Tag Archives: social anxiety

Reliving Trauma, Part 1

https://upload.wikimedia.org/wikipedia/commons/e/e3/Sugar_in_Junk_Food_-_Doughnuts%2C_Biscuits%2C_Chocolate_and_Cake.jpgJunk Food, Author formulatehealth, Source https://www.flickr.com/photos/189590028@N07/50191150823/ (CC Attribution-2.0 Generic)

Food as Comfort

You endure a childhood of sexual abuse.  Food is a comfort, solace for this inexplicable violation you have repeatedly experienced but cannot understand.

The Roots of an Eating Disorder

By your teens, you develop a weight problem, along with an eating disorder.  Though you do not realize it, both these are related to the abuse.  You deal with all the usual adolescent turmoil and the pain you carry around inside by bingeing.

Shame and Lack of Support

You have no emotional support, no one to guide you toward adulthood.  And virtually no clothes, since there is little thought given by the adults around you to the needs of a growing child.

You try on your mother’s clothes – in part so that you will have something to wear, in part to see what it feels like to be a grown woman.  But your mother is shorter in stature than you, and the clothes are too small.

You feel ashamed, unworthy to be a woman at all. Continue reading

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Red Carpet

Red carpet at 81st Annual Academy Awards in Kodak Theatre, Los Angeles, Author Greg in Hollywood (Greg Hernandez), Source Flickr (CC BY-2.0 Generic)

Watch Kim Kardashian on the red carpet sometime.  She smiles.  She preens for the cameras, turning this way and that.  She eats up the attention.

Many abuse victims are just the opposite.  We shun the limelight, feel awkward and uncomfortable if the spotlight is turned on us.  Instead, we prefer to go unnoticed, to fade into the background – wallflowers by choice.

Why is this?  Why is the very thought of attending a children’s play, a PTA meeting, or church service daunting?  Why is it difficult for us simply to enter a room full of strangers?

Staying at home seems so much safer.

Rejection

If pressed, we are likely to say that we fear rejection.  Often, this centers around our looks.  Some feature of ours seems less than perfect to us.  Our nose is too large or our hips too wide.  We’ve been trying for the past 20 years to lose the baby weight.

If not that, perhaps something about the way we dress is inadequate, in our estimation – deficient enough so that the entire audience may gasp, and draw back from us in horror.

We do not actually believe that will happen.  But we fear it, all the same.  Fear does not require a rational basis.  Ask any child whether there is a monster in the closet.

Monsters

Still, there is a clue here.  We’ve known monsters.  Been criticized by monsters for “flaws” we did not have.  Been assaulted by monsters, beaten black and blue, for our supposed defects.  Been violated by monsters, in ways we were too young to understand, then blamed for the violation. Continue reading

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Red Carpet

Kim Kardashian on the red carpet, Sydney Australia, Author Eva Rinaldi, Source flickr.com (CC BY-SA 2.0 Generic)

Kim Kardashian on the red carpet, Sydney Australia, Author Eva Rinaldi, Source flickr.com (CC BY-SA 2.0 Generic)

Watch Kim Kardashian on the red carpet sometime.  She smiles.  She preens for the cameras, turning this way and that.  She eats up the attention.

Many abuse victims are just the opposite.  We shun the limelight, feel awkward and uncomfortable if the spotlight is turned on us.  Instead, we prefer to go unnoticed, to fade into the background – wallflowers by choice.

Why is this?  Why is the very thought of attending a children’s play, a PTA meeting, or church service daunting?  Why is it difficult for us simply to enter a room full of strangers?

Staying at home seems so much safer.

Rejection

If pressed, we are likely to say that we fear rejection.  Often, this centers around our looks.  Some feature of ours seems less than perfect to us.  Our nose is too large or our hips too wide.  We’ve been trying for the past 20 years to lose the baby weight.

If not that, perhaps something about the way we dress is inadequate, in our estimation – deficient enough so that the entire audience may gasp, and draw back from us in horror.

We do not actually believe that will happen.  But we fear it, all the same.  Fear does not require a rational basis.  Ask any child whether there is a monster in the closet.

Monsters

Still, there is a clue here.  We’ve known monsters.  Been criticized by monsters for “flaws” we did not have.  Been assaulted by monsters, beaten black and blue, for our supposed defects.  Been violated by monsters, in ways we were too young to understand, then blamed for the violation. Continue reading

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Anxiety, Phobias, and PTSD – Part 2

There are healthy coping strategies for dealing with anxiety.

Lifestyle Changes

Routines, such as taking a daily walk or reading at lunch, can be helpful in alleviating anxiety.  Scheduling time to decompress from the worries of the day can, also, help.  This should be away from cell phones and other distractions.

Exercise is a natural de-stressor.

Sleep hygiene can be important, since restful sleep enables us to recharge our mental batteries.  This should involve regular times to turn in at night and arise mornings, along with a bedtime routine which encourages relaxation.  Video games should be avoided just before bed.

Therapy

Phobias are often reduced in severity using behavior modification (specifically “desensitization” therapy).  This involves repeated exposure to the fear-producing stimulus under safe conditions.

Talk therapy has, also, been found to be helpful, especially with social anxiety [1].  Biofeedback, which involves controlled breathing and other techniques, may be useful in reducing anxiety.

