MHAV Logo MHAV Bell "Cast from shackles which bound them, this bell shall ring out hope for the mentally ill and victory over mental illness."
- Inscription on NMHA Bell

  Home
  About Us
  Join Us
  Coming Events
° Programs
    - CELT
    - ABIL
    - Anything but Crazy
    - Entre Nostros
  Legislation and Issues
  Education
  Resources
  Virginia Affiliates

ABIL Personal Stories and More

SHIRLEY'S STORY
By Shirley Green, ABIL's founder and first director

IT WORKED FOR ME: WAYS TO START YOUR DAY
By an ABIL Member

GET ON THE BUS
By A Long-Time ABIL Member, 1999

HOW TO FIND A THERAPIST
From the Patient's Side of the Couch
by Beth Watson

HOW TO CHOOSE A PROFESSIONAL
by Frances M. Christian, Ph.D., LCSW

COURAGE: THE LESSON ANXIETY TAUGHT ME
By an ABIL Member

IT WORKED FOR ME
By Yolande A. Long, MSW

An Unexpected Setback
By Sandra Edwards

I'm not sure when it all started...
Author unknown

Growing Up with Social Phobia
by Debbie

From Sharpshooter to Housebound
By Susan

Step-by-Step
By Patrice

From a Man's Perspective
By Virgil
 


"What I finally learned was this: Face whatever you're afraid of. Lean into the fear. Look at it. Don't avoid it.
-- SHIRLEY GREEN

Shirley Green, ABIL's founder and first director, died in August of 1998 after a long struggle with cancer. The dignity and grace she maintained left those who knew her
with still another example of triumph in the face of struggle. Here in her own words, is Shirley's story. Whether you are, yourself, suffering from panic disorder or the family member of someone effected by it, you will discover, that like Shirley, you are not alone.

SHIRLEY'S STORY

Everyone remembers his or her first panic attack as vividly as if it were yesterday. It is etched in our memories forever. My story began when; about two years after I was married, I went to the movies with my husband and couldn't catch my breath. I became frightened. The theatre was crowded, hot, and dark--and I was sure that if I didn't leave immediately I would probably die. As soon as I got home, I was fine.

The next problem occurred when I was standing in line at the grocery store. This was during the Post-World War II days, when ration stamps forced standing in long lines. I though, "I can't stand in these lines, I'm very dizzy and I might pass out!" I began to fear standing in lines.

While I could go to other people's houses, my preference for the comfort of my own home was seriously increasing. When I expressed my concern from time to time to my family physician about what was happening to me, he said, "You've got young children, a lot of responsibility and this is to be expected." But, my situation grew more severe. I faced terrible feelings of anxiety each morning and was afraid to be alone or to be in crowds.

Difficult transitions
As life progressed, I found transitions becoming more and more difficult. After selling our home in Connecticut, I cried all the way to the Brooklyn Bridge and felt terrified to cross it. While living in Baltimore, I made a few attempts to leave the house with a neighbor. I bravely tried riding on an escalator, but when my son fell and I was helpless to help him, I became afraid of escalators. During those painful days, I underwent a thyroidectomy and had to be hospitalized. I was so miserable after surgery, so full of fear and anxiety that I remember praying, "If I ever get over this awful thing, I'm going to help someone someday!"

Several years later in another new community, I was invited to attend a worship service. I thought, "How can I go to a church when I'm not comfortable going anywhere or staying anywhere for a long time?" So my friend had her minister pay me a visit. After asking me a lot of questions about myself, he looked me right straight in the eye and very gently said, "I think there are a lot of things going on within you that you're not talking about." I began to realize how insecure I was and how little self-esteem I had. Everyone believed me to be a happy person because I never let them know my real feelings. I learned that role at a young age. Living that lie was very lonely and painful.

I began to go to church and was invited to attend small study groups. Although I wouldn't drive, a friend offered her services and I began to feel comfortable with my new friends. Gradually I accepted offers to go shopping and began to trust myself.

Growing confidence
As I grew more confident, I was able to look back on my earlier years. I realized how much pressure I put on myself by always doing what I thought was expected of me. I thought about my role in my birth family where I felt I always came up on the short end of the "sibling comparison stick." I remembered feeling afraid at school. When I recalled my mother's and my grandmother's dispositions, I realized they, too, had exhibited states -- always on overload.

My happiest moments have always been with people who believed in me and brought out everything that was good in me -- especially Charlie, my husband and greatest supporter. Even though I would have a "setback" from time to time, I began to realize that it was a normal part of the recovery process. A friend gave me a copy of a Guidepost article on persons with agoraphobia and I learned my condition actually had a name. Shortly after that, I discovered a support group nearby, where I met other folks like me -- something I'll never forget. In my ten years of trying to recover, I had never met anyone else with agoraphobia. For the first few weeks the group focused only on symptoms. I remember thinking; "These people need to face their fears." I told them, "I know you can do it because I did. Think of all that you have been through and still have the courage to keep living!"

After I moved to Richmond, Virginia, I joined the staff of Parents Anonymous. The local newspaper did a story on my volunteering with an emphasis on my agoraphobia. When people with similar conditions began to call me after the article was published, I realized I had the makings for a support group. Out of that, the first ABIL meeting was held in 1986 with myself and three others.

Hope for everyone
So that was the keeping of the promise I had made in my hospital bed many years and many trials ago. It didn't just happen overnight, and there was no miracle cure. But there is hope for everyone. And no matter what happens to you in your life, it's what you do with your life, ultimately, that will enhance your world.

It's normal for each of us to look for a "quick fix," but the journey to wholeness is a long process. Finding our way out can be different for each of us, and what connects us is taking control of our own lives and taking the first steps. There is medical help, in the form of medicine, effective counseling, and belonging to an ABIL support group where we come together with people like us to learn to believe in ourselves again.

Made up of self-help groups throughout the country, ABIL is a grassroots volunteer organization which is supported by donations from members and their families, funds designated through givers to the local United Way campaign, and through corporate contributions. We also provide information about our special concerns through our quarterly newsletter. Other services include a telephone chain, pen pal service, and a program for setting personal goals. A major goal is to eliminate the stigma associated with panic disorder.

