Monday 26 January 2015

5: Anxiety@ Work

The next blog in my 'Anxiety @' series focuses on coping at work with anxiety.  I get the impression from people I know, people I've read about and people on Twitter that work is one of the biggest triggers, sources and persistent causes of anxiety for many people, which is hardly surprising given what work can throw at you:

1. A job you find very boring or dull.

2. Staff members who are irritating or not very nice.

3. A commute that you may have to take to get you to this place of boredom and horrible people.

4. In a time of cuts, having to cope with your job being under threat all the time.

5. In a time of cuts, having to do four people's job and being too busy.

6. Getting paid peanuts.

7. Being passionate about a job, meaning you get easily angry and irritated with yourself if things don't go right.
Insert stereotypical, patronising image here

I guarantee everyone reading this will have to deal with at least one of these when you next go into work.  For the record, mine are 3 and 7, but also 5 - not because of cuts fortunately, but because my boss decided to throw herself down her stairs at home and will be off work for 6 weeks consequently.  But you get the idea.

I've been in full-time work for over six years now and in that time I've come across many people who I either know quite well or vaguely well who have had to take a few weeks off with stress.  Now, I haven't got a dictionary in front of me, but I deem stress to be a condition that is temporary.  Yes it can be very nasty when it happens and cause you to feel weak, pathetic and can have a significant impact on your quality of life, but usually only temporarily.  This is the key word.  Anxiety and stress are words that are brandished around as meaning the same thing, where, as I'm sure everyone reading this will appreciate, anxiety is a totally different ball game.  It is something that usually lasts for a lot longer, or keeps returning on a relatively frequent basis, and affects most aspects of your life.  Taking time off work, for example, wouldn't necessarily heal an anxiety condition, as it can start to affect the rest of your life even if it started at work.  I mean, taking time off work probably wouldn't help as the rest of the time you're equally as worried about your next social occasion or that mole on your arm that you swear wasn't there yesterday.

So what this blog aims to describe is how I've managed work given that I already had an anxiety condition in the first place.  The 'Anxiety @' series has already detailed my experiences at school and University and shows that when I first started my employment in 2008, I was already well versed at being twatted on by the symptoms of anxiety.

I will emphasise that, from the outset, I have been lucky when it comes to work, for two main reasons.  Firstly, I have a job in a field that I am passionate about.  In these days of cuts, that's not a common occurrence and I have friends who are one-hundred times more intelligent than me who have struggled for the last few years to even get a job, let alone one that they enjoy.  Secondly, I've only ever had one what I would call 'proper' interview for a job in my life, and that was just over a year ago.  Had I had this a year before (or earlier), I probably wouldn't have been able to cope, especially given I had to catch the train to have the interview in the first place.  My first job was a graduate placement that I knew was only temporary and was almost like an extension of University, as I was basically researching and writing a report.  So my 'interview' was just an informal meeting with a couple of staff members at the organisation.  2008 was one of my better years for anxiety, too, between 1997 and today so that also made it easier.

Don't get me wrong, it wasn't perfect.  I was obviously nervous early on, and by nervous I don't mean 'normal person nervous,' I mean 'I have an anxiety condition' nervous.  Anxious people don't get butterflies, they get flying ostriches.  Anyway, eating was a problem, as always and it soon dawned on me that the person I sat next to in the office didn't say two words to me, or anyone else for that matter.  So it made it an uncomfortable start, as someone with social anxiety who finds it difficult to converse with over and under-confident people (and, in fact, people in between).  I remember on my first day I was absolutely desperate for the loo.  I mean, they nearly had to phone up the water board due to unspecified leaks.  And yet I was so nervous about even asking whether I could leave this inception meeting I was in to go that I had to hold on.

Lesson 1: Don't be frightened to ask your manager or colleagues something, anything - particularly if it's toilet related.

Anyway it subsided and the rest of the placement was okay and didn't produce too many anxiety-producing moments.  A few months later, I started work experience at my next place of work, where I ended up staying until about a year ago (Jan 2014).  I would say that the worst time over this period was whenever I went out on a social occasion with these people.  Eating out being the main reason (see previous blog), but also the people made nights out into the worst possible trigger for social anxiety it was untrue.  But work itself was manageable, except for in 2011.

