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Therapy Monday! Like riding a bike, right? You just get back on and go even if you haven’t ridden in 20 years and your legs hurt just looking at it?

So, big news. No, that builds it up too much. Let’s just call it kind of news.

I did it! I had the hardest conversation I’ve ever had with my doctor. And I know you’re thinking, this conversation shouldn’t be that hard. Unless you’ve been in my situation, in which case you know what I’m talking about.I went in for a physical last Friday and fessed up. This anxiety thing is too much. It’s impeding my ability to enjoy pretty much anything I’m supposed to be enjoying and that sucks. It’s starting to fill my head with images that could play out on the national news and that sucks. It’s to the point that I’m actually anxious about being anxious and THAT SUCKS.

When I put it this way, asking for help sounds very reasonable. But there’s nothing to be anxious about…yet. <—-see, right there?! That’s the shit this bitch will do to you!

A real reason to feel anxious = hanging off the side of a mountain while doing higher math. eech.

Anyway, what? Right. The conversation – there’s nothing to be anxious about. So, when I started the conversation with my doctor, I essentially said, “Hi. Yes, that’s great my blood pressure is athlete low. Oh, my cough is clearing up. Excellent, excellent. sooo…I’m having trouble coping…with..life.”

Which sounds completely ridiculous and the minute it was out,  I wanted to take it back. Be all, just kid-ding! Of course I can manage the daily dealings of life. HAHA, Christmas? No problem, who freaks out about Christmas, RIGHT? Hahahahaohmygodhelpmepleasexmas the crowds, ohhhh, the crowds

But the truth was (x-files) out there.  My doctor was adorably caring and concerned. He asked me about symptoms and I’ll list them here so you can know. My main physical manifestation is in my stomach. As in, it feels like a million rapid dogs ripping their way out.  I also get bad headaches and, occasionally, a racing heart. Emotional manifestations include anger and more anger and being irritated at flies. Flies are everywhere, I don’t understand that at all. Where do they come from and why do they suddenly get in my face? Psychological manifestations (these are the worst) include being sure something insanely horrible is going to happen and then picture the insanely horrible thing that for no reason feels completely real. Even though it isn’t.

Again, when I write it out like that, the problem sounds very dramatic and urgent.

But then I have to add – that’s my reactions…to…life. And I feel stupid.

My doctor clarified the largest freak outs by explaining that when a person is under stress (read: life) and more stress is added on top of that (read: effing mall at christmas), person’s brain has a chemical meltdown. He didn’t say meltdown because he’s professional but you get the drift. The result is an anxiety attack. Finally,he gave me a questionnaire from a big stack of questionnaires  – isn’t it nice to know you aren’t the only one? That like, an entire stack of people need help.

I answered as honestly as I could and he very patiently discussed options with me.

Doctor: You know yourself and this is your body.

Me: So what should I do????

Doctor: I can only give you the information to make a decision. I can’t make the decision for you.

Me: This is making me really anxious. Do these options come in direct injections? Also, I’ll need a monkey to inject me because I don’t like needles. They make me very nervous. God, this is, just…hard. Are injection monkeys covered by insurance?

Doctor: No.

In the end, I decided to go with lorazepam to treat the occasions of overwhelming anxiety. I chose this over daily medication for several reasons. Mainly, I take measures that I find effective to control the daily stuff in my own way, ways like exercise and water and other tricks (I’ll elaborate in comments if you want me to). I assured the doctor that, since lorazepam is addictive, if I find myself needing it more than every couple weeks or so I would call him.

I will if I need to. The great thing about hard conversations is that once you have them, it’s easier to have the next one.

What conversation have you had with your doctor or someone else that was incredibly hard but that you were happy you had it? If you haven’t had that conversation, what do you think is holding you back? Also, feel free to list your current medications. Or if you have questions about lorezepam, I’ll try to answer them from a patient point of view. OR leave stories of the time when lorezepam was used so you could spend less money at the bar and still get really really drunk. Don’t act like you don’t know what I’m talking about.

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