Hello friends. How have the last two years been for you?
I definitely did not intend to stop posting here in such an out of the blue way. Life got very busy, or maybe I should say it's been one giant change after another. I feel like if I put the me who wrote the last post and the current me next to each other, in terms of anxiety, in terms of perspective on life, they would not be recognizable as the same person.
I moved to a new place. I started a new job. I met new people. I had to travel a bit for the job. I had to do public speaking for the job. I had to do a lot of things for the job that forced me to power through intense anxiety, which, as you might expect, has led to me being somewhat desensitized to a lot of situations that used to make me panic (or that I would constantly avoid).
My emetophobia is essentially dormant right now. It's still there, it will always be there, but it's the quietest it's ever been. It basically tells me to avoid sick people and make sure I have clean hands before I eat, and that's about it.
I'm summarizing, because this is a blog, and the actual details could fill a book. At least if I allowed myself to go on as long as I'm naturally inclined to.
But I don't want to give the impression that this muting of my emetophobia happened quickly or easily (or even that healthily). I pushed myself way too hard the past couple years. I powered through way more than I should have, for way too long, and the stress broke me down. I am still experiencing a lot of anxiety (it has just shifted and is currently attached to other things more so than vomit) and depression.
So, as much as I wish I could say this is a perfect success story, that I conquered emetophobia completely and am a role model for anyone still struggling, that is laughably untrue. I'll probably never be free of mental illness; it likes to morph into different forms year to year, but it sticks around.
That being said, emetophobia has been one of those forms for about two decades, and I never thought it would (or could) get to the point of having this little effect on my life.
I remain a walking encyclopedia of tips for coping with emetophobia (this will always be the case, I'm sure), and ... that's all. I'm around. I'm here if anyone needs anything, or if there is something in particular someone wants me to blog about. Email (lilandbody@gmail.com). Or leave a comment. Or contact me through tumblr. Hope everyone is well. Love to you all.
Showing posts with label exposure. Show all posts
Showing posts with label exposure. Show all posts
Tuesday, September 18, 2018
Sunday, November 1, 2015
work trip
It’s been a while since I posted. I’ve been spending a lot of time
thinking about posting. I finally went on that trip for work, and of
course the plan was/is to talk about that – what went well and what
didn’t. But it’s now been six weeks since it ended, and I wrote
(literally) close to fifty pages in my journal about the experience, and
I still feel like I don’t have a firm grasp on what I should or want to
take away from the whole thing. The sort of “life lesson” – not that
everything in life has to result in a life lesson, but this was so big
that it feels like it should have changed me or my life in some
fundamental way. Maybe that’s just a fantasy of the chronically anxious –
“I did something terrifying and I handled it – aren’t I going to get
anything out of it?!”
But nothing is really different, other than the fact that I’m not constantly thinking and worrying about this trip anymore. Which is strange in itself, because it took over my brain for so long. It was all-consuming. Almost every night before I fell asleep, I was going over some aspect of it in my head: imagining what I might say to people, what they might say to me, things I might have to do that I didn’t think I could do, what I’d wear, what I’d eat, how I’d get around, everyone I would have to see, how the flights might go, what the airports would be like, all the many ways things could go wrong. I probably should have attempted to stop obsessing, but it was so comforting, even something I looked forward to on some level. Now that I don’t need to do that anymore, it’s like there’s this giant void in my mind.
And I was prepared for that. I knew that when I no longer had this to dread and/or look forward to, I wouldn’t know what to do with myself. Part of me had been excited about it. It felt meaningful, to be forced by outside circumstances to live and interact with the world to an extreme. To an extent I could never force myself to. Now everything is simple again – calm and quiet, which is nice, but also dull. Time passing and normal routine and no Huge Event looming on the horizon to test my limits. I think if they had suddenly told us at the last minute to forget the whole thing, we weren’t going to do it anymore, I would have been miserable. Incredibly relieved, but also miserable.
In other words, I’m never satisfied. How can you be when you feel two completely opposite things at the same time? It reminds me (again) of what I’ve talked about here before, the connection between anxiety and excitement, between fear and the desire for what you fear. It does seem like the two frequently coexist in me.
I think if the trip had never existed, had never been proposed in the first place, I would be fine. I think I’m happier when my life is calm and quiet and dull. But with the alternative fresh in my mind, it’s very hard for me to let go of the fantasy of having a life that is non-stop excitement, intensity, and stimulation and becoming the type of person who can thrive in a life like that. I’m better off not thinking about it.
Anyway, now I’m home again, and I have all this restless energy left over, and I’ve been trying to direct it towards 1) being more productive at my job 2) writing and submitting poetry.
As for how the trip went, I would say pretty well, overall.
But nothing is really different, other than the fact that I’m not constantly thinking and worrying about this trip anymore. Which is strange in itself, because it took over my brain for so long. It was all-consuming. Almost every night before I fell asleep, I was going over some aspect of it in my head: imagining what I might say to people, what they might say to me, things I might have to do that I didn’t think I could do, what I’d wear, what I’d eat, how I’d get around, everyone I would have to see, how the flights might go, what the airports would be like, all the many ways things could go wrong. I probably should have attempted to stop obsessing, but it was so comforting, even something I looked forward to on some level. Now that I don’t need to do that anymore, it’s like there’s this giant void in my mind.
And I was prepared for that. I knew that when I no longer had this to dread and/or look forward to, I wouldn’t know what to do with myself. Part of me had been excited about it. It felt meaningful, to be forced by outside circumstances to live and interact with the world to an extreme. To an extent I could never force myself to. Now everything is simple again – calm and quiet, which is nice, but also dull. Time passing and normal routine and no Huge Event looming on the horizon to test my limits. I think if they had suddenly told us at the last minute to forget the whole thing, we weren’t going to do it anymore, I would have been miserable. Incredibly relieved, but also miserable.
In other words, I’m never satisfied. How can you be when you feel two completely opposite things at the same time? It reminds me (again) of what I’ve talked about here before, the connection between anxiety and excitement, between fear and the desire for what you fear. It does seem like the two frequently coexist in me.
I think if the trip had never existed, had never been proposed in the first place, I would be fine. I think I’m happier when my life is calm and quiet and dull. But with the alternative fresh in my mind, it’s very hard for me to let go of the fantasy of having a life that is non-stop excitement, intensity, and stimulation and becoming the type of person who can thrive in a life like that. I’m better off not thinking about it.
Anyway, now I’m home again, and I have all this restless energy left over, and I’ve been trying to direct it towards 1) being more productive at my job 2) writing and submitting poetry.
As for how the trip went, I would say pretty well, overall.
- The closer I got to the trip, the more I felt like the only way I could get through it was to be upfront with people about my anxiety and my limitations. Which I think is a very good idea in theory. Unfortunately, it got a little out of control to the point where I was probably revealing too much (and too quickly, since I was interacting with people who were essentially strangers). Which possibly means that a lot of people I work with now have a skewed idea about just how extreme my anxiety is. And it doesn’t matter that now my mind has settled down again and I’m behaving more normally, because that was their first impression of me, and it’s nearly impossible to correct a first impression.
- Other than that, I felt like the social interaction went better than I had expected. I’m not sure why I feel that way, because I avoided people and I was quiet and when I had to speak, I was almost always panicking that any second I would say something that would somehow ruin my entire life. But I didn’t say anything that ruined my entire life, and other people told me I was coming across as normal (because – see bullet point above – I wouldn’t stop talking about how socially awkward I was), so I’ll count it as a success.
- I had a hard time eating before or during work, which led to me feeling shaky and nauseous most of the time. In the evenings I would eat in my hotel room and feel a little better, then wake up the next morning feeling like shit again.
- Even with feeling sick so much of the time, I did not have any extreme panic attacks and only a couple minor (and short-lived) anxiety attacks.
- I slept better than I thought I would. I woke up early every morning because I was so paranoid that I would sleep through the two different alarms I had set. But it still worked out okay, because I was going to bed early too and didn’t have any trouble falling asleep.
- I was able to concentrate on training. That was one of my biggest worries, that I just wouldn’t be able to focus or retain any of the new information I was supposed to learn, so I was happy that wasn’t the case.
- I work with some incredibly nice people who (many times) went out of their way to make things easier for me. So I’m glad I was more honest about what I wanted/needed than I usually am. I just need more practice navigating the line between ‘self advocacy’ and ‘presenting my entire identity as Anxious Person.’
- There were no major issues with the actual traveling part. I still don’t like flying, especially taking off and landing. But by the time I was flying home I had gotten to the point where I almost felt at ease when we were actually up in the air. 12 flights in about four months, and I finally got a little bit desensitized.
- I’m alive? And still employed? And to my knowledge, I didn’t make anyone hate me. I’m pleased with that outcome.
Friday, September 4, 2015
self-advocacy
So you have anxiety. And that means for every situation you come
across that involves other people and triggers that anxiety, you have to
choose between two options.
One is that you power through it and endure the anxiety. The other is that you ask to be excused from it or to reach some sort of compromise where you still do it but in a way that is more comfortable for you.
This is also complicated by the fact that you want to get over your anxiety, or improve as much as possible in your ability to live the life you want, which usually involves some level of exposure therapy and challenging yourself. You know you should power through. You know you tend to feel good about yourself when you’re able to.
But that doesn’t mean you should or can force yourself through any triggering experience that comes up. For one thing, exposure therapy is supposed to proceed by gradual steps. It works best that way. Taking a step you’re not ready for can do more harm than good. Also, it’s exhausting. It’s so unbelievably exhausting to confront intense anxiety on a regular basis. If that means an experience comes up that you probably could handle, but you would rather make some adjustments to make it easier on you – solely because you’re tired of having to handle things that are super overwhelming – you shouldn’t be put down for that. It’s not the same as being constantly avoidant. It’s making a choice to be kind to yourself, to let yourself have a break from having to work so hard – in ways that are often not visible to the people around you, so even though you have to hear a lot about the ways in which you’ve failed to live up to the behavior of a non-anxious person, you rarely get any praise for what you do manage to accomplish.
I have such a hard time with self-advocacy. Trying to figure out whether it’s a good idea. Whether it’s okay. How long to cling to my “demands” before letting it go and accepting I’m not going to get what I want.
I don’t trust myself at all. I don’t like advocating for myself. I hate debating. I hate sounding defensive. I hate the thought that I’m being seen as a burden, someone incomprehensible and exasperating that has to be dealt with. I hate acknowledging the minor things I’m trying to avoid, and even more so, I hate the tone of voice the other person almost always gets that makes me feel ridiculous, the tone of voice that says ‘what is wrong with you? how can this possibly be an issue for you?’ I hate having to repeat myself over and over because people don’t listen, don’t take in things that don’t make any sense to them.
