Sunday, March 29, 2009

Stronger Than I Think?

All too often I feel very inadequate to handle the stuff that life throws at me because of my disorder. It's not that I want to feel like a victim, I just have a hard time thinking of myself as "strong" when my heart starts racing the moment I get into something normal like an elevator. Conflict and debates are some things I typically read or listen to, but I try my best not to get involved because I don't know always how to handle it. It is easy to get into routine and even a rut for me because I fear change, not because change could be bad, but because change is different from what I am comfortable with. So, this weekend, when I was talking to my mom, and she said that she believed I was stronger than I thought, I wasn't exactly sure what to say about it.

Sure, I have done some things in my life that I never thought I could. I drove a U-Haul once- that's sometimes my mantra when I am trying to convince myself that I can do anything! But to say that I am strong because I can do some things that I consider brave that others see as mundane just seems odd to me. However, as I was thinking about it, I realized that my mom may be on to something.

The first step I took that many haven't is that I recognize and am working on my disorder. I am not so afraid of being branded as a "mental case" that I am unwilling to get help. I don't think of myself so highly that I think I am above needing help either. I went and saw the doctor and started the work to get better.

The second step that I did was to learn about my disorder and what it says about me. Learning about it helped me define who I am. I learned about what my disorder does to me and why it causes the things that it does. In turn, I was able to either learn to use these to my advantage or use the strategies worked on between my doctor and I to correct the unhealthy behavior. Sometimes it is hard not to be hypercritical of myself because of this self-reflection, however, that's also something that I am working on.

The third thing I did was recognize that this, too, can point to God's goodness and mercy. Through my anxiety disorder, God has taught me so many things, the biggest one, I think, is how much I need Him and how much I cannot do for myself. In the middle of an anxiety attack, I usually have to take something outside of myself into myself to solve the problem- adavan or temazepam. In the middle of my sin, Christ comes to me through my baptism, absolution, and the Holy Supper to give me salvation that I could not attain on my own. The similarities are uncanny!

Is my mom right? Am I stronger than I think? I am not sure, however, I have found that mommies are hardly ever wrong...

Saturday, March 28, 2009

Gospel Focused Bible Studies

What is the purpose of having a devotion at the beginning of a meeting in a church or a church run organization or business? Why do we do it as Christians? There has to be some sort of motivation for the action, however, I am not sure if anyone has a clear cut reason for why they do it. Perhaps it is expected or required because it is a Christian organization, and so meetings that have to do with the secular and not the sacred have a need for some sort of devotion to make the point that this is a Christian organization. But what type of devotion should be had, then? What should we study when the Bible study is not the main point of the meeting?

I have observed many different customs when it comes to answering this question. One such custom is do read the readings of the day or reread the readings appointed for the week. Others use a devotional book that is dated and simply read the devotion of the day. Still others use it to highlight an issue or problem that needs to be addressed.

All of these are good and noble reasons for a short Bible study before the start of a meeting. However, I have also seen this abused. I have seen Bible studies as a way to rebuke behavior without the Gospel. I have seen it used in the way of the Law where the Bible is used as a weapon to hurl at those who offend us. There is nothing wrong with using the Law to crush unrepentant sinners. There is nothing wrong with using the Law to show others their sins. This is one of the purposes of the Law that we learn in Catechism. However, the Law is never delivered without the Gospel. The Law shows us our sins and points us to the need for a Savior- The Savior, that is, Jesus Christ. In a Bible study setting, the study with a Law focus has the wrong focus and is much better left undone unless the Law is followed immediately by the Gospel.

However, that is not how we like to rebuke others, is it? We want them to feel horrible about what they have done and how they have sinned against us and God. We want to make sure that using the authority of both God and ourselves, the improper behavior is corrected out of fear, guilt, and the realization that something wrong has transpired. Allowing that word of Law to hang in the air gives it a finality to it. This is not the way it should be, it says, and it will be corrected instantly. That is perfectly fine in a secular employee- employer situation. There are times when we should be told that a certain behavior is unacceptable and will be stopped, but that is usually in a one on one situation and does not happen in a large group. However, in that one on one situation, there is usually an opportunity for repentance. The offending individual can apologize for the behavior and assure the boss or supervisor that the behavior will indeed stop and that they are truly sorry for it. As Christians, the response to those words is forgiveness. This does not absolve the person of any future offenses, but it does absolve the ones that the individual has apologized for.

