"Anxiety moves through me top-down. First, my mouth. I’m completely frozen; my breath is in short, shallow whispers, like a mouse breathes. Nausea sets in, and my tongue dries up. My saliva’s gone. I’ve woken up from daylong anxiety attacks with my jaw tender, the joints in my hands stiff from clenching them into tight fists. My voice becomes a tiny thing. My hellos and goodbyes to my co-workers are ignored, because my hellos and goodbyes aren’t audible. Which, of course, gives me more anxiety. Then, my stomach. I don’t eat, and I only ingest to survive: a diet of coffee, Red Bull, and benzodiazepines.... Am I chewing too loudly? Do I smell? Does my smile look fake? And the negative self-talk, oh, what a carousel of put-downs. I suck. I don't belong. I'm bad at my job. I shouldn't be alive... They hate my loud typing. They can read the texts I’m sending to my husband. I’m walking too loudly. They’re laughing at me. I’m being watched. They, I, They, I. It’s frantic chatter of self-hatred, fueled by the caffeine I’m guzzling because I’m sleeping poorly, because I’m dreadfully exhausted...."
From "It’s ‘a frantic chatter of self-hatred’: This is how I experience anxiety/My negative self-talk is a carousel of put-downs" by Silvia Masuda (The Lily).
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56 comments:
That is a description of torment. One asks who is tormenting this writer. That does not describe a temporary chemical imbalance needing tweaking by Pharmacy pills.
Very sad. Thank goodness there are good meds and therapy that can alleviate the hell these poor souls live in.
Maybe back up off of the coffee and Red Bulls, missy. Do some physical labor. Exhaust your body and you will be too tired to worry about things and you will sleep. And put a sock in your anxieties. Yes, you are going to die! Yes, you are below average at some things. So are all the rest of us. Get over yourself.
Get over yourself.
There are few emotional woes that are not helped by getting out of yourself.
Be of service to others.
Give it a try.
Like Sylvia Plath, who may have lived if she'd just laid off the sleeping pills she was gobbling. How hard is it to see that these substances themselves send you off the deep end?
Huh, and I get annoyed that memories of things I’m embarrassed by come to me much more easily (and unbidden) than memories of things I’m proud of.
This is much worse. I feel better now.
Omg she was in klonopin all those years.
Well...see how much that helped. It's almost as if the drug caused horrible rebound anxiety in withdrawal worse than she had before treatment.
Nah.
Am I chewing too loudly? Do I smell? Does my smile look fake? ... I suck. I don't belong. I'm bad at my job. I shouldn't be alive... They hate my loud typing. They can read the texts I’m sending to my husband. I’m walking too loudly. They’re laughing at me. I’m being watched.
All you need are the "air quotes" and you'd have...
Bennet Brauer.
I’ve carried this anxiety through five hospitalizations, one stint in rehab, a bipolar I disorder diagnosis at 20, extensive treatment for complex post-traumatic stress disorder and a borderline personality disorder diagnosis at 32.
Thank goodness there are good meds and therapy that can alleviate the hell these poor souls live in.
Perhaps you should be advising the many doctors she has consulted.
Get over yourself.
See above.
Be of service to others.
See above.
So many experts here, why aren't you guys curing cancer or at least running clinics for crazy people if that's so easy?
Omg she was in klonopin all those years.
"Can cause paranoid or suicidal ideation and impair memory, judgment, and coordination."
While I feel (just a little bit) sorry for the condition of the writer, I also like Oso Negro say...that everyone has anxiety to some extent. Everyone gets depressed. She isn't especially special.
Self obsession is never a good thing. Perhaps her condition is medical. Perhaps it is a mental obsession with the minutia of her emotions or a lack of mental discipline. Or all things combined.
In any case a cocktail of medicines that some have been proven to exacerbate mental issues and a cocktail of cocktails, is not the answer.
Does she need help. I suppose. Does she need therapy? Probably. Drugs. I doubt it. It sounds as if she is working on being anxious and depressed."TRY THIS
The problem is that young people don't have any real problems or immediate dangers to focus on, so they turn inward. Obsessing about themselves.