Anyone who regularly visits this blog will know that 2011 was the worst year for me, after that Cornwall incident in March of that year.  The whole year subsequently was a living hell, and that included work.  For a start, I could barely leave the house, so just travelling the (then) short distance to work raised my anxiety levels.  I had to cancel meetings that I didn't need, as my panic disorder was so severe at that point that any contact I had with others would automatically make me assume that I would have a panic attack in such a situation (which I genuinely would have, so at least the fear was rational).  I vividly remember catching the bus to a meeting (yep... because I don't drive) which was quite far away and panicking all the way there and barely being able to conduct the meeting when I arrived.  This happened a few times over this period.

I also remember a presentation I had to give in front of around 50 people.  Now, presentations for work, oddly, I'm generally okay with (for reasons I won't go into now because it'd extend the blog length too much), but this one was bad timing and in front of a particularly large audience.  It was horrific.  I was focusing purely on my heart rate, listening for anything I deemed odd, and of course it was beating fast.  I did the talk, but with literally weeks of heightened anxiety before it in anticipation.  I garbled through most of the presentation but at least I did it.  But in this case, the pain I went through outweighed the success of doing it, instead of the other way round.

Lesson 2: Don't be scared to opt out of certain things if you don't feel comfortable.  

Then there was one lunchtime that I broke down and driven home by a colleague.  I blurted out to my boss about anxiety and the fact that this was a long-term problem. The next day I was called into a meeting by my boss and team manager to be told all about 'stress.'  Going back to my earlier point, it was difficult not getting quite angry about this, although in fairness to them they were just trying their best.  I also feared that I would be 'signed off' for a while, but fortunately this did not happen.

Gradually, via my therapy, my work actually became my haven a little.  I was more comfortable there than in social situations.  I can talk to people at work about work, a subject I know a fair bit about and am comfortable with.  Social situations involved pretending to be someone I'm not, otherwise feeling insignificant.  I was getting better at my job and more independent, which made me confident, and this happened hand in hand with my therapy which was gradually helping me.  Don't get me wrong, there were still moments of discomfort, as there is with anything when you have a chronic anxiety condition. Towards the end of this job, 2013-14, I was improving generally and the work situation had improved, as I temporarily had a different, better boss, a colleague who became a good friend and some other decent people around me.  The job was my own and although I was busy I was enjoying it.  All this positivity from the people perspective was only temporary (maternity cover), but then my current job was advertised...

Lesson 3: When choosing a job, try and get to know your team and the people you'd be working with beforehand, even if it's just briefly.  This is as important as any aspect of any job, as working in a team of people you don't like can make even a job that you enjoy difficult.

Late 2013 it was: this was the first job I'd applied for where I thought I'd have a slim chance of getting it.  There was no point applying much before this as, as I mentioned before, there's no way I could have gone through with such a big change, or indeed the interview in the first place.  But the reality is, I still have an anxiety condition - so how exactly did I cope with the interview?

1) Take the train before the train before the train before I needed to, to minimise stress.

2) Take items, such as my tablet, book, phone, music, paper, food, water etc that I might need for 'comfort.'

3) Plan the route from the station to the interview venue.

4) Concentrate on breathing at all times, even when I didn't feel like it.

Notice that these tips have nothing to do with the interview itself - they are simple mechanisms that I now try and employ before anything slightly out of the ordinary - conferences, social events, travelling anywhere - it just makes it that bit easier.  I think the other thing is not to make it a big deal - I knew if I didn't get this job it wouldn't be the end of the world, which relaxed me somewhat.

I appreciate that not everyone is in this boat - some people go for interviews and they need to be successful for the sake of being able to live properly.  That takes me back to one of my first points - I am lucky, not just to have got the jobs I got prior to my current one, but also to have a comfortable background to fall back on if things do go tits up.  I do fully appreciate not everyone has this background stability which, although may have caused some of my underlying anxiety, has also helped to manage it and stopped these sort of situations from being critical.  However, that isn't to say the above tips should be ignored, as they will help a bit - at least.

Lesson 4: Practice interviews.  It's never the same as the real thing, but can help if prepare you a little.  If you have to travel for an interview, take the journey in advance, just to practice it - as daft as it sounds.