Unless there is an open forum where the offending parties can offer an apology between the Law and the Gospel portion of Bible study (a practice that is very uncomfortable and is better left in a private setting), repentance should be assumed and the Gospel should be proclaimed. No one should leave that meeting feeling as if they are condemned because they didn't live up to the standards set forth by God and proclaimed in the Bible study. It is very difficult for someone to hear that they didn't measure up and they sinned, but it is even worse to do so without pointing them to the Savior. Reminding us that we do not live up to the example given to us by Christ is a good thing to remember, but it is worthless unless it is taken one step further. Christ lived the perfect example for us so that we, who cannot by nature, don't have to. Christ, the perfect sacrifice, paid our ransom for our sins and bought us back so that we may be his own and live under Him in His kingdom forever. When we sin and repent of those sins, God, who is faithful and just, forgives our sins and cleanses us from all unrighteousness. That, and not our sins is what the focus of Christianity is, and therefore should be the focus that Christians keep in all our vocations given to us by God. Sanctification comes after justification with God, and it should with us as well.

Monday, March 23, 2009

Hating Conflict and Learning to Pick Your Battles

I hate conflict. There is no doubt about it. I hate the physical, emotional, and sometimes spiritual problems that result from conflict. Perhaps I have it tougher because the physical sides of conflict mimic and sometimes create anxiety symptoms. Anxiety attacks are something I try to avoid as much as possible. Not only are they not fun to go through at the moment, they also tend to ruin my day because I don't process the chemicals out of my body the way that most people do. Once the adrenaline and other byproducts of anxiety pour into my system, they take quite a while to get out, which results in headaches, more anxiety (sometimes), and a general feeling of tenseness. It's not fun.

Sometimes that means that I don't pursue things that need to be dealt with. I might avoid a dealing with a situation so that I don't have to worry about the problems that might arise from it. Sometimes this keeps me from picking an unnecessary battle and sometimes it means that things that should be taken care of are not. For me, it takes quite a bit of "guts" for me to actually bring up something that bothers me. I am always a little proud of myself, regardless of the outcome of the conflict, when I do speak up because I prove to myself then that I don't always run away from conflict.

I also react differently to different conflicted situations. Sometimes I fold in on myself, ready to make compromises wherever I feel they need to be made to resolve the situation. Other times I stand my ground unwavering (and then afterward wonder if I was correct for doing so). Sometimes I allow the conflict to be talked out and compromises are made that benefit all in the situation.

There are times when each tactic is needed. Sometimes petty things need to be dealt with by simply deciding that there is no need to be upset over them at all because they are not that important. When it comes to faith in Christ and the Truth of the Scriptures, there is no compromises, only fact. When an issue is important enough to warrant a discussion needing resolution, it is important to talk everything through calmly and rationally to bring the conflict to a close.

My biggest issue is deciding which tactic is needed for which situation. As I said, I try to avoid conflict as much as possible, which means sometimes I take the path of least resistance instead of the path that is right for the situation. How much of it is my personality and how much of it is my disorder? It is hard to say. Regardless, I have been working on speaking up when it needs to happen, working with those I am in conflict with when there needs to be a resolution, and walking away, either literally or mentally, from the problems that are really not that big of an issue.

So, I wonder, does anyone else suffering from GAD, depression, or other mental or behavioral disorders have this issue?

Sunday, March 15, 2009

Restful Weekend

When I work too hard, my body always has a thing about making me slow down. This was one of those weeks. At the beginning of the week, I had mild cold symptoms, by the end of the week, I had a fever, some nasty congestion, and a cough that would make a seal think I was calling for him. The result is that I slept more this weekend than I have in a long time. I guess I had really exhausted myself, because no matter how much I sleep, I still feel like I could go for more. As much as I know that I need to rest, it always seems to take something a little more drastic before I take that to heart. I try to push myself as hard as I will go every day until I fall into a heap on the bed and sleep too little to get up and do it again the next day.