The imaginary wolf at the door becomes looming because in their lives there haven't (yet) been any REAL slavering wolves at the door.
The problem is that young people don't have any real problems or immediate dangers to focus on, so they turn inward. Obsessing about themselves.
The imaginary wolf at the door becomes looming because in their lives there haven't (yet) been any REAL slavering wolves at the door.
The fight or flight mechanism is interpreting the modern world and triggering an adrenaline rush.
No big deal once you understand the mechanics.
Fernandistein So many experts here, why aren't you guys curing cancer or at least running clinics for crazy people if that's so easy?
No one said it was easy. The first thing you do is to help yourself out of the hole you have put yourself into. To WANT to do it.
One of the best ways to begin to help yourself out of a spiral is to concentrate on someone else or something else. Realize that life IS worthwhile and there are things outside of yourself that are more important.
Your criticism of commentators here is coming from a point of absolute ignorance. That is not completely your fault because most of us are anonymous and don't share deeply personal or painful episodes. You know nothing, really about me or my struggles. Just as I know nothing about you. I can speculate, but do I know? Nope.
It's really hard for those of us who have never had anxiety disorder to understand the real pain it causes. It is certainly a mental health condition. If there is no underlying chemical imbalance, psychiatrists and other mental health experts are the only reliable help. If they prescribe medication, the patient trusts it is safe. On the other hand, there is certainly a high incidence of PTSD diagnoses lately--especially non military-related. I'm skeptical.
The problem is all the others, like fernandistein,blithely assuming moar therapy moar drugs will help when those are probably the things that sent the patient into a spiral. All starting with normal problems of living and growing.
I think it's no coincidence that people tend to become psychotic in their late teens, if ever, because that's when they need to prepare for adult life and fear paralyzes them. I found the years 18-21 quite frightening. But it was the 60s too, so...
Reading the previous open thread I'm contrasting this woman's unpleasant emotions and imaginations with stephen cooper's bizarre self-aggrandizing delusions and flights of fantasy, which are much crazier in content than her pedestrian paranoia, but which he obviously enjoys. Strange.
The problem is all the others, like fernandistein,blithely assuming moar therapy moar drugs will help when those are probably the things that sent the patient into a spiral.
I said exactly the opposite. Sorry.
'a diet of coffee, Red Bull, and benzodiazepines...'
I have no interest in those substances, but how exactly does a caffeine and benzo buzz work? Isn't that like putting a humidifier and dehumidifier in the same room?
I looked through The Lily. Immediate evocation of Poe's Law.
Newspapers once called sub-publications like The Lily the "women's pages". These used to be a lot less pretentious and neurotic.
Carol: I think it's no coincidence that people tend to become psychotic in their late teens, if ever, because that's when they need to prepare for adult life and fear paralyzes them. I found the years 18-21 quite frightening. But it was the 60s too, so...
It's my understanding that one's brain is undergoing significant re-organization during this period, so "fixing" things with drugs (recreational or prescription) seems potentially far more problematic.
No one said it was easy.
Actually they did say it was easy. Read their posts.
You're also saying it's easy: "One of the best ways to begin to help yourself out of a spiral is to concentrate on someone else or something else."
I'm saying she has an unpleasant personality and is probably is not treatable in any significant way, whether by pills or by baseless folk-therapies like thinking about and helping other people.
Your criticism of commentators here is coming from a point of absolute ignorance.
It's based on their and your reactions to the article: the woman goes to MDs and shrinks and hospitals for 20-some years, apparently without improvement, and people like yourself believe you know more than the MDs and shrinks and can do a better job by using some folk therapy based on an anecdote about someone else with a different emotional issue.
Maybe homeopathy would work for her, it did wonders for blah blah blah.
Sounds like she is disabled enough in her daily activities to qualify early for her social security benefits.
I wondered about that; here's her "hire me" ad. She actually sounds rather functional for the most part (works, married, "passionate about exploring") and seems to withdraw rather than get violent, etc.
"Get over yourself."
One more statement to add to the tormenting chatter in her head.
