Anxiety, Mental Health

Triggered Anxiety – close your eyes, breathe, and be mindful of what you CAN control

I’m going about my day; cleaning house, listening to a podcast, talking to the dogs, when hubby brings in the mail. First thing I see, a letter from Service Canada denying my EI claim.

BAM!!! TRIGGER!! ANXIETY HITS THE CEILING! Heart thudding, feel like vomiting, I want to RUN!

WTF? I say to myself. I’m supposed to be over these trigger spikes by now, or at least, I should be able to handle them better. ARRRRRRRRRRRGH!!! (That’s me screaming in my head).

Back-story: In early 2018, I was on leave for 3 months (for mental illness) after which, having been denied long-term disability, I/we severed my employment. I’ve been in treatment/recovery since then.

I have now applied for and been denied Employment Insurance because I didn’t claim it last year when I was severed. When you’re in a state of acute mental illness (embedded in you’re chronic mental illness), the fine print on just about everything in your life is far too overwhelming to comprehend, let alone the nuances of paperwork, procedure, and the like. In all honesty, I thought I did comprehend – turns out I didn’t.

And now, my claim is denied and I have to appeal and go through all this red tape – all of which is done online or through snail-mail or through some nasty woman at the EI office who tells me I’ve f’d up!

I have to calm down.

I begin practicing mindfulness – to be in the moment. I’ve closed my eyes. I’m breathing slowly, deeply. I’m in a comfortable leather desk chair. The window is open and there is a pleasant, humidity-less breeze. I hear cars, some birds. I’m thinking about what I CAN control versus what I canNOT control.

CAN: While I have to take the next dreaded step in the EI process, I can control when I do so. Not today. When I’m in a better state of mind.

CANNOT: I can’t control how long it will take or what they will say.

The anxiety spike has abated though I still feel trembly inside. I feel as though I’ve made very little progress towards controlling my trigger spikes while in truth, a year ago, this sort of thing would have had me in tears, literally vomiting, then hiding under my covers in bed. (Add this to my gratitude journal).

Practicing mindfulness is tough when you’re in the thick of it, whatever your “it” may be. Progress can be slow, but, it is a very useful tool in the mental health toolbox.

Anxiety, Depression, Mental Health

The holidays are hard – especially for those with #mentalillness

I come from a long line of people with mental illness. From OCD (Obsessive Compulsive Disorder) to schizophrenia to GAD (Generalized Anxiety Disorder) to maybe even PTSD (Post Traumatic Stress Disorder). It stands to reason then, that some of this landed on me and even my kids.

If you’ve read one or two of my blogs, you know I suffer from Anxiety and Depression, both of which make enjoying the holidays very challenging.

I live in Southern Ontario, near Toronto, where this time of year can be very, very bleak – weather-wise. Yes, we’ve made it through the shortest day of the year (Dec 21) and are on the slow journey to spring, but add the holidays to that – with all the (sometimes) harrowing acts of buying and wrapping gifts, the well-intentioned visits, the obligations of faith, and the – let’s face it – unreasonable expectation to have fun and be joyful – and it can be a veritable vortex sucking you down into a pit of woe.

I’m here to tell you that it’s okay if you’re overwhelmed… or even underwhelmed for that matter.

The holidays are hard enough for normal people but even harder for those having to deal with #mentalillness. Sometimes, we just want to crawl (or stay) under the covers and not have to fight the (bad) fight. Sometimes, we just want to cry, or scream, or just sit quietly without having to explain why.

To all those suffering, like me, know this. You are not alone. Know that the holidays are finite and soon you’ll be on the other side. If you can, reach out to someone – a friend or family member, a pastor, a coworker, or even someone on social media.

And, from me to you – may your heart and mind be chaos free and may you feel some peace. Joy and merriment too, if you can manage it. But mostly, I wish you peace.

Anxiety, Cannabis, Depression, Mental Health

#Cannabis is legal in Canada P3 – Marrying tried-and-true with the new when managing #mentalillness

In a recent post, I wrote about the adverse side effects I’d had to a pharma-based switch in my medication, prescribed to help with my evolving anxiety – which it did do. To counteract the side effects, my doctor prescribed more pharma meds. I disagreed and went back to my old medication.

My decision to go back to my old meds was a good one as the side effects essentially disappeared. Unfortunately though, the anxiety reappeared, rearing its ugly, pernicious head.

#Cannabis has helped! Indeed, vaping cannabis for breakthrough anxiety (like breakthrough pain but with anxiety) helps (me) a great deal. So, when my trusty vaporizer went on the fritz two weeks ago, away went my ability to self-treat. It was more than a little unsettling.

