In Case of Emergency, Become Sane

My brain is weird.

This isn’t news, of course. But one particular weirdness is obvious this week: the way horrible, debilitating anxiety can click over into calm action during an emergency.

I can have gasping, chest-hurting anxiety over a phone call or a doorbell ringing. But a few days ago when our house was two blocks from the edge of a fire evacuation zone, I sat calmly writing a list of what to grab.

When my daughter had unexplained stomach pain the next day, I worried and obsessed constantly about what it was. But when it became clear we needed to go to the ER, I became completely focused. Driving with someone vomiting and moaning in pain in the passenger seat isn’t easy, but I did fine.

Turned out to be a kidney stone. A night later, she had to go back because she couldn’t keep down her meds. The night after that, she had a sudden, new symptom. Things had been calming down, and when this happened it hit me like a blow from a club. I lost my breath, my chest hurt…what is this? Will it go away? Should I call someone? Should I take her to the ER again? But after it was clear we needed to go, the magic switch flipped.

My husband asked if I was OK to drive. I told him yes. He knew it was true. He could see it clearly–the wife who had been pacing and gasping only a minute ago now met his eyes with solid certainty. And even when the scary symptoms got worse on the way to the hospital, I kept my eyes on the road and got us there. (She’s going to be fine, thank goodness; it was an uncommon meds side effect and they were able to treat it.)

So what’s the story? I know I’m not the only one; I’ve heard others talk about it too. Some highly anxious people actually thrive in crisis-oriented jobs like ER work. I think it has something to do with defined tasks that leave no space for indecision. Whatever choices have to be made must happen fast and be followed by action. The urgency blots out the endless future tripping and second guessing.

Someone I know thinks it’s a type of dissociation, and those of us with certain kinds of brains or trauma are just better at it. That makes sense to me.

Whatever causes it, I’m grateful I can be less of a liability in an immediate crisis. But how I wish I could flip that mysterious switch on command!

Oh, No! Not Perspective!

Don’t make me be aware of how gigantic and complicated the world of writing is! Let me stay in my little bubble of blogs and local poetry readings!

This week I’m trying out a new submissions tracker online. You can use a lot of filters to search for publishers or agents that accept the things you want to send out. I decided to look into it because they really keep their listings current–when I used books, I’d often go to a publication’s website to find they didn’t exist any more or hadn’t accepted new material in years. The tracker also has stats on things like average response time.

I’ve really done very little submitting to non-local things, and I want to change that. But I have to admit it’s intimidating to read some of these sites. I have a tendency to look at whatever I am thinking of sending them and think “nah, they’d never want this.” Especially the heavier literary sites. I suspect some of the guidelines are written in such a way as to discourage as many people as possible from adding to their undoubtedly huge slush pile.

But submitting is not just emotionally intimidating, it’s a pain in the ass too when you’re a newbie. Many publications only accept submissions electronically these days through an engine like Submittable. It’s not too bad once you get used to it. However, they don’t all use that. Some want you to set up an account on their very own server just to do a one-time submission. And everyone wants you to tweak your files in a different way.

And then there are submission fees. They usually run about $3, except for contests and book-length works. It’s an amount designed to feel like no big deal, but they add up! I’ve heard an author brag that she never, ever submits anywhere that has fees–well, that leaves the majority out. She can afford to be picky now that she’s well-known, but…at any rate, I’m budgeting to do about 8 submissions a month. It’s what I can afford.

It’s always overwhelming being the new kid at school. On the bright side, it’s a role I’ve played many, many times. I’d like to think I’ve become more comfortable with it. Or at least comfortable with being uncomfortable, if you know what I mean.

My Mind’s Pants Are On Fire

Once again my mind is lying to me. It often does. Logical arguments don’t help much, because these kinds of lies are built around a core of reality.

Here’s how it goes: My brain becomes especially anxious. Physically, biochemically, something is going on. No idea why. But my psyche won’t tolerate free-form anxiety. It insists on finding a focus for it.

What to choose? I have many sources of stress in my life. The anxiety zeroes in on one of them and hangs itself on it like a coat on a hook. I begin to worry obsessively about the thing.

Nothing has changed recently with the thing. There’s no new data. But suddenly I’m incredibly worried and can’t stop thinking about it. My mind is lying to me about how serious the thing is, because a day or two ago I was coping with that exact set of circumstances and was much less anxious.

It’s also lying because it’s not necessarily choosing the most urgent of my worries. It just reaches into the grab bag for one. It could have done the same amplification for any of the others.

Even though I know this, it’s hard to argue with it when the core worry is a real one. I can’t tell my brain there’s no reason to worry about it, because my brain will know I’m lying. All I can do is try to stay aware that I’m experiencing an exaggerated version of the truth.

The Devil’s Playground

There’s an old saying that “an idle mind is the Devil’s playground.” This can be especially true for addicts. Not only addicts, of course, but anyone to whom the inside of their skull is a potentially dangerous place.

