Value-Added Sleep

Sleep is good for you — we all know that. People have different needs for sleep and vastly varying sleep schedules.  Some folks nap and some don't.

And some of us sleep away the majority of a day without planning to do so. Today I felt immensely tired at 1:30, so I set my alarm for 3:00 (2 alarms, actually). I don't remember turning them off. I woke up just before 7pm, just before another alarm went off. 

I certainly didn't accomplish anything to day. Nor did I work up an appetite. I had a piece of buttered toast and two popsicles for dinner. And didn't get to the store for milk and berries.

I don't take regular naps. If I lay down, I'm going to sleep for at least an hour, usually two. If I sleep longer, well there's a reason. The reason right now is most likely being worn out from severe anxiety, and/or avoiding my life. There isn't much I can do right now about significant aspects of my life, so sleeping through some of it makes a certain emotional sense, if nothing else. Certainly it doesn't help my life. But I don't have the ability to help my life significantly right now, which is just not at all a nice place to be. Thus the sleep.

I'm up to taking an entire milligram of Ativan 3 times a day. It helps me reduce the anxiety (I don't grind my teeth and my shoulders can actually drop down away from my ears), but it also makes me sleepy at that level. I might try for 3/4 of a mg. Half just isn't doing it right now.

I'm half looking forward to working on the pre-sale work next week and the following. If I get involved and focused enough, I can refrain from thinking about all the crap that is making me so crazy and fearful. I can't do anything about any of it, so I might as well avoid it by doing something else.

But I need to stop sleeping during the day.  It really doesn't allow me to do things that will decrease my anxiety. Doing activities to avoid anxiety (even unconsciously), which raises it. Really effective.

The balance between gravity and flight

Tonight, I and several friends spent time on Facebook accomplishing a group project and it spawned a great deal of activity; double-, triple-, and quadruple-checking; and laughter. It has also left me with the jittery feelings that come when I let loose the dogs of hypomania, to completely destroy a phrase. The feeling is the same as when I was in college and didn't know about mania and mood swings and crashes as anything other than the regular feelings I experienced and assumed that many others experienced as well. 

In my 20s, I always encouraged and followed that emotional arrow as it flew up and up, past the birds, then the clouds, sometimes clear into the lower Earth orbit. The arrow would halt there, for a moment, balanced almost perfectly between both up and down forces, and that moment of balance was better than alcohol, better than pot, better than sex. However, gravity always won and the emotional arrow would plummet down, faster and faster until it achieved terminal velocity and crashed into the solid Earth, leaving me exhausted, in a vicious mood, confused, and often ill. 

When my first therapist first talked to me about controlling my highs in order to control the crashes, I was ferociously against it. I was convinced I would lose my personality, be some dull drone. I knew I would lose my creativity and my whimsy and spontaneity. It was another 3 years or so before I gave in and, tired of the crashes, began to recognize and control the arrow as it flew upward. I was relieved beyond words to see that it didn't kill my creativity or those parts of my personality that I valued so much. In fact, I think it made those facets better by virtue of my achieving some control. Later, when we decided to go further and add a medication layer of control, I wasn't so dead set against that. I'd grown accustomed to and grateful for control and the loss of those crashes.

In the past few years, I've also learned that I do have a cycling mood disorder and that the medication doesn't remove the cycling, it only dampens it. The rest is still up to me. I didn't have any awareness of those cycles until a friend who had gotten to know me very well and who has a keen perception pointed out to me that I fell into these phases where I would feel as if rabid hamsters were running on wheels in my mind and I couldn't control them. During those times, I would become dramatic and sure that the very worst thing that could happen would happen. These phases happened, he pointed out, every three weeks. Nothing I could lay to female hormones. 

Now that I've become aware of those three-week events, I've been able to perceive and control them. Over the  years I've come to appreciate control. So do my OCD and my PTSD and my hypervigilance and my regular anxiety ....

Exploring pain

Therapy was rough today. In fact, it hurt like hell. And this is going to be a very long post explaining why.