Unfortunately, this is also a bad habit I have picked up from my anxiety. My anxiety usually hits me worse at night, when I have time to think about what is going on. It is usually when my brain is active but my body is craving rest that my worst fears start moving around in my head. What is even harder is usually my body is so tired that I don't have the energy to fight that. The thoughts roll around, unhampered, in my brain causing my anxiety level to rise. In the end, I am either an insomniac or I have horribly scary dreams all night because I went to bed anxious. Either way, the options are limited and I feel like there is no way out, which also increases my anxiety level. The result became that I would push myself as hard as I could possibly go so that when it came time to go to sleep, I could practically pass out without much time laying in bed waiting for sleep to come. This created a wonderful cycle of exhaustion, which causes more anxiety because rational thought is not a friend of exhaustion, working too hard to ensure that I sleep with the minimal amount of anxiety, getting too little sleep, and going back into exhaustion. Usually, the eventual result of this cycle is some sort of an illness. Be it a cold, the flu, strep throat, or some other ailment that will cause me to finally get the rest that my body has been craving.

The good news is that I broke that cycle long ago with the aid of my doctors, help from my husband, and a few memorized hymns that I can ponder on if I have trouble sleeping or find my anxiety trying to badger me into insomnia. However, the cycle that I created for myself still creeps in on me, just as much as the other bad habits I created for myself before I got help for my disorder. If I am not alert, making sure that I continue in the good habits that I am relearning, and not allowing myself to fall back on bad habits, I will find myself right back where I started. It has been a rough couple of weeks for me, (Though this week has been better than I have had in months!) and the result is that I fell back on bad habits. Doc gave me sleep medication if I need it to keep me from going back to the lack of sleep cycle, but instead of using that, I got stubborn, decided I was better than the medication, and wound up sick. I definitely need to keep better tabs on what is going on with me and make sure that I don't fall back on bad habits. This cold is no fun!

Monday, February 23, 2009

Learning What You Can Do In the Moment

This morning really did start like any other morning. I got up and checked on the birds to make sure they were okay and then put them in their cages for the day. Then I started my morning routine. Certain things were a bit off for me, which later I discovered were a good thing. I had lots of things to bring with me to work so I packed up my bags a little early. This included making sure the bibs were ready to go (I get to wash them every week), so I had to also take my clothes out of the dryer and they were set out. This became very important to me in the near future. I finished up my shower and right as I turned off the water, the fire alarm went off. Not the smoke detector. The fire alarm. Those really fun things they have in my apartment building that ring like an old fashioned telephone except ten times louder. At first it took me completely by surprise, but it didn't take long to recognize what was going on. There was a fire and I needed to get out. I didn't think, I did what needed to be done. I couldn't go outside in a bathrobe at five degrees above. That would be almost as bad as staying in a fire since I was soaking wet. I looked around and smelled the air. I didn't smell or see smoke. It wasn't right upon me. I had enough time to get dressed. While I did my mind raced- what next? Out the door? Get the birds? I decided to try for the birds. Although I didn't want to admit it to myself, if they became difficult or got loose, I was going to have to leave them behind. I had one chance to get them out. I made my voice get very serious. I told them they were going into their carriers and there was to be no fighting me. There wasn't. I grabbed each bird, even the ones who never let me grab them, and thrust them into one of two carriers. Shoes untied and coat in hand, I spilled out my front door- to a car fire!

It was bad to, a space and a half away from my own car- which was to be my destination with the birds because that was the only place I could think of that would keep them warm. I checked with my neighbor, and the alarm had been pulled for the car fire, which was threatening the building by proximity, but the fire hadn't gotten out of control yet. So far, it was consuming the car and nothing else. I set the birds down just inside the apartment. The alarm might be loud, but it wouldn't kill them like the cold could. Then I stood outside and watched the car. Flames licked the ground and the windshield alike. Black smoke billowed out of the hood into the cold morning air. I hardly noticed that my hair had frozen solid. A loud pop followed by sparks made both my neighbors and I jump and thank the Lord for the snowbank that was catching the flying car parts and keeping them from hitting the building. The firetruck came and soon the brave men doused the fire while trying to keep their footing on the water beneath them turning to ice. The fire was out and the morning started to settle down to normal again. People returned to their lives with little more than a wondering eye at what happened.