I have been in this current job for a year.  The worst bit about it is the commute which I get very irritated by, in terms of incompetence of our railway system.  The second worst bit is the amount of work, which at present is even more significant given one of our four staff members is on long term sick (not due to stress, I hasten to add).  Because I am a perfectionist and I'm passionate about my job and have a fear of letting people down, I want to make sure I please everyone and do everything, so I end up working far more hours than I'm paid for.  This, of course, can make you stressed - and when you have a chronic anxiety condition, stress doesn't really exist.  It quickly turns into something more sinister... and we go full circle.

But work for me has, at times, been a blessing rather than a cause of anxiety.  It keeps me sane, because boredom gives my mind too much time to wander into dangerous territory, and is where I'm at my most confident.  So although it has been difficult at times, overall I would say the benefits of my jobs have outweighed the negatives.

Apologies for the ramble; these 'Anxiety @' blogs are lengthy as I'm trying to go through several years' worth of experience in one go.  Some more coming up, which should be shorter affairs, are as follows (in no particular order):

Anxiety @ The Railway Station
Anxiety @ A Shared House
Anxiety @ The Pub
Anxiety @ The Doctors

Sounds like a series of children's books.

Best wishes
Al

Thursday 1 January 2015

4: Anxiety@ The Restaurant

First of all, I would like to wish all of my readers a very Happy New Year, and I hope you had an anxiety-free Christmas.  I have found that New Year is quite a difficult time, where you have a combination of people enjoying themselves (aka getting smashed) and making pie in the sky resolutions, which make people who can't even begin to consider such possibilities (i.e. if you have an anxiety, or other mental health, condition) feel low and worthless.  So I now tend to treat it as just another day.  So it is happy Thursday this year and we'll see what 2015 brings.  I considered doing a 'review of 2014,' or a 'preview of 2015' blog, but I decided against it in the end, to reinforce my belief in relieving the pressure at this time of year.
It's rarely like this...

So as such, I am going to continue with my 'Anxiety @' series and gladly, for me, 'at the restaurant' makes more sense than 'at the holiday home,' my last effort.

This may seem like an odd inclusion in this series; previous topics have been about dealing with anxiety in big scenarios that take up a significant proportion of your life.  Holidays can come around fairly frequently and last for a couple of weeks on end and can involve plenty of travelling.  University lasted non-stop for three years and school lasted for fourteen years!  Eating out in a restaurant only lasts a couple of hours and doesn't necessarily happen particularly frequently.

However, eating out has caused me so many problems in the past that I feel it is more than worthy of a separate entry. You will notice if you read the previous three 'Anxiety @' blog posts that eating out appears as a problem that has been apparent during all of school, University and holidays.  You will also notice that I have written blogs about this before back in 2012 and 2013.  So it's a persistent problem that has plagued me for many years.  I'm still waiting to find someone, among the myriad of us anxious nutters, who has struggled in particular with eating out.

In the 2012 blog that I mentioned above, I try and work out why it is that this has been a problem for me.  It took me many years to work out that it was connected to my overall anxiety condition; I went for a long time thinking it was some sort of eating disorder that I had, but for it to only usually affect eating out made this scenario unlikely.  The 2013 blog I mention above provides you with a case study of one of the many (and one of the worst) incidences I could write about in relation to eating out.  I'd recommend reading both of these before continuing reading this blog as they sum up the problem quite nicely.

Without wanting to repeat the content of these blogs, I think eating out is one of the most consistent themes I have mentioned on this website since its inception.  Look how many blogs appear when you type 'eating out' in the search box in the top right corner.  It has caused me years of social misery and at the worst times has also affected my eating in general, affecting my physical health and then consequently my health anxiety condition.  You get the picture.

In the aforementioned 2013 blog, I wrote:


"I've since learnt it's all down to some bizarre anxiety that to this day still baffles me a bit."

In other words, I don't really know why my anxiety condition particularly has a problem with eating out.  My 2012 blog does a reasonable job at working it out, and to sum it up I think it is largely down to pressure.  I'm a perfectionist, a fussy eater and someone who doesn't deal well with certain pressure situations where you are expected to behave in a certain manner.  Therefore, in simple terms, if you combine these factors and put them into a person with chronic anxiety, it's no real wonder that I've struggled with eating out.  

