What Doctors Need To Know About Patients With Anxiety

pexels-photo-220723

Thinking about going to the doctor creates stress and anxiety for me. Actually going can bring on a panic attack. This has given me a reputation with doctors and creates a problem for me. I am torn between disclosing my anxiety diagnosis and trying to hide it — albeit hard.

Often times, having an anxiety disorder gets you the label of being difficult, “crazy” and delusional. The doctors somehow trace every symptom, even a broken arm, back to your anxiety. It took me years to find a specialist who took me seriously and believed that some of my physical symptoms were not manifestations of anxiety, but had actual physical causes.

I am aware that anxiety does manifest itself in the body in unusual and surprising ways, but that shouldn’t be cause for neglect of the patient. Sometimes physical illnesses are overlooked and not treated properly because a patient has a mental illness.

Doctors need to understand the needs of the patient and accommodate them to the best of their ability because that is why they became a doctor — to help and to heal. Not create more damage and harm. Sometimes they need a reminder.

If you are a doctor who has a patient with anxiety or any other mental health condition, please consider the following:

Understand we are people. We need a little extra kindness and compassion.We are already nervous and anxious about being there. Try to do whatever you can to create a relaxing environment.

Listen to what we have to say. When you don’t take us seriously or brush us off, you make us feel even more isolated and alone. We feel that we may never find someone who understands us. All we want is relief. If I tell you my stomach is constantly bothering me, order a CT scan or an actual test. Don’t tell me to take more anxiety meds and to try to relax. Your job is to explore all the possibilities and while anxiety might be one of them, it is not ALL of them.

Reassure us that you heard us and understand us. Explain things to us in a way that we can easily understand and let us participate in our treatment. You may know medicine, but we know our bodies.

Understand that what you write down in our chart will follow us to other specialists and doctors. If you write you think that we are nuts, that is most likely what other doctors will believe, too. This will prevent us from getting the care that we really need.

The bottom line is that people with anxiety also get sick in their bodies. People with mental illnesses also get physically sick. We need proper care. We deserve it. Please don’t use a mental health diagnosis to avoid doing your job well.

A special thank you to the few, but great doctors out there who have taken me seriously and explored all the options.

When Chronic Illness Is Like Walking A Labyrinth

labyrinth-1872669_1920

Spirituality has always been a part of my life. I was raised Catholic and am thankful for that tradition, as it left me with many tools for life and discernment. It also has harmed me, but I won’t get into that in this post. This is about how I learned one simple phrase, using a spiritual tool, to help me during times of confusion. Maybe it will help you, too.

Years back, I went to see a spiritual director to talk about some of my concerns about life, God and suffering. She had recommended that I walk a labyrinth, which is basically a maze. It’s a form of walking meditation. There are many ways you can use a labyrinth, but the easiest way is to ask a question to God — assuming you believe in one. If not, you can ask your Higher Self or spirit guide or whatever you believe in for guidance. You enter with a question. That day my question was, “What am I supposed to do?”

As I walked the labyrinth, there were many stops and starts — much like living with a chronic illness. You are led in one direction, only to find you are being turned in a different one. Just when you think you are on course, another turn and another redirection. There are times when you think you are almost out of the woods only to find that you are back in the center of the circle again. I admit, it can be frustrating. You want to rush through. You want to get it over with. You want your answer. NOW.

What I heard in my mind was, “Just keep walking.” Just keep walking. Just. Keep. Walking.

Finally, I made it out. I kinda thought the whole thing was mostly stupid to be honest. When I relayed my sentiments to my spiritual director, she asked if any thoughts or ideas came to mind. I told her that I felt that if I just kept walking, eventually I would find my way out. She smiled and nodded.

Sometimes we are looking for something profound — some deep answer to life’s questions when the answer is just to keep walking. Keep walking or crawling if you have to. Keep walking even if it’s just to the bathroom. Just go to that one appointment. Just do that one thing to take care of yourself. Make that one phone call — that one text.

I still am in the labyrinth of life. I can’t say I made it out – yet. But I am walking. Let’s walk together.

 

 

 

Thoughtless and Unhelpful Things Family/Friends Do When Dealing With Your Chronic Illness

Anyone who lives with a chronic health condition knows how frustrating it can be to deal with family and friends who either just don’t understand or flat out just don’t care.

Yes, it’s true that most people won’t understand something until they go through it themselves. This isn’t really an excuse for overt selfishness and total lack of compassion, though.

If you are a family member or friend of someone who suffers with a physical/mental illness or disability, here are some things you want to be mindful of. You might be engaging in some of these behaviors knowingly or unknowingly. Either way, it’s unhelpful and hurtful.

Expecting them to get over it. It absolutely does not work like that. Trust me. I promise you. Nobody “gets over” cancer. If they could, nobody would have cancer. Same thing.

