As you know. A few weeks back I proferred some uninvited information for my therapist…it was three major incidents that have affected my health anxiety, a list of health problems that I am terrified that I have or will get, and a list of things that anxiety stops me from doing. The final list was pretty depressing, spanning from driving to dining out to exercising to travelling and maintaining relationships. We are talking some pretty major areas of one’s life there.
Have I told you I didn’t used to be this boring? When I didn’t think I was dying the whole time I could even be a bit fun every now and then. Imagine that!
Anyway enough about that. I want to talk about how cbt is shaping up. Having given this information, my therapist made a formulation… That is a flow diagram showing the vicious cycles that involve being triggered until automatic negative thoughts, having inappropriate cognative and behavioral responses as well as extreme emotional responses, that all feed back into the negative thoughts. You don’t need to know what weird shit I do when I get panicky, but what you should know is that the idea is to gradually stop relying on those unhelpful or inappropriate coping mechanisms by considering an alternative to the doom and gloom, end of the universe, deadly premonition that happens with every sniffle. For me, the downside are that you have to replace the negative responses with something else and therefore I have to be less harsh with myself, which feels unnatural and frankly trite after years of constantly telling myself that I’m a worthless piece of crap and that everything is my fault. I’ve got to the point where I’m so damned negative that I complain about everything and find it quite uncomfortable to even compliment someone else, let alone myself! That’s fucked up because people can be awesome and they deserve to know it.
Anyway, now I have to try and stop doing so much weird shit when I get worried, and focus on something else, cos I spend about 99% of my time thinking about me me me and as I’m not even that interesting, I think you’ll agree that’s a tragic waste of my time. I could be thinking about something more productive like banjo-playing unicorns.
In addition, I’ve been told I need to start exposing myself to things that make me anxious, like to start with, cleaning chemicals, and more strenuous exercise. That’s this week’s task. So far I cycled to and from work a bit faster than usual and I have to say I do feel like I achieved something. My heartrate increased, I sweated a bit and I got a bit of a sore throat, I got that weird pulsing in my eyes (does anyone else get that or is it just my bizarro physiology?) but I didn’t pass out when I stopped and I didn’t wake up the next day having dropped a stone of weight. Triumph. Unfortunately another source of anxiety popped up from under the rocks when my boss told me in no uncertain terms that I was NOT to make mistakes in the future (regarding a minor typo in an email). Because I am a robot without fat fingers, yes? Ugh. No pressure then!
I’m beginning to warm to this therapist after our rocky start. Possibly because she chose to work with what I voulenteered as I thought it was the most important stuff. She’s offered to give some information for my partner to read about my erm condition, so he knows how best to support me (I.e. constantly telling me I’m lazy and to just get on with things like a normal person may not be the best tact)…lets see how that goes down. I’m already worrying about the approaching therapist abandonment.