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1 0 0 Q U E S T I O N S & A N S W E R S A B O U T A N X I E T Y exercise, and social relatedness correlate directly with patients reports of feeling better, it also comes as no surprise that we often neglect to take care of ourselves in these basic ways. Sometimes the demands of child care, finances, or the workplace make it impossible to sleep more or work less, and the costs of these demands accumulate. Sometimes we want the best of both worlds to cheat the demands of our body by thinking we do not need to apply the basic laws of human phys- iology to our own situation and yet still feel just as Physiology good and productive. Like with the rest of life, being having to do with normal functioning human means that the bottom line of our personal ac- of body systems and counting is a human one. Almost everyone feels better organs. when he is rested, well-nourished, and in shape. Sim- ply making interventions in one of the above depart- ments may make it that much easier for you to manage your symptoms or to help make the transition off of the medications you already take for anxiety. Selma s comments: I considered myself cool at one time. I was with it in the current scene of what everyone was doing. I thought that this was how people saw me. I thought I was so cool because I had overcome emotion and feeling. I didn t seem to be swayed by anything. I looked at those who got emotional or hysterical or intense or passionate, and while I didn t feel dead, I also didn t feel moved and could coolly look at the situation and wonder why they had to make such a fuss. If there was an argument or reasonable difference of opinion, I moved away, and I agreed with everyone. Never did I use the term anxiety about myself. I had no anxiety, as I thought I was above the emotional capacity to have it. At the same time, I was running myself ragged and ex- hausted. I took care of friends, skipping food for 3 days and 161 Treatment 27172_CH03_Attwell.qxd 9/6/05 2:18 PM Page 162 1 0 0 Q U E S T I O N S & A N S W E R S A B O U T A N X I E T Y then eating ice cream nonstop, and I constantly recriminat- ed myself for what I said to anyone from the bus driver to friends. I felt a gnawing, shaking, physically ominous feel- ing of lack of control late at night when my husband would have to work. I never used the word anxiety . . . I was han- dling my life. I was taking amphetamines (prescribed then for weight control as well as depression . . . now called speed) and it dehydrated me. It made me so physically nerv- ous and jazzed up that I also took sleeping pills to relax and sleep, which didn t work; I had severe insomnia due to night frights. I was dreadfully afraid of the night (a carryover from childhood, but my self-control just didn t work with night fright), and I smoked. Working with my doctor, I stopped cold turkey. It was over . . . the amphetamines and barbiturates, and I never took them again. Finally, a few years later, I was able to end the smoking, also forever. I had tried my theories of diet, sleep, ex- ercise, and social activity, but for me, my attempts were all backward. My idea before treatment had been to weigh 105 (OK, 104, maybe) and I would handle life because I would be so secure in my achievement and able to be the perfect weight to be accepted. I thought my lack of sleep was a major problem; that exercise could help me; and that the social scene was my ticket to success. It took years for me to see the backwardness of my thinking. When I have figured out the roots of my anxiety, diet, sleep, exercise, and social activity are wonderful parts of life. But they are not my problem solvers. When I solve my problems, these become mine with which to enrich my life. 97. Are there any religious approaches to managing my anxiety? Religion in its most quotidian and spiritual aspects can alleviate anxiety. Over the ages, mankind has used spiritual traditions to cope with the human condition 162 27172_CH03_Attwell.qxd 9/6/05 2:18 PM Page 163 1 0 0 Q U E S T I O N S & A N S W E R S A B O U T A N X I E T Y and all of its attendant existential anxieties. This ques- tion stimulates more thoughts than answers, but several principles come to mind. If the shoe fits, wear it. If going to church, connecting to the cultural traditions of your faith, or reading scrip- ture helps you to cope with the pain and anxiety in your life, then do it. If prayer helps you access a deeper side within your mind, do it. Without making any com- ment about any particular faith or the nature of divini- ty, it seems safe to say that any process which prompts you towards introspection and relationship with a per- son, power, or force that you esteem serves a self-sooth- ing function. One principle receiving much focus in Christianity is that of forgiveness. Dr. Robert Karen s The Forgiving Self: The Road From Resentment to Connection looks at the psycho- logical function of forgiveness in its genuine, noncoerced
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