Let me first share that I’m not a therapist. I’m the business manager for the shared suite of our mental health treatment collective Durham Psychotherapy Associates. I do not want to represent myself as a licensed professional in this field, because I most definitely am not.
But as someone with panic disorder, I do have a personal perspective to share on that condition.
I was up for a promotion with a previous employer that would have entailed expanded responsibilities. Management was aware that I have panic disorder.
And I do, and I keep it in check through use of paced breathing and daily medication. Though this was never expressly stated, my takeaway from interactions with the manager responsible for granting the promotion was that my panic disorder would act as a possible disqualifying factor.
No, it didn’t matter that I’d never had a panic attack at work. I was asked to justify how I could handle the promotion despite my “anxiety.”
Fortunately, I knew just how to explain that panic disorder did not make me unfit for the promotion. I explained that I had had a serious physical injury as a teenager that left my body prone to go into fight or flight mode when it experienced what to most people was mild physical shock – specifically low temperatures and elevated CO2 levels in my blood. I knew how to control this using breathing exercises and was taking medication to address the condition as well, which is why I’d never had an issue at work and rarely had any issue with it at all thanks to therapy treatment.
What really helped him understand was my characterizing the disorder as a predominately physical one for me, despite the name. “Panic” disorder conjures images of me cowering in the corner shouting that we’re all going to die because I’m having a stressful day. I encouraged him to learn more about the condition to get past the “poor marketing” inherent in the term “panic disorder.”
I got the promotion and successfully served in the position for several years. It pleased me that he understood.
And I wish more people understood what panic disorder is and what it isn’t for different people. But that’s hard to do when such a suggestive term as “panic” is right there in the name. It unnecessarily stigmatizes those who have it.
And this can of course be said of mental illness in general.
One Weird Trick to Reduce Agitation in the Moment
If I am at the grocery store, and the cashier is being unfriendly to me, my husband will often turn to me and give me a specific look. This look has become shorthand for one of his wild theories and it instantly puts me at ease. Whenever someone is behaving in a way that frustrates him, my husband imagines some sort of ridiculous reason for them to behave this way. Remember the Sandra Bullock movie Speed? The premise is that a madman has rigged a city bus so that it will explode if it is driven below a certain speed. While it looks to the outside observer like Sandra is driving recklessly, she’s actually trying to save the lives of everyone onboard. My husband may later suggest, “It’s so sad that someone planted a bomb on that poor lady that will explode if she smiles.” Or if we are driving and someone cuts me off or speeds around me, he may suggest this person has to get his pet duck to the emergency veterinary clinic. While I am logically aware that these theories are unlikely to be accurate, the ridiculous imagery has a tendency to knock me out of my negative mindset.
This trick does require a willingness to reject the satisfaction we get from imagining the worst in others. Sometimes, we just want to give in to that feeling of being hateful towards the world around us. However, if you know this is an unpleasant and ineffective state of mind for you, give this a shot. Next time you sense that you are becoming agitated with someone, try to imagine the most ridiculous scenario possible to explain their behavior. While this does nothing to change the nature of the situation, it does inject a new emotion (amusement, humor, empathy) into it, which may be just what you need to re-focus on being as effective as you can be.