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anxiety disorder

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Truth Hurts.

by Heather Loeb
written by Heather Loeb

Last week I received an award from NAMI Texas for portraying and advocating for mental illness. It was a huge honor of me, and I felt very validated. I think it was probably the best award I’ve ever received in all my life. But just days after winning, I was sobbing in my therapist’s office.

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I feel like I have overcome something — being suicidal and getting help for my terrible depression and anxiety. I feel like I give good advice in my columns and blogs. I feel like my hard work has been noticed and that people are listening. But I’m a far cry from the “badass” in my columns or the rockstar everyone in NAMI thinks I am. I don’t mean to sound conceited or like I’m bragging; I only mean to highlight the dichotomy between healthy me and not-so-healthy me.

I’ve never claimed that I’m totally fixed or anything. As a matter of fact, I talk about how another depressive episode is likely and that I’ll never be “cured.” But surely I can take my own advice as I’m penning my innermost thoughts. No, I definitely don’t practice what I preach.

You see, today, as I was sobbing in my therapist’s office, we determined it was because I wasn’t being honest with myself. It was like I’d never met the Heather in the paper and on my blog. Red flags warning of relapse were flying by me, but I couldn’t have told you one healthy thing to do to fix it. Except go to my therapist’s, so I guess that counts.

Giving into my eating disorder is me lying to myself. Taking too much anxiety medication is me lying to myself. Cutting, sleeping too much, isolating — it’s all a big fat lie I tell myself to get by. And it never works.

It’s just so goddamn painful being me sometimes that I will find any way I can to escape. So I do. But in the end it only hurts me and subsequently my friends and family.

My therapist says I have to sit with my feelings, in addition to being honest. I can’t just get uncomfortable and run (or overeat or get high). I have to sit there and explore what those feelings mean and find out who I really am. As I’m writing this, I’ve daydreaming of my next meal, or rather, what I can binge eat. That’ll make me feel good…for about five minutes.

I feel like a fraud. I feel like I’ve portrayed myself as a well-adjusted, healthy woman, but that’s just not the case. My journey with mental illness is far from over. Right now it’s very turbulent, and I might puke. It feels like I’ll never stop battling my demons.

I don’t know why it’s so painful being me, but I suspect it’s because I have a core belief that I’m not good enough, that I’m a bad person, and that fuels my compulsions and bad habits. I don’t know how to fix that though. I tell myself that I’m a good, worthy person, but it never seems to stick.

I’ve really got to dig deep right now and give myself some grace. I’m going to try meditating about my core beliefs. I’m going to try to dispel all the negative core beliefs and come up with new ones.

I can do this. I feel so close to a breakthrough, and it’ll be a long time coming. Before when I struggled with my anxiety and depression, I just accepted it and didn’t try to get better, not really. I would ignore all the demons in my head and pay the price of binge eating, abusing meds, etc. I’d cut myself, get new tattoos and compulsively shop. One months the credit card bill was over $10,000. Ludicrous.

It’s time I grow up, experience negative emotions and not ignore them. I have to get this right.

Because now it’s all wrong.

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Saying No is as Important as Saying Yes

by Heather Loeb
written by Heather Loeb

Lately I’ve noticed that I’m starting to struggle mentally. It’s frustrating because I’ve been doing well and been very productive, but that all seems to be slipping away.

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I haven’t been eating a healthy diet, I haven’t kept up with my blog, I haven’t showered as much, and everything seems a more daunting and harder than usual. It’s frustrating for me because I feel like I’ve made so much progress. Sometimes I’m able to get so much done and now not so much.

It’s probably because I’ve been putting too much on my plate. I’ve been highly functional this past year, and I’ve tried to say yes to every new opportunity I have, but I’m starting to think it’s more important to say no. At least right now when I’m struggling.

Room mom at my son’s preschool? Yes.
Volunteer with NAMI Greater Corpus Christi? Yes.
Make mental health videos for my favorite state representative? Sure.
Become Communications Manager for NAMI GCC? Absolutely.

There’s a lot more, at least it’s a lot to me. I have to remember that while saying yes is good, I have to recognize my limitations. I can’t just do it all. My anxiety and depression are hard to manage, and I never know when it’s going to get worse, like now. I try to make hay while the sun shines, but it’s so much harder to do right now.

The only thing I can do is set boundaries — this is especially important now that the holidays are coming up, and it’s going to get more stressful. I need to be honest with myself, take breaks and focus on what I can do (in a healthy way).

I know these feelings I have are overwhelming now, but it’s just temporary. All the bad moods, anxiety and depressive episodes are all temporary. My true state is happy and productive even though it doesn’t feel like it at times. It’s OK to not be OK.

