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Anxiety: The Blur

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  • #189613
    Anonymous
    Guest

    Dear calisister:

    I am feeling excited at the idea that you are taking on healing this seriously. I am excited. And again, it is you taking on this healing, you having the distress that you will be having, and so, I understand the difficulties to come.

    Again, gentleness with yourself. I am okay with you changing your mind if you do. Be okay with yourself as I am okay with you, please.

    Regarding healing options, a retreat is what you mentioned. Can be a jump start point. I never attended a retreat, have no such experience.

    Regarding other healing options, what ideas do you have? I can comment on those next, if you list them, or brain storm them.

    anita

    #189675
    Cali Chica
    Participant

    Dear Anita and Calisister,

    Thank you Anita for providing my sister support, she appreciates your words on this forum tremendously.  You have given both her and I the courage to see the truth.  With the truth comes pain and distress, and as you mentioned, this is something that one must endure in order to come out on the other hand with more light, healing, and less pain.  Calisister has endured pain all her life, at first as a young child not knowing what it is, then as an adolescent having precocious understanding of all we speak about (and that I only realized in my late 20s-30) – but feeling tremendous guilt and confusion.

    I believe that calisister is at a cross roads.  It does not matter the type of job she is in, program, etc.  It is that she can not live one day longer in the state she is in.  She has reached her limit.  It so often is when you  reach that limit, true beauty can finally shine – but if you let it.  She has reached this rock bottom before, but had to go back to her normal ways (work, interacting with parents, getting abuse from parents) that these breakdowns never led to any enlightenment – how could they.  Now – I think is finally her chance to provide space for healing.

    My husband and I will support her in any way that we can.  I have advised her not to tell my parents about this right now.  A) she needs to let her feelings sink in and really find her voice of what she needs B) parents will only cause more stress and havoc and guilt C) parents will terrorize me over the next week and beyond on how I need to help an fix my sister, and call me with emotional breakdowns and guilt – and even blame me for my sister’s issues.

    No good can come out of any of this.  So for once, we take the liberty to not involve them – the ones who brought her to this place in the first place.

    #189725
    Anonymous
    Guest

    * Dear Cali Chica (and calisister, of course):

    Thank you for your appreciation of me and you are welcome. What an informative, accurate, I believe, and supportive post, above. Glad you posted it. You wrote that calisister endured pain all her life, since she was a young child. She had a precocious understanding as an adolescent, an understanding that came with lots of guilt and confusion. She is currently at a crossroad, a rock bottom. She has been at such in the past but at those times, she returned to work, to interacting with her parents and to getting more abuse from them. Therefore, in the past, no enlightenment, no healing took place.

    Your advice to calisister to not tell your parents about this is excellent for all the reasons you listed.

    My input at this point, to calisister: you shared with me before how during a concert, when you intend to enjoy yourself, you give yourself instead a hard time, putting pressure on yourself with: are you enjoying yourself? Is this the best time ever?

    That voice in your head abuses you even when your only job is to have fun.

    When you expressed yesterday your intent to take a break from the post doctorate program, the rotation phase, you wrote that you must take on healing, once you take that break. I think that this voice I mentioned, that voice will abuse you when intent on healing as well, just as it does when you intend to have fun. No matter what, there it is, that voice. It may say something like this: are you healing now? Are you making this break worthwhile… or are you wasting this time, failing…?

    This voice has to be dealt with in the process of healing as soon as possible. Can’t eliminate it. Have to notice it when it speaks, then disengage it, dismiss it. Replace it with your own voice, stating other thoughts that at true to reality and congruent with healing.

    It is your parents’ input into your brain that gave birth to this voice. They keep fueling this voice every time you have contact with them.

    Even if all contact with them was eliminated, there would still be that voice. And it can be noticed and dismissed through practice.

    But there is more to it: not all of your brain, outside this voice, believes in what you knew to be true since you were a teenager. Only recently you posted on your thread here, that if you ended all contact with your parents, you would be truly alone. This means that part of you still finds comfort in them.