Immediately, I decided to invest in a backup vaporizer. Cyber-Monday sales helped with this, but the ongoing Canada Post strike meant it would be a few days before I would receive the product. So, I pulled out the proverbial CBT (Cognitive Behavioural Therapy) handbook and got busy practicing my coping techniques.

I learned two things. First, using cannabis to manage my breakthrough anxiety works lickety-split! Within minutes of vaping, I’m calm and feeling pleasant. Second, CBT does help (me). It is exhausting, requires a lot of motivation (hard for a chronic depressive like me), and takes time to be effective – depending on the breakthrough anxiety of the moment. Still, it helped me through a few rough patches.

Anxiety and depression are ongoing, (sometimes) lifelong struggles. Use ALL the tools at your disposal; both the tried-and-true (medication, CBT, etc.) and the new (cannabis, etc.). If one of the tools in your toolbox goes on the fritz, reach in and grab another one. As I’ve said in prior posts – when it comes to managing (your) #mentalillness, you gotta do the homework! Know thyself. Participate in your own healing. Nobody else can do it for you.

Anxiety, Cannabis, Depression, Women's Health

Cannabis Is Legal in Canada – Might It Help Me With My Mental Illness?

So cannabis is finally legal in Canada. YAY! October 17th was a big day for us – as a forward-thinking nation, of course – but also for many of us with mental illness looking to either subsidize our pharma products with cannabis or replace them altogether.

My doctor wasn’t ready to make that assertion, nor was she ready to refer me to someone who would. Thusly, I took the matter into my own hands, doing my own research on cannabis as a treatment option for people with mental illness. And to be completely honest, legalization notwithstanding, I have been experimenting with various strains of cannabis and documenting my experiences.

If you’ve read a few of my blogs, you’ll know that I was diagnosed with anxiety and depression in 2000, but have memories of dealing with anxiety and panic from around the time I entered puberty. Since 2000, I have been on two different prescriptions – both SSRIs (Selective Serotonin Reuptake Inhibitors), both effective for a time. I consider myself one of the lucky ones – I’ve only had to use two… some sufferers are on veritable cocktails of pharma medications.

Since the onset of peri-menopause three years ago, I’ve been all over the map with my symptoms. Most recently (the past 9 months), I have really been struggling with anxiety to the point where for the third time since 2000, I was put on a new medication – this time, an SNRI (Serotonin-Norepinephrine Reuptake Inhibitors). (As an aside, I was also diagnosed with pre-hypertension and prescribed a low-dose medication for it). While this new SNRI medication has helped a great deal with the anxiety, it has caused two notable side-effects; brain-zaps and exacerbated tinnitus (ringing/whooshing in the ears – which I’ve had my whole life but would only hear if it was either very quiet, or after being subjected to very loud noise e.g. a concert). The tinnitus is now loud and constant and the brain-zaps are happening several times a day (where before they would happen maybe once a month). NOT GOOD! Also noticed but unconfirmed by my doctor as being related (though I believe it is), my blood pressure is even higher despite the medication that was supposed to help lower it! Both tinnitus and hypertension (high blood pressure) are listed as possible side-effects of SRNIs.

My fear when changing medications again was that I would be faced with the very thing that has happened – side-effects that require further exploration (referral to an ENT (Ear/Nose/Throat) doctor – which could take months – to ensure there is nothing mechanically wrong with my ears) and even worse, more medications – I was told to double the hypertension medication! Neither of these will help the brain-zaps at all.

And so, I’ve come full circle back to the question – might cannabis help me with my mental illness? This last doctor’s visit has solidified my resolve to continue my exploration with cannabis to treat my anxiety (as a first step). Against my doctor’s recommendation, I am going to ween myself off the SNRIs and back onto the SSRIs (my baseline, before side-effects). I am not willing to wait for an ENT to tell me that yes, I have tinnitus and no, there is nothing mechanical going on.  I do NOT want to double the hypertension medication that was supposed to reduce my high blood pressure.

It is my long-range goal/hope that maybe I can ween myself off of all of it. That’s lofty given the last time I went off my medications without doctor’s supervision I ended up in a deep depression that lasted months. Then again – cannabis wasn’t really an option then. It is now. And the best part is that, since legalization, I can now do it out in the open without having to suffer the villainization that cannabis has suffered in the past.