“Depression is like a bruise that never goes away. A bruise in your mind. You just got to be careful not to touch it where it hurts. It’s always there, though.”

― Jeffrey Eugenides, The Marriage Plot

And right now, I’m just not OK.

Now’s the time to fall back on healthy habits I put in place while I did feel better: going to weekly therapy, taking all my medications, eating healthy, getting enough sleep, practicing self-care and asking for help when I need it. And taking breaks!

I have to put the work in, especially now. That’s hard to do when I just feel like giving up on everything, but I’ll never get better if I don’t do the work.

I can do this. I can do hard things. I’ve done them before, and this time is no different.

Stay in the light, my friends.

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Snake in the Grass

by Heather Loeb
written by Heather Loeb
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There are many things I’ve come to hate about depression in my 37 years. I hate how it steals joy out of your life, how bone tired you can be from doing the bare minimum and how long it takes for medications to help. But what I hate most is the sneaking. You feel like you’ve been making progress. You feel pretty good, actually. You sing and dance. You eat and enjoy your food. You enjoy your family and work. But depression is always lurking, a deft snake in the grass. I get too confident in my life and abilities then it happens. It’s a seemingly subtle shift, but you notice right away. You feel it. You loathe its presence in your body, the poison in your blood.

You break plans with your friends because you can’t get out of bed. You have to conserve your energy so you can do things like shower (if that’s even possible), brush your teeth and do your hair. You’re forced to take more breaks because your body can’t keep up. The guilt comes; you feel bad for being a different person than when you made plans with your friends or promised a deadline to your boss. You’re starting to realize that it’s only a matter of time before people see you for the fraud you are. You are only capable of naps now and languishing in a familiar pit of despair.

It’s hard to see that things will go back to normal. What, even, is normal at this point? Which part of you is the real you or the depressed you? It feels like it doesn’t matter. Maybe it doesn’t.

Your body starts to hurt, producing aches and pains all over. Your jaw and shoulders stay tense. You grind your teeth. It’s irritability that sometimes accompanies anxiety, depression’s very best friend. And it ain’t pretty. You snap at loved ones, roll your eyes, beep the horn. But you don’t know what you’re mad, not really anyway. You don’t know anything.

Except that you don’t think that you can’t handle another episode, that you’re just not strong enough.

I realize that it will get better. I know that depressive episodes are temporary. But it just makes me a bit sad that happy times are just as temporary as the bad ones, and it always seems like there are double the bad times.

I feel like I know true joy because I’ve experienced real pain. But must it be pain almost all the time?

Can I not catch a fucking break?

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In a Nutshell: My Week in Review

by Heather Loeb
written by Heather Loeb

Well, I’m a day later again, but I’ve just been so busy. It’s a good busy though.

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As I mentioned last week, I’ve joined the leadership team at NAMI Greater Corpus Christi as the Communications Manager. I’m in charge of newsletters, social media, and I’m trying to update the website a bit, but a web developer I am not.

This weekend is the NAMI Texas awards ceremony where I’ll virtually accept a media award (For accurately covering stories on mental health, reporting the injustices those with mental illnesses face, and sharing the successes in the mental health field). I’m pretty psyched about that and so grateful.

Otherwise I’m just counting down until Thanksgiving. We’ll be able to travel to Dallas to see my family this year because the kids are now vaccinated. I’m really psyched about that.

One other thing…I wanted to ask your help. If you’d like to see a certain mental health topic covered on my blog, please leave your idea in the comments. I want to make sure I’m providing helpful material that everyone is interested in — not just stuff about my life.

That does it for me. Have a great week, and stay in the light.

In case you missed it, here are the past week’s blogs:
Roll With It
Which Voice is Right?

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Kids

Roll With It

by Heather Loeb
written by Heather Loeb

Today my husband and I had a teacher conference about my 5-year-old son. It was no shock when the teacher said he’s fine academically, that she’s not worried about that department, but she did mention some behaviors that need to be corrected. For instance, Eli will walk around and get in the kids’ faces and annoy them. I mean, he does the same to me. He gets up a lot, doesn’t always finish his work and he rushes through everything.

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As soon as the teacher (who is amazing) started detailing these behaviors I knew where it was headed. A couple months ago I took Eli to be evaluated for his stutter. I got to stay in the room during the assessment and was stunned. Here he was in a classroom setting (minus the other kids) and he was squirming, not listening, playing with things he wasn’t supposed to, etc. The speech therapist made a note of it in her paperwork, and I remember thinking, “Wow, I wouldn’t be surprised if there was an ADHD diagnosis in his future.”