    This comfort, this feeling of not being alone when in contact with them is in your way to healing. Congruent with healing is having comfort somewhere else.

    Safety is what we all need, a feeling of safety. As long as your feeling of safety, calisister, is with your parents, you cannot heal. Safety must be located away from your parents.

    As a child you had no other option but to find a way to feel somewhat safe with your parents. You had no choice. You have that choice now, as an adult, to form the intent to find safety elsewhere, an adequate sense of safety.

    I hope to read from you soon, wondering what you are thinking and feeling…

    anita

    #189789
    cali sister
    Participant

    anita,

    i am sad. scared. lost.

    this is who i am? a person that can’t function? a person who needs to stop working? i am having trouble accepting this person.

    i have not spoken to my director yet due to the fact that he has not given me a time. I will speak to him today at some point. my sister and i have decided to ask for a 3 month leave.

    here is all the thoughts:

    why is this me. i do not want this to be me. what will i even do? I do not want to be here like this. but now what? I go to therapy (which i made an appointment just now for tomorrow) and then what? I am frightened at the idea. I stare at my apartment and dog all day? I can’t. I hate everything. I hate going to the park. I hate going outside. I hate driving. Even my puppy is stressful. what do i even do. who am i. i dont know.

    i see this lady going to work. i want to be her. i want to be normal. what will happen now. i dont know what to do. or what will help. ok yes, this is my one time finally to heal. i never actually have before. so….ok lets go…how?

    i feel like my patients i work with in the psych ward. troubled and crazy.

    • This reply was modified 6 years, 10 months ago by cali sister.
    #189799
    Anonymous
    Guest

    Dear calisister:

    How you feel matters. That you don’t suffer is very important. The goal of healing and you taking a break is that you don’t suffer.

    Your value is not in you going to work, functioning that way. There is much more to you than your function. There is a person in you that is hurting and shouldn’t. That person needs to be attended to.

    It is not shameful to feel weak, to need a break, to need help, to need to be loved.

    Growing up unloved, you did your best. Can’t run on empty so long, need to take a break. One day you will function better than you ever did. If you keep going now, you will not get to that much, much better functioning in the future.

    Take a break now, take your healing very, very seriously. There is a person you need to get to know, a person lost for too long. She doesn’t want to be “like this lady going to work”. She doesn’t want to be her. She wants to be who she is, not anyone else.

    This break is about meeting this person, getting to know her, caring for her, attending to her. Finally taking a deep slow breath and being okay with who she is. She wants your acceptance and deserves it.

    It is time to give her what she always needed: to be seen, to be known, to be approved of, to not suffer anymore. She needs you to do whatever it takes to  make this happen. Let this be your singular focus.

    Don’t turn your back once again to  this little girl in you, face her, help her. There is absolutely nothing better you can do with your time.

    anita

     

    #189807
    cali sister
    Participant

    I understand.

    But how? How is this possible if i just sit at home all day? this is how i feel. i understand i have to heal..but how..will all these amazing things happen?

    #189809
    Anonymous
    Guest

    Dear calisister:

    I started my healing process with a new routine: yoga classes three times per week or more, tai chi three times, other classes, weight room, other exercise classes, all in the YMCA, Mon-Sat. Did hiking on Sundays. Psychotherapy about twice a week, homework given to me by my therapist done in between sessions.

    So I would recommend physical activity on a regular basis, a routine of it (not necessarily as much as I did!). A routine is very important, a new routine all geared toward healing.

    So you don’t stay home all day.

    But when home, also a routine: from the time you get up in the morning to the time you go to bed: a shower or bath at about the same time, meals at about the same time, even unstructured time can be part of the routine.

    You made an apt with a therapist. If it is a good therapist, she or he will help you with scheduling your days, deciding on a routine that works for you. As you follow a routine, you evaluate what works in it for you and what doesn’t, and make changes along the way. Your therapist can recommend certain activities to compliment the therapy.

