People who are hurting don’t need Avoiders, Protectors or Fixers. What we need are patient, loving witnesses. People to sit quietly and hold space for us. People to stand in helpful vigil to our pain. Glennon Doyle, Love Warrior

I had my first panic attack a few days ago. It was an absolutely terrifying feeling, being locked into that fight, flight, or freeze mode for the entirety of the day beginning at 4 AM. I did all of the things that I know to do in order to bring my body back to a more balanced state. I meditated, I did my breathwork, I distracted myself with a puzzle and other activities, but none of it worked. And the more I struggled to wriggle free of that space, the more frightened I became. It’s a vicious cycle and one I had never fully understood until this past week.

I have been struggling a lot with anxiety of late. There are many things going on at home that have played into that feeling. I’ve been dealing with some chronic nerve pain, I am empty nesting and there are other challenges that are not yet ready for public consumption but that feel like the weight of the world has descended onto our household. I think, if I am honest with myself, anxiety really began to unpack its bags and make itself at home, over the course of this pandemic. The collective fear, worry, and angst that engulfed every decision, the social isolation, and the consternation and apprehension that wrapped itself around me like armor when I had to leave my home all became familiar feelings day-to-day. As a trauma survivor, however, those feelings also served as a trigger, activating the muscle memory that engulfed me for years after my father’s suicide. If part of the coping mechanism that had helped me move out of that state of being was to remind myself that the terrible thing had already happened, that I had survived it, and that I was now safe, living through a pandemic and the collective trauma outside of my front door turned that thinking on its head, making it harder to convince myself and trust in that knowing. As the days went on, right up until the present moment, I simply acclimated to living with a daily sense of unease. Some days it was a little ripple, other days it was a wave, and still, on the hardest days, it was a tsunami. Each new dawn could bring with it the receding of the tide or the threat of a storm surge. That is the rhythm I became accustomed to living with.

I made the decision over the summer to try going on medication. I was having a particularly hard time when I would start to rouse at about 4:00-5:00 AM and my mind would immediately perk right up and start its day, the wheels would begin turning and I could not quiet them enough to get the rest that I so desperately needed. I had seen the benefit of medication in my own family and hoped to find the same result for myself. Unfortunately, my first foray into the world of anti-anxiety medications gave me insomnia, which only fed my anxiety and strengthened it, all while making me fearful of trying something else that might bring me some real relief. So I continued simply trying my best to manage. And some days I did a damn good job. But never underestimate the power of the mind to make its needs known, and never underestimate the power of life to disrupt and dismantle the solid ground we are striving to stand upon. That is what happened to me the other day. The chronic nerve pain and the worry that creates, particularly when there are no easy answers, a bad reaction to a medication, fear over other family health concerns, all came together for a perfect storm and all I wanted to do was to navigate myself into the eye of that storm, that place of calm in the chaos, so I could catch my breath, slow my heart rate, find my center and convince my body that I was not in any danger, that we could move from fight, flight or freeze into a steadier space. But I could not will myself out of the panic and it scared me.

The psychiatric nurse that I have been working with asked me recently if I thought I was depressed. I told her that I didn’t think I was depressed but that I was sad. I’ve been struggling with my empty nest and grieving the daily presence of my daughters, the only bright spot to come from this pandemic was having them all at home with us. They are where they need to be and I am grateful that to whatever degree possible, they’ve been able to resume their lives safely. But the fact that they all left at once and we did not ease into this life transition one child at a time made their absence more palpable for me. The ongoing realities of covid still make social connectivity a challenge, especially as our state and county remain at very high rates of transmission. Some days I am really hurting physically and those “not yet for public consumption” truths that our family is grappling with linger in the background like an ominous cloud just waiting to release its full fury. So I told her that I feel sadness, that I cry very easily, and that I feel my bandwidth has been stretched to capacity. It’s harder for me to muster the energy for things that might’ve come more readily before. I feel tired. But no, I didn’t see that as depression. I suppose the fact that I get up out of bed every day, that self-care remains a priority, that I find ways to connect with others and engage with the world, that I still laugh and find reasons to be joyful, allowed me to make this distinction without much thought. However, in the days since my panic attack, I’ve been trying to contemplate the full truth of where I find myself. And I think perhaps that when anxiety stepped into the back door and moved itself in, depression might’ve been hiding in its suitcase. And because depression chose to lay rather low in the background, I simply didn’t recognize that it too had become my companion. Every time I voiced to my husband that I simply wanted to feel more like myself again, I think I may have been offering a tacit acknowledgment of that fact. I don’t know. But I’m opening myself up to that possibility.

What I do know is that writing has always helped me to process what I am feeling and the response I get when I share hard truths usually serves to remind me that I am not alone. The comfort of that knowledge can never be overstated. I had stopped writing for a long time. Partly I wanted to step away from the piece of my life that revolved around surviving my father’s suicide. Partly I stopped making time to sit down at the computer. And as I’ve written today, I also ran out of bandwidth. I wasn’t sure I could craft the words, or share an insight of meaning or value. But I know that other people are struggling, especially right now. And I also know that some of the baggage and fears I carry around my father’s suicide and how they cause me to perceive my own mental health struggles are not unrelatable to those who have endured this kind of loss. It’s a big T trauma that permeates so many aspects of our lives. So of course it touches this piece as well. It impacts decisions about the types of medications we can consider, it creates worry about genetics and I know that as I sat in the midst of that panic attack the other day feeling so out of control of my own body, I kept wondering if this was part of what my father was feeling in the days, weeks and months before his death. I did not wonder because I have thoughts of hurting myself, which I don’t. I wondered because there will always be a part of me that is searching for where his spiral, his descent into the darkness began and because I want to protect everyone I love, including myself, from ever reaching that place. And I wondered because for the first time I could empathize, not just sympathize, with the feeling of palpable physical fear that he must’ve held all day every day. I was exhausted after one day of that feeling. I cannot imagine the level of emotional exhaustion he must’ve reached.

I started another medication two nights ago and so far I seem to be tolerating it. It has a sedative effect which is helping me to sleep, as I take it at night. I have moved my therapy sessions from bi-weekly to weekly, and I am grateful that my neurologist, therapist, and psychiatric nurse are all working together so that I can make decisions about my emotional and physical well-being with the most holistic approach. Today the nerve pain isn’t too bad, and I always hold abundant gratitude for those days. And it is a sunny, cool autumn day that allowed me to get outside and walk which is good for my spirit. I’m working to take this journey one day at a time, sometimes one moment at a time. But I am doing the work because I do want to feel better and more like myself again. And I found the bandwidth to write today. And you know what? It helped me to process my feelings and it helped me to get some of what lives tucked away deep inside of me, out into the light. Somehow that makes it easier. Talking about our mental health struggles can feel scary and vulnerable, so too often we don’t. And that only allows shame to take hold. I never wanted that for my father though I know he felt it, or for those, I know and love who struggle with mental illness. So in putting this out there, I am refusing to allow that for myself. In case you are struggling too, let this serve as a gentle reminder that you are not alone. You are worthy of care, compassion, and healing. So am I. We do not have to hold our struggles in some kind of sacred silence. We can name them out loud. And we can honor our truth, even when it feels so damn messy and hard!

Anxiety was born in the very same moment as mankind. And since we will never be able to master it, we will have to learn to live with it, just as we have learned to live with the storms. Paulo Coelho