Who grew up in the 70's and doesn't remember watching "The Donny & Marie" show? Love him or not, you have to admire the man for making his struggle with panic & social anxiety public in an effort to educate and normalize the disorder. Here's an interview with the anxiety super hero in 2000, but the information is still relevant today.
Showing posts with label disclosure. Show all posts
Showing posts with label disclosure. Show all posts
Saturday, January 10, 2009
Thursday, January 8, 2009
What are you willing to risk?
So, I've been talking about this weekend treatment group I attended in November with Reid Wilson – a world renowned psychologist who specializes in treating anxiety disorders. Something he asked right from the beginning was, what have you avoided or given up as a result of your anxiety? And, now, what are you willing to risk to gain those things back?
So much of the work is a change of attitude and asking the question every time anxiety arises – what am I willing to risk? If I’m feeling anxious one day & someone asks to meet for coffee – am I willing to risk that I might feel anxious & that they might notice? Because, choosing NOT to go because of something that MIGHT happen will only strengthen the anxiety. Choosing to have someone else join us or having an out is still avoidance and strengthens the anxiety as well.
The second piece of that attitude shift is learning to love my anxiety – to get excited that I’ll have another opportunity to practice with feelings of anxiety and doubt/uncertainty. That’s a hard attitude shift, but the only way to win. As Dr.Wilson said, we’ve been worshipping at the altar of anxiety for far too long – We bow down and plead – “Please anxiety, I’ll do anything – just please don’t make me feel edgy & out of control – I can’t bear it”. The shift also encompasses changing your relationship with anxiety. When you begin feeling nervous – perhaps the adrenaline is flowing through your chest, your heart is pounding and you’re telling yourself that bad things are about to happen - you can talk to your anxiety & ask it to make the symptoms stronger. If you’re going to feel symptoms anyways, why not surprise the bully and invite anxiety to take it’s coat off and stay a while.
Something I loved about the weekend was Reid’s “Anxiety Disorders Game” that we played during lunch and night time breaks. We all got score cards and were able to earn points by doing some of the following:
*Deciding what anxiety provoking event we would enter and following through.
*Truly wanting anxiety to show up and asking for more when it did (with an understanding of why we were practicing this way).
*Extra points could be scored for every minute you asked for more anxiety and you got your wish.
A fly on the wall might have overheard people planning their practices like this:
“Well, I think I’m gonna go to lunch, keep changing my order & maybe spill my drink on purpose. I hate drawing attention to myself, so that should make me really uncomfortable. Afterwards, I’ll probably ride in the big elevator and try to make myself hyperventilate.”
“Yeah, I’m gonna go driving around the city, try to get lost & then find my way back. That should get me good & panicky. You do have your cell phone on, right?”
“I’m going to ride in the back of someone’s car with the windows up, heat on & the music blaring. I think that will trigger my claustrophobia and earn me some bonus points.”
On Sunday, during our lunch practice, I drove myself on the downtown expressway for a meal at Elmo’s Diner (delicious!). Reid reminded me that once I got to my destination, and knew where I was, I would probably feel comfortable. Since the weekend was about working with anxiety, discomfort and doubt, he encouraged me to try & think of ways I could make myself more uncomfortable. I was also looking for ways to score more points in the game.
So, as I sat down at the counter, ordered and found myself happy and making small talk with local folks, I remembered what Reid had said. Then something came to mind. Part of my anxiety is feeling embarrassed about it. Oh shit, I thought, as I pulled out my “Self Help for People with Panic Attacks” book and read it at the counter while eating my lunch. As I read, I made sure that the cover was very visible to all those sitting at the counter and to those waiting in line. I thought about how I had encouraged a person with social anxiety to skip through the mall as a practice and how this was just as hard for me.
I put the book down at one point, asked the couple sitting next to me at the counter for advice on the menu. Scoring a few more points, I thanked them and decided to order something else, letting go of the thought that they might be thinking, “Why did she bother asking?”