I hate the fact that other people are so quick to belittle me in subtle ways that it doesn’t take long at all before I am completely mired in guilt and self-doubt. I start thinking there must be something wrong with me to have even started this conversation. I wonder if I’m doing it to get attention. But I’m not, because I would much rather the person have just agreed to what I wanted from the start without acting like it was a big deal at all. I wonder if I really need what I’m asking for. I usually conclude that I don’t, because I decide I will survive whatever the situation is, even if it’s ten times more miserable than it needs to be. I decide I need to put the other person first, because this is obviously a much bigger sacrifice for them, even though they usually don’t have a full understanding of what I’ll be dealing with, because I’m not forthcoming enough about it. I tend to feel like I talk about my anxiety constantly, too much, and I don’t even think that’s true. For how big a presence it is in my existence, I’m sure I talk about it way less than I would be inclined to if other people didn’t respond the way they did (getting all uncomfortable, implying that I really need to do something about it because it makes me wrong, it makes me not fit in, and it would be good if I could fit in, conform to society’s model of success, etc.).
The whole process is unpleasant and I think there have been times self-advocating has ended up causing me more anxiety and misery than if I had just done the anxiety-producing thing.
Looking back over my entire life, I don’t think I have ever asked for an accommodation that extreme. I have asked for things that should be simple and easy to say yes to. For example, when I refused to do presentations in school. I went to my teachers and I told them I couldn’t do it, and it was fine if that meant they had to give me a zero for the assignment. I didn’t say they had to give me an alternate assignment. Or even imply that they would be a horrible person for failing me (although I do kind of think they were). All I said is that I would prefer failure to giving the presentation, that I was choosing the zero grade. That was my choice to make. And most of the time they were absolutely horrid about it – rolling their eyes or scoffing at me, pretending they didn’t hear me and then calling my name to present anyway (forcing me to go back up to them and insist again that I wouldn’t do it, this time with more people witnessing it), saying over and over again ‘no, you have to’ every time I said I wouldn’t, acting really angry about it for no good reason I could see.
I had one teacher who actually got it. Instead of making me present, he met with me one-on-one and we had an informal conversation about the topic of my presentation. Did this lead to the ruination of my education? No. He gave me a chance to get the grade I deserved, the grade that reflected my understanding of the subject matter. That’s all that happened. He encountered someone with anxiety issues and treated them decently. Shockingly, life went on and tragedy did not ensue.
Anyway, I guess I just wanted to explore my thoughts and feelings on this topic, because I am attempting to ask for accommodations at work. So far, it has not been going well, and as usual, it’s making me feel crappy about myself. And I know I shouldn’t feel that way. I’m not doing anything wrong – even if they end up denying my requests. Even if they get huffy and act like I’m deliberately trying to make their lives harder. Even if there is a part of me that thinks I could manage without what I’m asking for. I’m not a terrible person for wanting to eliminate a tiny fraction of the stress this trip is going to cause.
One is that you power through it and endure the anxiety. The other is that you ask to be excused from it or to reach some sort of compromise where you still do it but in a way that is more comfortable for you.
This is also complicated by the fact that you want to get over your anxiety, or improve as much as possible in your ability to live the life you want, which usually involves some level of exposure therapy and challenging yourself. You know you should power through. You know you tend to feel good about yourself when you’re able to.
But that doesn’t mean you should or can force yourself through any triggering experience that comes up. For one thing, exposure therapy is supposed to proceed by gradual steps. It works best that way. Taking a step you’re not ready for can do more harm than good. Also, it’s exhausting. It’s so unbelievably exhausting to confront intense anxiety on a regular basis. If that means an experience comes up that you probably could handle, but you would rather make some adjustments to make it easier on you – solely because you’re tired of having to handle things that are super overwhelming – you shouldn’t be put down for that. It’s not the same as being constantly avoidant. It’s making a choice to be kind to yourself, to let yourself have a break from having to work so hard – in ways that are often not visible to the people around you, so even though you have to hear a lot about the ways in which you’ve failed to live up to the behavior of a non-anxious person, you rarely get any praise for what you do manage to accomplish.
I have such a hard time with self-advocacy. Trying to figure out whether it’s a good idea. Whether it’s okay. How long to cling to my “demands” before letting it go and accepting I’m not going to get what I want.
I don’t trust myself at all. I don’t like advocating for myself. I hate debating. I hate sounding defensive. I hate the thought that I’m being seen as a burden, someone incomprehensible and exasperating that has to be dealt with. I hate acknowledging the minor things I’m trying to avoid, and even more so, I hate the tone of voice the other person almost always gets that makes me feel ridiculous, the tone of voice that says ‘what is wrong with you? how can this possibly be an issue for you?’ I hate having to repeat myself over and over because people don’t listen, don’t take in things that don’t make any sense to them.
I hate the fact that other people are so quick to belittle me in subtle ways that it doesn’t take long at all before I am completely mired in guilt and self-doubt. I start thinking there must be something wrong with me to have even started this conversation. I wonder if I’m doing it to get attention. But I’m not, because I would much rather the person have just agreed to what I wanted from the start without acting like it was a big deal at all. I wonder if I really need what I’m asking for. I usually conclude that I don’t, because I decide I will survive whatever the situation is, even if it’s ten times more miserable than it needs to be. I decide I need to put the other person first, because this is obviously a much bigger sacrifice for them, even though they usually don’t have a full understanding of what I’ll be dealing with, because I’m not forthcoming enough about it. I tend to feel like I talk about my anxiety constantly, too much, and I don’t even think that’s true. For how big a presence it is in my existence, I’m sure I talk about it way less than I would be inclined to if other people didn’t respond the way they did (getting all uncomfortable, implying that I really need to do something about it because it makes me wrong, it makes me not fit in, and it would be good if I could fit in, conform to society’s model of success, etc.).
The whole process is unpleasant and I think there have been times self-advocating has ended up causing me more anxiety and misery than if I had just done the anxiety-producing thing.
Looking back over my entire life, I don’t think I have ever asked for an accommodation that extreme. I have asked for things that should be simple and easy to say yes to. For example, when I refused to do presentations in school. I went to my teachers and I told them I couldn’t do it, and it was fine if that meant they had to give me a zero for the assignment. I didn’t say they had to give me an alternate assignment. Or even imply that they would be a horrible person for failing me (although I do kind of think they were). All I said is that I would prefer failure to giving the presentation, that I was choosing the zero grade. That was my choice to make. And most of the time they were absolutely horrid about it – rolling their eyes or scoffing at me, pretending they didn’t hear me and then calling my name to present anyway (forcing me to go back up to them and insist again that I wouldn’t do it, this time with more people witnessing it), saying over and over again ‘no, you have to’ every time I said I wouldn’t, acting really angry about it for no good reason I could see.
I had one teacher who actually got it. Instead of making me present, he met with me one-on-one and we had an informal conversation about the topic of my presentation. Did this lead to the ruination of my education? No. He gave me a chance to get the grade I deserved, the grade that reflected my understanding of the subject matter. That’s all that happened. He encountered someone with anxiety issues and treated them decently. Shockingly, life went on and tragedy did not ensue.
Anyway, I guess I just wanted to explore my thoughts and feelings on this topic, because I am attempting to ask for accommodations at work. So far, it has not been going well, and as usual, it’s making me feel crappy about myself. And I know I shouldn’t feel that way. I’m not doing anything wrong – even if they end up denying my requests. Even if they get huffy and act like I’m deliberately trying to make their lives harder. Even if there is a part of me that thinks I could manage without what I’m asking for. I’m not a terrible person for wanting to eliminate a tiny fraction of the stress this trip is going to cause.
Saturday, August 15, 2015
exposure / limits
Some thoughts I had in response to this post on tumblr:
Love this. Super relevant to emetophobia and anxiety in general. I know it seems like every time you push yourself it has to go really well or else what was the point, but that’s not true. These experiences are still helping you recover and figure things out. If you think you can handle something and it turns out to be too much and causes an anxiety reaction, you will still survive it, and then you will know you need to take a smaller step first. Exposure isn’t an exact science; you won’t always get it right.
Also, sometimes when you have been anxious so long and have avoided everything, you’re not even sure what you like to do and what you don’t like to do. You could end up at an event where you’re not anxious, but you’re also not having a great time, and that doesn’t mean you made a horrible mistake. You could end up going to the movies several times and then realize ‘hey, I haven’t only been avoiding movies because of anxiety. I also find them really boring.’ It makes sense that you wouldn’t have known this before, because with an anxiety disorder you have this extra layer of fear obscuring your feelings. You have to work through the fear, and sometimes that means doing the same thing a few times until you are less anxious and can experience your true reaction.
Love this. Super relevant to emetophobia and anxiety in general. I know it seems like every time you push yourself it has to go really well or else what was the point, but that’s not true. These experiences are still helping you recover and figure things out. If you think you can handle something and it turns out to be too much and causes an anxiety reaction, you will still survive it, and then you will know you need to take a smaller step first. Exposure isn’t an exact science; you won’t always get it right.
Also, sometimes when you have been anxious so long and have avoided everything, you’re not even sure what you like to do and what you don’t like to do. You could end up at an event where you’re not anxious, but you’re also not having a great time, and that doesn’t mean you made a horrible mistake. You could end up going to the movies several times and then realize ‘hey, I haven’t only been avoiding movies because of anxiety. I also find them really boring.’ It makes sense that you wouldn’t have known this before, because with an anxiety disorder you have this extra layer of fear obscuring your feelings. You have to work through the fear, and sometimes that means doing the same thing a few times until you are less anxious and can experience your true reaction.
Wednesday, July 29, 2015
traveling yet again / exposure
The sick relative that I went to visit at the end of May died earlier
this month. It was of course sad but not at all unexpected. She had been
sick for a very long time and was continuously getting worse, so at
least she is not suffering anymore.
I kind of had this idea that I wouldn’t go back down to Virginia for the funeral, since I don’t share the consensus that funerals provide closure. I had gone to visit her one more time while she was alive, and that was what mattered. I dreaded the thought of having to go through the anxiety of the trip again. But I couldn’t stop thinking about my family, imagining them all going through this awful process without me, and the more I thought about it, the more I realized I didn’t actually find that version of the future believable. It was a weird feeling, knowing I just had to be there. Even though I was still going through my usual indecisive back-and-forth, part of me knew there was only one option and that no matter what ended up happening on the trip, I would be more miserable if I didn’t go. Because I would no longer be the person I want to be (or the person I am?).
So anyway, I went back down there for another long weekend. And this time, I went alone; my wife wasn’t able to go with me. I took a different flight route and went through two airports I had never been to before. I stayed with my family, both to offer support to them and to try to save money and avoid the hassle of a hotel (which was a terrible mistake, and I forgot being around my family for extended periods of time has a horrible effect on me, but whatever). I went to a wake/viewing and funeral, something I had not done since I was 13 (before my intense fear of death developed). I socialized with a ton of people, family and strangers (and family members I hadn’t seen in so long they were essentially strangers). I hung around my young nephews again. All of these things made me nervous and tense, but I didn’t have any panic/anxiety attacks.
