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Wednesday, 6 July 2016

Living with Telephonophobia

Today, I thought I'd talk to you all about something that I really struggle with, and that's phone anxiety. I basically have a phobia of making phone calls and talking on the phone, and it's something that I have had for as long as I can remember. The fear of phone calls or telephonophobia is a really common problem for those who have anxiety disorders, and yet it's something that not many people talk about. This has inspired me to write this post, to share with you all my thoughts about living with phone anxiety and how it affects my life. I hope that it also helps others with phone anxiety realise that they are not alone.

Phone Anxiety, Telephonophobia, Living with Phone Anxiety,

Phone anxiety is something that I have always found difficult to discuss. Over the years, I have been faced with both confusion and judgement whenever I have mentioned how stressed I am over a phone call I'm expecting or when others have seen me panic whilst I refuse to answer an incoming call. How can I be terrified of doing something that others find so simple? For many people who do not struggle with anxiety or phobias, it can be hard to understand how someone else can be so scared of talking on the phone. As with other mental health conditions, anxiety disorder is often stigmatised. Those with anxiety are told to 'just get over it', 'there's nothing to be scared of' or 'you're just overeacting'. This stigma extends to phone anxiety too and I have been made to feel embarassed, annoying and pathetic when people have seen me struggle with making a phone call. 

I wish those people could understand just how crippling my phone anxiety is. I experienced the most stressful symptoms: shaking, feeling tight-chested and having difficultly breathing, dizziness, heart palpitations. My anxiety causes my body to believe that I'm going through a dangerous situation so it's natural response to prepare me to fight or run away. I cannot control this from happening, it's not a choice. Telephonophobia is a serious problem for me and it's not something that I can 'just get over'. 

I have generalised anxiety disorder and as part of that, I also experience social anxiety, agoraphobia and obsessive compulsive disorder. All of these feed into my fear of social situations, especially those that I feel I have little control over or have not been given time to mentally prepare for. Phone calls for me are scary as they are usually unexpected and even when they are scheduled for a specific time and I have a general idea of what the call will entail, I still feel a degree of uncertainty and this is what triggers my anxiety. I find phone calls even more daunting than face-to-face conversations because I cannot pick up on the body language of the person I'm talking to and therefore there are no ways for me to get the subtle reassurances (such as a smile) that I need to put me at ease. This makes me panic about what the other person is thinking about me. Do they think I sound stupid? Am I making sense? Am I embarassing myself? What does my voice sound like? Can they detect that I'm anxious in my voice?

Phone Anxiety, Telephonophobia, Living with phone anxiety,

When I first started developing anxiety, I was a teenager so I didn't have to deal with the pressures that adult life bring, therefore phone anxiety was something that I only ever occassionally had to deal with. Most of my friends communicated with me via text or on good old MSN when we weren't at school, and the only stressful phone call I ever remember having to make was for my work experience. It was a requirement of my school that everyone called their work experience to arrange an interview. This was the first time I fully realised that I had a problem with phone calls, as I refused to call for days, left it until the last minute, obsessed over how the conversation would go and on the day that I ended up actually calling, I rang and put the phone down before they picked up several times. I can imagine it would have been very annoying for the owner of the boarding kennels where I did my work experience, oops! 

 As I've gotten older, my mental health has become more severe. When I started university, I also started struggling with chronic illness which only made my mental health worse. This made it more and more challenging for me to deal with independent life. I was conflicted with not having the energy or motivation to go out shopping but then not wanting to order my food online because there might be a phone call involved. I eventually got the point where online shopping was the only option for me and it was so stressful having to deal with the suspected call from the delivery driver asking me for directions to my flat when they had arrived on campus. When I am anxious, I forget things really easily as I have so many panicky thoughts going through my head that it's difficult for me to have a conversation. This only happened twice and the second time, the driver actually made my anxiety worse as he decided to make me feel stupid when he got to my flat by making fun of me not being able to give directions, but in a way where you can't tell if they are joking or not. From that day, one of my friends kindly offered to order my shopping with his so I didn't have to deal with the phonecall. I'm so thankful because I don't know what I would have done.

It's now been a long time since I talked on the phone to anyone other than my mum. She's a star and does all of my phone calls for me, of which I only occassionally have to confirm that it's okay for the company/service to discuss my personal information with her. Living with phone anxiety makes it really difficult for me to be independent as I cannot call the doctors to book appointments, call takeaways to order food, my bank to discuss anything to do with my account or to call taxis. I can't answer my phone, even to one of my loved ones. I have to ignore their call and ring back later when I am more prepared. It makes me feel really bad but I start to experience the symptoms of a panic attack if I receive an unexpected call. I jump everytime my phone rings or when someone calls the family landline. Getting a text saying 'ring me' or receiving a voicemail saying I have to call back is like my worst nightmare!


