My Diary of Therapy

Well, it's been several years and I still have Panic and Agoraphobia. I'm back to being limited to an 8 mile radius.It's starting to cause problems in my marriage, and I'm also very depressed at this time. Tears are my everyday companion. So I decided to give Therapy another try. I've thought about having myself put under general anestesia and getting put into one of these Cognitive Behavioral Therapy Centers, but most of them only work on an outpatient basis, which wouldn't work for me, since I'm so attached to my house as a safe place for some strange reason. So my last hope is to go back into therapy around here in this very rural area. It took me several tries to make the first appointment at the local Mental Health Center. I'll be keeping this updated as the sessions go by. I'm not trying to air my dirty laundry here, or have people feel sorry for me, but am doing this so somebody else can maybe benefit from what I'm learning and therefor not feel so alone and depressed as this disorder sometimes makes us feel.

1st Session: 12. March 1998 2nd Session: 23. March 1998 3rd Session: 04. April 1998
4th Session: 10. April 1998 5th Session: 14. April 1998 6th Session: 23. April 1998
7th Session: 01. May 1998 8th Session: 08. May 1998 9th Session: 14. May 1998
10th Session: 19. May 1998 11th Session: 29. May 1998 12th Session: 05. June 1998
13th Session: 12. June 1998 14th Session: 19. June 1998 15th Session: 25. June 1998
16th Session: 8. July 1998 17th Session: 24. July 1998 18th Session: 31. July 1998
19th Session: 7. August 1998 20th Session:17. August 1998 21st Session: 24. August 1998
22nd Session:31. August 1998 23rd Session:8.September 98 24th Session:15.September98
25th Session:21.September98 26th Session: 22. October 98 27th Session:11. November98

1st Session: 12. March 1998

Antisipatory Anxiety is about to get the best of me. I chalk it up to exitement about the unknown. Still, by the time I arrive in the waiting room I'm quite anxious. My heart is pounding so hard it feels like it's going to jump out of my chest. I only have to wait about 5 minutes before I get to meet my Therapist. She is an older lady and according to her accent not from around here. That's very reassuring. She asks me why I've come to see her. I explain about the panic and agoraphobia, that most of the "out of the Blue Attacks" seem to be under control by the Atarax my Family doctor prescribed years ago, and the problems all this is causing in my marriage.

We start on all the paperwork and get the financial stuff out of the way. She asks me if I can handle coming to see her once a week at first, which is ok with me. We go into when my first attack happened. I tell her about the restaurants, but that the "BIG ONE" didn't hit until years later at my sons school. She tries to find a connection and asks if I've ever had problems in school. I can only recall a few incidents. She writes them all down. She asked me if there had been other traumas in my childhood. I recall a few more things and again she puts it in her notes.

After talking some more with the therapist, she asked me about my perfectionism tendencies and why I felt I needed my husband close by all the time. She made me mad when she asked me if I enjoyed controlling my husband. But come to find out it was just a routine question to see if there was an underlying motive for my tendencies to constantly wanting to control every situation.

By the time I got done she had a big piece of paper full of notes that she put into my chart. I left her office pretty encouraged, thinking that with her I had gotten further in one session, than I had with my previous Therapist in 8 sessions.

Back home I felt really awkward once I started thinking about all that stuff from the past. I had tried to put all that behind me, but evidently it was still very much alive since I remembered it all so quickly and vividly.

back to top

2nd Session 23 March 1998

The antisipatory anxiety is so bad, that I'm thinking about cancelling the appointment. I don't think it's the therapy though, more the drive to the next town that's getting to me. I don't want to make my husband any more mad, so I grit my teeth and we drive to the therapist. This time I have to wait while she finishes off with another patient, but there are many other people in the waiting room and we're laughing about one of the therapists shoes, and he looks like he's in dire need of therapy himself. I'm glad I don't have to see him. When I finally get to see my therapist, she gets right to the point and starts talking about the incident in 6th grade. She explains to me, even knowing my dad never used words to tell me what he expected from me, that his actions spoke louder than words. She uses a notebook and slammed it on the floor and says if she gave me that reaction everytime she was disappointed with my progress, that I would get the point without her ever having to say a word. It makes perfect sense. She even startled me when she slammed it. We talk about the way I express my anger, which is yelling. I've never thrown anything. I tell her that I really don't feel satisfied when I try to accomplish something. Like when somebody praises me for doing good, it really don't mean anything to me. I also told her that I had driven the car by myself for about 1 mile to get me some cigarettes, but that I was scared to death to repeat that drive after the experience I'd had. She also asks me about my feelings in certain situations. I can't really explain how I feel alot of times. So for next time I have to write down what each situation feels like to me. Example given: being mad feels like a wall of fire. She wants me to keep a journal of my feelings. Really concentrating on my feelings.