When I think back over the past few months, I’m amazed. It doesn’t seem possible that all this has happened, especially in such a short period of time. I am always trying to motivate myself to create an exposure hierarchy and actually stick to it, and I don’t do it - more out of laziness than the fear of it not going well. But life stepped in and did it for me, even proceeding from an easy step (slow-paced planned trip to New York City by train with my wife) to a slightly harder one (fast-paced last minute trip by plane to Virginia with my wife, staying in a hotel) to the most difficult/stressful so far (fast-paced last minute trip by plane to Virginia alone, staying with my family). Throughout all this, the trip I have to take for work (which probably will be the most difficult of all) has been repeatedly postponed and is currently scheduled for mid-September. I definitely feel a lot more prepared for it and confident that I can handle at least some aspects of it, like the traveling.
And it’s not even just that I “handled” all this. Some parts of it gave me such a high. Particularly the last most challenging trip. I feel bad saying that, given the circumstances of why I had to make the trip, but getting on planes and rushing through airports alone trying to find my gate tapped into this part of me I don’t usually acknowledge. The part of me that wishes I was the complete opposite of who I am, someone who exudes confidence and has everything together. It’s really rare, but every once in a while I feel like I am that opposite-of-me person for a little while, and I always, always love it.
It reminds me of this post I wrote a long time ago (see here) about the idea that anxiety is actually a projection of, or in some way related to, the feeling of excitement. I want so much to be able to face any person, any situation, any challenge (and come away from each encounter with the certainty that I succeeded completely) that it makes everything more terrifying. It means so much to me, that fantasy - an unrealistic and probably unhealthy fantasy, I guess - of being perfect and extroverted and effortless and charming. I know I’m never going to be that person, at least not to the extent I want to be, because I can’t change my entire identity/personality. But it’s nice to have those brief moments where I feel like I am coming across that way to the people around me. And it’s also nice to view anxiety as, in some way, an indicator of my dreams and goals and not just as the sick/defective part of me.
I kind of had this idea that I wouldn’t go back down to Virginia for the funeral, since I don’t share the consensus that funerals provide closure. I had gone to visit her one more time while she was alive, and that was what mattered. I dreaded the thought of having to go through the anxiety of the trip again. But I couldn’t stop thinking about my family, imagining them all going through this awful process without me, and the more I thought about it, the more I realized I didn’t actually find that version of the future believable. It was a weird feeling, knowing I just had to be there. Even though I was still going through my usual indecisive back-and-forth, part of me knew there was only one option and that no matter what ended up happening on the trip, I would be more miserable if I didn’t go. Because I would no longer be the person I want to be (or the person I am?).
So anyway, I went back down there for another long weekend. And this time, I went alone; my wife wasn’t able to go with me. I took a different flight route and went through two airports I had never been to before. I stayed with my family, both to offer support to them and to try to save money and avoid the hassle of a hotel (which was a terrible mistake, and I forgot being around my family for extended periods of time has a horrible effect on me, but whatever). I went to a wake/viewing and funeral, something I had not done since I was 13 (before my intense fear of death developed). I socialized with a ton of people, family and strangers (and family members I hadn’t seen in so long they were essentially strangers). I hung around my young nephews again. All of these things made me nervous and tense, but I didn’t have any panic/anxiety attacks.
When I think back over the past few months, I’m amazed. It doesn’t seem possible that all this has happened, especially in such a short period of time. I am always trying to motivate myself to create an exposure hierarchy and actually stick to it, and I don’t do it - more out of laziness than the fear of it not going well. But life stepped in and did it for me, even proceeding from an easy step (slow-paced planned trip to New York City by train with my wife) to a slightly harder one (fast-paced last minute trip by plane to Virginia with my wife, staying in a hotel) to the most difficult/stressful so far (fast-paced last minute trip by plane to Virginia alone, staying with my family). Throughout all this, the trip I have to take for work (which probably will be the most difficult of all) has been repeatedly postponed and is currently scheduled for mid-September. I definitely feel a lot more prepared for it and confident that I can handle at least some aspects of it, like the traveling.
And it’s not even just that I “handled” all this. Some parts of it gave me such a high. Particularly the last most challenging trip. I feel bad saying that, given the circumstances of why I had to make the trip, but getting on planes and rushing through airports alone trying to find my gate tapped into this part of me I don’t usually acknowledge. The part of me that wishes I was the complete opposite of who I am, someone who exudes confidence and has everything together. It’s really rare, but every once in a while I feel like I am that opposite-of-me person for a little while, and I always, always love it.
It reminds me of this post I wrote a long time ago (see here) about the idea that anxiety is actually a projection of, or in some way related to, the feeling of excitement. I want so much to be able to face any person, any situation, any challenge (and come away from each encounter with the certainty that I succeeded completely) that it makes everything more terrifying. It means so much to me, that fantasy - an unrealistic and probably unhealthy fantasy, I guess - of being perfect and extroverted and effortless and charming. I know I’m never going to be that person, at least not to the extent I want to be, because I can’t change my entire identity/personality. But it’s nice to have those brief moments where I feel like I am coming across that way to the people around me. And it’s also nice to view anxiety as, in some way, an indicator of my dreams and goals and not just as the sick/defective part of me.
Sunday, January 11, 2015
CYEAT: Introduction
In the introduction to Cure Your Emetophobia and Thrive,
the author includes a first-person declaration that the reader is
supposed to sign. The declaration says things like "I intend to overcome
my emetophobia" and "I will complete all the exercises in this book
with vigour", etc. Then a place to sign your name and date it.
On the page after the declaration, he asks anyone who didn't sign to think about why they didn't sign. He offers suggestions such as maybe you thought it was silly or wouldn't make any difference. But it got me thinking about why, in a broader sense, I sometimes feel wary about trying to cure this phobia.
First of all, I very much doubt it can be cured, at least not completely. I feel like at the very least you would still have moments in your life, moments where you had a stressful week or were really tired, where it would creep back out again.
But mere moments would be an improvement, obviously, and something to strive for. My next thought is that getting to that stage of 'mere moments' of anxiety would obviously be difficult and horribly unpleasant. The introduction talks about this too, how you have to put in a lot of time and work and complete all the exercises. Then I end up putting those two thoughts together and come up with: I could spend so much time doing these difficult unpleasant things and in the end, it's possible it still wouldn't make any difference.
The author mentions that he thinks exposure therapy (inducing vomiting) would help many people with this phobia, but they won't do it: "Their desire for control tends to be so strong that they would not let themselves undergo exposure therapy - even for just one day, if they were guaranteed a cure."
That's the problem though. No one can be guaranteed a cure. Honestly, if I was guaranteed a cure after one day, I would induce vomiting for sure. That's not reality. Reality is that you would probably have to do it several times to desensitize yourself, which would take more than one day, and there is no guarantee it would be successful. Without that guarantee, it's not worth it. In my mind anyway.
Another thing that makes me uneasy is thinking about how if I was cured, I would probably vomit more frequently than I do now. I get caught in that emetophobic feedback loop where I'm horrified thinking I would vomit, then remind myself that since I was cured I wouldn't care, but still feel freaked out by the thought. The present me feels sorry for the future me who would be cured and thus would not protect herself adequately by the standards of present me. It doesn't make sense. But I keep circling back around to what is essentially a fear of being cured.
Then there is the fact that I have had this phobia my entire life, as long as I can remember anyway, and it is such a huge part of me that it feels like part of my identity. Sometimes I can't imagine who I would be without it. And it's always scary to think about losing a huge part of who you are, even if it's a sick part that's holding you back in so many ways.
So those are my reservations. All that being said, if someone came up to me, handed me a pill, and told me that if I took it I would throw up once and then be cured forever, I'd do it in a heartbeat. I know that's not possible, but it's a nice fantasy.
I do want to commit to the experience of this book as much as possible and see if it can help any (even if it doesn't actually cure), so I will sign the declaration (well, write it out and then sign it, since I bought the ebook version). Since they say it's so important to do so. Full speed ahead!
On the page after the declaration, he asks anyone who didn't sign to think about why they didn't sign. He offers suggestions such as maybe you thought it was silly or wouldn't make any difference. But it got me thinking about why, in a broader sense, I sometimes feel wary about trying to cure this phobia.
First of all, I very much doubt it can be cured, at least not completely. I feel like at the very least you would still have moments in your life, moments where you had a stressful week or were really tired, where it would creep back out again.
But mere moments would be an improvement, obviously, and something to strive for. My next thought is that getting to that stage of 'mere moments' of anxiety would obviously be difficult and horribly unpleasant. The introduction talks about this too, how you have to put in a lot of time and work and complete all the exercises. Then I end up putting those two thoughts together and come up with: I could spend so much time doing these difficult unpleasant things and in the end, it's possible it still wouldn't make any difference.
The author mentions that he thinks exposure therapy (inducing vomiting) would help many people with this phobia, but they won't do it: "Their desire for control tends to be so strong that they would not let themselves undergo exposure therapy - even for just one day, if they were guaranteed a cure."
That's the problem though. No one can be guaranteed a cure. Honestly, if I was guaranteed a cure after one day, I would induce vomiting for sure. That's not reality. Reality is that you would probably have to do it several times to desensitize yourself, which would take more than one day, and there is no guarantee it would be successful. Without that guarantee, it's not worth it. In my mind anyway.
Another thing that makes me uneasy is thinking about how if I was cured, I would probably vomit more frequently than I do now. I get caught in that emetophobic feedback loop where I'm horrified thinking I would vomit, then remind myself that since I was cured I wouldn't care, but still feel freaked out by the thought. The present me feels sorry for the future me who would be cured and thus would not protect herself adequately by the standards of present me. It doesn't make sense. But I keep circling back around to what is essentially a fear of being cured.
Then there is the fact that I have had this phobia my entire life, as long as I can remember anyway, and it is such a huge part of me that it feels like part of my identity. Sometimes I can't imagine who I would be without it. And it's always scary to think about losing a huge part of who you are, even if it's a sick part that's holding you back in so many ways.
So those are my reservations. All that being said, if someone came up to me, handed me a pill, and told me that if I took it I would throw up once and then be cured forever, I'd do it in a heartbeat. I know that's not possible, but it's a nice fantasy.
I do want to commit to the experience of this book as much as possible and see if it can help any (even if it doesn't actually cure), so I will sign the declaration (well, write it out and then sign it, since I bought the ebook version). Since they say it's so important to do so. Full speed ahead!
Sunday, January 4, 2015
walking goals
Happy 2015 everyone!
Last year I made a resolution to walk 5000 steps a day. Since I work from home and don't like going out all that much, I was averaging barely 1000 steps. Definitely not healthy.
