My shrink gave me a very firm talking to this morning. I’m not sure she has ever been this directive before. Maybe she feels she is growing into the role now that I’ve been going for a year? In her opinion if I’m still having one-two panic attacks in a week then I need to medicate more heavily and stop fucking around with it. If I won’t consistently use pot then she wants me on an anti-depressant and an anti-anxiety med. I’m not sure yet how I feel about this upsurge of bossy from her.

Panic attacks, for those who may not know, can include several of the following symptoms:

• “Racing” heart
• Feeling weak, faint, or dizzy
• Tingling or numbness in the hands and fingers
• Sense of terror, or impending doom or death
• Feeling sweaty or having chills
• Chest pains
• Breathing difficulties
• Feeling a loss of control

(Thank you Webmd.com.)

For me I tend to have racing heart, dizziness, tingling in my hands and fingers (but that could be just that I type too much), sweaty, chest pain, breathing difficulty, and the horrible overwhelming feeling that I’m about to be punished because I am bad. It sounds kind of mild when I write it down. Most people who have them say they feel rather like a heart attack. They physically hurt your body and wear you down over time.

At this point I’m down to having that happen 1-2 times a week. Most of my panic attacks are in the 5-8 minute time duration window.

My shrink asked me if I liked being this way. In that, “are you keeping yourself sick because you like the attention” sort of way. I told her that I don’t deny that I like a lot of the effects of being hypervigilant. I like how many things I’m able to track at once.

I think there are reasons I need to stop doing it though. I need less multi-tasking. Interesting project opportunities continue to arrive. Hrrrmph. Tired.

And yet there are things I’ve gotta do. I could choose to not do them. It is true. But I would not like the consequences.

She told me to medicate more consistently and figure out how to increase the number of minutes I spend per day on active stress reduction. Yes, ma’am. One more forking thing to track. Goody.

It’s weird dealing with having these urges come up. I’m trying hard to learn that these things aren’t a normal part of life. I mean, I’m not alone in having panic attacks or anything. I’m not claiming I’m a completely unique snowflake or anything. This is just the road I’m on. It is well documented. I read lots of books about it. I am pathetically textbook. Feck.

What does being something different even mean? Do you know what my email handle came from? I wanted to stop using the internet handle that my Owner gave me. It was time to be something different.

So yeah. My therapist has opinions about how my PTSD symptoms are being handled. She agrees with me that I should pat myself on the back for the progress I have made and yet… I’m not where I want to be.

In a timeline: the last seven years has been the longest period of my life where I have lived in one place. Nearly twice as long as the runner up. I’m seven years post-rape. That’s after twenty-three years of being intermittently raped by a total of twelve people.

Why do I keep listing it? Because I want attention for it? *snicker* I don’t get attention for it. I make people not talk to me anymore by talking about it. Talking about it is the main way I make sure people don’t want to know me any more. It’s rather effective.

It is just true. It just is. Everyone else gets to tell me for the twenty-fifth time about their life pattern. I listen. I forking listen until I can recite the stories as well as my friends tell them about themselves.

I can clearly see all the victim blamey reasons I’m less likely to get raped from here on out. I no longer dress slutty in public unless I’m out with Noah and standing next to him the whole time. (I was only rarely dressed inappropriately in the contexts in which I was raped.) I don’t drink in public unless Noah is there. (Only three? of my rape experiences involved alcohol. I think it is awesome that I am so tired I can’t think through the roster and figure out if it is actually three. Writing No Secrets helped me lose a lot of the strings on the memories in mind. My flashbacks have dropped to basically nothing. Haven’t had one in a long time.)

Long story short: I haven’t had anything resembling a “normal life” for very long. It’s ok that I’m not very good at it. I probably deserve a lot more slack than I give myself. Only maybe I deserve a lot less. I’m never sure about these things.

More consistently medicate and spend more minutes every day on stress reduction. Ok. (Not medicate *more* or *more heavily* but more consistently. That means things like paying attention to dosage and timing and blah blah blah.)

I don’t think that I “like being able to say I’m mentally ill”. That’s more about me not being willing to hide it. I write as part of managing it.

I partially track ups and downs here because Noah has a better sense of time than I do. He can see how often I’m posting about what and help me a sense of how long different stages last. He doesn’t see most of the panic attacks.

Close friends know I have a thing about punctuality. It’s important to me. Folks probably don’t know that if I’m late somewhere I frequently have panic attacks. My uhh parenting style results in a *lot* of running late. If my kids don’t want to be at the park when the event is supposed to start, I let it happen. I try to let them set a lot of their schedule. If they dally on the way to a class it is their own darn problem. I’m at the front door ready on time and I give lots of reminders.

But I don’t nag. And I don’t force them out the door on time.

So I sometimes have to go in my room and have a panic attack. I’m down to about once a week. I swear, this is not that high for me in terms of frequency.

I’m feeling very defensive about being told to medicate more. Obviously. I want to think I’ve come a long way and I’m still making progress and isn’t that good enough and… apparently not.

The random outbursts of hyperventilating and crying etc kind of bother my kids.

Calli’s kind of in an important developmental stage. Modeling anger regulation is kinda important. This is really hard.

I feel like I have taken on a role playing gig slated to run for twenty years. I’m still figuring out my role.