back to top

3rd Session 2. April 1998

cancelled due to illness of Therapist

back to top

4th Session 10. April 1998

The appointment is at 9 AM, so I don't really have much time to think about it and don't hardly have any anxiety on the drive. It could be that I'm finally getting used to the drive too. I try to eat my breakfast in the car, but can only take a few bites before I get very nauseated. This time my husband has to join the session. The Therapist makes sure, that whatever is said stays in the room and is not carried home with us to create any fights. We talk about the way he feels concerning the anxiety and what affects that has on his life. He's very unhappy about the fact that he can't hardly leave me alone at all, that he constantly has to be with me. The Therapist explains to him, that the recovery will not be from one day to the next, but that it will be a long ongoing process. He agrees to stick with it and help in my recovery as much as needed. The Therapist asked if I'd made any new progress, which we had started walking together around the neighborhood in the evenings, and I quit doing that after 2 days. I tell her that I'm not doing too good in figuring out how I feel. I've only got entries in the journal about the feelings, but can't describe how they feel in my body. She wants me to continue scanning for my feelings. Also, I am to order the The Anxiety and Phobia Workbook by Edmund J. Bourne. Good thing I've got access to the internet. Sure don't have any bookstores around here.

So first thing, after I got home, was to order the book through amazon.com, Earth's Biggest Bookstore.

back to top

5th Session 14. April 1998

No antisipatory anxiety at all. I'm still wondering if it's the time of the appointment or if I'm finally used to going to Therapy and the drive to the next town. This time I'm even able to eat breakfast in the car before the appointment. I don't have to wait but a few minutes in the waiting room. The Therapist gets right to the point of todays session. My childhood - especially focusing on my troubles with school and my dad. All of a sudden I can't hide my tears, as I describe one of the events to her. I'm shocked over my response.I thought I had come to terms with that situation 24 yrs ago. Evidently not. She askes me to tell her what I felt about that situation back then. I have no idea. It must have made me sad or something for me to still be crying about it after all these years. She explains to me, that over the course of therapy we will probably hit many more of these situations. She wants me to keep working on that journal. Really scanning my body for physical responses to my feelings.

On the way home I can hardly concentrate on anything but what has happened to me during that session. And even back home I'm still all torn up about it. Tears keep flowing without me being able to control myself. Laying in bed that night I'm really in a terrible state of mind. I keep thinking about that situation 24 years ago and how a parent can toss away their child, not just once, but again 5 years later and then again 2 more years later. I keep having to cry and feel like I'm totally losing my mind. Of course that brings on several panic attacks. I finally cry myself to sleep.

The next morning I'm still horribly depressed. I finally talk to my husband about it and he's able to get me back on track somewhat. I still feel like my stomach has been cut wide open and this gaping wide hole has been left there. I guess I finally have one bodily feeling with my feelings. I don't know if I want to go back to Therapy after this. I'm ready to quit, but my husband won't dare let me. For the rest of the week I just go on with my life. Now I'm wondering if I actually dealt with that situation or if I just filed it right back where it was to begin with.

back to top

6th Session 23. April 1998

Since my appointment wasn't until 10 AM I figured out that I wasn't rid of antisipatory anxiety after all. It wasn't bad, but yet still present. And then I had an almost 20 minute wait in the waiting room. This was a combined session again, where my husband had to accompany me. We alternate between a single and a combined session from now on, since the Anxiety has caused some problems in our marriage too.

The Therapist asks me about my progress during the last week. Which there wasn't any in my opinion. I tell her, that I'm so frustated with feeling guilty over what influence my actions due to the panic have on my family. She explains to me, that I have no control over what my family does. That it is their CHOICE to be put into the limited life style, and therefor I have nothing to feel guilty about. It makes sence when I think about it. We also discuss the outbreak of the angry feelings that I had experienced all of a sudden last week. I had just read the part about feelings in the Panic Workbook and after I was lying in bed that night, relaxing my mind, when all of a sudden my stomach and legs got really hot, like they were on fire. And then I was choking a pillow, with the thoughts of all the people that I realized had hurt me really badly. I was very amazed over this, but yet felt somewhat relieved afterwards. My therapist explains to me, that it is quite all right to have those feelings as long as I don't act upon them towards the person. There is nothing wrong with having the thoughts of choking somebody. Thoughts can't hurt anybody, they might be unpleasant if we tell them to the other person, but still it won't physically hurt them.

