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December 18, 2008

Anxious Bloom

A continuing discussion about anxiety


I sometimes think that no matter how often or how carefully I try to explain what anxiety is for the clinically anxious, there are always people who cannot accept that anxiety doesn't follow rules of reason nor rely on cause and effect to furrow itself deep into a nervous system. There are so many people who still, no matter how much we learn about it to the contrary, believe in their hearts that it's a choice we are making; to be depressed, or anxious.

Am I deficient in vitamins? Am I not getting enough sunshine? Have I not squared my shoulders and faced it all? Could it be that I need more meat in my diet? Do I just not assert myself enough? Do I just need to look on the bright side? If I was a stronger person would all the dark disappear? Would the emotional roller coaster ride turn out to be just a gentle bicycle ride? Is it possible that it's not anxiety I feel, but rage? Is it possible I've almost made it 39 years without being able to tell the difference? Am I angry rather than panicky? Could warm milk before bed take away the incessant buzzing in my head? Did the St. John's Wort not work because I didn't believe in it enough? Have I been choosing to hear the world around me fall apart in my head because I LIKE being crazy?

No. I spent 19 years looking for answers. All the while my anxiety growing, my depression obscuring the mushrooming panic. 19 years without help from anyone. 19 years without therapy, medication, or a diagnosis; knowing all those years that what I was going through was like "normal" on steroids. In other words: not normal. I knew when I started cutting myself that it was not a normal expression of anger or depression or anxiety. It worked, it helped, it ameliorated a terrible splintering in my head and then brought me back from complete physical numbness. It soothed when no one else had the power to sooth or even noticed the need in me.

I have tried every herbal concoction said to aid in all that ails me. Every tea. Every supplement. Multivitamins for months and months. Herb pillows, warm milk, Valerian drops, tinctures of every description, meditation, yoga, exercise, healthy food, positive visualization, creative outlets, writing, writing the brutally boring minutiae of my head just to release a valve, just to get it the hell out, talking with friends, pep talks, hot baths, discussing my problems with cockroaches that lived with me (not my choice), walking, deep breathing, spa treatments, shopping, educating myself.

And those are just the healthy things I tried.

I knew that what was wrong with me wasn't something a cup of tea could fix. The tea might help incrementally, but not nearly enough to keep me from wanting to smash my hand through a window just to distract myself from myself.

You know how when you fall down and you hear a big crack and you suddenly can't use your arm anymore and it hurts so bad you think you're going to vomit and you just know that you broke your arm, even before you get to the doctor? When you're broken in the head or nervous system you know it in the same way. You just feel it. Maybe you spend a long time denying it, but you know.

People- lots of people- probably you (because there are very few people who haven't thrown this one out there) are fond of asking "What's normal anyway?" or "No one is really normal." Or "Aren't we all a little crazy?" or "Everyone is fucked up in one way or another." Not all these statements are true, but the more important thing is that none of them are remotely helpful and when I hear people say them I feel like I've just been told that I don't know myself, that my discomfort, that the danger inherent in being me, is bogus.

It throws doubt on all the experiences I've had. It makes me question my carefully honed and honestly earned judgements. It takes all hope of help away from me. If we're all crazy then what could I possibly complain about? What could I possibly need more than what I've got? That my problems don't matter. Don't count. Aren't worth talking about. Are nothing. I'm a big baby. I'm a whining idiot. I'm not taking responsibility for myself. I'm choosing to be miserable. I'm choosing this hell for myself!

But when someone complains about having heart problems do people say "Well, don't we all?". Lots of people do have heart problems. Sometimes from their diet, sometimes from their lack of exercise...but for a lot of people with heart disease, they inherited the tendency from their family genes. Regardless, when people discuss their heart problems others don't fall into the same kind of talk that they do around people with mental illness. They don't say things like "Well, if you just exercise more it will be fine." Because, if they're wrong, a person could die.

