I don't get it.

Today has been a huge success but has also been a bit of a downer. The huge success was that I was able to go out for a family meal and actually feel partly 'normal' for quite a bit of it. Anxiety did set in towards the end of the meal but it was bearable and I was actually able to finish a meal in public! This is a huge deal. Usually if I'm eating in public, after a few bites my stomach is in knots and I literally cannot swallow anymore food. So to actually be able to eat a meal is amazing! The restaurant was quite busy but there was plenty of space so I wasn't feeling too claustrophobic which was definitely helpful. Another good sign was that I didn't have to use the toilets. Usually when I go into somewhere the first thing I do is find out where the toilets are 'just in case' and then proceed to make several trips, trying to decrease my anxiety but tonight I didn't have to. I didn't try going to the shops today as I knew I was going to go out for dinner and didn't want to push myself too much but I will be back to trying to go to the shop tomorrow.

This is what's bothering me, since I've came home tonight my anxiety levels have been quite high. My health anxiety in particular has increased considerably. Not sure if I blogged about this, but for the last 6 weeks I've been having throat problems and a lot of the symptoms are symptoms of throat cancer. Now, I'm only 24 and I don't smoke and very rarely drink so I am aware that the chances of me having throat cancer are very slim but my anxiety likes to tell me otherwise. I went to the doctor last week and she told me she thought it was caused by my tooth. I disagree and I don't feel she done a thorough check of my throat. Anyway, today after I came out the shower I coughed up a bit of blood. This immediately sent me into a panic. I tried to fill out a panic attack thought record (similar to this one),  which the psychologist gave me to fill in when I had a panic attack, and under the part where you write a rational thought I couldn't think of any rational thought as to why I was coughing up blood. I can usually always think of something rational to put in the box but surely coughing up blood isn't a good sign? To top it off I also had bleeding in my bowel movements again tonight which I'm not overly anxious about as I'm starting to believe this is caused by internal hemorrhoids but my doctor did say that if it happened again he would recommend a scope - which I'm not feeling too great about! I just feel that at the moment my body seems to be falling apart. It feels that just when I'm getting better mentally, my body is giving up. At times I just wish I could get a break. Something always seems to go wrong and it's exhausting constantly trying to battle through it. If it's not my mind, it's my body etc. It's hard not to just think 'fuck it' and just give up. I don't plan on giving up but today has definitely been one of those testing days.

Going in the right direction

Today has been good, far from anxiety free but I feel positive and feel like I can handle life again. I had a doctors appointment to discuss the bowel problems that I was having a few months ago and also to discuss my new fear - throat cancer. We went over all my test results and they've all came back 'perfect' which I very reassuring and also tells me that it's all ANXIETY! I also had my oxygen levels checked, which I've never had done before, and again perfect - 99%. so why can I not just accept that it's anxiety and move on with my life? I'm thinking the worst and I'm making myself feel I'll. Yes, I am hbing some symptoms but they're nothing serious. My painful throat is actually a result of a tooth that need extracted so, grudgingly I've had to make an appointment for the dentist but that's another phobia all together, let's just say I don't think my dentist will be lookin forward to seeing me! We also discussed anxiety treatment and she thinks I really should give the sertraline a try. The worst thing that can happen to me is an allergic reaction which apparenty is highly unlikely and if I get bothersome symptoms I just stop them. I definitely felt a lot better after talking with the doctor although I probably shouldn't be relying on reassurance to make me feel better.

ItDid make me feel better and afterwards I went shopping to get essentials, it was completely panic free but still had anxiety and a few wobbly moments but I managed it and I was fine. It wasn't horrendous. I got home and realised I had forgot to get milk, my instant reaction was to ask someone to go for me but then I decided that I woul attempt to go on my own. I did mange to do this a few weeks back but it was terrifying but I did get there and back and tonight I done the same except this time it was panic and anxiety free! I've not walked to that shop feeling like that in about 8 years. Not going to lie it felt amazing and I actually gelt 'normal'. I didn't have to rely on someone else to do something for me, I was able to do it for myself. So the plan now is to do this every day. I proved to myself that I can do it. Some days I may be wobbly but there will also be days like today when I get to feel normal again.

It's been a while...

since I last wrote. Things have been weird. My anxiety has either been really awful or non-existent... there's been nothing inbetween. One day can be hell and the next I can be very manageable. This is really unusual for me, I either have periods of being fine or having severe anxiety... not changing on a daily basis. Who knows what's going on! I really wish it would piss off though!