If you are looking to start your exploration into cannabis, try the Strainprint app. I have found it an invaluable source for researching ailments, symptoms and strains, as well as tracking my sessions with cannabis. Strainprint is available in the Google Playstore as well as the App Store. Thank you Humble & Fred Radio for recommending this app and for all the great cannabis-related content you’ve provided.

Anxiety, Cannabis, Depression, Menopause, Mental Health, Women's Health

Can Cannabis Help with My Mental illness?

So cannabis is finally legal in Canada. YAY! October 17th was a big day for us – as a forward-thinking nation, of course – but also for many of us with mental illness looking to either subsidize our pharma products with cannabis, or replace them altogether.

My doctor wasn’t ready to make that assertion nor was she ready to refer me to someone who would. Thusly, I took the matter into my own hands, doing my own research on cannabis as a treatment option for people with mental illness. And to be completely honest, legalization notwithstanding, I have been experimenting with various strains of cannabis and documenting my experiences.

If you’ve read a few of my blogs you’ll know that I was diagnosed with anxiety and depression in 2000, but have memories of dealing with anxiety and panic from around the time I entered puberty. Since 2000, I have been on two different prescriptions – both SSRIs (Selective Serotonin Reuptake Inhibitors), both effective for a time. I consider myself one of the lucky ones – I’ve only had to use two… some sufferers are on veritable cocktails of pharma medications.

Since the onset of perimenopause three years ago, I’ve been all over the map with my symptoms. Most recently (the past 9 months), I have really been struggling with anxiety to the point where for the third time since 2000, I was put on a new medication – this time, an SNRI (Serotonin-Norepinephrine Reuptake Inhibitors). (As an aside, I was also diagnosed with pre-hypertension and prescribed a low-dose medication for it). While this new SNRI medication has helped a great deal with the anxiety, it has caused two notable side effects; brain-zaps and exacerbated tinnitus (ringing/whooshing in the ears – which I’ve had my whole life but would only hear if it was either very quiet, or after being subjected to very loud noise e.g. a concert). The tinnitus is now loud and constant and the brain-zaps are happening several times a day (where before they would happen maybe once a month). NOT GOOD! Also noticed but unconfirmed by my doctor as being related (though I believe it is), my blood pressure is even higher despite the medication that was supposed to help lower it! Both tinnitus and hypertension (high blood pressure) are listed as possible side-effects of SRNIs.

My fear when changing medications again was that I would be faced with the very thing that has happened – side-effects that require further exploration (referral to an ENT (Ear/Nose/Throat) doctor – which could take months – to ensure there is nothing mechanically wrong with my ears) and even worse, more medications – I was told to double the hypertension medication! Neither of these will help the brain-zaps at all.

And so, I’ve come full circle back to the question – might cannabis help me with my mental illness? This last doctor’s visit has solidified my resolve to continue my exploration with cannabis to treat my anxiety (as a first step). Against my doctor’s recommendation, I am going to ween myself off the SNRIs and back onto the SSRIs (my baseline, before side effects). I am not willing to wait for an ENT to tell me that yes, I have tinnitus and no, there is nothing mechanical going on.  I do NOT want to double the hypertension medication that was supposed to reduce my high blood pressure.

It is my long-range goal/hope that maybe I can ween myself off of all of it. That’s lofty given the last time I went off my medications without a doctor’s supervision I ended up in a deep depression that lasted months. Then again – cannabis wasn’t really an option then. It is now. And the best part is that, since legalization, I can now do it out in the open without having to suffer the villainization that cannabis has suffered in the past.

If you are looking to start your exploration into cannabis, try the Strainprint app. I have found it an invaluable source for researching ailments, symptoms and strains, as well as tracking my sessions with cannabis. Strainprint is available in the Google Playstore as well as the App Store. Thank you Humble & Fred Radio for recommending this app and for all the great cannabis-related content you’ve provided.

Anxiety, Mental Health

Anxiety Disorder Is a Bitch!

When you don’t notice your anxiety, that’s how you know your anxiety is abating. Does that make sense?

To people with anxiety, I’m sure it does. To people wanting to know more about anxiety – it’s like this.

Anxiety disorder is a sneaky bitch and, in my experience, comes in three distinct forms.

In my recent post entitled Anxiety Sufferers – Know Thyself, I wrote about my journey with anxiety as it pertains to the come out of nowhere kind of anxiety. This is when your fight-or-flight brain chemistry kicks in for no damned good reason, and you’re left panting and sweating and breathing hard and essentially scared out of your wits.

The second kind is somewhat like the first type. You are in a constant state of unease – like waiting for the shoe to drop when there’s nothing really going on. You can’t relax. You’re angst-y and agitated, but you don’t know why.