I never do well with exercise goals, but I found it really easy to stick with this one after I bought a pedometer. Those things are amazing. I don't know why, but being able to track by number of steps rather than time is so much more motivating. I bought this Omron one and love it. You probably know the Fitbit is the more popular brand because you can sync up to your computer to track your progress or to other people to form groups, challenge your friends, compete and such. (Also Fitbits are much smaller and more aesthetically appealing.) I got mine before the Fitbit craze and I'm not too interested in making my exercise social at this point in time, so I'm sticking with the Omron for now. It tracks total steps, aerobic steps, miles, calories burned. I rarely look at anything except the total steps - I clip it to my pants, wear it until I hit my step goal, then take it off.
I knew I wanted to work my way up to 10000 steps a day, and I thought it would be easier to do if I added 1000 steps to my goal every month. In September I bumped my goal up to 6000, in October to 7000, etc. and started out 2015 at 10000 steps a day. So that's my main resolution for this year, to stick with that goal.
I think all this walking and trying to eat healthier has decreased my anxiety. 2014 was an awesome year. I pushed my boundaries - going to concerts, festivals, etc. - and I still experienced some anxiety during most of these events, but I had a great time overall.
I did end up seeing The Nutcracker last month, and that was wonderful too. Even though I felt mildly "sick" during most of it. I just took deep breaths and tried to ignore it, which is usually easy for me to do these days. I keep telling myself it's not real illness, even if a part of me doubts it. Then intermission comes - the lights turn back on, everyone starts moving around, I know I could leave if I wanted, I'm able to talk and laugh with my wife for a few minutes, and all of this instantly makes me feel better. Because it is only anxiety.
Last year I made a resolution to walk 5000 steps a day. Since I work from home and don't like going out all that much, I was averaging barely 1000 steps. Definitely not healthy.
I never do well with exercise goals, but I found it really easy to stick with this one after I bought a pedometer. Those things are amazing. I don't know why, but being able to track by number of steps rather than time is so much more motivating. I bought this Omron one and love it. You probably know the Fitbit is the more popular brand because you can sync up to your computer to track your progress or to other people to form groups, challenge your friends, compete and such. (Also Fitbits are much smaller and more aesthetically appealing.) I got mine before the Fitbit craze and I'm not too interested in making my exercise social at this point in time, so I'm sticking with the Omron for now. It tracks total steps, aerobic steps, miles, calories burned. I rarely look at anything except the total steps - I clip it to my pants, wear it until I hit my step goal, then take it off.
I knew I wanted to work my way up to 10000 steps a day, and I thought it would be easier to do if I added 1000 steps to my goal every month. In September I bumped my goal up to 6000, in October to 7000, etc. and started out 2015 at 10000 steps a day. So that's my main resolution for this year, to stick with that goal.
I think all this walking and trying to eat healthier has decreased my anxiety. 2014 was an awesome year. I pushed my boundaries - going to concerts, festivals, etc. - and I still experienced some anxiety during most of these events, but I had a great time overall.
I did end up seeing The Nutcracker last month, and that was wonderful too. Even though I felt mildly "sick" during most of it. I just took deep breaths and tried to ignore it, which is usually easy for me to do these days. I keep telling myself it's not real illness, even if a part of me doubts it. Then intermission comes - the lights turn back on, everyone starts moving around, I know I could leave if I wanted, I'm able to talk and laugh with my wife for a few minutes, and all of this instantly makes me feel better. Because it is only anxiety.
Sunday, November 9, 2014
catching up
Usually I try to space out any high anxiety / social events in my life. I might have something planned one weekend and because of that make sure nothing else is planned for the days or even weeks around it so I won't get overwhelmed, so I'll have time to prepare before, to recover after. Which makes sense, but it's also something I want to change, because the end result is that I don't do all that much. Or miss out on something I really want to do because I'm already doing something else around that time, and I worry doing both will be too much to handle.
In the past couple months, I scheduled a whole bunch of things close together. Mostly because a bunch of things came up all at once that I really wanted to do. I could have skipped some of them and almost did, but I decided I wanted to see if I could get through it all (while still having a good time).
It was a complete success! I did all of the above without any serious anxiety attacks. There were of course moments of panic, but they were brief. For the most part, it was just excitement and happiness and fun. So much fun. They were all amazing experiences, and I am glad I didn't miss a single one of them.
Now it's starting to get colder (I think it may have even snowed a bit already), so I'm not feeling like going out as much. Although the dance performance was so amazing, I am thinking about seeing The Nutcracker ballet in December.
I've been considering moving this blog over to tumblr. I finally got into that website this year and have been spending a lot of time over there. It seems like it has more of an emetophobia community. Also, the formatting on this site has always driven me crazy. But I'm not entirely sure what I'm going to do yet. I might just post my updates both places.
In the past couple months, I scheduled a whole bunch of things close together. Mostly because a bunch of things came up all at once that I really wanted to do. I could have skipped some of them and almost did, but I decided I wanted to see if I could get through it all (while still having a good time).
- 9/11-9/12: An author I love gave two different lectures in a nearby town. I attended both and even got up the nerve to introduce myself and small-talk with the author a little bit.
- 9/14: I went to a pride parade/festival in a city that is about a 2 hour drive away.
- 9/20: I checked out a smaller festival in my town (fall-themed).
- 9/27: I helped out with registration for an event at my old college.
- 10/4: One of my favorite musicians was performing in the same city where the pride parade was, so I couldn't miss that. I got to meet them too! They were hanging around before the show, talking to fans.
- 10/18: I went to see a dance performance in a nearby city.
It was a complete success! I did all of the above without any serious anxiety attacks. There were of course moments of panic, but they were brief. For the most part, it was just excitement and happiness and fun. So much fun. They were all amazing experiences, and I am glad I didn't miss a single one of them.
Now it's starting to get colder (I think it may have even snowed a bit already), so I'm not feeling like going out as much. Although the dance performance was so amazing, I am thinking about seeing The Nutcracker ballet in December.
I've been considering moving this blog over to tumblr. I finally got into that website this year and have been spending a lot of time over there. It seems like it has more of an emetophobia community. Also, the formatting on this site has always driven me crazy. But I'm not entirely sure what I'm going to do yet. I might just post my updates both places.
Sunday, August 31, 2014
examining food
I've been sick this whole month. I got some horrible cold or maybe even a (non-stomach) flu, I'm not sure. For the first two-ish weeks, I was utterly miserable. Now I just have a few mild symptoms left, but even they are annoying me to probably an irrational level. I'm just tired of this illness dragging on. I guess my immune system is not what it used to be, since 1) I'm getting older 2) I hardly ever get sick because I stay inside all the time - I think the last time was early 2012 and 3) I still haven't cemented the habits of eating healthy or exercising enough. I'm going to have to try harder, and the thought of that makes me want to groan the mother of all groans.
I basically don't do anything good for my body but then have these high expectations I hold it to, that it can't be sick or in pain or feel heavy or unpleasant in any way. I don't like my body or particularly want to be in touch with it, even though it would help me so much to be more in touch with it and break down some of that dislike.
Due to the lack of positivity I've got going on right now, I've been putting off writing here. But there. I'm done with my sickness-complaining. Moving on. To something I've been thinking about that is one of the main reasons I have such trouble with healthy eating.
I seem to constantly be finding flaws with my food. I suppose I can't say it's a bad habit to look at your food before you eat it. Because yes, there could actually be something wrong with it. That just makes sense to check it out first, make sure it looks okay.
But it probably should be a quick glance-over, and my technique is more in-depth extreme fearful scrutiny. No surprise that I usually end up finding something wrong, some detail that leads me to think maybe I shouldn't eat this thing. These frozen waffles don't feel frozen enough (I also decide they're too frozen sometimes). This soup can has weird residue in the crevices of the top. These hamburger buns have too much white on the bottoms - which yes, I know is flour and I will still pick it off just in case it's dangerous in some way. These pudding cups have a tiny bit of glue on the packaging (tiny bits of glue frequently prevent me from buying something). One corner of this box of cereal is a bit crumpled. This container of hummus has too much condensation on the inside of the lid.
I mean, there are a million examples, and for almost every single one of them, I logically know it's fine, but I either won't buy the food or won't eat it. Sometimes when I am preparing something to eat, I will get frustrated to the point of wanting to cry because I will find five or six different things "wrong" with it and have to keep making the decision to proceed, and it starts to feel exhausting.
And of course it's ten times worse when it comes to fruits/vegetables, because they will not look the same every time you eat them. I still expect them to, because I so desperately want them to. I want to be able to look at a fruit or vegetable and know yes, that is exactly the way it's supposed to look. This is a possibility when you're dealing with super processed homogeneous junk food, but it will pretty much never be the case for healthy food.
I buy a lot of raw fruits/vegetables. Every week. And every week I probably end up eating a third or less of what I bought. I ask my wife to pick everything out for me at the store, because I know if I looked at them, I wouldn't think any of them looked edible. But this doesn't really help, because later at home, when I go to eat one, I get to inspect it for myself. Almost every time, I get scared and end up throwing it away. Apples, peaches, nectarines, grapes, etc. will have spots/dents or soft spots or discolorations or be oddly shaped or the first bite won't taste the way I remember it tasting last time. Carrots will have parts that are slightly green or gray or black. Bananas will have black spots. Clementines will have some green on the peels. Berries will be a little smushed and wet because of that. Etc.
Every single one of these examples is, again, something perfectly normal and not indicative of danger. I know that, but part of me is still terrified that if I stop being overly cautious, one of these "strange" fruits/vegetables will make me sick.
So I don't know what to do about this. I think I'm just going to have to suck it up and start eating them anyway to prove to myself nothing bad will happen. I have done this occasionally already, and then I will worry for a few hours, and nothing will come of it. But that doesn't seem to result in less fear next time.
Maybe it would help if I kept an actual log of these instances, so I could refer back to it and see that on such and such date, I ate a clementine with some green on its peel, and all was well. It would also be a good reminder of various "flaws" I might run into, because I will stop eating a certain fruit for a while and then buy it again and tell my wife something like "this clementine is green. I have NEVER seen this before" and she will laugh at me.
Anxiety amnesia confuses me.
I basically don't do anything good for my body but then have these high expectations I hold it to, that it can't be sick or in pain or feel heavy or unpleasant in any way. I don't like my body or particularly want to be in touch with it, even though it would help me so much to be more in touch with it and break down some of that dislike.
Due to the lack of positivity I've got going on right now, I've been putting off writing here. But there. I'm done with my sickness-complaining. Moving on. To something I've been thinking about that is one of the main reasons I have such trouble with healthy eating.
I seem to constantly be finding flaws with my food. I suppose I can't say it's a bad habit to look at your food before you eat it. Because yes, there could actually be something wrong with it. That just makes sense to check it out first, make sure it looks okay.