We have only touched the "tip of the iceberg" in reaching out to people with anxiety and panic disorders. The support system works. We have so many success stories. People borrow courage from each other, get help, and return to productive lives again, not only benefiting themselves, but their families and their communities.

I hope that sharing my story and the history of ABIL with you, that you will be encouraged to continue growing in your own personal way. Please know there are many hands to hold yours along the way!

Return to Top of Page ^


IT WORKED FOR ME: WAYS TO START YOUR DAY
By an ABIL Member  

I usually feel my worst in the mornings, especially if I'm under stress or anxiety has been acting up. Here are a few things I do to help start my day.
 
1. Listen to music. I almost always have some music playing in the background as I dress for work. Try something soothing if you're feeling nervous or something uplifting if you're feeling down.

2. Read something inspirational or cheerful. For me this can be anything from philosophical texts to the ABIL newsletter. I think it's important to remind yourself what is good in life as you greet a new day. It can do wonders for your attitude. Leave the newspaper and the morning news aside for later. The media tends to focus on the world's problems rather than the positives.

3. S-T-R-E-T-C-H! Ever watch a cat wake up from a nap? They have the right idea! You've been asleep for (hopefully) quite a few hours and it's rather unreasonable to expect your body to get going all at once. Take an extra minute or two to get in touch with how your body is feeling before you enter the "morning routine".

4. Practice anxiety coping techniques. Whatever works for you, give it a little review! My favorite is abdominal breathing; it seemed to come most naturally to me and help the most. Focusing on the colors and textures or reading the "six points" are some other ideas. Reviewing and practicing once in a while helps keep these techniques fresh in your mind. Eventually they can become second nature to you. The six points, taken from Jerilyn Ross' book "Triumph Over Fear" are:

> Expect, allow and accept that fear will arise.

> When fear comes, stop, wait, and let it be.

> Focus on and do manageable things in the present.

> Label your level of fear from 0 to 10. Watch it go up and down.

> Function with fear. Appreciate your achievement.

> Expect, allow and accept that the fear will reappear.

5. Write. If there's something on your mind during these first moments of consciousness it may be important to you. Did you feel a particular way when you woke up? If you dreamed, try writing down what you remember from your dreams. What are or aren't you looking forward to today? Writing helps me put my thoughts in order and gets worries out of my head and onto the page...where I can leave them until later.

Taking a few extra minutes each morning to be good to yourself is time well spent. It can help give you a positive attitude which can work wonders on how you go about the rest of your day. These things have helped me get through when times are bad and...when things are good...given me a wonderful gift: waking up with a smile!

Return to Top of Page ^

GET ON THE BUS
By A Long-Time ABIL Member, 1999

Every year my children's elementary school take the fifth graders on a spring field trip to Washington, D.C. When my daughter was in fifth grade, I bravely signed up to chaperone, knowing how difficult this would be for me who never liked to leave too far from home without the 'safety' of driving my own vehicle, and now I would be expected to be a PASSENGER on a chartered BUS. As the day approached, my anxiety steadily increased. I didn't sleep well for several nights. I was afraid that my anxiety would be so pervasive that I wouldn't be able to focus on the task of chaperoning exuberant children, so I developed a PLAN. I convinced my husband to follow the buses in his car, in case I couldn't handle things and needed a quick get-a-way! That morning I boarded the bus and took my seat with a panic attack already in gear. Here I was, sitting beside my best friend who knew I had panic disorder and would try to ease the way for me, my husband was following closely behind (the cavalry!), and I STILL had terrifying thoughts..."What if I get sick on the bus?" "What if I cry in front of the children"? "What if I embarrass my daughter with my nervousness?" WHAT IF, WHAT IF, WHAT IF!!! (and aren't we good at that kind of thinking???) I felt trapped and out of control. My stomach really hurt and I felt dizzy at times. Things seemed somewhat 'unreal'...

Arriving at the Lincoln Memorial, things began to slowly improve. My husband showed up without a hitch, and the kids were great. The fact that I love D.C., there's so much to see and do, and our schedule was such that we had to keep moving, helped me regain both my confidence and my perspective. At the end of the day, though, I knew I had to return to that BUS and make the trip home with the kids. I couldn't cop out by getting in the car. That would disappoint my daughter and admit defeat. The ride back was better, although my self-talk was clearly still not positive. I just wanted to GET BACK and GET HOME! I remember thinking: "hurry, hurry, just get me back." I was clearly exhausted upon my return, but not from being with the kids on the tour. It was from FIGHTING the anxiety every step of the way, instead of FLOWING with it and letting it PASS. I swore NEVER AGAIN to volunteer to take another field trip on a BUS!

However, time passes, and this spring it was my son's turn to make the same trip. At first, my husband signed up to chaperone as a 'guy thing' (whew!), but then found out he had to go out of town for a conference, so it fell to the possibility of my accompanying my son instead. What should I do? Thoughts of the last trip kept parading through my head, and relieving it all was far from a pleasant experience. However, I decided since I went with my daughter when she was ending elementary school, then turn about was fair play, and my son also deserved a parent to go with him. From the beginning, I knew I had to get control of my "stinkin' thinkin'". My very best friend would not be there to hold my hand (as she literally did at times during the first trip), no husband would be bringing up the rear; in other words, I'd have to fly without any 'safety nets'. I had to go without my 'outs' and trust in myself and my abilities and capabilities. I had to remember all the knowledge I had gleaned from the books I had read, the people I had listened to who suffer with the same disorder and what I had learned from my interaction with them, all the skills I had acquired from PRACTICING, and believe that it would all pay off, trusting the end results to be different this time around.

The day before, however, I began to start the worry process because I was hit with a pint-sized version of the dreaded stomach bug. Not debilitating enough to send me off to bed, but sick just the same. My heart raced and my negative thoughts kicked in...."what if I'm too sick tomorrow to go?" "how can I let my son down?" and (of course) "what if I'm SICK ON THE BUS?" (the BUS in this story, as you can tell, obviously takes on a life of its own!!!).