    Who  you interact with, parents, other people and what would be the nature of the interactions- this needs to be decided on so it is congruent with healing.

    If you find it helpful to express yourself typing, like I do, this will be part of your activity daily, be it homework assigned to you in therapy or otherwise, your thoughts and learning throughout the time.

    How about my answer so far?

    anita

     

    #189811
    Mark
    Participant
    #189861
    cali sister
    Participant

    anita,

    I woke up from a nap today. I did not feel right. I know I have to heal. But I did not like the way I was going about it. It was inducing even more stress upon me. My meeting my director was 2 hours from that point. It was an odd feeling. But similar to those moments of clarity they describe in movies. When things make sense. And you feel lighter. I actually could breathe. I knew something was wrong.

    I had this fleeting thought. “You know, maybe I can keep going.” I thought about continuing. Thought about my work day the next day. I can do it. I can keep the job security and all i have worked for and still heal maybe? Conundrum of thoughts. Yes, I have been working. But have i actually been trying to heal? No. Psychiatry. Therapy. No.

    I started writing in a journal. To help guide my thought process and my discussion with my director.

    I am not sure if I have covered this before: the biggest anxiety (the most, MOST, influential mom voice that has hindered my peace in school and work) is these three statements:

    1. you cannot do this
    2. you do not understand
    3. you don’t know anything

    To give some examples for better understanding:

    College. Freshman year. I was unable to continue taking my chemistry course because every time I read a sentence or took a note this is exactly what my mind would say, “do you even know what you just read? Do you get that? I don’t think you do.” This was unbearable. I would just cry. I had to speak to the Dean. They allowed me to take the course in the summer. I remember one lady in the office told me, you know, maybe this just isn’t for you. I said, “No. This is for me. I just need some extra help.”

    Same thing happened in my last year of obtaining my doctorate. I was studying for final exams and the voices would convince me that I forgot the basic things – I remember I would panic and actually forget them – meaning my brain could not remember FOR REAL! I would panic and text my best friend and say, “hey, this dopamine agonist pharmacologically means this right?” Mind you, I truly knew. And probably achieved one of the best grades in the class. These three statements have also followed me throughout my actual practice. They have not (which I will get into in a bit) affected my performance. But getting through it is the most distressing, horrible experience. These are the three statements that I would like to work on most. These are currently the most detrimental statements for me. Because as an adult, my career is important; not only because it just is to me, but also because it is how I can provide myself with basic needs (money).

    I wrote about these concepts in my journal. As I wrote about this, I realized. Wow. This is my disease. This is my disorder. I struggle with something. My anxiety is not me. My anxiety is not the pharmacist I am. My anxieties are what have made my life so distressful and have made it difficult to think clearly. It is hindering me. I wanted to fight it.

    I wrote: my goal right now is not to love this career and become the best pharmacist ever. My goal is to do the best I can. To try. My goal is to function. To eat. To survive. I cannot love anything right now. I know I would be just as unhappy if I was volunteering at an animal shelter. I am not sure I truly hate what I am doing as much as I make it seem. I will know that when I am at a better place mentally.

    I wrote: I can finish this program. I know I can. I want to. I do not expect special treatment. I may be slower. I have an anxiety disorder. I just need tactics and help to get through.

    I am trying to function, but I am simultaneously putting immense pressures on myself that are unattainable. I am trying to force myself to be a certain thing that I am not.

    It is OKAY. Things do not have to go a certain way. Things can stray. New paths can be made.

