You’re stronger than you think

The last two weeks have been hard for me. I finally realized I was in a horrible relationship with my mental health provider. Ultimately, my life should improve now that they are no longer in my life. So the hard times will hopefully lead to an easier future.

As an introvert with Generalized Anxiety Disorder (GAD), I have been meeting with a psychiatrist about three or four times a year. I have never really liked him that much but he understands the medications very well so I’ve been ignoring my gut. (Will I ever learn?! ). I put up with his rude and unprofessional office staff. I put up with him consistently being late to start my appointments. I also put up with some questionable comments he made during some my appointments. I unfortunately put up with these types of things for around five years. That on it’s own concerns me – the time it took me to get how bad things were. But better late than never right?

Work stress has amped up over the last few months; I have additional responsibilities. My GAD symptoms were getting a little out of control so I thought that I would apply for intermittent FMLA as a safety net. I sent this psychiatrist some forms to fill out with a brief explanation as to why I needed it. I figured in the grand scheme of things, I was asking for very little. I am very high-functioning and usually push myself to work through the symptoms but some days it gets tough when job stresses don’t let up. I really hide my GAD well. People have no idea about my internal struggles. I don’t talk about it much. All looks well on the surface.

So, I waited, and waited for about two weeks for a response. No word from him. I eventually called his office and I was told all they could do was text him to let him know there were patient messages. The office representative also added “If he responds he does, and if he doesn’t, he doesn’t!” I mean what kind of thing is that to say to a patient?! He eventually responded saying that FMLA is only for serious, ongoing illnesses. Excuse me? Did he not diagnose me with GAD? Has he not prescribed medication for me to take? Have I not been to about 20 follow-up appointments over the last five years? This kind of contradictory messaging to a patient lacks empathy and could be harmful. It has been two months since my last appointment so how did he know how I was actually doing? I sent him two messages in response but have yet to hear from him. That was over a week ago. He is ignoring a patient who is asking for help. A patient who rarely even does ask for help, might I add.

Throughout all this, my anxiety was flaring but I needed to keep a level head. I had several people and organizations to reach out to. I had complaints to file with the state medical board. That, and to still go to work in a busy patient testing lab. No shortage of stress. Somehow, I kept it together. Somehow I remained as strong as I could. It was mentioned to me that I should be proud of how I stood up for myself and asked for better care and for the bad care to stop. I have finally cut ties with that practice. I am scheduled to meet with someone new very soon.

I am grateful for those who helped me through this time. In speaking with one of my friends, I mentioned I needed some time out to watch a few episodes of my all-time favorite show Heartland.
She said “You know what Jack would tell you?”
“What?” I said.
“You’re stronger than you think.”

My reality of living with GAD is that I feel weak. I feel like I am struggling with micro-problems; problems that wouldn’t even phase others. But my nervous system can’t seem to tell the difference. Even when my mind can, my body still reacts. I still feel nauseous, have lumps in my throat, and feel like hiding. I cry in frustration behind closed doors. I’m constantly exhausted and feel like I’m drowning. I think I’ve made myself high-functioning because I’m ashamed of the GAD and I don’t want to seem different, less than, or incompetent. I don’t feel like people get it. So I push and struggle and try to act as normal as possible. While I do understand how regular people don’t get my struggles, I cannot, for the life of me, understand how a mental health provider appears to have no clue.

With GAD the struggle is real for those of us living with it. A lot of us appear normal on the surface but we are struggling like crazy just under the surface. Like synchronized swimmers who look happy and calm but are kicking like crazy to stay afloat.

All this to say, if you also struggle with GAD: You’re stronger than you think.

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Photo: AKP Photography

Lessons from yoga: the power of No

In my yoga class this morning, our guide commended us on our practice observing that we were all modifying and prioritizing our bodies where we needed to. This, she said, was the sign of advanced practitioners. The class was a challenging one, I had to modify several times. Essentially saying “No” to pushing my body too far in certain poses. The studio offers all of us a safe place to say “No” to certain directions when our bodies are telling us not to push. Maybe somedays we do, maybe somedays we don’t. Maybe we push for some poses; maybe we ease off on others. The option of choosing health, of non-harming, of ahimsa, means we are saying “No” to injury and possibly harming ourselves. We approach our practice with self-love.

I am currently trying to say “No” in several work situations. Unfortunately, many job expectations are harming to our mental and emotional health. For me, I struggle deeply with my GAD. Still, on most days, I push myself and find in many cases that all was eventually OK. However, I currently find myself trying to train a difficult and incompetent individual. I have spoken at length about this with my supervisor, who is unsupportive. Meanwhile, my anxiety climbs higher each day. I don’t feel heard or understood. And on top of this there is a very ill-conceived on-call rotation plan which has suddenly been introduced into our lives by the same supervisor.

But I am saying “No” in two ways:

  1. First I am questioning the on-call plan with HR
  2. I am job searching

While these are long processes of saying “No”, they are still worth pursuing if there will be less anxiety and depression in the long run. Of course, to me – an introvert – these paths in and of themselves are very difficult but I need to minimize the harming expectations and environment of my work life.

The reminder and encouragement to say “No” to injury and self-harm in this morning’s class was definitely timely and well received by me.
Namaste.

Photo by Elina Fairytale on Pexels.com