The next morning dawned clear and bright, a perfect day for a field trip. Yes, I still had the remains of the stomach flu. But I gave myself a good dose of POSITIVE self-talk, and believed that NOTHING AWFUL WOULD HAPPEN. If I was sick on the BUS, so be it. If I had panic attacks, so be it. Neither illness nor panic was a new experience for me and I would handle things the best way I knew how (and I was well-armed with knowledge and skills). Before I boarded the bus early that morning, I took a few deep cleansing breaths of first-morning-fresh air, then found my seat, reclined it a little, opened the magazine I had brought along, and began to talk to the very nice mom sitting beside me. The trip had begun. There was no turning back. There was no opting out.

So, you ask...was I sick? Yes, once (and in the awful BUS bathroom!). Did I freak out over it? NOPE. Did I sometimes feel anxious? YOU BET. But I kept remembering all those wonderful ABIL people that I had have the honor of knowing over the years and all they have taught me from their own vast wealth of experiences, and I thought about Shirley and hearing her regularly say "feel the fear and do it anyway", and I kept conjuring up in my mind the acronym that appeared in the last ABIL newsletter: F.E.A.R.--False Evidence Appearing Real.

Because that's what a panic attack is, you know--False Evidence Appearing Real. We scan our bodies and our environment until we find something that feels a bit strange or different and we then GO WITH IT, until it feels like we (and it) are raging out of control. And of course we're not out of control. Never have been. Never will be. And, of course, we're not now, nor have we ever been, nor ever will be raging, in any way, shape or form. THAT'S IT. THAT'S ALL. Now, am I saying having panic disorder/anxiety attacks/phobias are an easy thing? Never out of my mouth will you hear those words. Am I saying it feels good (or that it doesn't feel bad?)--not on your life. But I AM saying that it is a part (but only a part--I am so much more than my anxiety) of who I am; what makes me, ME. It is a part of who we all are, and we can not only live with it and have a full life, but we can live with it graciously and generously (like our Shirley did). We can help those like ourselves who may not quite be in the same place we are, and we can educate those who don't understand what it is we live with. We can do that with our own individual voices, and by our own example of not giving in or giving up, and with our monetary donations to organizations that speak with a strong voice (like ABIL does) to get out the word to others.

You know what? The field trip was actually fun. Really fun. And know what else? I actually fell asleep on the ride back home on the BUS!!! A far cry from the trip a few years back, and a success story to share with you and to remember myself when the going will sometimes gets tough again. Oh. One final word of wisdom for all of you...if you get the chance, get on the BUS. Like me, you may be pleasantly surprised.

Return to Top of Page ^

HOW TO FIND A THERAPIST
From the Patient's Side of the Couch
by Beth Watson

When asked about finding a therapist, one of my first recommendations is to "Remember, you are the customer!" Sounds simple, right? Unless, of course, you happen to be a "people pleaser" (like many people with anxiety issues). I have actually sat through session after session with a therapist, talking about issues that I did not need to work on, just because the therapist seemed so pleased to have solved my problems. Thankfully that was early on in my recovery, and I have since learned that it is my responsibility to communicate clearly in order to get effective treatment.

Over the years I've also come to understand that the relationship between therapist and client has become more complicated as my recovery has progressed. In the beginning (1980s), I wanted desperately to know what was wrong with me, and that I wasn't going crazy. Through reading and through talking with many others who share the same experiences, I have learned a lot about anxiety and panic disorders, and my requirements of a therapist have changed. I now need someone who is knowledgeable and current on the treatments of anxiety; but also someone who I can have faith in. Part of my struggle with panic disorder has been a fight for control, and this can get in the way of my treatment. I have found that once I've established trust with a therapist, then I must work with them and be honest with them, even if it is painful.

I'm getting a little ahead of myself. Let's start off with some of the early steps I take when I'm looking for a therapist. (I've moved many times over the past twenty years, so I've had the opportunity to make this quest often). First I start off with a physical from my primary care physician, to rule out other problems. Many people are limited by their insurance provider list, if they are lucky enough to have insurance. If you do not have insurance you can contact your Mental Health Association to see if they have a list of therapists that they work with, or will work with you on a sliding scale. A university is also a possible place to start. A personal reference from someone who has worked with a therapist is usually my first preference.

In the spring of this year I decided I wanted to look at my options with medications; and I had some hurdles I wanted professional help with. I began my search with my insurance company. Once I had my provider list, I began asking people I knew whom they might recommend. I found no personal recommendations in my area, so I went the next step; looking for professional recommendations. I asked other doctors I trusted (my PCP, OB, Dentist, etc.) if they could recommend a therapist who specialized in anxiety. I also checked with organizations like ADAA and did research on the internet for therapists who offered anxiety programs in my area.

Once I located a couple of therapists, I called their offices with a list of general questions. I asked what does the therapist specialize in (i.e. Generalized Anxiety, OCD, Family Counseling, etc.). I then asked to speak with the therapist to ask some more specific questions about my situation. Sometimes the initial conversation can be done over the phone, or may require an initial consultation. When talking to a prospective therapist, pay attention to how you feel. Some of the things I look for include:

1. Is the therapist listening to me? Do I feel understood?

2. Am I comfortable talking about personal issues? Do I feel safe to be honest?

3. I wanted to know what kid of therapy the doctor uses when treating anxiety. (Personally I have responded best to a combination of cognitive and behavioral therapies, which I understand are pretty standard modes of treatment for anxiety disorders).

4. Does the treatment plan make sense to me, and does it address my goals?

5. If I'm going to be working with two different therapists (i.e. one for medications and one for therapy), how will they be communicating? I want to be sure that they will be working together. After scheduling the appointment, I bring two lists with me:

(1.) My medical history including current medications and anything else that pertains to my treatment (ie. lab tests, etc.) I have found that this can save a lot of time on the initial visit.

(2.) A list of questions and/or concerns, so that I can stay on topic during the appointment, and get a feel for whether or not I feel confident this therapist can help me.

Some other things I keep in mind:

1. This person is the professional, and although I have read EVERY book on the subject, I'm here to gain a new perspective.