    My director arrives. I explain all of this. He made me feel calmer than I have ever felt in the past 5 months. I tell him how I see myself. He states how I have progressed immensely through the program and have not let any of these factors affect my performance. He states how he cannot wait until I can finally see that too. He states how on Monday morning when I felt that distressed, instead of not going to work, I should have went in, went to his office, and told him how I am feeling. He would have accommodated the day for me. He states how he is here to help me get through and that I can fight this. I can fight the anxiety. That I am brilliant and cannot let it control me. “If you have a day where you have no ability to take care of patients, then you wont. We will have you do something else. You will go home early if you have to. But COME IN. Just come in. Be open. Don’t shut us out. Mental illness must be understood and supported. You are not going to leave, I wont let you (he said this in a loving way by the way, not forcefully). You will fight this. You will be honest with me and tell me how you feel. There is still so much room for you to grow. Work will help you. Staying at home, what will that do for you? Come in. We can help. We are here for support.”

    He himself suffers from bipolar disorder and has had many mental health struggles. He was able to give me stories of his own and how he does not allow it to take control of him. It was inspiring. Told me how it took him years to get to this point but that I can do it too. When he first started, he felt like me and wanted to quit. Trying to reach this unattainable goal of doing everything: feeling better, being the best pharmacist etc. He met a colleague in the hospital who bought him a book that meant a lot to her. She wrote a note to him in the book that stated, “imperfection is liberating.”

    He stated how my therapy appointments, psychiatry appointments – will all be dealt with and accommodated.

    I did not go to him because I felt that I was failing him. He told me (in other words but I am summarizing) that I am putting him on a pedestal that is 55,000 feet and putting myself in negative values. “Do not put me that high. I do not need to be there. That is unrealistic.”

    I told him how I am going crazy trying to find a job. He stated, “that is not the worry right now. That comes later. We will find a great one for you and you’ll buy a Jaguar.”

    I expressed my concerns of a knowledge gap that I have or not being as competent as my co-resident. He said the same thing I said to myself: you do the best you can. All you can do is what you can. You are doing fine. And even at you’re lowest, you’re good. So imagine how good you are at your best!”

    Essentially, I realized I kept hiding away when I felt this way. I shut people out. I go in a cycle. I hide. I do not show up to work. I talk to people on the outside and get one thousand opinions. I think I am incompetent and incapable. I truly believe I know nothing. When in reality, just like my director said, if I could just force myself to go in, I know it would be better.

    This entire time when I was making the decision of leaving and only healing, I knew in my heart it was not right. I did not want to actually leave. I just needed help figuring out how to function. Next time this happens, because it will, I will go in to work. He said even if you’re in tears – just COME. You can do this. “Tomorrow when you come in, since you’re anxious about using the computer system after a couple months, I will print it all for you. These are minor things.”

    These minor things are hindering me. And this is what I want my focus of therapy to be. And my conversations with you. Those three statements I mentioned in the beginning. They are the most detrimental to me. In all aspects of my life.

    There it is. I am continuing. But not the same way as before. With more honesty with my director (which was needed because now I can be honest about my “bad” days). And with ACTUALLY healing. I need medications right now. I know I do. I accept that.

     

    Here is a slight example of a morning routine that I think will work best:

    Before work:

    Wake up. Briefly look at phone (alarm).

    Take puppy out.

    Brush teeth/mouthwash

    Put music on

    Pick outfit for the day BEFORE shower (preferably night before if possible)

    Shower

    Feed puppy

    Get ready in interim

    Take puppy out

    Eat breakfast at home; not on the way and not at my desk when work starts

    Drive puppy to daycare (8 min away)

    Come back home

    Leave phone at home (not all days, but some. If not, immediately put it in drawer at work. If needed can also put in directors drawer with his)

    Walk to work

     

    After work:

    Pick up puppy from day care

    Play with puppy when back at home, put phone away during this time

    Let puppy play, cook dinner

    Depending on when: journaling, therapy, psychiatrist, exercise

     

    Goals:

    Things I need to cut down on (extra stressors to remove)

    1. social activities – going out of my way to make many social plans
    2. boy interactions – seeking them out; seeking Alex out
    3. speaking to C

    I will no longer be able to post a lot in the mornings due to my new rotations. But I hope I get to get at least one post in a day before you log off.