But it probably should be a quick glance-over, and my technique is more in-depth extreme fearful scrutiny. No surprise that I usually end up finding something wrong, some detail that leads me to think maybe I shouldn't eat this thing. These frozen waffles don't feel frozen enough (I also decide they're too frozen sometimes). This soup can has weird residue in the crevices of the top. These hamburger buns have too much white on the bottoms - which yes, I know is flour and I will still pick it off just in case it's dangerous in some way. These pudding cups have a tiny bit of glue on the packaging (tiny bits of glue frequently prevent me from buying something). One corner of this box of cereal is a bit crumpled. This container of hummus has too much condensation on the inside of the lid.
I mean, there are a million examples, and for almost every single one of them, I logically know it's fine, but I either won't buy the food or won't eat it. Sometimes when I am preparing something to eat, I will get frustrated to the point of wanting to cry because I will find five or six different things "wrong" with it and have to keep making the decision to proceed, and it starts to feel exhausting.
And of course it's ten times worse when it comes to fruits/vegetables, because they will not look the same every time you eat them. I still expect them to, because I so desperately want them to. I want to be able to look at a fruit or vegetable and know yes, that is exactly the way it's supposed to look. This is a possibility when you're dealing with super processed homogeneous junk food, but it will pretty much never be the case for healthy food.
I buy a lot of raw fruits/vegetables. Every week. And every week I probably end up eating a third or less of what I bought. I ask my wife to pick everything out for me at the store, because I know if I looked at them, I wouldn't think any of them looked edible. But this doesn't really help, because later at home, when I go to eat one, I get to inspect it for myself. Almost every time, I get scared and end up throwing it away. Apples, peaches, nectarines, grapes, etc. will have spots/dents or soft spots or discolorations or be oddly shaped or the first bite won't taste the way I remember it tasting last time. Carrots will have parts that are slightly green or gray or black. Bananas will have black spots. Clementines will have some green on the peels. Berries will be a little smushed and wet because of that. Etc.
Every single one of these examples is, again, something perfectly normal and not indicative of danger. I know that, but part of me is still terrified that if I stop being overly cautious, one of these "strange" fruits/vegetables will make me sick.
So I don't know what to do about this. I think I'm just going to have to suck it up and start eating them anyway to prove to myself nothing bad will happen. I have done this occasionally already, and then I will worry for a few hours, and nothing will come of it. But that doesn't seem to result in less fear next time.
Maybe it would help if I kept an actual log of these instances, so I could refer back to it and see that on such and such date, I ate a clementine with some green on its peel, and all was well. It would also be a good reminder of various "flaws" I might run into, because I will stop eating a certain fruit for a while and then buy it again and tell my wife something like "this clementine is green. I have NEVER seen this before" and she will laugh at me.
Anxiety amnesia confuses me.
Sunday, July 20, 2014
work invades my comfort zone
It's been too long since I've written an actual post here. Sometimes I get intimidated by blogging and think I shouldn't bother unless I have something Really Important to say. Which just figures - feeling anxious about blogging about anxiety.
Things have been going pretty well lately. Today I spent hours hanging out in a nearby city (about a two hour drive from home) - walking, shopping, eating, shopping more - without any major anxiety incidents. I started feeling a little unwell towards the end, as I was heading back to the parking garage. But I knew it was dehydration. I am still having a problem with drinking enough when I am out places, especially when I am walking around outside, which unfortunately is when it is most important to do so. I guess it's a combination of 1) not wanting to have to use the restroom in case there isn't one around and 2) not wanting to use the ones that are around, because they are public and thus diseased in my mind. My same lifelong pattern of thinking it's better if I just "shut down" my body until I can be home and safe again.
Despite that, I feel today's outing was a success. And I've also been doing well with the more routine stuff - going out to restaurants, grocery shopping, going to the mall or other stores. I haven't been experiencing anything beyond the mild worry that I might have some kind of anxiety attack.
Since I'm getting more comfortable with these situations, I know it's time to push myself to do even more challenging things, but for the most part, I've been lazy about it. My wife and I want to take another trip to VA to see our families. It's something that has been on the back burner for a while. The last time we went was 2011, and it was difficult for me to handle the trip at the time. I know I would do better now. The only problem is that driving all that way is exhausting, so we are considering taking a train this time.
I don't believe I have been on public transportation since 2008, so pre-breakdown. I probably shouldn't think this way, dividing my life into "pre" and "post" breakdown, but every time something challenging comes up that I haven't done since before that period, I get scared I can't handle it as the "new" person I am now. It feels like that person from 2008 that was able to survive the anxiety of a long train ride was not actually me.
So my wife and I have been discussing taking a practice train ride somewhere closer to where we live (maybe 3 hours away) just to see how I do. Just to prove to myself nothing catastrophic will happen.
Which brings me to this past week, when I suddenly get an email from my boss saying the company wants me to travel to the office for a week for training on a new system (I work from home, but the actual office is in VA). They haven't decided exactly when they want me to come, but possibly as early as the last week of September.
So much for one step at a time! Plus this trip would be much more overwhelming than what I have been imagining. My wife probably won't be able to go with me. Since the company is paying, they will probably want me to fly. I will have to deal with rental cars and a hotel and seeing my family all on my own. I will have to go to work and socially interact with lots and lots of people, something I'm very rusty at. Basically, it's a terrifying scenario that I'm not at all convinced I have the strength to manage.
My current coping mechanism is to pretend it's not happening. And maybe it won't. They have wanted me to travel before and either changed their minds or asked someone else to go instead. So I suppose I shouldn't get all worked up over it until it's finalized.
This is what sucks about having anxiety issues but still being able to fly under the normal radar most of the time. I'm sure no one expected this to be a big deal for me. I mean, yes, my anxiety is always an issue at work because sometimes I'm afraid to make phone calls or to speak up in meetings, but that kind of stuff is manageable. I can be doing badly in those areas and still overall be doing a good job. But I can't flat out refuse to do something they ask me to do because of anxiety. It's not like I've requested any mental health accommodations at work (although this has made me wonder if I should have). Not to mention I just don't want to formally brand myself the problem employee, especially when I have a job that so rarely forces me into large-scale scary situations like this.
On top of potentially having to do this trip, I hate being reminded that this is who I am. I feel like my life is set up in such a way that I can pass for being mentally stable most of the time. Then something like this happens, and it's like 'oh, right.' Other people can casually hop on a plane and go somewhere for a week - or casually tell someone else to do it - and think nothing of it. Whereas my first thought is 'maybe I should quit right now so I don't have to do this.' In general, most people can deal with so much more than I can deal with. I pass for mentally stable because I live in a tiny box where going shopping without getting panicky is a great accomplishment.
I know this shouldn't actually make me think any less of how well I've been doing. I'm just frustrated because I was planning on working my way up to this trip, and I should have been working faster. Whether this ends up happening or not, I should be working faster and harder than I am. I don't know why I expect that life will always proceed according to my super-gradual exposure hierarchy.
Things have been going pretty well lately. Today I spent hours hanging out in a nearby city (about a two hour drive from home) - walking, shopping, eating, shopping more - without any major anxiety incidents. I started feeling a little unwell towards the end, as I was heading back to the parking garage. But I knew it was dehydration. I am still having a problem with drinking enough when I am out places, especially when I am walking around outside, which unfortunately is when it is most important to do so. I guess it's a combination of 1) not wanting to have to use the restroom in case there isn't one around and 2) not wanting to use the ones that are around, because they are public and thus diseased in my mind. My same lifelong pattern of thinking it's better if I just "shut down" my body until I can be home and safe again.
Despite that, I feel today's outing was a success. And I've also been doing well with the more routine stuff - going out to restaurants, grocery shopping, going to the mall or other stores. I haven't been experiencing anything beyond the mild worry that I might have some kind of anxiety attack.
Since I'm getting more comfortable with these situations, I know it's time to push myself to do even more challenging things, but for the most part, I've been lazy about it. My wife and I want to take another trip to VA to see our families. It's something that has been on the back burner for a while. The last time we went was 2011, and it was difficult for me to handle the trip at the time. I know I would do better now. The only problem is that driving all that way is exhausting, so we are considering taking a train this time.
I don't believe I have been on public transportation since 2008, so pre-breakdown. I probably shouldn't think this way, dividing my life into "pre" and "post" breakdown, but every time something challenging comes up that I haven't done since before that period, I get scared I can't handle it as the "new" person I am now. It feels like that person from 2008 that was able to survive the anxiety of a long train ride was not actually me.
So my wife and I have been discussing taking a practice train ride somewhere closer to where we live (maybe 3 hours away) just to see how I do. Just to prove to myself nothing catastrophic will happen.
Which brings me to this past week, when I suddenly get an email from my boss saying the company wants me to travel to the office for a week for training on a new system (I work from home, but the actual office is in VA). They haven't decided exactly when they want me to come, but possibly as early as the last week of September.
So much for one step at a time! Plus this trip would be much more overwhelming than what I have been imagining. My wife probably won't be able to go with me. Since the company is paying, they will probably want me to fly. I will have to deal with rental cars and a hotel and seeing my family all on my own. I will have to go to work and socially interact with lots and lots of people, something I'm very rusty at. Basically, it's a terrifying scenario that I'm not at all convinced I have the strength to manage.
My current coping mechanism is to pretend it's not happening. And maybe it won't. They have wanted me to travel before and either changed their minds or asked someone else to go instead. So I suppose I shouldn't get all worked up over it until it's finalized.
This is what sucks about having anxiety issues but still being able to fly under the normal radar most of the time. I'm sure no one expected this to be a big deal for me. I mean, yes, my anxiety is always an issue at work because sometimes I'm afraid to make phone calls or to speak up in meetings, but that kind of stuff is manageable. I can be doing badly in those areas and still overall be doing a good job. But I can't flat out refuse to do something they ask me to do because of anxiety. It's not like I've requested any mental health accommodations at work (although this has made me wonder if I should have). Not to mention I just don't want to formally brand myself the problem employee, especially when I have a job that so rarely forces me into large-scale scary situations like this.
On top of potentially having to do this trip, I hate being reminded that this is who I am. I feel like my life is set up in such a way that I can pass for being mentally stable most of the time. Then something like this happens, and it's like 'oh, right.' Other people can casually hop on a plane and go somewhere for a week - or casually tell someone else to do it - and think nothing of it. Whereas my first thought is 'maybe I should quit right now so I don't have to do this.' In general, most people can deal with so much more than I can deal with. I pass for mentally stable because I live in a tiny box where going shopping without getting panicky is a great accomplishment.
I know this shouldn't actually make me think any less of how well I've been doing. I'm just frustrated because I was planning on working my way up to this trip, and I should have been working faster. Whether this ends up happening or not, I should be working faster and harder than I am. I don't know why I expect that life will always proceed according to my super-gradual exposure hierarchy.