2. No one knows me better than me, so I need to ask questions. If I don't understand something I need to keep asking until I do understand.

3. Everyone's path to recovery is different. Once I put my faith in a therapist, it is important that I practice what we are working on, and follow his/her instructions. I don't follow anyone blindly, but I must trust and have faith in the person I'm working with so that I can feel safe to stretch my limits.

4. Trust my instincts. If I've been through several sessions with a therapist, and it doesn't feel right for me, then it may not be a good fit.

I've also learned that finding the right therapist is a very personal choice. A couple of years ago we had two different therapists come to speak to our ABIL group on different topics over a two-month period. I found it very interesting that some people were obviously more comfortable or at ease with one doctor over another. In my opinion they are both excellent therapists, and I learned that along with looking for someone knowledgeable, it is also to find someone who you feel safe and comfortable with.

Read a professional's perspective here:

HOW TO CHOOSE A PROFESSIONAL
by Frances M. Christian, Ph.D., LCSW

In recent years, research knowledge has advanced greatly about the nature of and how to treat anxiety disorders. Medication treatments have enjoyed considerable success. Also, research has shown that cognitive-behavioral therapy has had comparable effectiveness, and may for some individuals result in more lasting gains than certain medications. Yet medication treatment and cognitive-behavioral therapy should not be viewed as competitors. Both can be helpful in the treatment of anxiety disorders, often in combination.

Mental health professionals have an ethical duty to stay abreast of the latest research developments in their field. Unfortunately, some professionals have not kept up and are underutilizing treatments that could provide substantial improvements for those who struggle with an anxiety disorder. An obvious reason for underutilization may be that the professional is not specifically trained in cognitive-behavioral therapy which systematically helps people change their unrealistic beliefs and avoidance behaviors that help to strengthen these beliefs. A professional is less likely to be helpful to someone who has an anxiety disorder if his or her theoretical approach is more generally focused on life problems or is a long-term approach primarily focused on uncovering unconscious conflicts. So it is very important when choosing a professional that one makes sure this person is aware of and has competency in the latest effective treatments for anxiety disorders.

The following guidelines are recommended for choosing a professional:

REFERRAL SOURCES

It is always wise to shop around for a good match for your personality and treatment goals. Referrals can come from:

> Anxiety Disorders Association of America (ADAA), which maintains a nationwide referral list.

> The Association for the Advancement of Behavior Therapy which is a cognitive-behavioral professional organization that maintains a professional directory by states and specialties.

> Medical schools or universities with an anxiety disorders research center or specialty program

> Your primary care physician, insurance company, or clergyman

> Your local mental health association of anxiety disorders consumer support groups are often valuable sources of information about who is an effective practitioner

Remember, the least helpful approach in choosing a professional is to blindly pick someone out of the phone book.

GETTING THE RIGHT TREATMENT

Once you have obtained recommendations, don't be afraid to conduct a min-interview with the professional you call. You have the right to assertively ask questions about their ability to help you. A good professional welcomes questions about his or her treatment approach. The following types of questions are typical ones to ask:

> Are you state licensed (MD, PhD, LCSW, LPC, RN)? Avoid unlicensed individuals as they are unregulated and you will not be protected if treated improperly.

> What kind of experience and training have you had in treating my anxiety disorder?

> How long have you been practicing?

> How many cases like mine have you treated and how many are you currently treating?

> What is your theoretical approach? (ASK this question only if you are calling for therapy only) The correct answer should be behavioral or cognitive-behavioral.

> Do you consult with a physician when necessary to augment the cognitive-behavioral therapy? (ASK this if you are calling a therapist) The correct answer should be yes.

> Do you use cognitive-behavioral consultants in combination with medication? (ASK this question if you are calling a psychiatrist) The correct answer should be yes.

> How long do you estimate I will be in treatment? Will treatment have a fixed number of sessions and/or follow a protocol?

> What is your fee? Are you an approved provider for my insurance? (ASK if this is an important factor for ou affording therapy)

> How often will you see me? Once a week or every two weeks is typical for therapy but longer periods are more typical between medication appointments once stabilized.

> What post-treatment follow-up do you offer or recommend for relapse prevention?

GETTING YOUR TREATMENT NEEDS MET
Once you have chosen a professional, give the relationship time to develop. You need to determine if the person is acting in your best interest or just trying to hang on to you as a client. After several sessions you should be able to answer 'yes' to all of the following:

> I feel safe to say whatever I want as I know my therapist will be curious and respectful.

> I feel listened to, understood and that my therapist is genuinely concerned about me.

> We have mutually agreed upon specific goals for my treatment and identified when my progress will be reviewed.

> I feel positive after sessions and hopeful about my progress.

Any questions you cannot answer 'yes' to should be discussed openly with your therapist. Pay attention to your feelings. If a therapeutic relationship is not working for you, then speak up and take action to set up a consultation with another professional if this becomes necessary. Don't let anything come between you and your progress. Keep your eyes on the prize of living a more satisfying life without the limitations of an inadequately treated anxiety disorder.

Return to Top of Page ^

COURAGE: THE LESSON ANXIETY TAUGHT ME
By an ABIL Member

Tuesday, September 11, 2001. Like most Americans, I will remember that day's events for the rest of my life. The terrorist attack on the Pentagon was particularly telling for me, as I've been in that building many times for work. This was a time when everyone was truly scared, but I'll remember it most as a time where we all pulled together.

I look back on that week and am proud of the way that my friends, neighbors, co-workers and I dealt with the fear and the sadness. Not just by sharing feelings and stories of how we cried, but also by raising each other's spirits. My friends and I laughed, joked, and listened to music as we waited for hours in a car to get through security to enter Fort Belvoir. We made the best of a bad situation...taking out our frustrations and anger on each other would have only made things worse. Unable to find an American flag, I bought red, white and blue ribbons to make pins for myself and my friends at work. I lit candles outside that Friday, smiling as I saw my neighbors doing the same. We all did little things to help each other go on with our lives despite being afraid.

This is courage: going on and doing the right thing despite being afraid. This is what coping with an anxiety disorder has taught me, and why I think my fellow ABIL members are some of the bravest people I have ever met.