Then we talk about me having such a rough time with the memories from the last session and my thoughts of quitting therapy already. She explains to me, that it's my choice and right to do that, if I wish, but that I will not get better if I don't deal with whatever is causing me all this distress, and that I hadn't dealt with the memories, otherwise the panic would be gone. She also forwarns me that it will get worse before it'll get better. I agree to continue, but can't promise how long, which is ok with her. My husband also assures me that he's going to be right there with me through these rough periods. It scares me to death, but I know I've got to do it.

My husband mentions that I just won't try to expose myself to the feared situations. I explain why I won't do it. That it seems to be a waste of time and energy, since I get so far in accomplishing something and then month later fail miserably at the same task. She explains to me, that with this disease there are no failures as long as I keep trying. Any accomplishment, no matter how small, is a success. That seems wrong to me, which shows, that I've got much too high expectations of myself, along with thought patterns that wouldn't make sense to the smartest of people. Example: Going for a drive and a tree falling across the road that I have to travel on to get home. My thoughts in that situation would be that I couldn't STAND to be blocked off. Wrong!!! It would just be very uncomfortable, but that doesn't mean that I couldn't stand it.We will be working on this thought process over the next few weeks.

She then asks my husband how it makes him feel when I won't try or just give up. He just rattles his feeling off, sadness, resentment, mad, all that stuff, I have no idea off, what it feels like. That's amazing to me. After that he mentions the anger that I seem to express against him and the kids and that he suspects I have Borderline Personality Disorder. She asures both of us that I'm nowhere close to any kind of Personality Disorder, just some kind of emotional distress. After being asked what causes my angry outbursts, we come to the conclusion, that I have a very low tolerance level for any kind of stress right now. I have to continue scanning my body for feelings.

This week is rough. We had company from out of state and I was quite anxious about having "strangers" in the house. Everytime the boys would have a friend spend the night I'd have severe anxiety. So this weekend was a learning experience. Come to figure out, that once our company got here, that all the anxiety just left. I realized that with kids it must be the added responsibility for them. I had a pretty good time. My husband showed them around while I stayed home. I made it for over 3 hours by myself. I's quite proud of myself. Did spend some time with my computer though and time just flew by. Everytime I felt the onset of panic I refocused on something else really quick and it never came to a full blown attack.

The rest of the week wasn't so nice. We are now having severe marital problems because I have not tried what my counselor told me to do (driving). My husband told me, if I wasn't going to try, I needed to leave. So I sent for my passport. I wanted to go back to my hometown in Germany, but realized that I could never hurt my kids like that. So now my husband has decided to live his own life the way he wants to and to go where he wants to whenever he wants to and I'm going to have to adjust to that.

back to top


7th Session: 01. May 1998

Another 10 AM appointment. I didn't feel so good. Had a terrible sinus headache and thought seriously about cancelling the appointment, but went through with it after all. No anxiety during the drive to the appointment. That confuses me. One week I'm fine, the next I panic. I tell the therapist about all that's been going on this week. We decide that it may be best to just have single sessions from now on unless I feel it's necessary that we solve a problem in her office.

We talk about my childhood and what is was like living with the stepmother from Hell. That I felt helpless as a child against her and my father, and when I'm confronted with the fear of abandonment now, I feel just as helpless. This time I don't feel like crying just tense talking about the past. She tells me that there are two possible explanations for that. Either my defenses have grown tighter and I'm further disassociating myself from the feelings, or I've already learned to deal with some of this stuff.

We also focus on my unwillingness to try. Is it rebellion? Whom or what am I rebelling against. Or is it that I don't think I deserve happiness. She asks me to remember happy times with my family, which I have serious trouble doing that. She explains to me, that her questions and suggestions are only there to guide me into the right direction, but that the answers are lying inside of me. So in order to find out if I'm rebelling, I'm to sit in the car every day for 1 hour with nothing to do, and at the end of the hour I'm to write down what I felt, even if I hate the therapist. *LOL*. I can go driving if I get too bored though. I also am still supposed to scan for feelings, but not force myself. Just let them come or stay away, whichever happens is fine.

The week in the car!