    Cali sister

    #189865
    Anonymous
    Guest

    Dear calisister:

    Your post above makes a lot of sense to me. The director- I loved every word he said to you. If his behavior is congruent with what he told you, and I assume it is, he is a great resource for you, a huge plus, and one good reason to go in. I am so impressed by what he told you, his understanding, having been there, where you are, understanding, supportive. Of course he has work to do and is not available for you as a personal one-on-one coach or friend, but you can be honest with him, have a few moments with him here and there. He understands and will accommodate you, like he said. My goodness, what a resource!

    I wrote to you recently, after you came up with the break idea, that I will not be disappointed if you change your mind, and I am not. If you did take a break, it would have been a challenge, and I don’t know if it would have worked out for you. It would have created stressors like what to do with your time and the money issue. You don’t need more stress.

    You did function well enough in the past even though anxious, so you can function well in the coming rotation as well. You have experience anxious and functioning well.

    Your routine scheduling reads fine to me. Cutting down on social activities reads excellent to me, a very good idea, the seeking out of such. Also, be assertive with people here on your thread and elsewhere in your life. You are not obligated to communicate with anyone who wants to communicate with you. You don’t have to answer questions. You don’t have to respond to anyone. And you can state to a person: I am not interested in your input. Please do not communicate with me again.

    Be selective. And assertive.

    Regarding your three core beliefs you listed. Here is my voice:

    1. You can do this!

    2. You do understand!

    3. You know a whole lot!

    * It occurred to me just now that your director may be able to suggest to you what kind of help he received (and may still be receiving) for his mental health challenge, who you may be able to see, what has clearly worked for him. What already worked for him may work for you too, things to consider.

    anita

     

     

    #190017
    Anonymous
    Guest

    Dear calisister (and Cali Chica):

    Your most recent breakdown (the word your sister used) started Jan 27 and ended Jan 30. Here is a selection of quotes from your writings and one from your sister’s:

    Jan 27: “On Monday, I start a very tough rotation… how do you recommend I can get through until June 30 (to finish this post-dc program).. the approaching of Monday is causing me severe anxiety.

    Jan 28: “I have this anxiety… how do I get through the next couple of months doing something I hate…  The reason I am not quitting (is) because I would have no source of income. That’s the only reason… I would love to quit.

    “Jan 29: “It is the middle of the night. I’ve made a decision to take a leave from the program. Not quitting. But asking for a mental health leave… I am so unhappy… I cannot keep living like this… I felt the body of pain today so intensely. I felt the anger so  intensely. I am MISERABLE… My body hurts so much I can’t move. ..I don’t want to feel tortured anymore… I am hurt. Traumatized. Severely. And I need healing time. I truly need to heal.

    “I am sad. scared. lost. This is who I am? A person that can’t function? A person who needs to stop working? I am having trouble accepting this person… My sister and I have decided to ask for a 3 month leave… I go to therapy (which I made an appointment just now for tomorrow) and then what? I am frightened at the idea. I stare at my apartment and dog all day? I can’t…I see this lady going to work. I want to be her. I want to be normal… I feel like my patients I work with in the psych ward. Troubled and crazy.

    Jan 30: “I understand I have to heal.. but how.. will all these amazing things happen?…

    “I know I have to heal. But I did not like the way I was going about it. It was inducing even more stress upon me…. I can keep the job security and all I have worked for and still heal maybe?… Yes, I have been working. But have I actually been trying to heal? No. Psychiatry. Therapy. No…

    “My goal is to function. To eat. To survive… I am not sure I truly hate what I am doing as much as I make it seem.. I can finish this program. I know I can. I want to… My director arrives… He made me feel calmer that I have ever felt in the past 5 months… He stated how my therapy appointments, psychiatry appointments- will all be dealt with and accommodated.