The seeds of courage are within each one of us. We need only to learn how to help them grow.

Return to Top of Page ^

IT WORKED FOR ME
By Yolande A. Long, MSW

I have so often heard, through years of living with the ups and downs of life in general, and with the various peaks and valleys of having an anxiety disorder, of equipping my "tool bag" with things to have to deal with my "high anxiety" times. I believe in filling my tool bag with those things that are important to me and have stood the test of time. This is what has been packed over the years...

Certainly an understanding of and adherence to (most of the time), a well-balanced diet, limiting caffeine intake, sufficient rest, and a certain amount of playtime. Educating myself about anxiety disorders in general and my specific diagnosis in particular through reading, attending conferences and seminars, and availing myself of helpful video and audio tapes also were thrown in the bag. Working with a therapist or doctor, learning relaxation techniques, diaphragmatic breathing, and attending support group meetings went in, too. ALL of these have been put into my bag at various stages of my life and many, if not all, remain there today.

However, I want to tell you about very specific and concrete things I have found to be integral tools. I always carry a book to read--something light, even whimsical. I pitch in a magazine or two, just to read the short articles or enjoy the lovely layout. Inspirational materials can also be found--daily religious or meditative readings or poetry that has struck me over time not just for the pleasure and delight it may bring but because of the life significance it has. Also inside my bag are games to play: a pack of cards, a travel-sized board game to share with others, a crossword puzzle book and a word search or two. Writing paper, sharpened pencils, and a pen. A cassette player with headphones; my journal. And last but not least a coloring book and crayons (ah, the lovely and calming scent of a box of crayons) round out the equipment and fill the bag to the brim.

I share these things with you for your consideration for your own tool bag--some things you may already have in your bag, some you might want to add. If any of this helps in any way, I'm delighted!

Return to Top of Page ^

An Unexpected Setback
By Sandra Edwards

When I had a severe setback in 1987, I was certain that I could never go through another such episode again. I was 49 years old, and as with previous major steps backward I was overwhelmed by depression and unrelenting panic.

In March of this year, I again found myself in that place where I vowed privately that I would never be again, that I would rather die than experience the pain. This time the causes were primarily a medical condition and bad timing with medication withdrawal.

Some months before, my psychiatrist had me slowly withdraw from my antidepressant so that he could prescribe something safer for an older adult. I had been on this medication for 11 years, and my withdrawal took place over a period of several months with no problems.

I had an appointment with my cardiologist regarding an aortic valve stenosis, a congenital narrowing of the valve that was first identified when I was in my 30's. This defect was never a problem nor did I have any restrictions of my activities. Over the years I have seen my doctor between every two to five years. However, at my last appointment, the doctor, after checking my echocardiogram, saw that the narrowing had increased to the degree which demanded that I restrict my activities - no hiking, jogging, etc. Walking, which I do as exercise, was, however, encouraged by my doctor. The narrowing of this valve increases with age (I'm 61) and neither exercise nor diet has any effect on how quickly or slowly this happens. My doctor told me I'd need a valve replacement within two years - that means open-heart surgery to place a mechanical valve in my heart. After the surgery, I will be free to continue my normal activities with no restrictions, but I must take an anticoagulant drug for the rest of my life and I will need regular blood tests every two to three weeks.

I have always had a phobia of medical procedures. Dental appointments cause me more than the usual distress. In the past, I've often been terrified by these appointments, throwing up before going into the office. Just going to my primary care physician's office could torment me. This has improved over the years fortunately, but hearing that open-heart surgery is to be part of my future stunned me. Although I was and am symptom-free, I can expect symptoms to appear with no time frame.

Some of the symptoms, feelings of faintness, shortness of breath, and a very fast heartbeat, are familiar to me and I know to you. They are what we can experience with panic disorder. How will I know the difference if a symptom should arise? My doctor did not tell me and would not tell me. He spent no more than ten minutes with me after giving me this news and telling me of my restrictions though he knew my history of panic disorder. Therefore, I took the initiative to learn as much as I could about aortic valve stenosis.

At times, over these past months, I became immobilized. The first thing my psychiatrist did was to get me back on my previous antidepressant. This plus anti-anxiety medication did not relieve the distress which was affecting my functioning. My psychiatrist then prescribed a benzodiazapine, which proved to be a great help.

Reviewing what has happened to me, the onset of my depression and anxiety became separated from the initial source which was the news from my cardiologist. It seemed to now have a life of its own. My fear was all encompassing. The old, familiar and dreaded emotions returned. Fortunately, with the help of my psychiatrist and his expertise, and also seeing my psychologist to discuss alternatives and to review the tools that I had to aid me in my recovery, I began to make progress.

Although I continued to work at my morning part-time job, there were some afternoons and weekends when I did little more than what was necessary, but again, I could see improvement. Then for the second time (as happened during my previous crisis, and in fact, was a major cause), I had an attack of vertigo one morning. This initially caused me to panic. But I decided that I could not let this take away from the progress I had made. I got up from bed slowly, and after a time the vertigo symptoms began to ease. Although I still have the vertigo after many weeks, it is positional and affects me mostly when I lie down, get up, bend over, etc. It is very uncomfortable, but I have not let it control my activities as it did years before, and I am hopeful that it will disappear in time.

I have a follow-up appointment with my cardiologist this month and it frightens me. I don't know how I will respond if I am told that my condition now necessitates a catheterization of my heart. This invasive test determines more than the echocardiogram and has some risks. It gives precise details of the narrowing of the aortic valve and from this test, the doctor can ascertain if surgery is recommended. Those things that caused my setback in part are:

1. Not being on my antidepressant which probably exacerbated my response--bad timing.

2. My cardiologist's inappropriate handling of the situation after giving me the news. I requested an appointment on two occasions to have my questions answered, and he chose to speak to me on the phone between patients and felt I didn't need to see him. I was upset both time and there was not time to discuss anything in detail.

3. My phobia for medical procedures made this major surgery with all the risks seem impossible for me to face, although I have come to understand that my FEAR is not unreasonable. It is my response to this fear, not unexpected considering a lifetime of panic disorder, agoraphobia, and depression.