But I put it out of my mind until this morning.

I’m trying (as always) to not put the horse before the cart. We don’t know if he has ADHD. He’s 5 and lots of 5 year olds are like that. We have to do this one step at a time.

Having said that, it’s really hard for me not to catastrophize and assume he has it. Of course I Googled it and couldn’t help search for a correlation between kids with ADHD and parents with a mood disorder. There’s a link. For a moment tears gathered in my eyes. I felt like it was my fault, that genetics have wronged my kids. That I have wronged my kids with not only bad genes but also my behavior and parenting style which is dictated by my depression and anxiety.

I stopped Googling and then thought, “So the fuck what?”

ADHD — and any other mood/behavioral disorder — is not the end of the world. If my son does have it he might need behavioral therapy or medication. Also not a huge deal. We’ll do what we need to do, and it will be fine.

And aren’t I the queen of adapting? There was a time when I thought my life was over because of depression and anxiety., but here I am highly functional, volunteering my time, writing for the paper, and managing the kids and their activities. I’m a different person. I’m not cured; I’ll be living with depression, anxiety, a personality disorder and an eating disorder likely forever. But I roll with it. Any diagnosis he may receive doesn’t define him or ruin his life, just like mine don’t.

He’ll adapt (if he does have it), and I’ll adapt.

He’s still an amazing, loving and sweet boy, and I wouldn’t change anything about him. Not one thing. Through my mom glasses, he’s perfect. Perfectly imperfect.

So we’ll just roll with it and do the best we can do. That’s all anyone can do.

Note: I want to be clear that I don’t have any experience with ADHD and don’t mean to discount anyone’s feelings or experiences. I don’t mean to trivialize the diagnosis. These are merely my musings and do not reflect what it’s really like to live with a child with ADHD.

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Which Voice is Right?

by Heather Loeb
written by Heather Loeb

“You don’t fit the mold,” my therapist told me.

I tried to ignore her statement, but I knew she was right.

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“You’re different now,” she continued. “It can be scary for people who live inside their own world and don’t stray far. It just scares them.”

I had spent half an hour complaining that I don’t get any acknowledgement for my work — my columns in the paper, working with NAMI Greater Corpus Christi, and the most difficult: the positive changes in my life since coming out of a depressive episode in 2019. It’s night and day, at least to me. I’m so grateful, and I want to make sure nobody else feels alone in their struggle, so now I talk non-stop about every aspect of my recovery. I’m sure my family and friends have felt weary listening at times. But scared? I don’t know about that.

Regardless, I have to keep talking.

I don’t do what I do for acknowledgement, but it feels like a slight with family or friends when they don’t bring it up or ask about it. A big slight. I take it personally, and I know I shouldn’t, but at times I obsess about it. Honestly, it makes me feel like I’m not good enough, even though I’ve worked very hard to get where I am.

I’ve never felt good enough. But some part of me must think I am because I marvel at the depressed, anxious person I was just three years ago. I’m highly functional now — I can volunteer at my kids’ schools, go to lunches with friends, work, write, practice self-care on top of everything else. I’ve proven I can do hard things. Yet…there’s that deep-seated nagging feeling that makes me feel rejection, hurt, confused and angry. And poof! The visual of myself stronger and happier vanishes from my thoughts.

My anxiety and Avoidance Personality Disorder no doubt stokes this fire, but where did it come from? I guess that doesn’t really matter, does it?

It’s there, and likely always will be unless I do an exorcism of these thoughts, and for that, you have to put in the work with honesty, therapy and introspection. Who has time for that?

What I need to remember is that my worth isn’t tied to anyone’s opinion, no matter what. I need to tell myself every day I can do hard things — that I’ve done hard things. That I crawled my way back from the darkest pits of despair. At one point, I thought that I was just biding time until I killed myself. I slept all day. I engaged in self-mutilation and abused my medication. I lied to get narcotics from the doctor. I wanted to feel anything but the awful pain I was in.

That’s not me anymore.

I am more than my worst mistakes and moments. I wake up at 5 a.m. I take care of my kids and husband. I work to spread awareness about mental illness. I take my medications, I see my therapist weekly, and I do the work, even when it’s hard. I can see my transformation reflecting in my family’s eyes.

I made it. I lived. I survived.

So it makes me wonder if the reason I get so upset at my loved ones’ apathy is not because it’s painful but because I deep down I “know” I’m not good enough — that I’ve put up a farce. That I’m not worthy of their love.

Once again my brain is telling me conflicting things. And it’s scary when there’s such dichotomy in those thoughts. I mean, who do I listen to?

More importantly, which one is right?

