I almost don’t know how to start this. Anxiety disorders are the most common mental illness in the U.S., affecting millions of adults every year.
I am one of those people who suffer. When I’m in panic, it’s almost as if a doppelgänger took over my body. So many people do not understand what happens and that the person has no control over how they feel. Stress and cortisol flood the body.
Last night I had a panic attack. I actually had several in the past week, and 4 or 5 just yesterday alone. What made my last two particularly long and painful is that other people were home and weren’t reacting compassionately. They live with me and don’t quite understand what I go through, how painful it is, and how little to no control I have over how I feel or can possibly react. I can empathize and understand that it can be scary to someone else—really I can. I don’t want to be in full-blown panic either, believe me—way more so than the people around me don’t want to see it.
A key driver is understanding. Panic disorder with panic attacks is not something that can be helped in the moment or have a lid put on it. What makes it all so much worse is when those around you judge you and believe mental health issues are something that can simply be controlled. I’m writing this because if my own household doesn’t quite understand what this is about, how can anyone else? I need to do my part in spreading awareness.
I didn’t know much about true anxiety either. Why should I? We throw the word around a lot. Many of us live with low-level anxiety constantly. As a society, we are mostly all anxious. Anxiety and panic disorder are a little different. Nervousness and anxiety can both cause similar symptoms, but normal nervousness—like before a big presentation or applying for a job—is tied to a real situation and passes. Panic disorder is not like that.
I’ve read a lot about anxiety in the past two years since I’ve been diagnosed. Stress is prevalent in our culture. A large part is due to technology and the constant bombardment of information. Also, the ability for others to reach into our lives at any moment—through social media, texting, email—creates a constant sense of urgency. When I was younger and we had a house phone attached to a wall, leaving work meant the day was done. No one was creating new demands through texts and emails late into the evening.
Now, something as simple as a phone notification at 9pm can cause our heart rate to increase and create a false sense of urgency. Whether it’s from a loved one or your boss, the body reacts as if something is wrong. For most people, that feeling fades quickly. For those of us with an anxiety disorder, it doesn’t go away—it escalates.
A panic attack can feel like your body suddenly believes it is in danger, even when nothing is actually happening. Your heart races, your breathing changes, your chest feels tight, and your body prepares to fight or run. Rational thinking goes offline. It is not the time to reason through it or try to explain it away.
With panic disorder, the body goes into full fight-or-flight mode without a real, present threat. It differs for everyone, but for me, I am often triggered by something external that was threatening in the past. Many times I cannot initially identify the trigger. It is almost impossible to do so when the brain is flooded and executive functioning shuts down.
I want to feel normal and not panic more than anything. Riding it out, medicine, and therapy are helpful, but it took years for my body to become this dysregulated. It likely will not go away overnight.
I can tell you what makes it worse for me:
Being with someone during a panic attack who doesn’t understand and becomes annoyed or frustrated. I can’t be helped in that moment. Someone in my face trying to rationalize it feels condescending. Being ignored feels humiliating and similar to abandonment. I’m already overwhelmed—those reactions only intensify it.
Another difficult experience is trying to hide it so as not to scare others. That creates another layer of pressure. I’ve had panic attacks on airplanes, in restaurants, at work, while driving, while getting ready for bed, and even when waking up. When people pretend nothing is happening, it makes me feel like something is wrong with me—like I need to be hidden.
And then there is the shame. The feeling that you need to hide such a significant part of your experience from others. Our society does not always respond kindly to mental health struggles. Before experiencing this myself, I also believed it was something that could be controlled. Last summer I spent a full month in an Intensive Outpatient Program, but I was afraid to tell people why I was on leave. If I felt that way, I’m sure others do too.
May is Mental Health Awareness Month. If you don’t struggle with mental health (and that’s wonderful), it’s very likely you know someone who does—you just may not realize it. Let’s do our part to bring awareness and approach one another with compassion instead of judgment.
We are all human. Let’s treat one another as such.
Peace.
Anxiety and Depression Association of America https://adaa.org/about-adaa/press-room/facts-statistics#
We Need to Talk. Our Society Has an Issue With Anxiety and Mental Health. https://futurism.com/we-need-to-talk-our-society-has-an-issue-with-anxiety-and-mental-health/amp/
How to Handle Someone Else’s Anxiety or Panic Attacks https://medium.com/@gtinari/how-to-handle-someone-elses-anxiety-or-panic-attacks-51ee63f5c23b
How to Help Someone Having a Panic Attack https://m.wikihow.com/Help-Someone-Having-a-Panic-Attack
Mental Health America http://www.mentalhealthamerica.net/may
https://dailypost.wordpress.com/prompts/doppelganger/
Thanks for taking the time to read. I’d love to hear your thoughts!
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