If a thyroid stops regulating itself and a person is suffering and tells friends that they're all messed up and miserable and are going to have to take medicine to regulate it for the rest of their lives, do you hear friends saying "Well, maybe if you just meditate it will start regulating itself again!" or "Why don't you just stop eating wheat, you're probably just allergic to wheat." or "Everyone has some kind of medical condition..."? No, because if anyone talked like that to someone with a physiological condition only a complete ass would talk like that.

But when it comes to the brain and the nervous system people always want something else to be the reason a person is wanting to die, or to never leave their room again, or to pick at the skin on their heads until their scalps bleed. It must be curable and there must be some simple remedy.

But there's not. There are a lot of things a person can do to support their mental health but even if they do everything known to help, they are not ever going to be fixed. And nothing is going to change the fact that their brains don't regulate the chemical messages sent to the nervous system, or make enough of the right ones. It is what it is.

And one thing it's not: normal.

My anxiety isn't unrecognized anger. There are plenty of things I feel angry about. I know the difference. The anxiety I feel is caused by my body not making enough of the chemicals I need in order to be more balanced, or my body is making enough of the chemicals but my brain (for whatever reason) is unable to use those chemicals properly.

Basically, when I feel panicky at the sight of carolers my brain is sending my nervous system a false message, or too strong of a message. What might ordinarily be annoyance at having to deal with an uncomfortable experience and hear music I hate becomes something I would much rather run from than face just to ease the racing heart and the blipping fritzing mind. It isn't rational, or reasonable, and what's really going on isn't a thought out response to a situation but a physical reaction brought on by a physical malfunction.

Mental illness is a physiological problem.

Which explains why getting exercise, a balanced diet, plenty of sleep, and sunshine all help ease depression and anxiety. But until we understand exactly how all these chemicals work, until we can map out exactly how the brain doles out the chemical messages to the nervous system and what precise function has gone wrong when things aren't working well, nothing will really fix it.

Medications such as the one I take help a great deal. They help people like me come back to near-normal brain function. If I wasn't on Paxil I would be obsessing about imminent earthquakes*, serial killers, death of my child, wood rot, my friends not being my friends, slipping and falling again, and meteor showers destroying my house. I would not be getting any sleep. I would be worried all day long about everything I've said in the last week having caused someone offense and wondering how I might have said things differently; replaying every conversation in my head over and over until I get it just right. I would be yelling at my kid and my husband all the time just because of the crazy amount of noise that three people living together makes and constantly dreaming of floating away on a boat by myself to a little cabin where no one can find me and I can scream the primal scream on the top of my lungs until my throat bleeds.

Is this how you are without medication? Because if you find yourself saying "That's exactly how I am." then I have news for you: YOU ARE NOT NORMAL EITHER.

So today I am on the low ebb. I am feeling lonely even though there's people all around me. The snow is falling which I love, but part of me is riding around an old groove with old songs and messages and I have a hunger for something that doesn't exist. I keep reaching out and feel disconnected anyway. Maybe Internet life is unhealthy for me. Maybe constantly throwing words out there hoping it hits something or someone is like casting a net of fragile thread across the milky way.

The kid has been home for six days straight and I'm tired of the noise and filling needs and not being good enough and soothing frustrations, wiping away tears, brushing off everything I can't fix. But it's all still in my lap. I am not good at this game. I need an empty house. Empty of everyone. Of dog. Of boy. Of man. I need to not be needed all the time. Tomorrow will most likely be another school day, followed by a two week vacation from school. I feel shredded already.

But this is just how it is. There is always going to be low ebb. Like low tide. Everyone feels that rhythm in life, that part of my experience is normal. Off days and good days. It's just that they're amplified for me and people like me. I get tired faster and for longer.

There may be no Christmas cards sent out again this year.

Even as I speak the kid is combusting with his own imperiousness which is stressing out the man and they bicker and the dog is whining for something I can't give her. I need a safe empty place to curl up and not be.

Anyone have a padded cell I could borrow?







*I've been known to go on six hour crying jags over earthquakes that haven't happened yet. I've also been known to not sleep for three weeks after experiencing small ones.

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Comments (1)

Thank you for a great post

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