Sunday, September 29, 2013
obsessive thoughts
I can't decide if I'm doing a particularly good job lately of living by the "emetophobia shmemetophobia" motto. I guess in some ways. But I've been noticing many areas where I need serious improvement.
I volunteered to help out at an event at my old college this weekend. I was at a registration table for some of Friday and most of Saturday, which meant having to socialize with a lot of people (and reflect on how terrible my social skills are, but that's a whole other issue).
It was early afternoon on Friday when I first got there, and one of the very first things that happened - I mean, probably within fifteen minutes of me showing up - was that a janitor walked by and stopped to inform me that I should be glad I hadn't been around this morning, because someone had thrown up in that room. She of course didn't know about my phobia and was just following that weird custom of gossiping about any vomit one has seen or heard about recently. I don't quite understand why people love to do this - maybe they feel compelled to because of their own disgust over the situation. I've encountered it many times in my life, but this was probably the first time in several years. It gave me déjà vu, because it's always so similar with the person lowering their voice and giving you this sly and almost gleeful smile. I've got something good, it's really really good, it's going to make me super popular with everyone, because it's about vomit! It's stuff like this that makes me want to stay home and never interact with anyone again.
She didn't give too much detail except to say it was "gross" and that it had all been cleaned up, but after she left I could not stop thinking about it. Wondering where it had been. Was I sitting right on top of it. Wondering, of course, if it had been from sickness or drunkenness or something else. I couldn't let it go, and it tainted the whole weekend for me.
My one success is that I still ate, and I ate pretty normal amounts. I'm proud of myself for that, because having heard this story, I didn't particularly want to anymore. I also only had one brief period (about five to ten seconds) of feeling on the verge of panic because of imaginary "sick" feelings. The rest of the time I felt fine.
But I couldn't bring myself to eat in the campus dining hall (the closest available food) and walked to a restaurant in town instead. The dining hall is buffet style, and I kept thinking the most likely way to catch any sickness going around would be to share food with all the students.
What really bums me out about this is that when I was a student there, I ate in that dining hall almost every single day and usually didn't worry about it that much. Now it seems like a terrible and dangerous idea. I've been thinking about this and realizing that my germophobic tendencies have gotten much worse since college. I guess that makes sense, because these days I am usually at home, which means I feel like I'm rarely in contact with other people's germs. That's not true at all. I still go out places, and even if I didn't, my wife does, and other people come to visit here occasionally. I'm not at all isolated, I just have the illusion of being isolated. It makes me feel safer, and then on the other hand it makes me much more anxious about certain situations and places that I used to be able to handle.
Logically I know that someone has probably thrown up in every single room on that campus, and that it was even happening when I was living there. I lived there for four years and encountered plenty of illnesses. I caught a lot of colds but managed to avoid the stomach bugs. Possibly that was just luck. Either way, it makes much more sense that I would have gotten sick then, while living there, than now, when I was just working there for the weekend. But it didn't feel that way to me. I felt like I left the safety of my apartment and walked into a hotbed of various illnesses.
On both days, the first thing I did when I got home was put my clothes in the hamper and jump in the shower. Then I thought about how that behavior has been gradually developing over the past few years, where I feel the need to get rid of all contact with the outside world when I come home from certain places that I feel were particularly dirty or germ-filled. In some of the books on OCD I've read, they talked about how people with extreme germ-focused OCD will have "outside clothes" and then have to change into their inside/home clothes as soon as they get home. This reminds me of that, and while the thought of me getting to that point seems ridiculous right now, I probably shouldn't dismiss the possibility. Which is unsettling.
All that extra anxiety just because I happened to hear about an instance of vomit that happened that day, even though it's likely happening all the time without me hearing about it. It's so difficult to get something like that out of your head once it's in there. It makes me think about how I watched the original short for the horror movie Mama on Youtube a few weeks ago and ever since then, I can't stop myself from imagining her standing behind me at night when I turn off the lights to go to bed. I normally don't let myself watch anything in the horror genre anymore. It was a tiny act of defiance (against my own limitations) that was clearly oh so stupid.
Sometimes I stop right before I flip the light switch and wait until I can think of something that is not scary that will hold my attention long enough for me to get to the bed. Sometimes that works. I wish that technique was as effective in the emetophobia situations, but there is no destination point (like the bed) where it feels like the obsessive thoughts can be let go, so instead I just have to keep reminding myself to replace them with positive thoughts, over and over and over.
I volunteered to help out at an event at my old college this weekend. I was at a registration table for some of Friday and most of Saturday, which meant having to socialize with a lot of people (and reflect on how terrible my social skills are, but that's a whole other issue).
It was early afternoon on Friday when I first got there, and one of the very first things that happened - I mean, probably within fifteen minutes of me showing up - was that a janitor walked by and stopped to inform me that I should be glad I hadn't been around this morning, because someone had thrown up in that room. She of course didn't know about my phobia and was just following that weird custom of gossiping about any vomit one has seen or heard about recently. I don't quite understand why people love to do this - maybe they feel compelled to because of their own disgust over the situation. I've encountered it many times in my life, but this was probably the first time in several years. It gave me déjà vu, because it's always so similar with the person lowering their voice and giving you this sly and almost gleeful smile. I've got something good, it's really really good, it's going to make me super popular with everyone, because it's about vomit! It's stuff like this that makes me want to stay home and never interact with anyone again.
She didn't give too much detail except to say it was "gross" and that it had all been cleaned up, but after she left I could not stop thinking about it. Wondering where it had been. Was I sitting right on top of it. Wondering, of course, if it had been from sickness or drunkenness or something else. I couldn't let it go, and it tainted the whole weekend for me.
My one success is that I still ate, and I ate pretty normal amounts. I'm proud of myself for that, because having heard this story, I didn't particularly want to anymore. I also only had one brief period (about five to ten seconds) of feeling on the verge of panic because of imaginary "sick" feelings. The rest of the time I felt fine.
But I couldn't bring myself to eat in the campus dining hall (the closest available food) and walked to a restaurant in town instead. The dining hall is buffet style, and I kept thinking the most likely way to catch any sickness going around would be to share food with all the students.
What really bums me out about this is that when I was a student there, I ate in that dining hall almost every single day and usually didn't worry about it that much. Now it seems like a terrible and dangerous idea. I've been thinking about this and realizing that my germophobic tendencies have gotten much worse since college. I guess that makes sense, because these days I am usually at home, which means I feel like I'm rarely in contact with other people's germs. That's not true at all. I still go out places, and even if I didn't, my wife does, and other people come to visit here occasionally. I'm not at all isolated, I just have the illusion of being isolated. It makes me feel safer, and then on the other hand it makes me much more anxious about certain situations and places that I used to be able to handle.
Logically I know that someone has probably thrown up in every single room on that campus, and that it was even happening when I was living there. I lived there for four years and encountered plenty of illnesses. I caught a lot of colds but managed to avoid the stomach bugs. Possibly that was just luck. Either way, it makes much more sense that I would have gotten sick then, while living there, than now, when I was just working there for the weekend. But it didn't feel that way to me. I felt like I left the safety of my apartment and walked into a hotbed of various illnesses.
On both days, the first thing I did when I got home was put my clothes in the hamper and jump in the shower. Then I thought about how that behavior has been gradually developing over the past few years, where I feel the need to get rid of all contact with the outside world when I come home from certain places that I feel were particularly dirty or germ-filled. In some of the books on OCD I've read, they talked about how people with extreme germ-focused OCD will have "outside clothes" and then have to change into their inside/home clothes as soon as they get home. This reminds me of that, and while the thought of me getting to that point seems ridiculous right now, I probably shouldn't dismiss the possibility. Which is unsettling.
All that extra anxiety just because I happened to hear about an instance of vomit that happened that day, even though it's likely happening all the time without me hearing about it. It's so difficult to get something like that out of your head once it's in there. It makes me think about how I watched the original short for the horror movie Mama on Youtube a few weeks ago and ever since then, I can't stop myself from imagining her standing behind me at night when I turn off the lights to go to bed. I normally don't let myself watch anything in the horror genre anymore. It was a tiny act of defiance (against my own limitations) that was clearly oh so stupid.
Sometimes I stop right before I flip the light switch and wait until I can think of something that is not scary that will hold my attention long enough for me to get to the bed. Sometimes that works. I wish that technique was as effective in the emetophobia situations, but there is no destination point (like the bed) where it feels like the obsessive thoughts can be let go, so instead I just have to keep reminding myself to replace them with positive thoughts, over and over and over.
Sunday, July 21, 2013
warped tour!
Last weekend I went to the Warped Tour music festival for the first time ever. It's a pretty intense event and I imagine it'd be intimidating for anyone with anxiety issues. With my blend of emetophobia and social anxiety, I considered it a major accomplishment that I even made it inside the festival. Before it opens, a line forms outside that is not really a line at all, but more a gigantic chaotic blob of people moving every which way. It was the biggest crowd I'd been part of in a long time. I was lucky to have two feet of personal space in any direction. As it got closer to the opening time, it was more like half a foot as everyone started pushing forward and compressing.
Also during this wait, lesser-known bands were walking through the crowd asking people in line to listen to their music and buy their CD/mp3. Which meant having to talk to people I didn't know and use headphones that tons of other people had been wearing before me.
Aside from the stress of interacting with the people, it was insanely hot, which was my main worry emetophobia-wise. I was very concerned that the heat would make me sick. I rarely spend that much time in the sun, and it was 80-90 degrees. I only had one bottle of water that I was trying to conserve while waiting in the line, but then the event workers made me pour it out on the way inside (only one water bottle is allowed, but it must be sealed if you want to take it in). Basically, they want you to buy the drinks and food they are selling inside that is mega-expensive. But at least their drinks are packed in ice, so I was happy when I bought my new water bottle. I could hold it against my neck and get some relief from the heat.
Even though there was a lot more space inside the festival, it was still super crowded with people everywhere. Bands were playing all over the place, so loudly that I could feel the beat in my stomach, which made me worry for a moment that this would cause me to feel sick or panic. But with all this going on, I managed to keep it together and felt really calm the entire time I was there.
I only stayed about two or three hours, because it was just too hot and after a while I felt like I couldn't stand it anymore. I was all sweaty and sunburned (I wore sunscreen but didn't put enough on my face/neck) and started to feel dizzy, probably from hunger and dehydration. They don't let you leave and then come back, so I knew that if I stayed for most of the event, I would have to eat and drink while there. But still I let the habits of my anxiety take over and avoided anything but water, partially because I was afraid of getting or feeling sick and partially because I didn't want to use the public restrooms that were constantly packed with people. I'm sure this contributed to the dizziness/exhaustion I felt after a while that prompted me to leave much sooner than I would have wanted.
Still, I'm thrilled that I went and was able to have a good time for the most part. I can hardly believe how chill I was, especially considering how nervous I had been in the hours, days, weeks before I went. I had been obsessing about this for so long and feeling like I probably couldn't handle it at all.