You're also saying it's easy:
I said..... "One of the best ways to begin to help yourself out of a spiral is to concentrate on someone else or something else."
Where in that statement of mine do you see the word easy. Best. One of. Begin. But not the word easy.
Projection much?
Here are some ways to help others and they are NOT easy even if you aren't suffering from anxiety. Many of these activities contain depressive elements, but if you concentrate on the good results and feel that YOU can actually matter to others, it is a beginning.
Meals on Wheels. Go see people who are really suffering and facing death straight in the eyes. People who are so grateful for human contact and meals
Volunteer at an animal shelter: Help the helpless and try to comfort the animals who don't understand what is happening. Try to place the animals for adoption.
Volunteer at a hospital or long term care facility with people who have been abandoned or are alone.
Cook and serve food at a homeless shelter.
Prepare food bundles at the local food pantry
Become an aide at a head start pre school for poor children.
Pick up garbage on the side of the road.
Some people even find religion and/or volunteer for "missions" to other countries to establish wells, education or other things we take for granted in our country.
Multitudes of ways to begin to get outside of yourself and be helpful. Who says it is easy??
"One of the best ways to begin to help yourself out of a spiral is to concentrate on someone else or something else."
Imagine being the someone else that a person with a terrible anxiety problem decided to concentrate on!
Imagine being the someone else that a person with a terrible anxiety problem decided to concentrate on!
Imagine being the 80 year old shut in with mobility issues and no family to come and visit you because they are all dead or live far far away. All your friends are either dead too, or are in similar straits. You can't go to the grocery store because you can't drive. You can't cook because your hands and legs don't work properly....or because you can't remember to eat regularly. You are alone most of the day with only Pat Sajak for company.
Someone has signed you up for the service of having some food brought to you once or twice a day. Even paid for the service through donations for you. The meals deliverer will visit for a while, not all day....because there are other people waiting. The nice man or lady will take away the old food tray and check to see if you are actually OK. See if the housecleaning service (also a donation in some cases) is doing their job or are you living in filth? They might even bring you some books to read.
Imagine that.
Obviously, I am not recommending that the obsessive depressed/anxious person transfer their obsession to another person. That would be just a transference of the illness from self to other. Some activities don't even require personal contact if that is a problem.
Picking up garbage would be a good non person contact activity. Especially for someone with OCD cleaning issues. Obsess about the trash on the side of the road. Trash doesn't care but the people who see you doing the cleaning appreciate you. :-)
The first step to recovery:
-When someone asks “Who farted?”, she can matter of factly say “me”
This woman's anxiety, severe as it has been and culminating in multiple hospitalizations (these sound voluntary rather than involuntary) looks like it's disintegrating her personality. Polish psychiatrist Kazimir Dabrowski, most of whose work is outside the mainstream of psychology today except that some of his work has been accepted in the psychology of gifted children, might say her overexcitability is in fact an opportunity. Her bouts with severe anxiety are psychoneurosis which, while extremely painful to experience, are opportunities--the only kind--for personality formation and true personal growth. Not everyone has that capacity, and it's not always pleasant, but through this disintegration of personality, and only in this way, can arise our authentic personality. Disintegrate, reintegrate at a higher level, closer to our authentic selves after having shed whatever artificial structures are causing the conflict within the self--positive disintegration. Wash, rinse and repeat, if you're a person who tends towards overexcitability and show other potential for developing an authentic personality (probably a relatively small minority of people). In Dabrowski's therapeutic model, you don't treat the symptoms of anxiety because you don't try to avoid the disintegration, so the folks in here who don't like the drugs regimen she's on might like it. And the highest form of therapy per Dabrowski is autotherapy, where you learn about and ultimately treat yourself. The pain is a signal, and Dabrwoski's conception of it doesn't make bearing it more pleasant, but it does provide a foundation of meaning for all of the suffering. But he was also a devout Catholic, and what do they know.
Dabrowski focused on and developed a very interesting and useful model of the challenges of the "1%" or at any rate the people with the highest developmental potential in his model, where developmental potential is fraught. His highest level of development, a secondary reintegration more stable and personal than our primary integration (which is socialization as a child into society's mores and rules), is something very few achieve, which is life as art and daily activity as problem solving and dedication to others and being helpful. Very beautiful.
