Panic Attacks

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2 am thoughts…

Trouble sleeping has kicked in yet again, and I know my worsening mental health isn’t helping, either. This September will be twenty years of my chronic migraines. Or, more so, the horrendous pain and symptoms that literally have never left my side.

A few months ago, I was diagnosed with trigeminal neuralgia. Additionally, I have fibromyalgia, depression, and anxiety. That said, I’m pretty dang certain I’m AudADHD and leaning towards POTS and/or hEDS.

But while these ailments continue to worsen and affect my ability to work greatly, I can’t get myself to address these “newer” thoughts and issues with my doctor. The feeling of being a burden on anyone runs far too deep, and I’m honestly unsure of what would be the right amount and timing of addressing things before becoming annoying or appearing to be drug-seeking or a hypochondriac.

Does anyone else struggle with bringing up new ideas or issues? The worst part is my PCP is amazing and I know she wouldn’t brush me off. But those inner beliefs and fears of burdening anyone is far too great.

I’m not necessarily looking for advice or anything. Just feeling very isolated right now and needed to get thoughts into writing. Perhaps maybe I’m not the only one who feels this way?

Course, the panic attack this afternoon certainly did not help any.

#Migraine #ChronicDailyHeadache #Fibromyalgia #MentalHealth #ADHD #Autism #ChronicPain #Depression

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small update and ask a few things

hi again.

i just wanted to share a small update and ask a few things.

these past days i’ve received a lot of supportive suggestions—people here have been really kind.

some things i’ve already tried: getting some over-the-counter meds that feel safer, staying connected to supportive people, and looking into advice that feels warm rather than pressured.

i still have a few small questions though—things i didn’t find answers to yet.like, during a flashback, should i be cautious about taking otc meds?i sometimes feel the urge to reach for them in those moments. also… when is the right time to try things like yoga or pilates?and about the living room,the one near me seems very goal-focused and structured (in my area). is it always like that?or are there spaces that feel more like gentle, open conversation?i haven’t found alternatives in my area so far. maybe i looked up the wrong kind of “Community Living Room”…not sure if it goes by another name around here. i might’ve missed it.

i’ll try to look again

and about i’ve also cut off all my past social connections —but sometimes i still feel this pull, like i want to give something back,like maybe offering warmth or energy to others who need. but every time i log in, it ends up triggering something in me

i don’t know if maybe… i should stop going back there. it feels like i lose some part of myself every time. not sure if that’s okay to feel .but it’s been sitting with me lately

just wanted to say thank you.

this is my little reflection and check-in.
#PTSD #PanicAttacks

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#NocternalPanicAttacks

Have you ever had a nocturnal panic attack? When they happen, I begin to notice several things.

I may be thirsty.
Cold & Hot fluctuating
Quickened heart rate
Feeling like I could pass out
Feeling sick to my stomach
I start to think I am dying or that there is a major health crisis occurring.

It is a horrible sensation. I went to the emergency room 3 times for thess nocternal Attacks. Each time checked with my heart and was told the same thing. They're a panic attack.

When I asked 3 doctors about it, my psychiatrist, my primary care physician, and then a nurse practitioner, they all said it is due to a neurological imbalance. It is nothing that I do to bring these on. I thought maybe bad dreams, but when bad dreams occur, they do not happen because I make them.

What are your thoughts?

#PanicAttacks
#AnxietyDisorder
#BipolarDiorderType2
#Bipolar

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Toxic relationship

So there was this girl I used to talk to. We had a bit of a wild thing going on sending each other stuff, and yeah, she was into some intense roleplay, asked me to call her messed-up stuff in DMs and all that. We stopped talking for a while, then she suddenly added me again, saying she had problems with her boyfriend. I had a girlfriend at the time, who I really loved, but I ended up talking to this girl again. Eventually, she sent me nudes, and I gave in and did stuff I regret. We started talking dirty again.

Then out of nowhere, my girlfriend blocked me. I had no way to reach her, so I stupidly asked the girl I cheated with to talk to her and ask what happened. She did but also exposed me and sent my girlfriend screenshots. I was completely screwed.