Medications

Numerous medications exist today to treat anxiety, including serotonin-specific re-uptake inhibitors (SSRIs) and anti-depressants [2].  A knowledgeable psychiatrist should be consulted about these.

Spirituality

Meditation and, of course, prayer can provide relief.

THINGS THAT NEED NO LONGER TROUBLE BELIEVERS

The Past

Do not remember the former things, Nor consider the things of old.  Behold, I will do a new thing, Now it shall spring forth; Shall you not know it?  I will even make a road in the wilderness And rivers in the desert” (Isaiah 43: 18-19).

Therefore, if anyone is in Christ, he is a new creation; old things have passed away; behold, all things have become new” (2 Cor. 5: 17).

The Present

“ ‘Therefore I say to you, do not worry about your life, what you will eat or what you will drink; nor about your body, what you will put on.  Is not life more than food and the body more than clothing? Look at the birds of the air, for they neither sow nor reap nor gather into barns; yet your heavenly Father feeds them.  Are you not of more value than they?’ ” (Matt. 6: 25-26).

The Future

For I know the thoughts that I think toward you, says the Lord, thoughts of peace and not of evil, to give you a future and a hope” (Jer. 29: 11).

Being Unloved

For God so loved the world that He gave His only begotten Son, that whoever believes in Him should not perish but have everlasting life” (John 3: 16).

Being Useless or Worthless

There are diversities of gifts, but the same Spirit.  There are differences of ministries, but the same Lord.  And there are diversities of activities, but it is the same God who works all in all” (1 Cor. 12: 4-6).

Being Lost

“ ‘What man of you, having a hundred sheep, if he loses one of them, does not leave the ninety-nine in the wilderness, and go after the one which is lost until he finds it?’ ” (Luke 15: 4).

In all your ways acknowledge Him, and He shall direct your paths” (Ps. 3: 6).

Being Abandoned

Be strong and of good courage, do not fear nor be afraid of them; for the Lord your God, He is the One who goes with you.  He will not leave you nor forsake you” (Deut. 31: 6).

‘…and lo, I am with you always, even to the end of the age’ ” (Matt. 28: 20).

[1]  HelpGuide, “Therapy for Anxiety Disorders” by Melinda Smith, MA, Robert Segal, MA, and Jeanne Segal, PhD, last updated 10/16, http://www.helpguide.org/articles/anxiety/therapy-for-anxiety-disorders.htm.

[2]  In my view, faith and medicine are not at odds.  Medicine is a general blessing by God to mankind.  The miraculous cures by Christ were intended as a sign that He was the Messiah, not as a rejection of medicine.  Christ, Himself, referred to medicine, in response to the Pharisees.  He is quoted as saying, “Those who are well have no need of a physician, but those who are sick” (Matt. 9: 12).

FOR MORE OF MY ARTICLES ON POVERTY, POLITICS, AND MATTERS OF CONSCIENCE CHECK OUT MY BLOG A LAWYER’S PRAYERS AT: http://www.alawyersprayers.com

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Anxiety, Phobias, and PTSD – Part 1

“The Scream” by Edvard Munch (1893), National Gallery, Norway (Accession No. NG.M.00939), Source WebMuseum (PD)

God is our refuge and strength,
A very present help in trouble.
Therefore we will not fear,
Even though the earth be removed,
And though the mountains be carried into the midst of the sea
…” (Ps. 46: 1-2).

Most people have experienced anxiety, in one situation or another.

The death of a loved one, divorce, serious illness, job loss, and moving are recognized as major stressors [1].  Other anxiety producing occasions include public speaking (always a favorite), waiting on approval for a mortgage, meeting a girlfriend’s parents for the first time, and having the in-laws over for Thanksgiving.

Then, of course, there are a host of phobias.  As a general rule narrowly focused, phobias are no small matter for those suffering from them.  Phobias include the fear of heights, spiders, snakes, birds, tight spaces, bridges, flying, and blood [2].

Purpose of Anxiety

Anxiety is intended to alert us to potential danger, and prepare the body for it.

A part of the brain called the amygdala releases neuro-transmitters that initiate the so called “fight of flight” response, producing the sensations of anxiety [3].  The heart rate climbs; blood rushes to the muscles; the lungs work harder.  This process is largely autonomic.  We have, by design, very limited control.

For most, the panic associated with stressful situations quickly subsides.  Shallow breathing deepens and slows.  Rapid heartbeat subsides.

The audience does or does not throw tomatoes.  The in-laws smile or grimace – it’s sometimes hard to tell the difference – and swallow their turkey.  We eventually get the mortgage.

In short, the body figures out we are going to survive.

Anxiety Disorders

About 40 million Americans, however, suffer from anxiety disorders [4].  Severe anxiety, whatever form it takes, is debilitating and can be crippling.

A. PTSD

The severe anxiety resulting from traumas such war, rape, or child abuse is better known as Post-Traumatic Stress Disorder (PTSD) [5].

Whatever its origin, PTSD can cause recurrent, powerful, panic attacks, with or without an identifiable trigger.  These attacks are typically accompanied by heart palpitations, chest pain, the sensation of being smothered, and a feeling of dread.  A panic attack can, also, be experienced as paralysis and overwhelming fear.

PTSD sufferers may, in addition, experience flashbacks (vivid and disturbing memories, re-experienced involuntarily).  I have discussed these elsewhere [6]. Continue reading

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