#shmemetophobia

[shmemetophobia]

Me: *sits down to eat* My brain: wow, remember all those times you saw someone throw up when you were a child? Me: a-all of them? My brain: haha yeahhhhh let’s run through each of them one by one

[shmemetophobia]

thoughts on being overcautious

I'm back. I have something very important to share. Here it is!

Nobody wants to have bad things happen to them, especially if those bad things involve harm to their body.

Which you know, of course. That's obvious. But there are related implications that I find very reassuring and that really didn't occur to me for years. Once I realized what this truly meant, it became much easier to calm myself down in a variety of triggering situations.

You want to avoid catastrophes, and so does everyone else. So does our society in general. This is why so much of our world is designed to be easy to use for, let's say, those who don't have a lot of common sense or don't think things through. This is why you'll encounter warnings like don't drink this chemical, don't let your child play with this plastic bag, don't stop the chainsaw with your hands, etc.

Not only do we get these warning labels for almost any imaginable danger, we also have more common warnings drilled into our head by the people around us, pretty much from childhood. Don't go swimming during a storm. Don't get in a stranger's car. Everyone learns the general scenarios that could lead to danger, and, depending on their personality, respond with varying levels of caution.

Which brings me to you, unfortunate person with severe anxiety. I am guessing you're extra cautious when confronted with any of those scenarios or warning labels. I am guessing you also have a wide range of scenarios you have decided are dangerous all on your own, without anyone else telling you so (or agreeing with you) and are constantly doing your best to avoid those scenarios or take (most likely unnecessary) steps to make yourself safer.

But remember, nobody wants to have bad things happen to them. Especially if those bad things involve harm to their body. And with regards to whatever you fear, ask yourself: if there was an actual danger of this behavior or situation causing harm to my body, wouldn't I have heard about it before? Wouldn't I have heard or read something, somewhere, about it potentially causing harm?

If eating parts of the apple too close to the stem could cause me to get sick, wouldn't I have heard about that?

If this dental procedure I'm about to go through was likely to make me vomit, wouldn't I have been told that was a possibility?

If watery sour cream or watery yogurt was a sign that it was likely to be bad in some way and give me food poisoning, wouldn't that be one of those things that I was warned about all my life?

Those are just a few of my own personal examples.

I don't know how to stop these little worrying thoughts from popping into my head, as they still do, regularly. But I have found this line of thinking to be an effective countermeasure, a way that I'm often able to dismiss the worry.

If anything has a good chance of making you get sick, it's incredibly unlikely you wouldn't 1) already know about it or 2) be warned beforehand.

[shmemetophobia]

planning is good

I had a not-fun experience at the end of February / beginning of March. My wife came down with a stomach bug. That hadn’t happened since November 2006. Wow, almost a decade. Back then we were in college and living in a tiny dorm room together. I moved out for a week and stayed with a (wonderfully kind) friend who had a single dorm room. After college ended, I was always wondering what I would do if it happened again, because I didn’t have any close friends who lived nearby anymore and would be willing to take me in. There were so many times I thought to myself, ‘I should have a plan. I should know exactly what I’m going to do and where I’m going to go. I should have an emergency bag packed and stashed somewhere.’ But of course, I never packed that bag or made that plan. That would have required facing up to the fact that this could actually happen.