I would go out to the car during different times each day, with different variations, like take a watch, let somebody get me after the hour was up, focus on really having to stay in the car, or giving myself permission to get out of the car if I absolutely needed to.
1st dayI focused on being locked up (almost even had a panic attack), looked at it as punishment for not trying harder, resented all the people who want me to recover, and doubted my wish for recovery.
2nd dayPretty much the same as the day before, with the addition of some depression and several onsets of panic
3rd dayBy now I was more focused on the actual driving, but still doubted my wish for recovery
4th dayI really talked and got angry with myself, so much so, that I started the car, backed out of the driveway and actually sat in the road for at least 5 minutes, trying to decide whether to go on driving down the road or pull back into the driveway. Unfortunately the driveway won. That started the merry-go-round of depression, doubt and put down by my own actions and words. I actually went so far as to believe that I deserve panic as a punishment for my weakness. I had expected way too much out of myself again
5th dayI kept feeding myself all kinds of negative statements and more self doubt. I had totally given up on any kind of recovery from panic, ever, and didn't even start the car.
6th dayPretty much the same as the day before, and by the time the hour was up, I was ready to leave my husband and kids since I had no hope left.

back to top


8th Session: 08. May 1998

Another 10 AM appointment, but that didn't help much today. Getting ready to go to the appointment was pure hell. The antisipatory anxiety about the drive was almost overwhelming, and even the drive had me very anxious. It took quite a bit of self-talk and refocusing to keep a full blown attack away. I was very hungry, so I forced down half a bisquit and walked into the waiting room. I had to wait about 10 minutes. Like always the therapist asked me, how I's doing and I told her how anxious I was all morning. She asked if anything specific had happened this morning or last night. I told her about the upcoming trip my husband and oldest son are planning to take in a few weeks, how scared and anxious I am about facing 3 days by myself with my youngest son, that right now I didn't know of any way I would handle it without serious problems. We talked about it a few minutes and she suggested that I bring my husband to the next session so we could make a plan on how I could cope with that situation.

I then went on to telling her about my week in the car. I read all the entries I had put into the "car journal". She pointed out that I had fed myself many negative messages after not being able to make it back out of the driveway. I had also written alot about making my husband and other family members unhappy with my failures. That brought us to a comparison between my dad and my husband. I seem to have a tendency to want to please the male species, and that their thoughts of me seem to be very important to me. I have tried to please my dad with my actions for so many years without any results, that made me cry again, but also brought out some more anger against him for treating his children that way. And then lately my husbands constant pushing made me feel like I's not doing good enough, no matter what I tried. That's why somehow my mind must have associated trying as useless.

At the end of the session she asks me what I would be comfortable with as a driving exercise for next week. I tell her, anything but sitting in the car. *LOL* We decide on driving out of the driveway into the road every day. I can go further if I want to, but if I don't make it out of the driveway I have to sit there for a whole hour again and write more thoughts. I'm also to concentrate on all the negative statements I've made and am still making and write a possitive affirmation 10 times for each one of them. Furthermore I am to think about some of the issues that have come to my mind in the car about certain family members and to slightly focus (not dwell though)about them and write more thoughts about those issues.

The Driveway Week

1st day I get in the car, start it up and, without any hesitation, drive it out of the driveway. I sat in the road for just a few seconds and drove further. I'm quite anxious, when I started down the road. I make it about 100 yards, when I feel that I don't want to push myself too far the first day and turn around. Back in the driveway, I have such a rush of feeling sucessful over my accomplishment. I had done what I was supposed to plus a little bit more. At this rate it will take some serious time before I can do any major driving, but what do I have to loose? Right now I can't make it anywhere by myself. Anything will be better than what I can do right now. I feel like a Million Bucks. Back in the house I start thinking about it some more and I'm actually pleased with myself. I don't have to prove anything to anybody, not my dad or my husband, but to myself. I'm still wondering what the neighbors are thinking of me just driving this little bit, but to hell with them. Who cares what they think. This is my 1st serious step to my recovery! I get really mad at my husband, when he doesn't acknowledge my success.
2nd day I have some antisipatory anxiety about doing the driving exercise, but force myself to get on the road anyway. I try to go further than yesterday, but wind up just a few feet further. I really have to talk to myself, so I believe I didn't fail. I have to remember that the goal is to make it out of the driveway.
3rd day Prosponed the driving exercise all day, but when I finally went, I drove about 300 yards. I don't feel the sucess and have to really talk to myself again.
4th day Serious marriage problems today, so I'm thinking about not even trying the driving, but convince myself, that I have to practice if I want to get better. I make it as far as yesterday. Still can't recapture that feeling of sucess.
5th day The marriage seems to be over. Sure don't feel like practicing today, but I know I have to. I can only make it about 100 yards today. Now this was a tough one, because usually I would look at this as serious failure. Not accomplishing what I did the day before is a definate "NO NO" for me, but today I still look at it as sucess. I accomplished what I was supposed to plus some.
6th day I was very mad when I left the house. I thought about turning around at the 300 yard mark, but went on to 500 yards today. Even knowing I had accomplished quite a bit, I just feel a tiny hint of sucess, but I definately know that I've had a big sucess today.

back to top




This page hosted by GeoCities Get your own Free Home Page