I begged my girlfriend not to leave me, told her I loved her and that it was a mistake. She said she’d give me another chance if I hurt myself and showed proof. Dumb as I was, I did it. I cut myself and when I did she told me th cut is not deep enough so I made another one and I made it deep and it hurt so bad til I throw up after I done them I filmed it, and even joined some volunteer work she asked for to “fix my mindset” or something. She agreed to give me a second chance.

But honestly, it wasn’t a real second chance. She ghosted me, treated me badly, and made me feel like garbage. Then one day, she pretended she hooked up with some guy in a car and she did some unholy stuff with him and he grab her phone and called ma and told me about it in detail in a phone call turned out it was her friend, but I didn’t know that at the time. I broke down mentally and I cried for days and my body was shaking.

Later, I told her, “Okay, we’re even now, can we try for real?” She agreed. I was loyal, did everything she asked, and still, she treated me cold. Then she told me to cut myself again to prove my love. And I actually did it again. She got a bit nicer, and I thought things were finally getting better. But when I asked her out again she said ok ask me out with a 💌 or something and I agreed but in the next day she straight-up changed her mind and said no.

I kept trying. I sent friends to talk to her, tried again and again, and every time she’d say she’d give me another chance, but never actually meant it. Eventually, she told me she never loved me. That hit me hard, but I said okay, I’ll let go. I was still heartbroken, but I stopped reaching out.

A month later, she unblocks me saying she’s been thinking about me. I thought maybe she wanted to make things right—but nope. She blocked me again after 2 days. I had panic attacks and tried one last time to reach out, but she ignored me and blocked me again.

She added me again as she said to apologize and she actually apologized about treating me bad and I accept her apology and we talked for some days like two days then I asked her are you here to just apologize or do you wanna fix the things up and she said I don't really know so I gived her some time to think about it and we were talking normal for like a day then she turned cold and dry again so this time I tried to joke around but she was respond with dry message until she start saying nope to all the messages I sent to her and that's annoy me so I asked her to stop cuz this make me more anxious then she said haha then blocked me and literally the same loop start again. I made account by my name to try to talk to her, I bought new SIMs to message her but she made me feel worthless cuz everytime I try to reach out she was blocking me without even opening the message so I give up again and let her go.

In the last time She came back again asking me, “Who’s Joseph?” some guy she thought I was pretending to be or Friend of mine. I was done at that point and told her to leave me alone. But then she said she just wanted to ask me a few things. I didn’t care anymore. But she kept chatting and we ended up having a normal conversation for like 3 days. I asked her why she even came back—was it to fix things, be friends, or what? She said, “We’ve been done for ages, bro.”

That was it. I told her I’d remove her to heal and move on, since clearly she wasn’t here for the same reason. The next day, I saw she blocked me—even though I had already removed her and told her I wouldn’t chase her again.

Like... why block me again when I already said goodbye? I just wanted some closure. Some explanation. But I guess I’ll never get that.

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Severe Anxiety

I had severe anxiety this week, worrying that my family and I were not safe and needed to be protected from any security threats. Particularly, I felt vulnerable that my physical and mental health, and that of my relatives was not safe. It just made me feel panicked, and I felt close to a panic attack.
#Anxiety

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I’m new here!

Hi, my name is Mira. I’m here to find a supportive community where people can share and support each other through their mental health journeys. I’d especially love to learn how others manage anxiety in their daily lives. #MightyTogether #Anxiety #PanicAttacks

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Can Anticipatory Anxiety In Fear Of Flying Be Resolved?

The short answer is: Yes.

The longer answer is: Yes, however resolving it doesn't generally happen the way people think it should.

Resolving Anticipatory Anxiety Takes a Different Approach

People often seek me out to work on overcoming fear of flying because they've heard from others or read about the way I work. Over many years of practice, I've interestingly had some people relay to me that they were told by other experts that it's not possible to overcome anticipatory anxiety.

It is of great curiosity to me that anyone who offers specialized help in fear of flying would believe that anticipatory anxiety can't be overcome. (Though, I will also say that it does validate the reason I created my approach many years ago. The way professionals, including other therapists, coaches, and even pilots and airlines have approached the issue over time has been largely inadequate.) I have consistently in my practice seen people come through the other end of anticipatory anxiety. I've also seen a large number of people who not only have become settled with flying, but who have actually become excited by flying and now look for opportunities to travel more -- excitedly anticipating their trips as they grow closer rather than fearing or dreading them. Anticipatory anxiety is not a hopeless issue. It just isn't resolved the way people tend to imagine it should be.