I told Karen that she needed to be the leader, because if left to my own devices I tend to wander, especially if I dread the topic of the day. So today we jumped back into the trauma therapy and continued to read the first section I'd written about.

Now, this first section only covers from the point I found out about Mom's cancer to the point where I got on a plane to fly home.  There is a lot more geography to cover, hills and valleys and even fruited plains (truly — there were clover fields between Mom's house and the cancer center that we watched go from green to greener to magenta to ... mowed, and I didn't manage to get a photograph, even though I passed those fields five days a week). Given such a small section of the whole, it seems reasonable to think that there could be only a small amount of emotional trauma to discover. Even as I read through what I'd written, I felt little emotion ... until near the end when I spoke of the fear I felt. That's when I began to weep.

I expected that, from our last session doing trauma therapy. Weep a little, recover a little. Before we began, I grabbed a tissue because I knew I'd need it.

Then Karen began working me deeper into my experience and my feelings from that time, almost a year ago. I went through a second tissue and started on a third. She asked about my mom and about our relationship and meaningful conversations we'd had. We laughed at one or two of my stories.

I had no idea how deep we could go, how far back emotions can connect and resonate. We reached the topic of how I feel with Mom gone, how mothers can be anchors, which mine was for me, and so on. What came to mind for me was what happened from time to time when I was a child. 

Did you ever wander off in a store as a child? Did your parents panic when they didn't find you, or did you? I had a tendency to stop to look at something more closely, or to keep going when my parent(s) stopped. Eventually, I'd look up and not see my parents. A touch of panic would grab me right away. I'd look in the next couple of aisles and not see them, then the real panic would set in. I never called out, I never cried, I just felt dread and fear squeeze my insides as if wringing out a wet cloth. 

I always found them. They would be looking at something and had no idea that I'd gone "missing." They'd even tease me about worrying. "We're here," they'd say. "We wouldn't leave without you." But I'd always end up doing and feeling the same thing.

This panic went deep. Even within the past few years, if I lost track of my friends in a store, I'd feel the panic and look for them. This sense of being lost and alone generally led me to stay close to them, whether what they were looking at interested me or not. In fact, that behavior has become routine for me. If I am in a crowded situation with someone, I will hold onto a piece of their clothing, if I cannot hold their hand, so I don't get lost.

"So how do you feel now," asked Karen. "Now that your family is all gone?" All the fear and the sense of isolation and panic and the knowledge that my fear I would end up alone has been completely validated surged up and out of me, first in words then in tears and finally in sobs that shook me so I could barely breathe — I don't know how long that lasted. I do know I went through two more tissues.

I knew this work was going to be difficult, and I knew I would cry. I did not know that I would actually sob my heart out in this woman's office; I have only done that in front of one person ever in my life (at least in my memory). I hate feeling this much pain, I hate crying, and I particularly hate sobbing where my body shakes and I can't keep noise from coming out of my mouth — the part of me that stands aside and observes always comments on how stupid those noises sound. I hate them. Doing this in front of another person simply added to the intensity and distress.

We talked me down and I was calm and tear-free when I left. I even took a walk at the park. But I'm going to have to figure out a different strategy: I also went to the grocery store because I needed a few things. Unfortunately, not only do I not manage lunch before my appointment, I also feel a sense of need for comfort after pouring out my tears. I bought goodies. And ate them all. Even if I'm burning off calories by crying and by walking, they aren't enough to balance out the comfort foods.

After an intensely emotional event, I generally move to a phase of "reduced affect" where I feel and display very little emotion. I have a polite and civilized aspect, I think. Given enough of these events over time to think about them, I've concluded that the follow-up phase functions both as a self-protective mechanism and a control mechanism. When I experience such intense emotions, I fear that I will lose control completely, and then what?  Therefore, after such events, my mind and body shut down to limit me and protect me from that intensity for a little while so I can recover. After today, I wouldn't be surprised if I shut down for the next week.

Cognitive therapy has nothing on trauma therapy. Nothing.