I'm actually really worried about my health at the moment. I always worry about my health and at my first appointment with the psychologist I was diagnosed with health anxiety, which does make sense as my health is what I  really worry about all the time. However, this time is different. Usually when I worry about something being wrong with me I get anxious and panicky about it but deep down I kind of know that it's just my anxiety. Just now I am 100% convinced that I have cancer. I'm still having the rectal bleeding on and off, and I've developed new symptoms which are really worrying me. I'm sweating all the time and waking up during the night soaked through with sweat. I've been thinking that it's summer and it'll be warmer know but I don't think that's what it is. I'm also getting stomach pains now which I hadn't been having. Last week I also have severe pain in my back and my hip and it felt like there was something there but I couldn't feel anything. Cancer seems to be everywhere at the moment (or I'm just looking out for it) and it's like I can't get away from it. I really am terrified. I can't even explain how terrified I am. When I think about it I actually go cold and numb and I feel sick to my stomach. I worked up the courage to go for the blood tests 2 weeks ago but they wouldn't take me because my card said it was non-urgent and they would only take urgent blood tests. They then wouldn't let me make an appointment to go for the tests. I was told that I would have to come back and sit all day to wait for them to get done. There's no way I can do that with the way my agoraphobia is at the moment, getting there the first time was hard enough. I did hand in a stool sample (lovely) which came back fine but I don't know what this was tested for so I don't know what that means. I know I need to get the bloods done and I am planning on going next week. I'm scared of getting the results for them too. What if there is something? I don't think I could cope with that. I've spent the last 7 years not coping with a 'what if there was something wrong with me?' worry which has taken over my whole life.

I'm on my own majority of the time as well which isn't helping at all. I have nothing to distract me. I just sit and worry all the time. When I do have company I'm still half away in my own little world. When I do get to the stage where I'm panicking I have nobody I can talk to and take my mind off it. I think that's the worst part of my anxiety and agoraphobia - I've lost everybody that was in my life. I'm just pretty much on my own all the time. It's difficult. My friends were always really important to me and not having them in my life is really difficult to cope with. I miss laughing...I miss having stupid problems that I used to have. I can remember a time when having a spot was the end of the world. I often wish I was one of those people who just don't think about anything and do what they want. I suppose I just want to be 'normal' and not put myself through hell all the time.

Cancer?

I've mentioned previously that for a while I've been suffering with stomach problems. To be honest I had put these down to my heightened state of anxiety in recent months although when I started to have rectal bleeding a few weeks ago I started to panic and decided that it would be best if I saw my doctor.

My appointment was last week. Which I managed to go to with little anxiety which was an achievement especially considering how embarrassing it was. I was asked a lot of general questions about my symptoms  and was then given a rectal examination - which wasn't actually that painful or uncomfortable just humiliating. It was quick however! The doctor informed me that she would check for hemorrhoids or any cancerous lumps - which was a big mistake. I expected to be told I was too young to have cancer and that I was being stupid to be worrying. A big part of me was expecting to be told it was due to hemorrhoids and to be sent home with a cream - This didn't happen. After the examination I was told everything looked fine. I went into anxious mode after the mention of cancer and eventually had to ask if it was likely that it could be cancer. The reply I got was that it would be highly unlikely but not impossible. What the hell does that mean? I was told to make an appointment to have blood tests and hand in a stool sample.

I was supposed to go and get blood taken on Friday but I never went. I'm absolutely terrified. What if they come back and say that they've found something? I don't think I could cope with that. I'm now putting off going for the tests all together now. On the other hand if it was nothing, it would be a relief to know. It could be one less thing to worry about. At the moment I'm constantly looking out for cancer symptoms and checking any aches or pains I'm having or if i'm feeling nauseous...anything basically! I feel I'm going mad to be honest and I'm really really scared.

Overcoming My Exercise Phobia

One of the many phobia's that I've developed since having panic disorder and agoraphobia is a phobia to exercise. The reason for this is due to the fact that my anxiety causes me to believe that I have a heart problem so in my mind if I exercise, it will put a strain on my heart and basically I'll collapse and die. So I avoid exercise at all cost - actually I avoid anything that makes my heart race or anything that could put a strain on my heart.

I can't remember when I developed this phobia. I do remember at one point reading in the news about a lot of young people collapsing and dying from heart problems (SAD) while exercising and I suppose my brain picked up on this. Since I've had the phobia there have been two young people that my Dad knows who have died from this, one was 20 and the other 19, both appeared to be in perfect health but one day just collapsed and that was it. I my head I just thought it could happen to me. For it supposedly being so rare what are the odds of hearing about 2 people it has happened to? I worry about my heart almost all the time and I find it scary how quickly someone can go from being healthy to dead.

When I was 15 my doctor was concerned that I had a fast heart rate and wanted to investigate it - at this point my anxiety wasn't that bad so I thought it would be nothing - so I was sent to have an ECG. The results weren't explained to me I was just told that everything seemed ok and that was it. Two years ago I was sent for another ECG because of the fast heart rate again and also because I was having palpitations. Again I was told everything seemed fine my heart rate was just fast but it was in a steady rhythm. My worry is, how reliable is an ECG? Surely nothing will show up unless I'm actually having palpitations at the time. This fear has caused me to live and behave like I do have a heart problem.