The third kind is trigger-based. Easier to understand as it is associated with something that happens. Everybody has this, but for anxiety disorder sufferers, it is very pronounced.

Normal person: Crap! I can’t believe that happened.
Me: THE SKY IS FALLING!!

My recent struggles have been with these last two. Bouts of the sky is falling with general unease as the baseline. This, of course, is NOT okay, and so, following my adage of know thyself, I sought medical attention. And there’s no overnight remedy to this. These symptoms worsen over time, so, it takes time to encourage them to abate.

My doctor: So, how’s your anxiety?
Me: I haven’t noticed it!
My doctor and me together: THAT’S FANTASTIC!

This time, it’s taken seven months (from the tipping point) of doctor’s visits, therapy sessions, repeated exposure to positivity, (lots of) rest, and two drug modification to achieve this plateau. I’m grateful! And yet, the journey continues. Like I said, anxiety disorder is a bitch.

Anxiety, Depression, Mental Health

Compassion Fatigue When Dealing With an Elderly Parent

I had never heard of compassion fatigue (CF). My therapist mentioned it to me as something from which I might be suffering taking care of my elderly father.

Giving Care to an Elderly Parent

Together with my three siblings, I look after my elderly father. My Mom passed away in 2016, and Dad is now on his own.

Dad is curmudgeonly by nature. Add to this his advanced age, loneliness, varied annoying health issues, and losing his driver’s license, and you get an angry man who regularly heaps toxic levels of negativity onto us – the people who love him the most.

We try our best – the four of us. Shuttling him here and there. Visiting and sharing a meal or a cup of tea. Walking with him around the mall and helping him buy a few groceries. He has a very small life, and so the physical demands on us are small too. But, psychologically? The effects are deep and draining.

Recognizing Compassion Fatigue

Eventually, CF leads to some significant symptoms, such as anxiety, headaches, digestive problems, feeling overwhelmed, irritability, and a lack of empathy or indifference toward the person you’re caring for.

This is where I am right now. Indifference. I love my father dearly and want very much to participate in his care. But how do I get from indifference back to where I genuinely want to help him?

The short answer is self-care and boundaries.

Mitigating Symptoms of Compassion Fatigue

After reading up about CF on the Compassion Fatigue Awareness Project and other websites and watching some videos (see one below) on the topic, it seems I am severely behind the ball. I should have been proactively participating in daily/regular rejuvenation practices (like self-care) to help alleviate CF symptoms.

But like I said at the beginning – who knew that this was even a thing? I sure didn’t. But now I do. And so do you.

Feature image by Shane on Unsplash.

Anxiety, Depression, Mental Health

Anxiety Sufferers – KNOW THYSELF!

My journey with anxiety disorder has been a long one. The first anxiety attack (I can remember) occurred when I was around age 10. I woke up in the pre-dawn hours scared out of my wits. Pounding heart, sweaty palms, and rapid breathing through clenched teeth. I crept through the quiet house, opened the front door and sat on the step where I waited for these odd, scary-as-shit symptoms to abate – some very long minutes later.

I assumed it was a nightmare.

While on a school trip in grade eleven, the same thing happened after just having fallen asleep. In a panic, I went to my teacher’s room, explained what was happening and pleaded for help. This time, it wasn’t mere minutes before the symptoms abated, this time it was four long hours. To his credit, my teacher held my hand the entire time – wondering aloud with me, calming me, supporting me.

The entire eleventh grade assumed I was high or drunk.

It wasn’t until years later, after dozens of similarly terrifying episodes, that I learned I had anxiety disorder – a diagnosis that came at the same time as my chronic depression.

I was so relieved to know that I wasn’t going crazy! All those years I had battled the invisible yet oh-so-visceral imaginary demons on my own. Now, the demons had a name and finally, I would get help.

Help for bothanxiety and depression in the form of a tiny pill, talk-therapy (CBT or Cognitive Behavioural Therapy) and over the long haul, acute self-awareness. And this is the key to continued healing. KNOW THYSELF! Learn to recognize the signs indicative of a depression downturn. Know when your otherwise managed anxiety is evolving – changing its demon mask, sneaking up on you in a different form (different symptoms). SEEK HELP IMMEDIATELY! And whatever you do, do NOT let the demons win!

We are so much stronger than we give ourselves credit for.

 

Anxiety, Depression

Surviving Depression – Help a Friend

I am recovering from depression. What I mean by this is that my chronic depression is well managed and provided I stay on my medication, I will remain in recovery.