Phone Anxiety, Telephonophobia, Living with Phone Anxiety,

If I am forced to endure a phone call because it's for something really important or I've ignored phone calls from people for too long (sorry guys!), I think about the phone call for days! I have to plan through different scenarios of what I will say, what they could possibly say, how I'll answer if they do say certain things... I actually find myself practicing the phone call aloud to myself. It takes me ages to work up the courage to call them, I usually have an anxiety attack. After the phone call I obsess over what was said for ages. It really impacts my ability to be social and to communicate with people. I often never call places back when they leave me a voicemail and I've even ignored scheduled phone calls before. I just can't do it sometimes. The anxiety of the actual phone call is hard to deal with but then there's the fear that people think I am a bad friend, that they think I don't want to talk to them, and in the past, I've had loved ones make me feel bad by saying I should be able to talk to them, after I've explained that I have a phobia of phone calls.  

Having anxiety whilst also being an introvert means that small talk is not one of my strong points, and this is one of the reasons that phone calls make me so panicky. I don't like when people ring me without a main agenda. It's a lot less anxiety-evoking when people get straight to the main point of the call so that I can answer quickly and end the call as soon as possible. Fellow introverts, you with me? 

With modern technology, it's making it a lot easier for me to communicate with my friends and family whilst being able to avoid talking on the phone. I hope that one day, I can find ways to challenge my anxiety and work on my telephonophobia, but for now it's at a pretty bad place and it's not going to be an easy step. If any of you also experience phone anxiety and can offer me some tips on how to manage it, that would be really helpful :) I hope that this post has been insightful for those of you who didn't know much about phone anxiety, and helpful to others living with it too.  

Thankyou for reading!

♥ 

Do you have phone anxiety? How does it impact your life?

  
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Thursday, 5 May 2016

CBT didnt work for me

*DISCLAIMER: This post is based on my personal experience of cognitive behavioural therapy, which may not reflect the experiences of others who have undergone the same therapy. Please don't let my post put you off if you are waiting to have CBT yourself. It might be really helpful for you so I would encourage you to give it a go first. 

Hey everyone! Today's post is going to be a more personal one, on the subject of CBT or Cognitive Behavioural Therapy and why I believe the treatment was not beneficial for me. I thought this was an important topic to discuss so that others who found that CBT was not helpful for them will know that they are not alone. I hope you all enjoy reading!

CBT, Cognitive Behavioural Therapy, CBT didn't work for me, CBT didn't help me,

 So, what is CBT or Cognitive Behavioural Therapy? 

CBT is a type of talking therapy which is commonly used to treat an array of mental health conditions, such as anxiety, depression, obsessive compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and eating disorders. This therapy focuses on helping patients to identify their thoughts and attitudes towards different situations that they find stressful and/or triggering, and how these thoughts affect our behaviour and actions. Mind UK is a fantastic mental health charity with an excellent, educational website where you can find out more about CBT and read some personal stories from people who have had CBT themslves. Find out more about CBT here

Cognitive Behavioural Therapy & Me

If you've been following my blog for a while, you will know that I struggle with my mental health; I have generalised anxiety disorder and depression. Upon graduating from university, I was seen by the local mental health team back in my hometown who eventually referred me to start CBT therapy, in September last year, as a treatment for my anxiety. I was scheduled to have 12 sessions and they have almost come to an end. After many months of ongoing therapy, I have seen no improvement to any of my mental health conditions and they have actually gotten worse over time. Because of this, I was recently referred to the next level of mental health care and so far, I have been appointed a care co-ordinator from their team who I've had two appointments with. 

During the last few months, the fact that CBT was not working for me really affected my mental health. I was disappointed because I had expected to gain at least something from the therapy and when I did not, it made me quite worried about what would happen when the sessions were over. I turned to the internet for answers and found that there was barely any information about CBT not being beneficial for others who had experienced it, so I decided that I would blog about it when I had completed my therapy, hopefully to give others who are finding that CBT didn't work for them some peace of mind to know that it's not their fault, that the therapy doesn't work for everyone and that's okay. CBT is not the only resource out there and you can still get help for your mental health. 


I have several theories as to why I think CBT was not successful for treating my mental health and I wanted to share these with you all. 

1. I personally think the period of time is too short to help someone with moderate-to-severe mental health problems. CBT is usually run for either 6 to 12 sessions (which are typically 30 minutes to an hour long, depending on what the therapist feels needs to be discussed). In my opinion, I don't believe that a long-term mental health condition that I have been struggling with for ten years now, for the majority of my teenage years until now, is going to be improved in approximately 3 months worth of therapy, spaced over 6 months. 

2. CBT is a therapy that helps people recognise their emotions and thinking processes, and how they relate to their behaviour. This is often very difficult for some people to identify on their own, especially if they have been trying to suppress their feelings for a long time, but a therapist can help them identify the way they think about certain situations and how they may have a negative impact on their behaviour and mood. I have always been very emotionally aware and so the CBT sessions that focused on this were not helpful for me at all. 

3. I was already concerned that CBT woud not be very effective for me before I began my therapy, because whilst I was still at university and struggling a lot with my mental health, I researched self help methods and came across several CBT-based activities that I decided to try, in an attempt to reduce my anxiety. These activities focused on identifying and challenging the way you think about things that cause you to experience anxiety, and I found that they were not very useful for me. 