Yesterday I decided that enough was enough. I've been behaving like this for almost 7 years! If I ever want to get better I'm going to have to work through my fears and I'm starting with exercise. I do own my own exercise equipment so that's good I can start off in the house and build my confidence and eventually I hope to be able to go to the gym so that not everything is centered around staying indoors. I own a treadmill, exercise bike and dumbbells etc. Quite a lot of rubbish actually for someone who is phobic exercise but I always thought that if I could get into a regular exercise routine my anxiety would lessen a lot. So much like the same way as you would undergo exposure therapy when going outside, I'm going to gradually expose myself to exercise. So today I started with the exercise bike. I managed 5 mins and 32 secs before I started to get uncomfortable so I stopped before it escalated into panic. I now have something to build on. It's going to take a huge effort to keep it up I'm rubbish at sticking to things. I guess I just need to remind myself of how much I want to get better and that, depressingly, I'm not getting any younger and there's so much I want to do.

Small steps and General worrying

So it's been a good few weeks since I was last out (never thought i'd go back to that again!) to be honest the thought of going out is making me severely anxious and ill again so I've been avoiding it! Wrong thing to do I know but I seem to have lost all my energy to fight it at the moment. I'm hoping it makes an appearance again soon! Anyway yesterday my mum seemed to have had enough of me not doing anything to fight the way the I was feeling so I was made to go a drive in the car. We didn't drive far, it was about 2 miles there and then 2 miles back. I wasn't as anxious as I had anticipated but it was a constant battle with my anxious brain to stop thinking of all the possible terrifying things that could have possibly happened. I did manage it though and I feel more positive - after all it wasn't what I had expected, although it never is!

I mentioned previously that i'd been having stomach problems but wasn't sure if they were related to anxiety or not because i've never had any problems there before. The stomach problems have been causing me a bit of anxiety but this was intensified last week when I started suffering from rectal bleeding. With out going in to too much detail, I have had this before but this time was different - there was a lot more blood for a start. I've now had this happen 4 times in the last 10 days and I'm panicking about it. My head keeps telling me I have cancer and although highly unlikely there's a huge part of me that believes it. I can't think of anything else that would cause the stomach problems and the bleeding. After the first couple of times it happened my Mum made me an emergency appointment to see the doctor, which I then cancelled because it stopped and I didn't think it was an emergency. However, I have since made another appointment which is on Wednesday and to be honest it seems to dragging in!

Also on Wednesday I have my first appointment with the psychologist. I'm really hoping that this helps because I really feel like i'm falling to pieces at the moment.

D-Day!

Today I went to the Doctors to discuss how bad my anxiety has been lately and basically to see what my options were. I was really anxious about going partly cause I knew what she was going to suggest and I was right, I am currently sitting with a prescription for the anti-depressant Sertraline (50mg). It was that or a beta blocker called propanalol. I don't like the thought of either but I chose the anti-depressant. I don't know much about beta blockers but all I could think was 'would I rather mess about with my head or my heart (If I'm right I believe beta blockers work on your heart?) So I figured I would be less anxious about taking the anti-depressant. 

In January 2010 I went to see my Doctor about my anxiety (I'm sensing a theme here, January/February must be my worst time of year!) and left with a prescription with sertraline. I went to the pharmacy and collected the prescription but they sat in my drawer untouched for 9 months and then I binned them. I'm phobic of taking ANY kind of pill. I will sit in severe pain rather than take a pain killer (stupid, I know!) and anti-depressants have a really bad reputation for negative side effects. So sitting with the prescription again I'm having difficulty deciding whether I'm going to take them or not.

I don't actually know how anti-depressants affect anxiety and agoraphobia. Do they cure you? Will I be able to go out and not worry or panic? I tried to ask but she didn't answer it. So If I'm going to put myself through weeks of awful side effects is it going to have an effect and will it be worth it? I know as soon as I swallow the pill I'll panic. If the pills don't give me side effects, my head will! My family are pushing me to take them. In their opinion I've tried it my way for 7/8 years and that hasn't worked and I always said that anti-depressants would be my last option and in their minds now is the time for me to do it, I've tried everything else. 

I should point out that I have tried anti-depressants years ago and had an awful experience which I won't go into detail about. Everyone is different and we all react to medications in different ways and anyway there are enough scary stories floating about the web on anti-depressants! Anyway, that experience is what made me pill-phobic. I'm scared that if I take the sertraline I will have the same experience.

Monday Is D-Day! I'm going to pick up the prescription and If I decide to take them, it will be on Monday. My doctor has suggested I go back and stay at my parents if I'm worried about having a repeat of the last time so that if anything does happen there's someone there. So I've arranged to stay there for maybe a week while my body and brain adjust to the tablets.  The doctor also suggested that I take the tablets and give my Mum or Dad the leaflet with side effects so that I don't read it and think I have something (or more likely everything!) on the list. If I do experience anything they can check the leaflet and see if it's on it. I don't know I'll be able to stop myself from googling though!

Four days to decide what I'm going to do!... I'm anxious!!!