Having had three major depressive episodes over the past thirteen year, I’m in a very unique position. I have lived through deep depression, gotten very close to committing suicide… and survived. In having survived, I feel blessed because I am now able to help a dear friend. She too suffers from depression.

This friend of mine is a “work” friend. Though we’ve known each other for over five years, likely suffering side-by-side in shameful silence, it wasn’t until about a year ago where I said the words out loud.

“I suffer from depression.”

It was part of my talk therapy, really. Talking about my depression. Which is hard enough with family and close friends but to admit to a work friend that you have depression can be daunting and scary and in some cases, career limiting.

But, as soon as I said it, I could see a calm, knowing look in her eyes. She has depression too. Finally, it was out there. Finally, we could talk about it.

The thing about being friends with people at work – you know when they’re off “sick” for a few days in a row. In my friend’s case, this has been a repeating pattern every few months or so – a pattern I know only too well having lived it myself. To her credit, my friend called me during the last absence and asked me for advice. She hadn’t done this before.

I openly shared my experiences with her and was happy to do so. It felt good to be able to help someone who is suffering as I have, though I wish the circumstances were different.

Recovering from Depression? Help a Friend.
By hin255, courtesy of freedigitalphotos.net

I have, and likely always will have, chronic depression. It can be really tough, particularly in the long, cold months of winter. But I survive. Day after day, night after night, I survive. As the months and years of my life fly by, I survive. If every 1 depression survivor, reached out and helped another person suffering with depression… and then they helped someone… and then they helped someone… we could build a tremendous web of support and love.

It doesn’t take much. Just reach out…

Anxiety

Anxiety Never Forgets

I had my first anxiety attack when I was around ten years of age. I didn’t know that was it was at the time. I woke very early in the morning out of a dead sleep. It was summer, the sun was up but it was still only 5:30-ish in the morning. I wondered why I couldn’t fall back to sleep, since I had never had a problem with that before. My heart began to race and I became inexplicably… scared! I remember going upstairs, opening the front door and sitting on the front step where I proceeded to calm myself. I distinctly remember the warm, morning sun on my face… paired with utter confusion as to what had just happened to me.

By Stuart Miles, courtesy of freedigitalphotos.com
By Stuart Miles, courtesy of freedigitalphotos.com

It wasn’t until years later and several hundred anxiety attacks later, that I was diagnosed with anxiety disorder.

I’m 49 years old and am happy to say that I haven’t had a full blown anxiety attack for about eight years.

But the truth is that, anxiety never forgets. It never really leaves you alone.

This week, I traveled to Malta (small island in the Mediterranean) to visit my sister who lives here. It takes anywhere from 13 to 18 hours to get from Ontario, Canada to Malta but I’ve made the trip a few times before. We lived in Malta when I was little (between the ages 6 and 9), went again in 2007, 2011 and in January 2014. My point, I suppose, is that I was used to the trip, the jet lag, the fatigue and the excitement. What I wasn’t prepared for was the anxiety attack I had a few hours after I arrived.

My anxiety attacks have presented themselves in several different forms throughout my life. More recently (8-ish years ago), my anxiety presented itself as a burning fire beginning deep inside me and traveling throughout my body to the very tips of my fingers and toes.

Standing in my sister’s guest bathroom, organizing my toiletries, I felt the familiar and most unwelcome fire in my core. My heart began to race, my breathing quickened. I knew exactly what was happening but couldn’t fathom why! I had to remind myself that anxiety never forgets. I had to dig deep to find some of the coping skills that I’d happily buried over the years that I’ve been anxiety attack free.

The attack passed within a few minutes, blessedly. But, since that first attack, I’ve had a few smaller attacks. It this the start of another phase of my anxiety? While I know it is related to brain chemistry (fight or flight chemicals), I still have to wonder, why?

Why, after all these years, did my brain chemistry misfire?

Who bloody well knows?

I’ve said it several times during this blog. Anxiety never forgets. Anxiety may sit dormant, as it did for me. But what is most important, what I learned about myself, is that the coping skills never go away. I remembered them. I recognized the anxiety as it was starting and was able to kick start my coping skills right away.

Some of these anxiety coping skills are:

  • Breathe; slow and deep. Do not hyperventilate.
  • Positive self-talk; remember this is an illness. Brain chemistry can misfire at any time.
  • Stay calm; there is a thin line between anxiety and panic. Try to distract yourself.

I still have ten days on the island of Malta. I’ve had one major and two minor anxiety attacks. While I hope this isn’t the start of several anxiety-riddled years, I know that I can cope, no matter what.

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