Those things that helped me to recover up to this point were/are:

1. My psychiatrist and psychologist and the encouragement I received from both.

2. Medication and working with my psychologist to focus on my strengths while looking at my fears.

3. My initiative in locating information about aortic valve stenosis to educate myself.

4. My decision to seek another opinion and to set up my appointment so that I would have questions (written down beforehand) answered.

5. My continuing to go to work no matter how I was feeling and to do as much as I could outside of my home.

6. Meeting two people who have undergone the same kind of surgery, each taking anticoagulant drugs and living full lives.

7. The support of my family and friends.

This is not a story that has ended, it has really just begun and, like so many things in our lives, there are no easy answers on how to face this surgery when it is time. I hope I am able to do this with courage while recognizing that my concerns are real and not feel in any way diminished by my fears. Writing this has brought everything into focus, and it has been uncomfortable. But perhaps the narrative of my setback may help some of you who may be struggling through similar periods, though for different reasons. I do hope so.
 

Return to Top of Page ^

I'm not sure when it all started...

I am not really sure when it all started. I remember being happy and content as a little girl. I was a little overweight, well...maybe a lot, but other than that, life was decent. I had a few good friends; one in particular, a little redheaded girl that I played with almost every day. I liked to be free; I wasn't a clingy child. Family life was a little difficult. There were many times when I stood in front of the windows wondering when my dad would return home or if he would come home alive. I worried about my mother and my sister. There were also times when I hid in my bedroom, scared of my father coming home, sometimes hoping that he wouldn't.

I have always been quite imaginative. School was my least favorite place to be. I got teased and I felt out of place. Everyone was in a group; I wasn't. My teachers didn't think much of me. When I was about nine or ten years old, my mother had to go out of town on a business trip. This is the first clear memory I have of feeling a thing called panic.

My life has never been the same since. I was due to stay with a family that lived around the corner. They were friends of the family and had two little girls. One was my sister's age and the other mine. We each played with the two. My mom dropped us off at their house for the weekend. It was around the beginning of January and it was snowing outside. We played for days, having a great time. The family also had a little boy who was inside sick with a bad stomach virus the whole time. This did not even cross my mind until one day I was sitting on the couch with Katie, the little girl I was playing with, and she developed the virus that I would soon catch. That, I believe, is when my phobias started.

It sounds stupid and unrealistic but I had never thrown up to this point. I panicked when she got sick and I called my father wanting to go home. He would not pick me up. He told me that I had to stay there. I don't understand why...was he that busy that he couldn't come get his little girl? I stayed the remainder of the time. My mom came and picked up my sister and me after she returned home. Approximately three days later, I woke up in the middle of the night. I had no idea what was happening. It was all so quick. I was very ill, vomiting everywhere. My mom talked me through the whole night and took care of me for the next two or three days. She is the reason I am where I am today; she gave me strength. I didn't think much of what happened that night after the fact. I think I got sick one more time in the fifth grade.

The next road ahead of me was my middle school years; years that I will never forget...probably the worst of them all. I had shrunken in size enormously and I had plenty of friends but not the best ones. This is when I really got hit with the disorder. I hated school. There were many days when I refused to go. I was afraid of being remotely close to anyone who was sick. My parents literally had to drag me to school. I saw every type of doctor imaginable...a neurologist, a psychologist and a psychiatrist. Nothing made me feel better. My main fear was that I would get sick in school or in public. There were times when I wouldn't leave the house...I wouldn't even go into a mall. My parents were so upset and frustrated; they didn't know what to do. The last resort was to admit me to a psychiatric hospital. I think this was a small step to a long road of recovery. I was terrified the first few days. I tried to think of every option to escape but it wasn't going to happen. I ended up making some wonderful friends and not feeling so alone, although there were times when I contemplated hurting myself. The doctors said I had school phobia.

At this time not many people had heard of things like obsessive compulsive disorder, panic attacks, phobias and agoraphobia. I was in the hospital for about a month or two. I had school there. When I was released and went back to school, things were still shaky. I had frequent panic attacks. I had severe OCD. I would wash my hands as many as a hundred times in a row, until they were practically raw. I would come home from school and immediately throw the clothing that I had worn that day away and never wear it again. I constantly confided in my mom and she seemed like the only person who believed me. I don't blame people who don't understand...it IS an unimaginable disease. I started going to groups for people with phobias and that helped a little, but there was such an age difference: "Where were all the kids? Was I alone?" That made it ever scarier. Now I know where they were. I'll never forget one day in school. I would often skip classes and hide in the bathroom stalls.. I was doing just that and there was another girl in the bathroom, my age, ducked down on the floor crying. I asked if she was okay and she replied that she was scared to go to class - that she had panic attacks.

I continued to get therapy as I entered high school. I had been on every antidepressant and tranquilizer you could name; none of them made me feel better. I seemed to be getting a little bit better in high school. I found a medication that seemed to work for the first time. In my junior year, my grades boosted up a little. I felt great during my senior year, I guess the medication had worked. I had a job, my grades were excellent and my friendships flourished. I still had phobias and sometimes the panic attacks were strong. Through the help of a particular psychologist, who specialized and knew a lot about this disorder, I began to understand why. That was the key. I applied to college in the summer of '95 and was accepted into The School of Fine Arts at a leading state university. I couldn't believe I had made it this far. I am now a senior in the Arts program and my grades are excellent. I graduate next spring.

I will always have panic disorder and OCD, but with the right medications, support from a loving mom, sister and father and creative ways to channel negative energy, I have had the strength to succeed and overcome this. If I could give any advice to people my age who are suffering from any of these problems it would be: DON'T BE ASHAMED, YOU ARE NORMAL, TAKE YOUR FEARS AND DEAL WITH THEM BY TURNING THEM INTO SOMETHING PRODUCTIVE AND CREATIVE. You would be surprised how therapeutic a craft or a poem can be. Find someone you can trust, and face your fear. The more times you deal with what you are afraid of, you will see its not so bad.

There is another special lady who always gave me confidence and hope to go on. Thank you Shirley Green! We love and miss you.
 