Expecting them to be there for you for any problem you may have, but refuse to take the time to be there for them. This includes calling to ask how they are, asking if doctor appointments and tests went ok and asking them if they need to talk about what’s bothering them. It’s a two-way street. I’ve listened with empathy to stories of divorce, problems with children, sick parents, boyfriend problems, financial struggles, ect. Surely, you can give me the same consideration. Calling them to constantly complain about your problems while never acknowledging theirs is thoughtless and selfish.

Minimizing their struggles and health concerns. Speaking to them like their problems aren’t valid or making things into a competition will only make things worse for them and make them not like you. Which leads me to my next point…

Making illness and life situations into a contest. Contrary to what some may think, none of us are in the running for a medal or an award for who is the sickest. I don’t play that game and neither should anyone else. We are all fighting our individual battles and demons to the best of our ability. Don’t spend your time debating who has it worse. It’s insulting and it’s a waste of time.

Forgetting birthdays. This one sounds a little petty, but the truth is, birthdays can be lonely for people who have an invisible or chronic illness. Sending a card or text or calling can make a difference. Most of us have smartphones that remind us when someone comments on our Facebook status. Surely you can find a way to set a reminder to remember a loved one’s birthday.

Ignoring them. The worst thing you can do is pretend someone doesn’t exist. It’s the ultimate insult.

Blaming them for their illness. Most of us did not choose to be sick. We are most likely trying everything we can to get better. Medications can cause weight gain, fatigue and other health issues. Our illness alone is enough to wear us out. This can lead to, or worsen symptoms of depression and anxiety. It also increases feelings of isolation. Don’t blame us for something we cannot control. There are days where the fight is too hard and we need time off. This is not being weak. It’s called taking care of yourself.

Telling them it’s all in their head. This is basically the verbal equivalent to slapping or spitting in someone’s face. Just don’t do it – ever.

Don’t assume. This is a big one. Don’t assume because I am smiling or that I put on a brave voice and face, that all is well. Don’t assume that because I am having a good day and feeling well enough to engage more with life, that I’m cured. It’s called taking advantage of having a good day and trying to make the most of it while it lasts.

If you’re doing any of these things, please stop. If you aren’t sure if you are doing these things, print out this list and run it by the person. They will probably tell you if you are guilty of the above. They may even have some pieces of advice of their own to add. Listen and pay attention to what they have to say.

Thank you for listening.

Food Allergies Are A Disability

stocksnap_veas6lausm

Imagine every time you ate a meal, you had to deal with the possibility that what you were eating could make you very sick at best or possibly kill you at worst.

That’s what it’s like for many of us that live with food allergies.

I have been diagnosed with multiple food allergies, sensitivities and something called histamine intolerance. Histamine intolerance is a disorder in which your body cannot break down histamine properly, so you have to stick to eating foods that are low in histamines, otherwise, your body is overloaded with histamine and you become very ill.

Eating out is never really a possibility because you can’t really be sure how the food was prepared and if the waiter/waitress has taken your “food allergy ordering speech” seriously. Going to visit family or friends becomes an ordeal in which you have to have prepared meals and snacks on hand. And holidays can be extremely stressful having to cook all special foods for yourself. You have tell your host that it’s not personal and there is nothing wrong with their cooking. Sometimes they insist on making something for you that’s allergy friendly. The problem is, they really don’t know exactly how to prepare it and one innocent mistake could cause you to become violently ill. It’s all very anxiety producing.

Food allergies are a disability. There have been many times where I got sick and had to take high doses of Benadryl. I was left exhausted and “hung over” the next day, forcing me to cancel plans. It makes you unreliable. You never know how you will feel or how your body will react to the food you eat, even when you are taking the proper precautions to avoid your allergens.

I remember one occasion when I bought gluten free cookies. They were oatmeal raisin. Well, that day I found out the hard way that I am allergic to grapes. My mouth was on fire, I was dizzy and couldn’t breathe and I was red from head to toe, like I had gotten bad sunburn. My mother dialed 911 as I was on the verge of passing out. Next thing I know EMTs were injecting me with needles and I was in the hospital. All that for a fucking cookie!

Other allergies, like chemical sensitivities, allergies to dog/cat hair, allergies to perfumes, ect. —  they can make traveling a nightmare. Will someone be wearing heavy perfume on the flight? Will there be a dog on board? You can’t visit your friend at their house because she just got a cat, so you have to get a hotel room – and not just any hotel room. It has to have a kitchen so you can cook your meals.

These allergies affect every detail of our day-to-day living and everything must be planned in advance because eating is something you must do daily, so it’s pretty unavoidable.

Eating the wrong thing can cause severe digestive distress, nausea, painful bloating, vomiting, dizziness, rashes, shortness of breath, fast heartbeat and feeling you might pass out. Sounds like fun, right?

Food allergies are disabling and can really ruin a person’s life. If you know someone who has a food allergy or multiple allergies, please don’t make them feel like they are being dramatic, faking it or making it all up in their head. They are not trying to be difficult. They are just trying to stay well. It’s a horrible way to live. Show compassion and understanding.

For more information, please visit: https://www.foodallergy.org/about/faaalliance