Coming back from lunch, I put my points on the board, grabbed a prize out of the basket (scotch tape!) and settled in to talk about my experience and learn from the experiences of others. The signs posted around the room reminded me that these were my road maps for the anxiety journey ahead.
I want this anxiety.
I want this doubt and uncertainty.
I can handle this.
What's holding you back? What are you willing to risk in your day to day life? And, what are your road maps?
So much of the work is a change of attitude and asking the question every time anxiety arises – what am I willing to risk? If I’m feeling anxious one day & someone asks to meet for coffee – am I willing to risk that I might feel anxious & that they might notice? Because, choosing NOT to go because of something that MIGHT happen will only strengthen the anxiety. Choosing to have someone else join us or having an out is still avoidance and strengthens the anxiety as well.
The second piece of that attitude shift is learning to love my anxiety – to get excited that I’ll have another opportunity to practice with feelings of anxiety and doubt/uncertainty. That’s a hard attitude shift, but the only way to win. As Dr.Wilson said, we’ve been worshipping at the altar of anxiety for far too long – We bow down and plead – “Please anxiety, I’ll do anything – just please don’t make me feel edgy & out of control – I can’t bear it”. The shift also encompasses changing your relationship with anxiety. When you begin feeling nervous – perhaps the adrenaline is flowing through your chest, your heart is pounding and you’re telling yourself that bad things are about to happen - you can talk to your anxiety & ask it to make the symptoms stronger. If you’re going to feel symptoms anyways, why not surprise the bully and invite anxiety to take it’s coat off and stay a while.
Something I loved about the weekend was Reid’s “Anxiety Disorders Game” that we played during lunch and night time breaks. We all got score cards and were able to earn points by doing some of the following:
*Deciding what anxiety provoking event we would enter and following through.
*Truly wanting anxiety to show up and asking for more when it did (with an understanding of why we were practicing this way).
*Extra points could be scored for every minute you asked for more anxiety and you got your wish.
A fly on the wall might have overheard people planning their practices like this:
“Well, I think I’m gonna go to lunch, keep changing my order & maybe spill my drink on purpose. I hate drawing attention to myself, so that should make me really uncomfortable. Afterwards, I’ll probably ride in the big elevator and try to make myself hyperventilate.”
“Yeah, I’m gonna go driving around the city, try to get lost & then find my way back. That should get me good & panicky. You do have your cell phone on, right?”
“I’m going to ride in the back of someone’s car with the windows up, heat on & the music blaring. I think that will trigger my claustrophobia and earn me some bonus points.”
On Sunday, during our lunch practice, I drove myself on the downtown expressway for a meal at Elmo’s Diner (delicious!). Reid reminded me that once I got to my destination, and knew where I was, I would probably feel comfortable. Since the weekend was about working with anxiety, discomfort and doubt, he encouraged me to try & think of ways I could make myself more uncomfortable. I was also looking for ways to score more points in the game.
So, as I sat down at the counter, ordered and found myself happy and making small talk with local folks, I remembered what Reid had said. Then something came to mind. Part of my anxiety is feeling embarrassed about it. Oh shit, I thought, as I pulled out my “Self Help for People with Panic Attacks” book and read it at the counter while eating my lunch. As I read, I made sure that the cover was very visible to all those sitting at the counter and to those waiting in line. I thought about how I had encouraged a person with social anxiety to skip through the mall as a practice and how this was just as hard for me.
I put the book down at one point, asked the couple sitting next to me at the counter for advice on the menu. Scoring a few more points, I thanked them and decided to order something else, letting go of the thought that they might be thinking, “Why did she bother asking?”
Coming back from lunch, I put my points on the board, grabbed a prize out of the basket (scotch tape!) and settled in to talk about my experience and learn from the experiences of others. The signs posted around the room reminded me that these were my road maps for the anxiety journey ahead.
I want this anxiety.
I want this doubt and uncertainty.
I can handle this.
What's holding you back? What are you willing to risk in your day to day life? And, what are your road maps?
Monday, August 18, 2008
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!
*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!
Thursday, July 3, 2008
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.
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.
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