Return to Top of Page ^


Growing Up with Social Phobia

My name is Debbie, and I have social phobia and anxiety disorder. I think I have probably had this condition from around the age of six. My father had schizophrenia; my mother was extremely anxious and very critical. I believe I have always felt a great deal of shame from an early age. I never felt "as good as" other people. I never was good at parties and other social situations.

My first memory of the disorder was when I was to sing a solo in front of the school. I got through it, but I was shaking all over and in my voice. I remember trying to locate my teacher before my performance to see if she could get a replacement. My next remembrance of a similar situation was in seventh grade, when I was in gymnastics and had to perform again in front of the school. This time I did reach the teacher before hand and managed to get out of it.

I also sang in our church choir and was to sing a solo. The scenario was: three girls sitting in front of the audience--one was me. The first girl proceeded with her song and, as she sang, I turned to the girl next to me and asked if she could sing my part. That was the most humiliating experience I ever had. When it was over, my mother wanted to know what was wrong with me in a not-so-nice tone. I think I stayed away from anything that would put me in the spotlight like that again.

Around the age of sixteen, however, I thought I found a cure. The cure was alcohol. I turned from "Miss Introvert" into "The Life of the Party." All the fears went away, temporarily. I believe by the age of eighteen I crossed that invisible line of alcoholism. I became a binge alcoholic at about seventeen or eighteen, in an effort to cope with my anxiety.

At age twenty-five I enrolled in a business college, and in one of my classes I was to give a report in front of the class. I was not looking forward to it. As I proceeded with the report, one of the administrators walked in to sit in on the class. I was somewhat intimidated by her for some reason. Shortly thereafter, all the symptoms appeared--the sweating, pounding chest, trembling and feeling like I could not breathe. I looked at the instructor and told him I had to sit down. I continued with the report while seated, but I was totally humiliated. I did not want ever to return to that class, but I told myself I would--and I did. I don't really know how, except that I was determined to finish the class.

It seems like a series of these episodes followed on a regular basis. I could not stand going to the grocery store, especially checking-out at the register. I could hardly sign my name on the check and would sometimes leave the store altogether. I have had several panic attacks in social situations and would have a few drinks to be able to handle them. I now had two problems to deal with. I continued this destructive period, using alcohol to cope with my anxiety, until I arrived at a desperate and frantic bottom in my life.

Since age thirty, I have been able to maintain my sobriety through a 12-step program. I was fortunate that I did not have to go to several doctors before a diagnosis of anxiety disorder was made. Later, after attending several ABIL meetings, I realized that I have social phobia. I now take prescribed medication for this condition and have been able to chair meetings, co-facilitate a group in a local hospital, give presentations at company orientation programs and attend several social functions. I feel like a new person. One step at a time, I take small risks and practice the things I fear. I still have not done everything I want to do, but I feel very hopeful about the future.

Return to Top of Page ^

From Sharpshooter to Housebound
By Susan

Growing up I was active in everything! I was a good student, cheerleader, singer, active in church youth groups and choirs, a member of Job's Daughters, held 3 part-time jobs while attending college, loved to travel, went to camp, shopped frequently and partied with my friends. My first marriage ended after six years, and my son and I were on the go constantly.

In 1980, while grocery shopping with my 2 year old son, I became ill--dizziness, nausea, tightness in my chest, rapid heart rate, blurred vision, and feeling like I was losing control of my bowels. Thoughts ran through my head--who would take care of my baby when I passed out, and what would they do with my groceries? I was so afraid, I grabbed my son and ran. By the time we got home, I felt better. I was sure something in the store made me sick.

At that time I was a correctional officer in a male prison. I had graduated top of my class in both Basic Training and Advanced Officer's Training. I was a sharpshooter and a member of the state's hostage negotiation team. During late 1980 and throughout 1981, I became increasingly uncomfortable being locked inside the prison. I got so I could not travel without feeling the same physical symptoms as in the grocery store. My job performance failed. I always had a feeling of impending doom.

I remarried in 1982 and quit my job. I began seeing a therapist who believed I was depressed. I began an antidepressant, gained 40 pounds and became depressed! My anxiety level never decreased and I had approximately 20 panic attacks a day. In late 1983 I went to work for a doctor because I believed he could take care of me if I got sick. I was convinced I was dying and saw more than fifteen doctors over ten years. I was in the medical hospital 29 times in ten years, mostly at my request, with a diagnosis of dehydration. From 1983 to 1988 I got worse. I continued therapy the entire time and was in the local psychiatric hospital three times--always with a diagnosis of depression. I lost my job because I was always sick and missed work. I never went anywhere and became totally housebound from July, 1989 through January,1990.

Through unusual circumstances I was told about a specialist in panic anxiety disorder and I called him. He was 90 miles away and I could not go for an appointment. In January, 1990, I called him and made arrangements to enter his hospital the next day. I drove myself the 90 miles. With education, exposure to feared places, trust in my therapist, attending ABIL meetings in the Richmond area, and proper medication, I began my recovery.

I was discharged March 1, 1990. I returned to grocery shopping, malls, beauty parlors, the dentist and traveling. I went back to college where I have a 4.0 in paraprofessional counseling, returned to singing publicly, resumed an active participation in local politics and became the facilitator for an ABIL group in my home town.

I am on medication that blocks the panic and anticipatory anxiety. I still get anxious when I do new things or am under a lot of pressure, but I have learned how to deal with this through ABIL. Without the education, exposure to feared situations and the continued work with ABIL, I am sure I would still be housebound. Recovery is a continuing process, one that takes determination and practice.

Return to Top of Page ^


Step-by-Step
By Patrice

I was a senior in high school when I experienced my first anxiety attack. I had just gone to bed one evening when suddenly my palms began to sweat and I felt tightness in my chest. The tingling sensation throughout my body overwhelmed me, and I was sure I was going to die. The experience left me so debilitated that I laid in bed for two weeks. Like a small child, I needed my mother with me at all times.

After I had been absent from school for two weeks, my parents sent me to a mental hospital. It was strange to me that at the moment I entered my hospital room, the anxiety disappeared. The hospital was a "safe place," and I felt normal again. I had a complete range of tests, all of which came back normal. After being released from the hospital, unsure about where the panic came from, I returned to high school and managed to graduate in June.