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Parenting

If All Else Fails, Call Your Dad

by Heather Loeb
written by Heather Loeb

I don’t like getting out of routine. I plan things, I never fly by the seat of my pants, and I can be rigid with my schedule. I blame my anxiety on all that; I just can’t handle change, and I hate the unknown. It can really send me in a tailspin.

For instance, Eli has always had a super early bedtime. When my kids were babies, I got them into a bedtime routine, and his just stuck, even though he was going to bed at 6:30 p.m. at 4 years old. It wasn’t a problem until the pandemic hit and he inexplicably started waking up at 5 a.m. Family members and friends told me to put him down later and he’d wake up later, but that was not the case. It didn’t matter what time I’d put him down, he always woke up early. Eventually I got used to waking that early.

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But then Eli started waking up in the middle of the night or earlier than 5 a.m.

I knew I had to change his routine and get him down later, but I procrastinated. The idea of changing it up was so daunting. If he went to bed later it would affect my chill time, which is sacred to me, and also my bedtime. It would change when David and I ate dinner, usually right after Eli went to bed when I could enjoy it and not worry about him.

The more I fretted about it, the more impossible it seemed. So I kept doing the same thing, and Eli kept waking up at all hours, and I kept ignoring the problem until we went to see my parents a week and a half ago. My dad, trying to be helpful, nagged me to push his bedtime back and to do it consistently until he stops waking up early.

Not wanting to hear any more about it (no offense, dad), I let Eli stay late every night while we were visiting. He didn’t wake up at 5, but around 6 or 7. I started to think it was doable.

When we returned I kept him up later than normal, putting him to bed around 7 and 7:30 p.m. This made it easier for all of us to have dinner together, which the kids were first excited about until they learned they had to put away their phones. It was nice, though, once we got past the crying over the phones.

I started to realize that it wasn’t so bad changing things up. We still need to perfect the new routine, but I’m trying to be okay with that. It’s a big step for me, but my whole point with telling you this is that people with anxiety, like me, can build up problems or situations and make them into seemingly impassible mountains. Usually, I have to think everything over, analyzing everything to death and then wait until conditions are right — which is hard because if you have anxiety, you never think conditions are right for change and stepping outside of your comfort zone.

But I was able to do this. Usually if I let the kids stay up past their bedtime, I became tense and punchy. I worried about how much later it was and what was going to happen in the morning. I’d stay tense, which led to no chill time once the kids actually went to bed. And see, I need chill time everyday. I have to take breaks and practice self-care because I get very irritable when I can’t relax and the children (as well as my husband) pay for that. And that’s not fair.

But letting go of the rigidity was so freeing. It was amazing not freaking out Eli’s routine, and even though I have some work to do to get the new routine right, I’m happy I did it. Plus, I don’t have to hear anymore nagging from my dad, lol (I love you and I’m grateful to you, dad).

So my friends, the next time you’re facing a problem, I urge you to buck your anxiety and just do it — make a decision and move on it. I know it’s hard but sometimes you just have to say screw it and make the rules as you go, especially if you’re a parent.

Will I do this the next time a problem occurs? Knowing me, maybe, but I’m going to work on letting go real hard.

If all else fails, I’ll just call my dad.

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Anatomy of an Anxiety Attack

by Heather Loeb
written by Heather Loeb

I start sweating.

My chest tightens, then relaxes briefly before tightening over and over.

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My heart beats faster, and there are butterflies in my stomach.

Intrusive thoughts take center stage in my brain. I start telling myself elaborate, worst-case-scenario stories that defy logic.

My hands start to shake. When I stand up it feels like I have eaten in two days because I’m so lightheaded. I try to find somewhere quiet where I can be alone, but thats not always feasible. I try to hide from the kids, but there’s no hiding my swollen eyelids, blotchy cheeks and how hard it is to take a breath.

I try to quell the intrusive thoughts and stories, but rational thought is no match for my anxiety.

Tears brim my eyelids and threaten to fall.

I start to lose my breathe and with that I start to cry. Big sobs escape in between ragged breaths.

I have an even harder time breathing between sobs, and I swear my heart is pounding in my throat like a jackhammer.

It’s too late for an anxiety pill; I have to ride this out for now. I try to catch my breathe, but it seems impossible. I deep breathe like they say. I try grounding techniques, but I’m already past the point of no return.

Once I’ve sobbed uncontrollably for what feels like hours, I start my descent to rational (or as close as I can get) thoughts. I try a grounding technique now that I’m more calm. I search for five things I can see, four things I can feel, three things I can hear, two things I can smell and one thing I can taste. It sorta helps.

My heart keeps pounding in my chest. I still feel the chest tightness and butterflies, although they’re calming down.