4. A lot of my anxiety is related to my chronic health conditions and the fact that I can never predict how they are going to affect me from day-to-day. They can suddenly change at any moment and this makes me experience high levels of anxiety. In order to feel prepared when I'm out of the house, I do specific things and my therapist seemed to consider these as 'avoidance behaviours', which really irritated me. She didn't seem to understand how these things are crucial to ensure I can pace myself or prevent an IBS flare, etc. This is required for my health and well-being,and I felt that my chronic illnesses and how signficantly they affect my everyday life was being undermined. She tried to encourage me to stop these behaviours, which I found very stressful. 



One of my close friends struggles with mental health conditions too and found that CBT was not helpful for her either, so I asked her to share why she believed this was. Here's what she said;

'The reason CBT didn't work for me was because my mental health issues were too severe. I found it difficult to open up and when I did, it was very cold and clinical so I didn't really trust the therapist and stopped talking to them about my mental health. They gave me tools to help myself but they didn't work and my issues just persisted after the sessions ended. Eventually they stopped offering help, after the third time being referred for CBT with different therapists, because it was getting me nowhere.' 

I just want to say thankyou so much to my wonderful friend Kayleigh for allowing me to share this with you all

I hope this post has been interesting to read and helpful to anyone who is questioning whether CBT is right for them or anyone who is struggling because they are currently finding that CBT is not helpful in improving their mental health. Although, I personally found this type of therapy to be unsuccessful for me, I would still recommend that you try it for yourself if it has been offered to you. Everyone is different and what works for me might not work for someone else and vice versa. CBT has been shown to be very helpful for many mental health cases, which is one of the reasons it's so popular and I have talked to several people who experienced positive results from it. To all of you struggling with mental health, stay strong and be proud of yourself for considering and/or seeking help :) Asking for help is the first step towards recovery and there are other treatments available if CBT is not beneficial to you. 

Thankyou for reading!  


Have you ever had CBT therapy? How did you find it?
If CBT wasn't helpful for you, have you found anything else that is? 

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Saturday, 10 October 2015

My Personal Struggle With Mental Health | Part Two

You may have read my last post about my experience with depression, which I've decided to share with you all because it's World Mental Health Day. This post is an explanation of what it's like to have anxiety disorder. Sharing your story about mental health can help decrease stigma and also remind others who are struggling with their own mental health that they are not alone. If talking about my own struggles can help just one other person, then it's worth it Thanks to all of you who took the time to read my posts today. 

 

Having anxiety is ridiculously draining. I worry constantly about so many things, and a lot of what I panic over is irrational but I cannot do anything about it. I've always been nervous when it came to meeting new people or being in busy social situations. Speaking in front of groups and doing presentations at school were like hell for me; I was even terrified about reading out in class or being asked to answer a question. I now understand this was all attributed to the anxiety condition that started to fully surface around three years ago. It makes feel inadequate, unimportant and annoying. It makes me worry about everything I've said to people. I overthink conversations I've had with people hours after; I get nervous when I'm replying to texts and I have to re-read things several times before I'm comfortable enough to send/post them. I overanalyse everything! I think about every bad scenario that could possibly happen whenever I go anywhere or do anything. I apologise all the time, and I'm always worried that I have somehow annoyed someone. Anxiety has made me dread going to places on my own. I experience difficulty speaking to people I don't know. I get nervous when I'm paying for things in a shop because I'm worried that I'll hand over the wrong amount of money or I'll say something silly when the cashier speaks to me. 

Phone anxiety is one of my biggest struggles... I can't answer the phone. I have to prepare myself for ages for a phone call that I cannot avoid and I feel nervous even when talking to someone I know, especially when the call is unexpected. I fear going to the doctors/dentist, travelling alone on public transport, being in extremely crowded places, ordering food when I'm at a restaurant. Being anxious about all these things makes me feel ridiculous and it's difficult for people to understand how I can be terrified about something that seems so simple to them. I use all the strength I have to still do things with my family and friends, even though I'm fighting a horrible internal battle. 

 
People with anxiety are often faced with a lot of judgement. People say things like 'just get over it' and 'it isn't that bad' or 'I'm nervous too'. It's like they just think we are shy or nervous like the way people get before an important exam or when giving a talk in front of a large group, but it's so much more than that. Anxiety also has physical symptoms that are often ignored. When you are anxious, your body is naturally triggered to initiate the 'fight or flight response', a physiological response that you need in order to survive when you are faced with threatening situations. When this happens, your nervous system responds and you can experience things such as rapid breathing, increased heart rate, sweating, nausea, shaking, stomach pain, muscle tension, and much more. This is what someone with anxiety has to deal with, often on a daily basis as well as panic/anxiety attacks. 



I decided to start blogging for many reasons; one of them being that I wanted somewhere I could talk about my life and share all the little things that make me happy, in hopes that this would help me focus on all the good things in my life, and less on the struggles I have to deal with on a daily basis because of mental health and chronic illness. But anxiety and depression are a big part of my life so I'm glad I've had the opportunity to share what it feels like, which I've been wanting to do for a while and have been too worried about what people would think or say. 


Thankyou for reading!



 
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