But as I said in my post last month, I am trying to say yes to whatever comes along and to try things, even if I think they won't go well. There were many times I desperately wanted to back out of going. I was able to get through this because I kept saying to myself "maybe I won't be able to handle the whole event, but I can at least do this next small step." When I thought about calling it off in the days before I left, I told myself there was no need to make that decision yet. When I thought about turning the car around and driving back home while heading to the event (which was about three hours away), I told myself I would at least make the drive, and I could always turn around once I got there. When I thought about walking away when I saw that giant crowd of people standing in line, fanning themselves, I told myself I could at least try joining them and see how long I could deal with that. On and on, until I was inside actually enjoying myself.
Plus, now that it's over and I have a clearer idea of what it's like, I imagine I'll be able to handle it even better if I go again next year. I will definitely make sure to eat and drink more so that I have more energy and can stay longer, enjoy more bands.
Also during this wait, lesser-known bands were walking through the crowd asking people in line to listen to their music and buy their CD/mp3. Which meant having to talk to people I didn't know and use headphones that tons of other people had been wearing before me.
Aside from the stress of interacting with the people, it was insanely hot, which was my main worry emetophobia-wise. I was very concerned that the heat would make me sick. I rarely spend that much time in the sun, and it was 80-90 degrees. I only had one bottle of water that I was trying to conserve while waiting in the line, but then the event workers made me pour it out on the way inside (only one water bottle is allowed, but it must be sealed if you want to take it in). Basically, they want you to buy the drinks and food they are selling inside that is mega-expensive. But at least their drinks are packed in ice, so I was happy when I bought my new water bottle. I could hold it against my neck and get some relief from the heat.
Even though there was a lot more space inside the festival, it was still super crowded with people everywhere. Bands were playing all over the place, so loudly that I could feel the beat in my stomach, which made me worry for a moment that this would cause me to feel sick or panic. But with all this going on, I managed to keep it together and felt really calm the entire time I was there.
I only stayed about two or three hours, because it was just too hot and after a while I felt like I couldn't stand it anymore. I was all sweaty and sunburned (I wore sunscreen but didn't put enough on my face/neck) and started to feel dizzy, probably from hunger and dehydration. They don't let you leave and then come back, so I knew that if I stayed for most of the event, I would have to eat and drink while there. But still I let the habits of my anxiety take over and avoided anything but water, partially because I was afraid of getting or feeling sick and partially because I didn't want to use the public restrooms that were constantly packed with people. I'm sure this contributed to the dizziness/exhaustion I felt after a while that prompted me to leave much sooner than I would have wanted.
Still, I'm thrilled that I went and was able to have a good time for the most part. I can hardly believe how chill I was, especially considering how nervous I had been in the hours, days, weeks before I went. I had been obsessing about this for so long and feeling like I probably couldn't handle it at all.
But as I said in my post last month, I am trying to say yes to whatever comes along and to try things, even if I think they won't go well. There were many times I desperately wanted to back out of going. I was able to get through this because I kept saying to myself "maybe I won't be able to handle the whole event, but I can at least do this next small step." When I thought about calling it off in the days before I left, I told myself there was no need to make that decision yet. When I thought about turning the car around and driving back home while heading to the event (which was about three hours away), I told myself I would at least make the drive, and I could always turn around once I got there. When I thought about walking away when I saw that giant crowd of people standing in line, fanning themselves, I told myself I could at least try joining them and see how long I could deal with that. On and on, until I was inside actually enjoying myself.
Plus, now that it's over and I have a clearer idea of what it's like, I imagine I'll be able to handle it even better if I go again next year. I will definitely make sure to eat and drink more so that I have more energy and can stay longer, enjoy more bands.
Sunday, June 23, 2013
when in doubt, say yes
There hasn't been much change with my phobia lately. I still feel "sick" at least once a day, usually when I know I have to go somewhere soon or I'm already out somewhere. Or when it's early morning and I've woken up for some reason and want to get back to sleep.
For the most part, I don't feel a lot of anxiety, and I've also gotten way better at ignoring the fake sick feelings and moving on. But it feels like I've hit a plateau and can't get to the next level. I never want to do anything but sit around at home. I have to be talked into going anywhere. I'm even anxious at the thought of going on a walk around the neighborhood, because what if I start feeling ill and I'm several blocks away from home?
I have to keep reminding myself that this isn't new at all. I have been reluctant to leave the house almost my entire life. My friends in middle and high school usually had to talk me into going to the movies with them. I would always worry about it, especially if there were going to be people there who didn't know me that well and didn't know about my anxiety issues. What would they think if I started panicking? In other words, it's an ingrained habit to want to say no, one that may take a long time to change.
I guess I'm lucky in that I've always been aware that if I didn't keep forcing myself to do these things, day after day, year after year, it would quickly lead to very bad consequences (as in being unable to even walk out my front door). I've always told myself things like "you have to do this. You didn't do the last three things. Now do this one because none of them are ever going to be safe enough."
I do feel like I've gotten worse with regards to my tendency to want to be home. I lost the momentum I had in school, having a larger circle of friends, people who always wanted to hang out, events to go to, classes to attend. I started working from home, and now it sometimes feels like I don't even know how to be in public anymore.
But I also think I've gotten better in the past couple years at forcing myself to go out when the opportunity arises. It's definitely been my mantra this year - "when in doubt, say yes." If I'm unsure about doing something, if I'm thinking things like "I'm anxious about the idea of going to hang out with people" or "what if I get sick on this car ride?" or "what if this other bad thing happens?" then I take that as a clear sign that I have to go. That it would be bad for my mental health if I didn't. I don't want to let any of those thoughts dictate what I do, especially when it means I'm going to end up sitting at home watching TV some more. Even though I feel like that is what I'd rather do, and forcing myself to go somewhere else feels like self-punishment, I usually end up having a good time and am happy I went.
It's hard to work up the courage, and I've been forcing myself to think things like "so what if I go on this walk and end up getting sick three blocks away from home?" and trying to convince myself that I believe what I'm telling myself. I know I don't actually feel nonchalant about the possibility of that happening, but it works well enough for me to take the small risk of walking out the door. It works well enough for me to focus on the fact that I don't feel sick at that moment, and if I feel sick a few minutes later, after I've already left, oh well. I'll deal with those moments when I get to them.
It works for other situations too. Like sleeping. Sometimes I will be afraid to go to sleep because I don't feel well. It used to be that I would take that as a sign that I should stay up and wait until the "sick" feeling passed and I could be sure it was safe to sleep. Now I will go to bed anyway, and I tell myself that this doesn't necessarily mean I have to go to sleep. I'm not going to sleep, I'm just going to go lie in bed and see what happens. But once I'm lying in bed, in the dark, tired, I can't stop myself from drifting off even if I'm still half-worrying in the back of my mind.
And eating. I used to refuse to eat if I didn't feel well, even after I realized that lack of eating (low blood sugar) can also make you feel sick. Now I'm training myself to go get food when I don't feel well and haven't eaten in a while. It could be low blood sugar. Maybe not, but I'll eat at least a few bites of something and see what happens. Usually it starts to make me feel better and I eat the whole thing.
So basically, whatever my phobia is telling me I shouldn't do, I am doing. I think it's working out pretty well. I went on a weekend trip recently to a place that was a 3-hour drive away. I went to game night at a friend's house. I've been taking walks regularly. I've been saying yes to whatever comes up. I still wish I could get to the point where I actually wanted to say yes, but I may be far away from that point, and in the meantime, I'm happy to report that most of my yes-es are turning out to be fun enjoyable experiences.
For the most part, I don't feel a lot of anxiety, and I've also gotten way better at ignoring the fake sick feelings and moving on. But it feels like I've hit a plateau and can't get to the next level. I never want to do anything but sit around at home. I have to be talked into going anywhere. I'm even anxious at the thought of going on a walk around the neighborhood, because what if I start feeling ill and I'm several blocks away from home?
I have to keep reminding myself that this isn't new at all. I have been reluctant to leave the house almost my entire life. My friends in middle and high school usually had to talk me into going to the movies with them. I would always worry about it, especially if there were going to be people there who didn't know me that well and didn't know about my anxiety issues. What would they think if I started panicking? In other words, it's an ingrained habit to want to say no, one that may take a long time to change.
I guess I'm lucky in that I've always been aware that if I didn't keep forcing myself to do these things, day after day, year after year, it would quickly lead to very bad consequences (as in being unable to even walk out my front door). I've always told myself things like "you have to do this. You didn't do the last three things. Now do this one because none of them are ever going to be safe enough."
I do feel like I've gotten worse with regards to my tendency to want to be home. I lost the momentum I had in school, having a larger circle of friends, people who always wanted to hang out, events to go to, classes to attend. I started working from home, and now it sometimes feels like I don't even know how to be in public anymore.
But I also think I've gotten better in the past couple years at forcing myself to go out when the opportunity arises. It's definitely been my mantra this year - "when in doubt, say yes." If I'm unsure about doing something, if I'm thinking things like "I'm anxious about the idea of going to hang out with people" or "what if I get sick on this car ride?" or "what if this other bad thing happens?" then I take that as a clear sign that I have to go. That it would be bad for my mental health if I didn't. I don't want to let any of those thoughts dictate what I do, especially when it means I'm going to end up sitting at home watching TV some more. Even though I feel like that is what I'd rather do, and forcing myself to go somewhere else feels like self-punishment, I usually end up having a good time and am happy I went.
It's hard to work up the courage, and I've been forcing myself to think things like "so what if I go on this walk and end up getting sick three blocks away from home?" and trying to convince myself that I believe what I'm telling myself. I know I don't actually feel nonchalant about the possibility of that happening, but it works well enough for me to take the small risk of walking out the door. It works well enough for me to focus on the fact that I don't feel sick at that moment, and if I feel sick a few minutes later, after I've already left, oh well. I'll deal with those moments when I get to them.
It works for other situations too. Like sleeping. Sometimes I will be afraid to go to sleep because I don't feel well. It used to be that I would take that as a sign that I should stay up and wait until the "sick" feeling passed and I could be sure it was safe to sleep. Now I will go to bed anyway, and I tell myself that this doesn't necessarily mean I have to go to sleep. I'm not going to sleep, I'm just going to go lie in bed and see what happens. But once I'm lying in bed, in the dark, tired, I can't stop myself from drifting off even if I'm still half-worrying in the back of my mind.
And eating. I used to refuse to eat if I didn't feel well, even after I realized that lack of eating (low blood sugar) can also make you feel sick. Now I'm training myself to go get food when I don't feel well and haven't eaten in a while. It could be low blood sugar. Maybe not, but I'll eat at least a few bites of something and see what happens. Usually it starts to make me feel better and I eat the whole thing.