So I was not prepared. But everything still worked out okay, better than last time even. She warned me early in the day that she was not feeling well and didn’t know why, and she said I should feel free to go. I immediately left and spent several hours driving around in circles, sometimes stopping in a parking lot to text her and see what was happening. There were no developments for a while, and I finally drove back home and was thinking about going back inside. But then she texted me that she had just gotten sick and not to come in. I had of course been really anxious this entire time, but there had been a part of me that thought maybe I was being irrational, overcautious. So it kind of surprised me to get that confirmation that this was really happening. My anxiety shot up to panic level; I suddenly got freezing cold and started shaking. And I couldn’t think what to do. It was a Sunday, meaning I had to work the next day. So I texted her that I was going to need to come in and grab some things before I left. She said she would stay in the bathroom while I was in there, but I was still incredibly nervous the entire time, thinking she might get sick again and I would hear it. Luckily, that didn’t happen. I grabbed my work computer/bag, wires and chargers, Kindle, and an extra book. I was trying to hold my breath the entire time. I obviously couldn’t go in the bathroom, and I also felt like nothing in the kitchen or bedroom would be safe, so I had no other supplies. No clothes. No toothbrush or any other bathroom supplies. No food. See, this is why a bag packed in advance might have helped. At least with the clothing situation. First thing I did was call a hotel nearby, and thankfully, they had an available room. They asked how long I’d be staying, and I didn’t know what to say. I said one night, but I might be extending it. They said that was okay, because they weren’t busy. Next I had to go out and buy all the things I needed that I had not brought with me. Another fortunate coincidence; I happened to have a Walmart gift card in my wallet that had been sitting there for years (because I don’t usually shop at Walmart), and I had been on the verge of donating it. So I used that, and it helped cut down on the cost. Once I was settled in the hotel, I was generally okay. I was worried in the back of my mind that I might be sick, and I was always thinking about contamination, so I’m sure that resulted in a lot of strange behavior. But emotionally, I was good. No more moments of panic. The hotel had good WiFi, and I was able to work normally; I didn’t have to take any time off. I checked into the hotel Sunday night. I checked out and went back home Wednesday morning. Which, now that I think about it, seems like an amazingly short period of time. But it was mostly because of money. Even though I technically could have afforded staying in the hotel for a week, it would not have been a wise financial decision. I was kind of a mess the first day back at home in terms of contamination worries. Not wanting to move, not wanting to touch anything. It was another work day, so at least I had that to distract me part of the day. And I avoided my wife for several more days. I think I slept on the couch for at least another week. As ridiculous as all this sounds, it is much better than I handled it in 2006. Hopefully this won’t happen again for another decade. I mean, really, I hope it never happens, but I know better than to expect that. I still haven’t put together an emergency bag. It feels like jinxing myself, which is obviously not true, and it’s a terrible response (or lack of response). Yes, things worked out pretty well this time, but that was largely due to lucky circumstances (including the fact that I’m lucky to have enough money to be able to make these terrible choices). Avoiding making plans changes nothing, except that I will probably (again) end up in a situation where I’m stuck and have to run around frantically and spend more money than I would have had to. So yeah. I need to stop living in denial and get this done. Be responsible and prepared.

[shmemetophobia]

reduce anxiety, save the planet!

One of my new year’s resolutions was to be more environmentally friendly. It is kind of a three-part resolution actually, but it all ties together: 1) I am systematically working my way through my apartment, donating or throwing out objects I never use or don’t need (generating trash is not environmentally friendly, but this stuff I never touch is essentially trash anyway – just sitting in my home instead of at the dump); 2) I am buying less new stuff, making sure to only buy what I need, and to buy digital if at all possible – with the double positive result of less junk filling up the apartment (which helps me) and less consumerism (which helps the environment); 3) I am taking whatever other steps I can to reduce my impact on the environment. For example, I finally bought reusable tote bags for shopping, and I have been attempting to reduce the amount of junk mail I get by contacting the places sending the junk mail and asking them to stop (I’m not convinced I’m succeeding yet, but I’m new to the process). All this has led to me realizing how many of my environmentally harmful habits are related to my anxiety issues:

Excessive water usage. I am fanatical about avoiding or killing germs, so I take longer showers than I need to. They are probably around 20 minutes, and I’d like to get them below 10 minutes at least. Even worse, I wash my hands way more frequently than is necessary. I got out of bed about 3 hours ago and have already washed them 7 times, and it’s not like I was doing dirty manual labor, intensive messy cooking, or anything apart from my ordinary Sunday morning routine of eating, hanging out, online browsing, writing. I honestly didn’t even bother adding “wash hands less” to my list of mini-goals, because I don’t think I’m ready for that one yet. I already think a lot about ways I can rearrange what I’m doing to cut out one or two of the hand-washes, but beyond that I don’t see how I can stop washing them when I feel it’s absolutely needed – which, due to emetophobia, is unfortunately pretty often. It is my intention to tackle shorter showers though.

Excessive paper towel usage. This is related to the water usage, because once I’ve washed my hands for the purpose of preparing/touching food I’m going to eat, it feels like the only way they remain perfectly clean is if I dry them with a disposable paper towel (as opposed to a reusable dish towel).