Today I have the house to myself for eight hours. I’m not used to being alone here for more than a couple of hours at a time, because between my spouse and our 19-year-old there’s usually someone around. But my daughter just got a job (yay!) so she’s at work (weird!) and I’m here by myself until it’s time to go pick her up.

It’s not that I don’t have plenty of things to do. I could work on one of several writing projects I have going. I wouldn’t even have to write; I have storyboarding and planning I need to do. I could unpack more stuff. I could put away the laundry sitting in the dryer. I could take a walk, or do ten minutes of my neglected Tai Chi. I need to take a shower. If I feel the need to be completely unproductive, I could watch a show or read a book or play a video game.

Or, I could eat things that harm me. I could sit and stare at the wall, building darker and darker scenarios in my head, with no one here to ask me if I’m okay. I could call up someone toxic in my life and have a conversation I’ll regret. Anxiety has been especially troublesome for me lately, either paralyzing me or goading me into unwise action.

So for the moment, I decided to do this. And now that I’m done, I’ll have to decide what to do next.

You Don’t Say?

So, my psychiatrist thinks I am depressed.

More than usual, I mean; my general diagnosis includes a type of depression. But just because I told him about how often I’ve been thinking about death lately, and how much I’ve been struggling with food and other self-destructive behavior, and how much time I spend in circles that talk a great deal about the dark aspects of all our futures on this planet…he thinks I need more help with depression.

So out he comes with this particular health care organization’s chart of meds and starts suggesting things to add to my regimen.

Poor man. He means well. But either he hasn’t been taking notes at our previous sessions, or he hasn’t been looking at them.

The names of the meds are listed in little boxes by group, and as he proposes things I have to keep shooting him down.

No, we can’t add anything from this box. I’ve tried many of them, and they increase anxiety to a dangerous level. No, I don’t care if this one is new, I’ve seen the chemical formula. They moved a hydrogen atom so they could get a new patent, that’s all.

No, we can’t add anything from this box. They’re all addictive. I know my addiction history is in my chart. I made a point of putting it there.

Dear God, no, we can’t add anything from this box. Two of them almost killed me when I tried them; I’ve told you that before. You cannot give me any of these unless I’m an inpatient under close supervision so I don’t walk into traffic.

We could try a slight increase in this one med I’m already taking, or we could try one from this tiny box here…or maybe we could get me a therapist I could see more than once every six weeks.

Ha, ha, just kidding, I know that’s not going to happen.

Through the Cracks

I just found out I am one subject of criminal irresponsibility on the part of my particular health care system.

After some of the struggles of this spring and summer, I decided it was time to make a couple of appointments with my mental health team. When I went onto the website, the name of the psychologist I see was gone. I inquired with the department and discovered she doesn’t work there any more.

I assumed I would be scheduled with a replacement, but was told that it would take some time. Basically, I am going to be treated like a new patient again.

It took nine months to get in to see someone when I was new.

So, first, putting me back in the new patient group isn’t right. Second, even if they had to, someone could be letting patients know their care provider is gone and put them in the queue for upcoming openings, instead of only starting the process when the patient (who, hello, has a mental illness that affects their functioning) manages to reach out.

I’m upset on my own behalf, but I think I’m more upset about people who are doing worse than me right now. Being cut off like this may tip them from barely coping to needing hospitalization.

Not to mention the stress of losing what may have been an emotional support without warning, or a chance to say goodbye, or a single sign that anyone associated with their treatment gives the slightest fuck about them.

Doing Nothing

My job today is to do nothing. Specifically, my job is to do nothing self-destructive. I hate days like these, where I’m just trying to get back to zero by letting my body and mind recuperate from whatever abuse I inflicted on them recently.

But the days when I’m actually doing the harm are, of course, worse. After nearly a year and a half of grace on my let’s-keep-diabetes-in-remission way of eating, I began to struggle in the spring and have not yet recaptured the blessed place I was in. A week or two of difficult abstinence has tended to be followed by a few days at a time of the hideous and painful rituals of binge eating. Although I haven’t relapsed on drugs, the eating disorder brings plenty of suffering in the form of sickness, shame and secrecy.

Sharing about this is important, because I don’t ever want anyone to get the idea that the work I’ve done on myself has solved anything. It hasn’t. I’ll be dealing with my issues for the rest of my life, just like I’ll be an addict in recovery the rest of my life.

If you think that’s a defeatist attitude, I understand, but I must disagree. Understanding that these things are a part of me and my life, rather than some demon I can exorcise forever if I just get it right, has been vital in acquiring more self-acceptance.

This is only day two back on plan. If and when I rack up a few days and get my mind clearer, I may look at whether to get in touch with my psych team over the general pattern I’m seeing (sleep worse than usual, biting nails until they bleed, anxiety spikes.) It’s the usual dilemma: are my struggles a sign that I need more help with my symptoms, or do I just need tough love and other attitude adjustments?

But today, the goal is nothing. Like the old story of someone who’s deep in a hole crying out to their God, “Please, God, get me out of this pit!” And God replies, “Okay, but I can do it faster if you stop digging!”

I’m not digging today. And that’s going to have to do.