    “This entire time when I was making the decision of leaving and only healing, I knew in my heart it was not right… Next time this happens, because it will, I will go in to work… And this is what I want my focus of therapy to be. And my conversations with you… I am continuing. But not the same way as before. With more honesty with my director… and with ACTUALLY healing.

    Jan 29, Cali Chica:  “She (calisister) has reached this rock bottom before, but had to go back to her normal ways (work, interacting with parents, getting abuse from parents) that these breakdowns never led to any enlightenment- how could they.

    My input today: Clearly functioning is your very high priority. You value functioning well, that is, completing the rotation phase and continuing your employment. And so you decided to do just that. But you also decided to heal while functioning. You mentioned having made an appointment with a psychotherapist on the 29th for the day after. That appointment should have already happened then two days ago. You wrote that your director told you that he will accommodate therapy appointments you make.

    This breakdown need not be one of many preceding it and yet to come, where you let off some steam, relieve yourself from distress, receive some attention and empathy, feel better, continue to function…until the next time: another breakdown, letting off some steam, relieving yourself of distress, feeling better, and back to functioning… and then back again to breakdown.

    It shouldn’t be this way because there is no healing in it. This pattern is similar to a child throwing a temper tantrum, the parent giving the child candy, the child calms down until next time.

    I need to change the way I interact with you, calisister, so to encourage your healing, and to not encourage this pattern of breakdowns.

    I will no longer give you input that belongs in a psychotherapy session, such that you made an appointment for, intent on healing. I will let this kind of input be between you and your psychotherapist. My input therefore will be different than before.

    anita

     

    #190193
    cali sister
    Participant

    anita,

    I did have my appointment and it went well. I understand. I am not sure what to write here anymore or if I should. I believe perhaps it is not good for both my sister and I to write on tiny buddha at the same time. I am not sure. I am obviously causing her much distress, so I rather just lay back for a while.

     

    • This reply was modified 6 years, 10 months ago by cali sister.
    #190225
    cali sister
    Participant

    I believe I just reported my own post by mistake. Did not mean to do that.

    Regardless, I understand where you are coming from. I feel I need time to let a lot of things sink in. I may have made the mistake of using this public forum as my diary – with my every thought portrayed and every feeling of distress –  and perhaps I should start writing only for myself for a bit.

    Thanks for your honesty and all of your words. I will talk to you soon. Be well. You are an amazing person, anita. Truly inspiring.

    #190267
    Anonymous
    Guest

    Dear calisister:

    I don’t think it was a mistake on your part to post here. I will not be using your sharing against you and neither will your sister, I believe. I did get to know you, through time, and much in the last couple of days. I learned and I will be glad to share and explore with you what I learned. It is your choice whether to communicate with me, or not, whether to explore and learn with me, or not.

    The way I see it, at this point, is that you need to take personal responsibility for your healing. Yes, I believe you have been throwing temper tantrums of sorts, crying wolf, in a way, and unnecessarily distressing your sister. It is not her responsibility to heal you, nor is she able to. It is not fair for you to unload your distress on her as a way for you to feel better for a little while.

    You mentioned psychotherapy recently, and I believe that is necessary for you. Not all psychotherapists are created equal, and you will need to be selective, but quality, hard working, dedicated, empathetic and wise therapist will be the person to truly help you.

    Thank you for your kind words. You are welcome to post again, anytime.

    anita

    #190277
    cali sister
    Participant

    I understand. However, there is no way for me to guarantee my sister will not read my posts. It is no longer my safe place to write what I want and not have her affected. I understand what you are saying, I will accept it with time. However, I do not think we will be able to explore me exclusively with you hearing my sister’s voice and my voice. I see it like a therapist who cannot do couples therapy with her client. She can only focus on her one client, and they would have to get couples therapy separately.

    I have no way of continuing to share honesty here without fear.

    I have attended therapy sessions already. And will be doing it 2-3 times a week. Have homework assignments

    Thanks

    cali sister

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