However, writing this particular blog now is quite timely.  Not because the eating out problem is currently making a big impact on my life - quite the opposite, in fact.  I've been on my Christmas break since 17th December and for me this is the most social time of year.  During this period, I have eaten out a total of seven times, and have two more occasions to go before I start back at work on 5th January.  Each time I have been fine and the only case of slight anxiety came when I was away in Yorkshire (see previous blog) where I did wonder a couple of times whether I'd be able to cope.  But not only have I managed to eat everything, I've done it with very few anxious thoughts at all and have even asked for dessert on a few occasions!

As such, I thought I'd focus this blog on trying to work out why this is the case.  What's going on?  How can eating out almost be impossible for years and, for now at least, be okay?  My musings are as follows - and please use some of these as the equivalent 'lessons' that I have included on the previous 'Anxiety @' blogs!

1) My anxiety as a whole has declined over the past couple of years, thanks to numerous reasons.  This, I presume, has led to a general calmness in situations that would have led me to panic in the past, such as eating out.

2) To follow on from point 1, the CBT techniques that I have learnt via my therapist that I saw in 2011-12 have helped when applied in certain situations, eating out being one of them.  These include:

+ Concentrating on breathing, particularly important when eating as the simple act of eating can make it harder to breathe in the first place.

+ Rationalising about the social occasion (difficult and I know it sounds far-fetched, but it does work quite well after plenty of practice).

+ Focus on the conversation that you are having with the person/people you're with, listen intently to what they are saying and join in - as a way of taking your mind off the eating.

+ If this fails, do some people watching for the same purpose!

There may be others, but you get the point.  

3) "You can't beat traditional English cuisine."  This is what I say whenever I'm eating out, as I usually order fish and chips, a burger or sausage and mash.  You can have a laugh about it, whilst your friend orders the quails eggs, the Thai curry or the blue venison.  My point is, order something you know you like, and don't feel pressured to order something 'fancy' just because it's the 'in' thing to do, or because someone else is.  That makes me really uncomfortable because there is then more pressure to enjoy it and thus a higher chance of experiencing food related panic.  Food needs to be kept simple in these situations.  Order what you like, not what other people want you to like.  

4) Only frequent a restaurant with comfortable people.  I may boast above about eating out seven times already this festive break, but all of these occasions have been with 'comfortable' people; by that, I largely mean people who know I have an anxiety condition and who I can trust to be open and honest with if I did struggle.  This makes the likelihood of struggling less in the first place.  Comfortable people can also include those who may not know about your condition, but are quite laid-back in social situations and don't care or pay attention to things like how much you've eaten.  To this day, I still don't eat out with a few people who, by no fault of their own, put too much pressure on me when in eating out situations.


5) There is still an element of avoidance in terms of places I choose to eat.  Pizza Express, for example, is a no go.  Usually I can control where I eat - all of the places I have eaten out at during this festive break have been pubs that do a variety of traditional food (see point 3).  Whilst pizza is usually a comfortable food for me, because of my past experiences with Pizza Express, I know that arranging a meal here would be harder to go through with, due to the natural associations the mind makes.  I'd have to eat there about ten successful times before it became comfortable, potentially.  My point is, where possible, choose to eat out where you can and where simple things like restaurant smells or sounds don't conjure up bad experiences.

6) Drink plenty of water beforehand and during the meal.  One of things I noticed when I was struggling in an eating out situation was how dry my mouth was, which of course made it even more difficult to eat.  I now always order a tap water for me or a jug for the table in addition to whatever drink I am having.  I also drink a glass of water just before heading out.  And so what if this means you need the loo whilst at the restaurant? This can also help you by taking some time out of the situation.


7) Fart.  Okay, so you might think I have left this one until last because it's a less serious one.  And granted it has quite amusing connotations.  But farting, silently and subtly of course, releases trapped gas and can make you feel more physically comfortable during eating and thus more able to stomach your meal.  However, don't let rip an explosive one that registers on the Richter scale, otherwise this may lead to other social anxiety issues.

I'm actually enjoying eating out the moment.  As nonsensical as it sounds, I've spent so much of my life either avoiding eating out or going through hell when I do so, that to be able to eat out with minimal anxiety is such a wonderful experience.  That is one great thing about anxiety: when it disappears from a certain situation, either permanently or just temporarily, it makes things that others take for granted so pleasurable and enjoyable.

And that is the one positive of anxiety: it can make you so grateful for what you have and what you can do with your life.  Embrace it whilst it lasts.

Best wishes
Al