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Anxiety, Worry, & Fear

People often confuse anxiety with worry.  They mistake anxiety for fear.  People say, “Stop worrying so much,” or “Don’t get so worked up over nothing,” like anxiety is a choice, a result of too much brooding on life’s problems, a consequence of being too negative of a person.  In the church, anxiety can be misdiagnosed as a lack of faith.

In my experience, nothing could be further from the truth.

To battle my way through the worst of my anxiety, I have to be a more positive person than I ever would have had to be without it.  I have to put so much more effort into hoping to keep myself from drowning.  I didn’t choose to have anxiety.  What I did choose was to seek help and treatment because anxiety is an illness, not a character flaw.

My ability to deal with the stressful, the unknown, and the scary has grown and been strengthened by my battles with anxiety.  I learned to survive with feelings that weren’t mine, intense surges of panic seemingly without relatable cause, extreme physical reactions to ordinary things, and intrusive thoughts.  My brain is an encyclopedia of coping techniques gleaned from counseling, reading, conversations with others, and my own experiences.

Recently, I’ve been thinking about my anxiety and depression, and how my medication has been managing my symptoms pretty well for about 8 months now.  Despite those positive things, I’ve found myself starting to slip into worry.  It’s a vastly different experience from the anxiety I remember.  What if my depression comes back?  What if my meds stop working?  What if I have to go back to the hospital?  What if I can’t keep up with my work?  What if I just keep cycling through new meds and bouts of mental illness for the rest of my life? 

In times like those, God lays on my heart reminders of how He carried me through the worst of my anxiety and depression in the past to calm my worries and guide my focus back to Him.  If a relapse of mental illness is in my future, God has a plan and can work through it.  And as scary as mental illness can be, I can work to maintain my mental health and do my best to prevent future crises without needing to live in fear of it.  I hit bottom and God provided the help and support I needed via medical treatment and brought me through it.  Was it awful?  Yes.  Do I ardently hope to avoid that pit in the future?  Yes.  But knowing I’ve experienced my own “worst-case scenario” in the past, I can count on God to bring me through whatever the future holds.

“Even though I walk
    through the darkest valley,
I will fear no evil,
    for you are with me.”

Psalm 23:4

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A Time to Mend

One of my first diagnoses was Seasonal Affective Disorder.  Naturally, while preparing for the time change from Daylight Savings, I am worried that the severe depression that has been haunting me the past winters will return with a vengeance from the change in light.

This year was different than the others in some important ways.  My depression hit new lows and I was hospitalized for the first time, but I’m also now on a medication that seems to be working better than anything I had tried in the past.  Until I’ve made it through this winter, though, I can’t fully trust that my medication is really truly working.  Because I didn’t get relief from depression until mid-April, I can’t be sure that the improvement in my symptoms was not merely seasonally linked.  I want to think the doctors found something that worked, not that I just managed to pull through another winter, but I’m scared of believing it too soon and being let down.

This time change in particular is an important test, because I remember last year around this time was when I really started to fall apart again.  This year, I’m beginning a second job in addition to my first, in places I really like and want to do well, and I don’t want depression to catch me off guard and ruin that for me.  As I move forward, I’m praying that after many years of a time to tear down, this will be a time to mend.

“There is a time for everything,
    and a season for every activity under the heavens:

a time to be born and a time to die,
    a time to plant and a time to uproot,
a time to kill and a time to heal,
    a time to tear down and a time to build,
a time to weep and a time to laugh,
    a time to mourn and a time to dance,
a time to scatter stones and a time to gather them,
    a time to embrace and a time to refrain from embracing,
a time to search and a time to give up,
    a time to keep and a time to throw away,
a time to tear and a time to mend,
    a time to be silent and a time to speak,
a time to love and a time to hate,
    a time for war and a time for peace.”

Ecclesiastes 3:1-8