So basically, whatever my phobia is telling me I shouldn't do, I am doing. I think it's working out pretty well. I went on a weekend trip recently to a place that was a 3-hour drive away. I went to game night at a friend's house. I've been taking walks regularly. I've been saying yes to whatever comes up. I still wish I could get to the point where I actually wanted to say yes, but I may be far away from that point, and in the meantime, I'm happy to report that most of my yes-es are turning out to be fun enjoyable experiences.
Saturday, May 18, 2013
list of self-help books
I'm pretty sure I've talked about all of these books before in other posts, but I thought it might be helpful to have them all listed in one place.
If you're not able to get any of these, please check out this post where I linked to some great free websites that help guide you through anxiety-fighting techniques.
1) The Anxiety & Phobia Workbook - Edmund J. Bourne
If you can only buy one book from this list, this should be the one you get. In my opinion, it is the best book on anxiety out there. It covers so many different skills, techniques, and exercises. It has information on all the different anxiety disorders, anxiety-related research, types of medication, good nutrition and exercise habits, etc.
The only downfall is that if you're in the middle of an anxiety crisis, the amount of information it contains can be a little overwhelming. If you are feeling overwhelmed, I wouldn't sit down and read through the entire book all at once. It is more manageable one chapter at a time. Each one gives you so much to think about that it is probably better to take breaks anyway, just to let it all sink in.
2) Cognitive Behavioural Therapy Workbook for Dummies - Rhena Branch and Rob Willson
This book was very helpful for me. I was new to trying any kind of CBT work, and it lays out the methods in simple, easy to understand ways. It has tons of exercises to work through (charts to fill out, questions to answer) to understand the faulty/irrational ways you think/act and to help you correct those thoughts and behaviors. It also includes chapters on using CBT to help with depression, low self-esteem, maintaining relationships. I skipped most of that and only worked through the anxiety-focused chapters.
3) Get Out of Your Mind & Into Your Life - Steven C. Hayes and Spencer Smith
I've been meaning to take a second look at this one. I really didn't care for it when I started working through it the first time. It focuses on acceptance and commitment therapy (ACT), and I am a much bigger fan of CBT than ACT. ACT teaches that rather than trying to control your thoughts, you should just accept them and learn to live your life with the anxiety (or other unpleasant emotional pain), still doing everything you want to despite the problems you have.
For one thing, I feel it is possible to control your thoughts and change your behaviors. It's extremely difficult, but I have seen it happen in small ways with myself. For another thing, when it comes to emetophobia, I get confused as to how you can just accept it the way it is and push yourself to live your life. But I don't think I got far enough in the book to be able to say I fully understand their method.
4) Living with Emetophobia: Coping with Extreme Fear of Vomiting - Nicolette Heaton-Harris
I wrote a detailed post about this book after I read it. To summarize, I feel it is a helpful book if you are looking for validation of your issue, a detailed description of your problem and everything you have to deal with, or if you want someone else to understand and you are looking for a book to explain emetophobia to them. The book is about the author's experience of living with emetophobia, and if you have emetophobia too, it's likely you'll relate to most of it. It's also likely that there are some anxiety thoughts that the author has but you don't have, and the book could be triggering in that sense. You could end up acquiring new anxiety thoughts/behaviors, so I would be careful when reading this one, if you decide to.
5) The Miracle of Mindfulness - Thich Nhat Hanh
This book is an in-depth look at meditation and mindfulness, two techniques that can be helpful in fighting anxiety. There is also a lot of Buddhism in the book. I'm not a very religious or spiritual person. But you can skim past those parts. I would say probably the best part of the book is near the end, the section called "Exercises in Mindfulness". There is also a section after that called "Selection of Buddhist Sutras" - both of these sections can give you ideas to help with meditation or mindfulness.
6) Overcoming Health Anxiety - Rob Willson and David Veale
This book is similar to the CBT workbook for dummies. It walks you through CBT techniques and exercises, only in this book it specifically applies them to health anxiety. I have a lot of general health anxiety on top of emetophobia, so I found it really helpful.
The book also contains a chapter dedicated to emetophobia. I didn't think that chapter was as helpful as the rest of the book. I would say the same thing about it as the Living with Emetophobia book described above - it is a good description of emetophobia, but it could be triggering and give you more things to worry about that you hadn't been worrying about before. It had that effect on me, but luckily, by now I think I've forgotten all the new worries it gave me. If I was reading the book over now, I would just skip that chapter. The exercises in the rest of the book can be applied to emetophobia as well as any other health anxiety.
7) Freedom from Obsessive-Compulsive Disorder - Jonathan Grayson
I don't have OCD, but during the time period where my anxiety was the worst, I started having a bunch of horrible intrusive thoughts/obsessions that bothered me even more than my emetophobia. I bought this to try to figure out how to deal with those, and it is an amazing book. I would actually recommend it to anyone with an anxiety problem, even if it's not OCD.
The premise of the book is that for people with OCD (and I would say any anxiety disorder), their main problem is that they are unable to accept uncertainty in life. This is so true for me, and it's something I've thought about frequently ever since reading this. So if I was worrying I was sick, instead of telling myself that it is extremely unlikely that I will get sick and in CBT-fashion using logic to try to prove that, I would tell myself "you might get sick, and you should deal with that possibility because the alternative of not being able to deal with it is ruining your life." I suppose it might be similar to ACT (acceptance of anxiety versus fighting it), but the way the author related it all to the fear of uncertainty made so much more sense to me. The book also focuses on exposure and response prevention, or exposing yourself to your fears and then preventing yourself from engaging in irrational behaviors as a result.
Just a warning, a large chunk of the book deals with specific OCD problems, like checking, counting, etc., and if you don't have those issues, there is probably no need for you to read any of that. I felt the rest of it was worth getting through those (for me) unnecessary sections.
If you're not able to get any of these, please check out this post where I linked to some great free websites that help guide you through anxiety-fighting techniques.
1) The Anxiety & Phobia Workbook - Edmund J. Bourne
If you can only buy one book from this list, this should be the one you get. In my opinion, it is the best book on anxiety out there. It covers so many different skills, techniques, and exercises. It has information on all the different anxiety disorders, anxiety-related research, types of medication, good nutrition and exercise habits, etc.
The only downfall is that if you're in the middle of an anxiety crisis, the amount of information it contains can be a little overwhelming. If you are feeling overwhelmed, I wouldn't sit down and read through the entire book all at once. It is more manageable one chapter at a time. Each one gives you so much to think about that it is probably better to take breaks anyway, just to let it all sink in.
2) Cognitive Behavioural Therapy Workbook for Dummies - Rhena Branch and Rob Willson
This book was very helpful for me. I was new to trying any kind of CBT work, and it lays out the methods in simple, easy to understand ways. It has tons of exercises to work through (charts to fill out, questions to answer) to understand the faulty/irrational ways you think/act and to help you correct those thoughts and behaviors. It also includes chapters on using CBT to help with depression, low self-esteem, maintaining relationships. I skipped most of that and only worked through the anxiety-focused chapters.
3) Get Out of Your Mind & Into Your Life - Steven C. Hayes and Spencer Smith
I've been meaning to take a second look at this one. I really didn't care for it when I started working through it the first time. It focuses on acceptance and commitment therapy (ACT), and I am a much bigger fan of CBT than ACT. ACT teaches that rather than trying to control your thoughts, you should just accept them and learn to live your life with the anxiety (or other unpleasant emotional pain), still doing everything you want to despite the problems you have.
For one thing, I feel it is possible to control your thoughts and change your behaviors. It's extremely difficult, but I have seen it happen in small ways with myself. For another thing, when it comes to emetophobia, I get confused as to how you can just accept it the way it is and push yourself to live your life. But I don't think I got far enough in the book to be able to say I fully understand their method.
4) Living with Emetophobia: Coping with Extreme Fear of Vomiting - Nicolette Heaton-Harris
I wrote a detailed post about this book after I read it. To summarize, I feel it is a helpful book if you are looking for validation of your issue, a detailed description of your problem and everything you have to deal with, or if you want someone else to understand and you are looking for a book to explain emetophobia to them. The book is about the author's experience of living with emetophobia, and if you have emetophobia too, it's likely you'll relate to most of it. It's also likely that there are some anxiety thoughts that the author has but you don't have, and the book could be triggering in that sense. You could end up acquiring new anxiety thoughts/behaviors, so I would be careful when reading this one, if you decide to.
5) The Miracle of Mindfulness - Thich Nhat Hanh
This book is an in-depth look at meditation and mindfulness, two techniques that can be helpful in fighting anxiety. There is also a lot of Buddhism in the book. I'm not a very religious or spiritual person. But you can skim past those parts. I would say probably the best part of the book is near the end, the section called "Exercises in Mindfulness". There is also a section after that called "Selection of Buddhist Sutras" - both of these sections can give you ideas to help with meditation or mindfulness.
6) Overcoming Health Anxiety - Rob Willson and David Veale
This book is similar to the CBT workbook for dummies. It walks you through CBT techniques and exercises, only in this book it specifically applies them to health anxiety. I have a lot of general health anxiety on top of emetophobia, so I found it really helpful.
The book also contains a chapter dedicated to emetophobia. I didn't think that chapter was as helpful as the rest of the book. I would say the same thing about it as the Living with Emetophobia book described above - it is a good description of emetophobia, but it could be triggering and give you more things to worry about that you hadn't been worrying about before. It had that effect on me, but luckily, by now I think I've forgotten all the new worries it gave me. If I was reading the book over now, I would just skip that chapter. The exercises in the rest of the book can be applied to emetophobia as well as any other health anxiety.
7) Freedom from Obsessive-Compulsive Disorder - Jonathan Grayson
I don't have OCD, but during the time period where my anxiety was the worst, I started having a bunch of horrible intrusive thoughts/obsessions that bothered me even more than my emetophobia. I bought this to try to figure out how to deal with those, and it is an amazing book. I would actually recommend it to anyone with an anxiety problem, even if it's not OCD.
The premise of the book is that for people with OCD (and I would say any anxiety disorder), their main problem is that they are unable to accept uncertainty in life. This is so true for me, and it's something I've thought about frequently ever since reading this. So if I was worrying I was sick, instead of telling myself that it is extremely unlikely that I will get sick and in CBT-fashion using logic to try to prove that, I would tell myself "you might get sick, and you should deal with that possibility because the alternative of not being able to deal with it is ruining your life." I suppose it might be similar to ACT (acceptance of anxiety versus fighting it), but the way the author related it all to the fear of uncertainty made so much more sense to me. The book also focuses on exposure and response prevention, or exposing yourself to your fears and then preventing yourself from engaging in irrational behaviors as a result.
Just a warning, a large chunk of the book deals with specific OCD problems, like checking, counting, etc., and if you don't have those issues, there is probably no need for you to read any of that. I felt the rest of it was worth getting through those (for me) unnecessary sections.
Subscribe to:
Posts (Atom)