What Do Other Approaches Miss?

Exposure Therapy and Cognitive-Behavioral Therapy (CBT)

If you've read my articles previously, you've probably read about my approaches with normalization, underlying causes, emotional regulation, and passenger flying education as the big four components that are woven together to help overcome fear of flying. When it comes to anticipatory anxiety, there is a lot happening that greatly differs from one person to the next, based on their own experiences and histories, emotionally, relationally, contextually, and more. While *ideally* simply normalizing flying and doing the related exercises would take care of anticipatory anxiety, when there is more going on in the underlying causes area, normalization can actually become blocked. This means no matter how much you may fly, or how much you work on something like exposure therapy, it can't break through or ease your anxiety. (It's also not easily possible to do exposure therapy with flying because of the limits of access to planes and how this process would need to be handled). This is one of the reasons why cognitive-behavioral therapy (CBT) isn't as effective as one would hope for fear of flying, and especially not for anticipatory anxiety. Behavioral approaches can be helpful with certain elements of flying at times, but these tend to only goes so far.

Pilots and Airline Programs

Another approach that people often try is seeking out pilots or airline sponsored programs to try to overcome their anticipatory anxiety and dread leading up to flying. Ultimately, these kind of approaches generally aim to teach you about flying, hoping you'll learn why you shouldn't be scared of flying. The idea is that if you know how flying works, then you won't be scared anymore. While the intentions are good, when is the last time you've experienced anxiety or panic and it actually worked when someone responded with all the reasons you shouldn't be scared?

I know pilots are well-meaning and intending to help, but if you're looking for help with fear of flying, my first suggestion wouldn't be to go to a pilot. Pilots are experts in flying the plane and in aviation. They aren't experts mental health, emotional processes, or in the way deeper emotions tend to become activated (or calmed), and how complex it can be to help people find their way through tremendous fear, panic, and anxiety. While pilots have tremendous knowledge and ability in the world of flying planes and in aviation, it is very rare that *knowing* about how flying works calms panic and anxiety more than a little bit.

You may be wondering how I know that the above methods are generally less helpful. The answer is pretty simple: Many people over time come to me after trying all of these different approaches still feeling anxious about flying.

Anticipatory Anxiety Isn't Rationally-Based

Anticipatory anxiety doesn't function in the rational brain. When people are in rational mode, the brain is in a very different state than when in panic, fear, and anxiety mode. More knowledge isn't going to do much to relieve the panic state. Fear of flying tends to push people into an anxiety and panic state that can't be easily reasoned with once it's activated.

When you're scared, rational thought essentially shuts down. You're just looking for safety at this point as if you're in imminent danger. Anticipatory anxiety can feel for many people like something between a low-grade and a full on panic attack for periods of time leading up to a flight, feeling as if you're preparing to walk into danger (both in mind and in body). For many, this starts the moment the ticket is purchased and the commitment is made. Though many others may not start to feel it until a month or less before the flight.

Anticipatory anxiety, believe it or not, can also often be about more than only the flight. The flight can be the catalyst that brings all of the vulnerability forward -- and it can of course be about the flight, as well. However, I have seen a significant number of people who are calm and grounded during flights with little to no anxiety at all, even on turbulent flights, who are still terrified leading up to every flight anyway.

Overcoming Anticipatory Anxiety and Fear of Flying

Anticipatory anxiety brings added layers that are different for each person (which is why the way I work with this issue is so personalized in bringing the components together). If you're trying to overcome anticipatory anxiety by focusing solely on the flight itself, it's likely not going to help you feel much better if what's causing the anticipatory anxiety is stemming from deeper anxieties and vulnerabilities that are tapped into by the flight. Anticipatory anxiety lives and breathes in the stored emotions that builds from experiences over time. When faced with an environment like flying, where it can tap into people's greatest vulnerabilities, this is when anticipatory anxiety wakes up the sleeping demons.

If you are struggling with anticipatory anxiety, fear of flying, or anxiety in general, it is not hopeless.

#fearofflying #Anxiety #PanicAttacks #Phobia #phobias #Anticipatoryanxiety

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