When I was a freshman at college, my anxiety attacks returned. Gradually I began avoiding certain places on campus, even classrooms, for fear of having an attack. I got involved in an unhealthy relationship with a "safe person." He went shopping for me, cleaned my room, did my laundry, etc. My dormitory became a "safe place." I made it through the following fall semester, but my agoraphobia got progressively worse. In my last couple of weeks at school, I never left my dorm room at all, not even to attend classes. I even avoided the campus cafeteria and relied on Domino's Pizza and my "safe person" to get by. Finally, during an overwhelming attack of anxiety, I was accompanied by the dean of the college in an ambulance to the hospital.

After years of hard work in therapy, I have learned that my problems resulted in part from the overprotection I was given as a child. Because I was born with a visual disorder, my parents and even my sisters felt an unusual need to protect me. Even as late as age four, I wasn't permitted to climb staircases by myself. Usually my mother carried me up and I developed a fear of staircases which I still struggle with as an adult.

Throughout my childhood I was lacking the normal experiences for a child my age. I was immature compared to my peers, extremely shy and lacking in social skills. As a result, I was a target for being ridiculed by other children and developed a fear of school. I especially feared authority figures and was often afraid of my teachers. I did my best to blend in with the background so that I wouldn't be noticed. I developed the resourceful habit of untying my shoes before every class. If the teacher looked my way, I would "look busy" by tying my shoe laces.

I endured the terrifying experience of being completely torn away from my "safe environment" when I was forced to leave my college campus. I spent three months in a mental hospital where I experienced such agonizing anxiety that I could barely walk. Eventually, the anxiety was so unbearable that I had no choice but to surrender to it. Accepting my emotional state was not only the most difficult part, but also the turning point to my recovery. I used my anxiety as motivation to work very hard in therapy.

After being discharged from the hospital, I took the brave step of leaving home. Although I felt protected living with my family, the environment there inhibited my growth. I moved from the secluded lifestyle in suburbia to a boarding house in downtown Richmond. The director of the home became a mentor to me. A former agoraphobic herself, she was understanding of my problem. I managed to make some wonderful and supportive friends who gradually helped "desensitize" me by taking me out into the city. I slowly became accustomed to riding the city bus and accepted short term clerical assignments through a temporary employment agency. Surprisingly to me, I was able to do well most of the time and was able to move forward in small steps.

From attending just a couple of ABIL meetings, I noticed that a lot of agoraphobics share the trait of having been denied the freedom to build independence. Many of us have experienced situations or relationships that inhibited or put limitations on our growth. Many agoraphobics have been raised in strict households with parents or siblings who are quick to intervene. This is especially the case with females in our society, which I believe contributes to the fact that the majority of agoraphobics are women.

Commonly, an agoraphobic experiences the first anxiety attack in his or her late teens or early twenties. At this age, I was expected to be an adult, but I had never practiced the skills necessary for maturity. To recover from my anxieties, I needed to build experiences that I had missed when I was younger. Like any building process, it was slow. Because of the suffering involved, the hardest part was to let time pass and to be patient with my weaknesses. However, life as a recovered agoraphobic is worth all the effort. Becoming independent was scary but as I continue the building process, I find that this is also an enriching and fun time of self-discovery. I have replaced the old habit of taking things too seriously with a sense of humor. The dreadful anxiety that I experienced as an agoraphobic has bloomed into an eagerness to experience and enjoy life to the fullest.

Today, at age 25, I have lived successfully on my own for three years and fulfilled my dream of a career in child care. My family and I have grown closer as they have developed confidence in me and are learning to "let go."

Return to Top of Page ^


From a Man's Perspective
By Virgil

No information was available on Panic Disorder when I suffered my first panic attack 31 years ago. I had never heard the term "panic attack". I visited my family doctor but there seemed to be so many things going wrong at the same time, I could not put my feelings and symptoms into words. I told my doctor of my most severe symptoms, hoping he could find something physically wrong that could be treated with medication, but nothing was found and no medications were prescribed.

The panic attacks continued and I made a few more trips to the doctor's office but still nothing was found wrong that would explain the problems I was experiencing. I was still doing a poor job of letting the doctor know my feelings and symptoms. The attacks continued.

Several years later I read an article about anxiety disorder and panic attacks. Someone described my exact feelings. They were able to put it into words. After several years of suffering and no real explanation as to why, I knew. Panic Attack. The illness had a name. Soon other articles appeared on the subject and each article taught me a little more. The more I learned about Panic Disorder, the more determined I became to get over this problem.

I began a long process of thinking and making lists of things that may have caused my panic attacks. Some of my personality traits that I knew were contributing factors were painful to accept, but I knew I had to accept them before I could do anything about them. Some of life's experiences that I was certain contributed were also hard to relive, but I was as honest as I could be and I considered everything I felt was a contributing factor.

To get a better picture of my problem I made a pie graph assigning each facet the size of slice according to the importance I felt it played in causing my panic disorder. A picture emerged that gave me an idea as to what possibly caused my problem. I began using coping methods that are being taught by professionals today. Some things I decided to forget and forgive, to let go of. Things I had carried for years I had to deal with. Other things I just decided to accept; I had felt the pain, time to let it go. Some personality traits were altered, the good ones I tried to strengthen, others I worked toward controlling. The graphs began to change as I dealt with my problems. Some important aspects of my life began to get smaller portions of the pie as I reevaluated myself. It made me feel better. I was improving.

I feel the more I learn about my problem the better. I can deal with it. I have found the support and encouragement from the ABIL support group to be inspiring and helpful. I expect to recover fully. I'm working on it.

Return to Top of Page ^
 

 

Home | About Us | Join Us | Coming Events | Programs
Legislation and Issues | Education | Resources | Virginia Affiliates

 

3212 Cutshaw Avenue, Suite 315 · Richmond, Virginia · 23230
804 - 257 - 5591 · mhav@mhav.org

© 2006 Mental Health America Virginia. All Rights Reserved.