I got to work but was late. I had called my boss when the firemen arrived to let her know I was going to be and she understood I would be in when I could. My car, though close to the burning car, was fine aside from a smoke smell. As for me, I handled a true emergency situation with calm and ease. I didn't panic, I didn't fall apart. I handled it and I handled it well. I got my family out safe (in my case, yes, it was the birds, but they are an important part of my life) and went from shower to ready for action in less than five minutes.

With anxiety, you always wonder what you'll do in the horrible situation you envision, but usually you never have to face it. Although it wasn't my apartment on fire, I thought it was, and now I really can move on with the knowledge that in the face of an emergency, I can handle it without my disorder even being a thought when I am in the thick of it. My GAD didn't paralyze me like I was scared it might. In fact, it didn't even come into the picture.

Sunday, February 8, 2009

Living with the Fears

I would love it if every post of mine could be inspirational and talk about how I overcame the anxiety of a situation. I would love it if I eventually found a surefire way to stop the anxiety dead in its tracks. Such is just not the case. There are times when even though I have done everything in my power to stop the fears, they still happen. I can't avoid them. Sometimes they are just there. Especially when I can't or chose not to take the medicine to stop the physical side of the anxiety, I know that I am going to have to live with it. Truth is, everyone has to live with theirs anyhow, mine just seems to be amplified more than most. So what do I do when the anxiety is just there?

I live with it. I remind myself of a couple of things in the moment. First of all, I remind myself that I am not going to die from these feelings. As uncomfortable and urgent as they do indeed feel, they are not going to kill me. Remembering that alone sometimes is calming, but not always. It is hard to have that feeling of "fight or flight" and not do anything about it. The "fight or flight" is designed to help get a person out of danger, usually harmful and potentially deadly danger. It is easy to believe that the feelings themselves herald some horrid disaster that is impending doom on me and those I love, but remembering that these fears are valid anxieties blown out of proportion by my disorder helps me keep the fears in check. I hate elevators and going on them, but panicking when it makes the slightest shudder is silly. Chances are, the elevator will open and everything will be fine.

This leads me to my second point on how to live with anxieties. I try to hold off the panic until I am in, or if I can manage, already passed the situation causing me my anxiety. Even though I recognize that getting anxious before an event is natural, even for those "normal (whoever they are) people", my "fight or flight" calls me to action before the event. I have to remember that I cannot act before the event because what I am fearful of might not even happen. Also, if I allow myself to panic before the event, I might not be able to act on the event itself, making the situation worse instead of better. There have been a couple of times at work where I have had to deal with a child who was a scraped knee or elbow. They are bleeding and I have a fear of blood. Panicking when I see them take the fall keeps me from taking care of them- something I need to be able to do to effectively do my job. If I can give myself permission to panic afterward, many times this gives me the strength to deal with the situation at the time that it presents itself.

This is the third way I deal with my anxieties. I allow myself the feelings. I don't chastise myself for having them. I don't shame myself until I can bury them deep. This is not my defining characteristic, but it is also very much a part of me. If I cannot panic in the moment, I need to give myself permission to fall apart later. Sometimes I do fall apart later. Sometimes, after the moment is over and I got through it, pride over the fact that I looked a fear in the face and overcame it keeps me from panicking and instead I am just darn proud of myself. Either way, I am allowed to fall apart for a bit after it, because if I don't give myself that permission, I invalidate the feelings I am having which is not helpful.

I would love to say that my anxiety is something that I overcame with willpower, prayer, and hard work. But, for whatever reason, God has chosen to give me this gift and I have it for the long-haul. I can't get rid of it. I can't deny it. I can find ways to live with it.

Thursday, January 29, 2009

Anxiety, I'm Taking the Fight to You!