I struggle to remember what triggered this attack, but sometimes I come up empty handed. It could be anything, but like I said, no amount of logic can stop an attack. My imagination, a vivid as it is, runs away from me, never with me.

I calm down further but have intense feelings of guilt or shame — shame that I may have inconvenienced someone during my attack. I start worrying that I’ll have another.

People don’t understand. They think I’m weak, that I can’t handle things. They don’t realize that this is part of my anxiety disorder, and I can’t control it any more than an epileptic can control a seizure. I can do everything right — take my medicine, avoid certain triggers, meditate, get enough sleep, etc. — but I could still have an attack any minute.

I am not alone in my struggles: Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults age 18 and older, or 18.1% of the population every year. According to the Anxiety and Depression Association of America (ADAA), people with an anxiety disorder are three to five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatric disorders than those who do not suffer from anxiety disorders.

Anxiety disorders develop from a complex set of risk factors, including genetics, brain chemistry, personality and life events. Women are affected by the disorder more than men. It’s not uncommon for someone with an anxiety disorder to also suffer from depression or vice versa. Also, nearly one-half of those diagnosed with depression are also diagnosed with an anxiety disorder.

Is what I described similar to what you experience during a panic attack? Feel free to describe yours in the comments.

Thanks for reading, and as always, stay in the light.

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Gone Fishin’

by Heather Loeb
written by Heather Loeb
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This week I’m out of town with the kids. It’s fall break so we headed north to Mabank to my parents’ lake house.

I probably won’t have much time to blog (we’ve been having Lego contests and enjoying the cooler weather), but below are some blogs you may have missed on depression, diet culture and anxiety. I also will include this week’s column in the Corpus Christi Caller-Times.

When My Daughter Said the F-Word

I’m Grateful But Still Sick and That’s Okay

I Never Do Anything Last Minute

Caller-Times: Diet Culture is Toxic

I hope you guys are having a great week.

Stay in the light, friends.

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Kids

When My Daughter Said the F-Word

by Heather Loeb
written by Heather Loeb

I was playing Roblox with my 7-year-old this week when she started to describe someone as F-A-T. I can’t remember what or who it was, and I started to say, “Don’t use that word.” Then I just stopped. Why was she spelling it?

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The truth is I don’t like the f-word, and she knows that. I’ve been called fat too many times, and the memory of being made fun of for my weight still lingers and burns. It has helped create lifelong struggle with disordered eating and body dysmorphia.

But what am I teaching her by not allowing her to say it? She’ll still (like I did) think that it’s not a word that shouldn’t be used, that there are negative associations to it, and that she wouldn’t want to be called fat. I’ve tried so hard not to use it and promote body positivity that I think I’ve swung from one extreme to the other. She should be able to use it but use it the right way.

What I think I should’ve done is not ever given the word any power. I should’ve said fat is something you have, not what you are. And left it at that.

My heart is in the right place, I think. As a mother, I don’t want her to experience any of the pain that I did growing up. I don’t want her to be anxious or depressed, and I definitely don’t want her having an eating disorder or obsession about weight. Like all parents, I want to protect her, and I want better for her. I’m just not sure I’m going about the right way to do it.

I can bend over backwards to try and prevent her from having mental anguish but genetics will play a starring role in how her body looks and weighs and whether she’ll have mental illness. I get that. Maybe she’ll be smarter (and kinder to herself) than I was — that she’ll see only beauty when she looks in the mirror and she’ll have so much confidence that she won’t care if she’s ever called a name. Maybe she’ll be the one to break the cycle, although I’m trying very hard to do that myself these days.

One of the most defining lessons from my childhood was that being fat is the worst thing you can be. That was confirmed through the adults in my life always dieting, unrealistic beauty standards and the terrible treatment of bigger people. So many people still buy into this crap, though. Hell, it’s still hard for me, and I’m almost 40.

We need to do better. And I know it’s difficult challenging ideals that were introduced when you were a child — ideals that are still circulating and doing harm. But we can do it.

We can work out for our health and not to lose weight. We can eat healthy to fuel our bodies. We can stop looking at our “flaws” with nothing but a critical eye. We can say no to toxic dieting culture.

Know better, do better, as I like to say.

It’s very much possible that I’m overthinking my daughter’s innocuous comment from last night. It’s possible I overthink everything when it comes to my kids, but it’s okay to question yourself and intentions. It makes you a good parent. It’s very much okay to challenge your thinking on things like this.

That makes you a great parent.

Now I guess I’ll worry about my daughter using the real f-word, but I’d argue that fat is more dangerous and carries more weight. No pun intended.

Stay in the light.

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