My first impression is that this is very beautifully written. I can relate to certain parts of it as well. And yes, I do drink lots of coffee.
Blogger Ann Althouse said...
"Get over yourself."
One more statement to add to the tormenting chatter in her head.
This is my judgement. My prescription is beatings and work. Give her something to cry about.
Will she ever be found at the feet of Jesus clothed and in her right mind.
The scariest part of the story is what's left unsaid: such women vote.
One reads about television programs where groups of unrelated people are put away on islands or locked up in houses (something like that) and have to sort things out by themselves, without outside assistance. There should be a version in which the members of the group are all suffering from neurasthenia in one form or another. Not sure how the progression toward a satisfying final episode would work, however.
Interesting how many commenters seem to be lacking empathy. Is that in itself some form of mental illness, or mental deficit? Or is it a more primitive mindset when such people were put on on the ice and allowed to die? Are people in disbelief that true mental illness actually exists? Can people in today’s world of high tech and brain studies actually believe that? Can a person whose brain doesn’t function normally use these suggestions to normalize the chemicals in their brains? If so, why hasn’t it been utilized with consistent positive results?
The pull yourself up by your own bootstraps mentality works only when one has bootstraps. There by the grace of God go I. Something to consider on this Sunday AM, especially for the Christians here.
@ FrankM - I entirely lack compassion. I believe firmly that many modern neuroses are the result of inadequate physical exertion. Carry shingles up to the roof all day in Austin, Texas in July and see how much time you have to feel "anxious" in the evening. But don't trust my inference! Give me a large grant to run a work camp for the anxious and let me prove my theory. I think $10 million will be enough to start.
"Tis better to light a single candle than to curse the darkness."
Yeah. Goddam darkness!
Narr
I'm with O.N.
“Imagine being the someone else that a person with a terrible anxiety problem decided to concentrate on!”
Wow. Talk about ignorant. As DBQ so expertly explains, you don’t have to be Super Green Beret to do significant good for others. If you’re an anxiety-ridden neurotic who can shop for yourself, then you can do it for others who absolutely cannot do it for themselves. And, yes, that just might give you some perspective about your true state. No one said it’s a miracle cure.
Is mental ilness contagious, do you think frankim? Like transgenderism, the rates sure have skyrocketed in recent years...
It seems to have really taken off when Prozac came along in the 80s. Not that it's the cause but SSRI's are the first step in "therapy."
Psychiatrists mainly just do med checks now. Beats having to listen to someone's problems, I guess.
Many of the comments on this thread show a startling lack of compassion for this individual. After reading the article, I, in my naiveté expected to see many comments of sympathy and understanding. I saw mostly the opposite.
Unfortunately, advice such as “get over yourself” or “just concentrate on helping others” have the effect of showing the sufferer just how little her condition is understood by others, and how even more alone she is. These misguided attempts at help are not help at all; they are quite the opposite.
When you meet someone like this, give them the benefit of the doubt. Assume that they are doing everything they can to take care of themselves, that they getting help and that they will appreciate kind words. Remember, unsolicited advice is actually criticism. It is saying, “you are doing this all wrong; this is what you should be doing.” So unless you know what you are talking about, keep your prescriptions for help and your own fear of someday being in their shoes to yourself.
@Penguins - Not only did I expressly state my lack of compassion, I will go further and state that I have NO INTEREST WHATSOEVER in understanding her condition. Let's say she falls somewhere on the scale between self-indulgent neurotic and diseased hominid. As chemotaxis works for a bacterium, so will "no work, no eat" work for the neurotic. If you want to devote your life to exploring her condition in depth and helping her to avoid loneliness, you are welcome to do so.
Some people find the possibility of devastating metal illness in themselves or in someone they love so frightening that they develop theories that border on denial of the existence of the disease. Or at least, they insist that no disease exists that is independent of the individual’s own weak body and mind. And since the denier is not weak, the denier reasons that he will never be subjected to such illnesses.
