits on your House,Invite Him In

So, I have this comic strip image in my head where a woman is inside of her house. The sun is shining through the open windows and as she gazes out, she sees anxiety (personified as a little chimpanzee) lurking outside by the back fence, climbing in the trees. She’s gripped by fear and begins locking the windows, sweat beads form on her brow. Over and over again, she peers out the window from behind the now closed curtains, while the chimp (anxiety) opens the front door and taps her on the shoulder.

The woman, already hypervigilant and on guard for any sight of the beast, tackles the chimp to the ground, puts it in a head lock and kicks it back outside. She throws all the locks, as she trembles and shakes, and puts a chair beneath the doorknob to keep it from coming back in.

The more frightened she gets, the bigger the chimp becomes until it’s as big as King Kong and sitting on her house, it’s eye filling up the entire window as it peers inside.

Finally, after trying everything she can think of to force him to leave (think of something else, call a safe person to help ground her, turn the music up loud, thumb through her anxiety workbook, get down on her knees and pray), she gives up and opens up the door. “Come on in”, she gestures with exhaustion. As soon as the door is open, King Kong shrinks back down to the size of a baby chimp, and jumps into her lap. The woman strokes his soft fur, but offers nothing for him to sink his teeth into. Realizing that tonight he won’t be getting fed, he slips out the back door, swings over the fence and moves onto the next guarded house.

Anyone who is an illustrator and wants to draw this, I’d love to see it!