I won't even go into the list of things that can trigger my anxiety. There are too many to count. However, one that it seems I share with people who do not have a diagnosed anxiety disorder is the dentist. It is rather uncomfortable for someone to be digging around in a very sensitive area of the body. The mouth is responsible for eating, talking, breathing, making faces at friends and family, and my favorite, kissing my husband! It's not a part of the body you want to have hurting and it certainly feels like when one tooth aches, your whole body is in pain. I am so bad I didn't even want my teeth cleaned. I much preferred my mouth to be left alone. Especially since I didn't want to go in and find out I had a cavity, or worse, more than one. I was very happy to be blissfully ignorant. Then, I got a toothache. Odd thing is, it wasn't a cavity at all. However, the dentist had me in her grasps. I was scheduled for a cleaning. Ok, I did the cleaning. I take relative good care of my teeth. What should I be worried about?

Oh, and one other thing, I had my first filling- my first cavity- two years ago. It hurt- bad! I didn't want to deal with that again. After all, I have three oral surgeries under my belt. I have been through enough (not to mention the chocolate fudge swirl ice cream my mom fed me after each one- I still can't touch the stuff!) Three oral surgeries and one cavity. My quota was set. Not. During the cleaning they found two teeny tiny cavities that needed filled. Oh yeah, and that one cavity that was filled before; it was leaking. It needed to be drilled out and redone. Two separate appointments. Two days of dealing with the poking, prodding, and oh, needles in my gums. I was not a happy camper. I begged my boss to tell me that I was invaluable, that she couldn't run the place without me, and that I would have to stay at work and couldn't have the time off. She giggled and told me to get it done before I thought about it too much. Problem is, I have an anxiety disorder. Thinking about it too much is right up there with automatic functions like breathing.

The days loomed closer to doomsday. I kept allowing myself to think about the pain, the hurt, the discomfort of not being able to eat without hurting. Did I mention I let my anxiety level spike? It was when I decided that enough was enough and that I was not going to let a little filling ruin my two weeks in between cleaning and filling. I had to come up with a plan of attack. The first thing I needed to do was sit down and think about what my reaction would be in reality. I wasn't going to die. Chances were, I wouldn't have a panic attack in public. I can usually control those pretty well. However, past history did dictate that I usually lose my cookies right after my novocaine shot. That could be a problem. I also was super sensitive to the pain and pressure of the drilling. This I learned from my last filling. I complained about phantom pain. The pain you think you should have when you smell that burning smell coming from your mouth as well as the pressure of something making a hole in your teeth.

Figuring out what were my toughest issues actually brought a wave of more anxiety. Now I knew what I was going to do! I would puke, whine, complain, and wimper my way through another filling, or three. Not this time. I am always so embarrassed after one of those episodes, too. I had been very up front with my dentist at the cleaning that I was scared of going to the dentist. She had been understanding and had helped me come up with the most cost effective way of getting through this. If I would take some of my anti-anxiety medicine before going in, I would be spared the cost of laughing gas and would still stay relatively calm. It was a great plan and I had to convince myself of it.

I had to put it into action. Well, if I was going to take some of my anti-anxiety stuff, I needed to make sure I had the day off. There was no way I could work with kids if I had that stuff in me. Request time off of work was the first thing on my list. My boss was very understanding and gave me the time I needed. I made sure that my appointments were times that Tim could come with me. Just someone there who understood that I wasn't being totally crazy and had an actual condition for this anxiety calmed me a bit. The second thing on my list, a comforting familiar person nearby, was fulfilled. The anti-anxiety medication needed to be kept at a minimum. The medicine that I usually take for sleep because I am an insomniac would have to be discontinued the night before my treatments so that I could use it without risk of an OD during the procedure. This could be a problem. However, I accepted that I was going to be anxious and allowed myself to play it out without getting out of control because I had planned up to that point how to handle what was going on with me in the moment and what was going to happen to me at the appointment. In the end, I fell asleep losing very little sleep in retrospect. My last thing to make sure of was to tell my dentist exactly what I had taken, who had prescribed it, and when I took it. This way I could make sure there was no potential drug interaction.

The result: Success! With a sore mouth. I made it though. I took the shots without showing my breakfast to the staff at the office. There was a jab of real, not phantom pain, that I had to deal with, but the rest was manageable. I even managed to crack a smile as well as I could with one half of my face frozen into a straight lip look.

I had always been afraid to face my anxiety and deal with it because I was afraid I would cause more anxiety instead of less. Turns out, taking the fight to the anxiety was just what the doctor- or maybe the dentist- ordered.