It is all nonsense of course, but fear will make people believe the most nonsensical stuff. One cannot use reason and logic to argue against such beliefs. Ideas based on fear always will out.
To be of real aid to someone suffering from the results of any illness, accident or tragedy, the first thing someone must do is to put aside their own fears. One’s own fears are one of their biggest blocks to compassionate service.
I will read it if she pays me $175. and hour. It’s the same way I feel about Adam Sandler movies.
When you meet someone like this, give them the benefit of the doubt. Assume that they are doing everything they can to take care of themselves, that they getting help and that they will appreciate kind words.
I do have sympathy as long as the sufferer is willing to try to do what they can for themselves and get help, take well meaning advice, and doesn't just whine about their situation. I don't assume. Show me!
"Woe is me!!!" is not a winning strategy when you are talking to a Stoic
I understand that people can be mentally ill and need help. I briefly considered suicide myself many many moons ago....and then "snapped out of it"! I realized how selfish that would be and that other people and other entities depended on me. You put your own feelings aside and get on with doing what you have to do.
I also logically realized that "this too shall pass". In other words how I felt then, would be different in a later moment. Like Scarlett O'Hara...Tomorrow is another day. Things change. And YOU can make them change. Or you can curl up into a little whiny ball of self inflicted misery.
I have a relative who is a hopeless alcoholic determined to destroy herself, her family and is toxic to everyone around her. We tried intervention. Paid for rehab therapy. Tried to sign her up for liver transplant. Had many heart to heart discussions. All to no avail. She lies. Demands sympathy. Woe is me. No one understands... wah wah wah. So....the empathy pool is now drained.
So do I lack "empathy". Probably. Not that I don't care. I just don't turn myself inside out anymore.
@Penguins - Some people like to go out dancing, and other people, they gotta work. But some people just don't give a fuck about the perpetual pity party. Or sophomoric rhetorical artifice that attempts to turn common disdain into phobia.
Did the anxiety/depression thing. Pharmaceuticals and therapy help but I'm far from 100%. That said, without them I'd be unemployed and homeless at best, dead at worst. But some of the homeless I see in San Francisco looks light years beyond my worst, their brains utterly broken.
For some, though, spirituality does what conventional treatment can't. There are no easy answers for everybody. This is the tough spot: The advocates are offended if their solution that worked for one person aren't universally accepted. But getting through mental illness is stumbling through whatever might work until either something does or you die.
“Not only did I expressly state my lack of compassion, I will go further and state that I have NO INTEREST WHATSOEVER in understanding her condition. Let's say she falls somewhere on the scale between self-indulgent neurotic and diseased hominid. As chemotaxis works for a bacterium, so will "no work, no eat" work for the neurotic.”
God forbid Oso Negro, you sustain a brain injury of some sort and your brain no longer functions as it should and society as a whole adopts your callous ignorance. What should we do with you in that case?
Incidence of this sort of thing seems vastly greater today than when people had to live through intense physical labor. Or in advanced societies vs the "developing" world. Granted there is madness everywhere and everywhen, but the rate many be telling us something.
There may be a lot to Oso Negro's idea.
Planting rice is the equivalent of his shingle-hauling in Texas.
Perhaps everyone is doing it all wrong.
These may be symptoms of a general misalignment between what people evolved for vs how they are forced to live, or believe that they are required to live.
Social anxieties are unlikely to come about if one is not required to live among hordes of unsympathetic strangers.
@ Frankim - if I cannot manage it myself, my brother is under strict orders to overdose me or roll me into the lake. It's the decent thing to do.
Things that sometimes work if you have anxiety.
"The one very important connection – if you drink too much coffee, or any other source of caffeine, that will make you anxious. I once had a patient come to me with severe recurrent anxiety. I asked her how much coffee she drank, and she said about twenty cups per day. Suffice it to say this was not a Dr. House-caliber medical mystery.
Also needless to say: get enough sleep. Seriously. Get enough sleep."
sounds awful
perhaps coincidentally, intact families and people tolerating existence drug-free are both increasingly rare
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