Drinking bottled water. Tap water scares me, even though I know that makes no sense – especially because I will have it if I go out to a restaurant, but I’m never willing to drink it at home. There was a brief period of time (a few months, maybe) I tried using a water filter, the kind that attaches directly to the faucet, but then it broke. Other than that, it’s been bottled water for about a decade straight. Which is so horrible for the environment, and that one is definitely on my list to change this year. I think I’m going to try one of those water filter pitchers instead of the faucet type.

Using disposable bowls and silverware. I loathe doing dishes because I never feel like I am getting the dishes clean enough which leads to spending a frustrating amount of soap, water, paper towels, and time on each one – I will spend at least five minutes agonizing over a bowl that might take someone else a minute to wash. Plus sponges disturb me as much as reusable dish towels. And I am extremely neurotic about my skin coming in contact with ‘food residue’. I don’t know for sure if this is related to emetophobia, but I feel like it must be. This ‘food residue’ anxiety also leads to more hand-washing, because even if a food I ate is not particularly messy/crumby, I can’t stand the thought that the food is still on my hands. If I ate a sandwich and I can smell bread on my fingers, that drives me crazy. I don’t think other people even notice this. Anyway, that is another of my goals for this year – get back to using real cookware.

Wasting food. I’ve talked about this one before. I have serious food anxiety and if my food looks weird to me, my impulse is to toss it. This mostly applies to fruits and vegetables, because they don’t have one consistent way they “should” look (as opposed to pre-packaged food that will tend to look exactly the same every time you eat it), but it can apply to anything – if I open a container of sour cream, and it’s especially watery, that might freak me out enough to throw it away. And I don’t have consistent rules about what is unacceptable; it depends on the day, on my anxiety levels at that particular time. So how quickly I give up on a food and what I consider to be unsafe can vary. When it comes to three different apples with basically the same blemish, on one day I might think ‘okay, that’s fine, I know it’s still edible’; on another, I’ll think ‘I’ll cut that part off, but the rest will be fine’; on another day, I will feel like I can’t deal with it at all and throw it away. Another way I waste food is by taking food offered to me in public – at work gatherings, family picnics, etc. – that I know I am not going to eat, just so I don’t call attention to myself, and then throwing most or all of it away. I think I’ve already improved in both of these areas and want to continue to do so. I try to force myself whenever possible to eat the ‘weird-looking’ food, and nothing bad has happened to me. And there have been social occasions in the past year where I’ve simply refused food; yes, it’s awkward, but not the end of the world.

Wasting resources in general. There are some things I just replace on a regular basis rather than clean, because they seem so gross and germy to me – like bathroom mats and toilet seat covers. I also have (germ-related) anxiety about buying used objects, whether online or in thrift stores or at garage sales, or even accepting something a friend is getting rid of and wants to know if we need. Since I’m trying to consume fewer resources, both of these will have to change. It’s better to keep using something that already exists in the world than contribute to creating more demand for brand new items.

I always find it really interesting to see all the links that can exist between anxiety and something that at first seems completely unrelated to it. Working on my anxiety – in particular, trying to cut down on irrational anxiety-related behaviors – will not only impact my personal happiness and ability to function, but could actually help the world. And vice versa – trying to help the world can (hopefully) force me to become more comfortable with situations that currently make me anxious. That’s awesome and extremely motivating – for both goals!

[shmemetophobia]

CYEAT: Chapters 13 & 14

I finished the Cure Your Emetophobia and Thrive book. Chapter 14 is a short “that’s the book, thanks for reading, keep working, and tell your friends!” kind of chapter, so I decided to combine these last two into one post. Chapter 13 is amazing, because it sums up everything the book has covered, it breaks it down into sections and easy to follow outlines, and it drives home the key points you want to remember. It’s almost like you could skip the rest, just read this chapter, and you’d still be getting most of what you need. I mean that in the best possible way and am not trying to belittle the rest of the book. I think it’s helpful with a book like this - to not have to reread the entire thing later on when you start to forget. To be able to go back to one chapter and have this great summary that allows you to quickly recall everything. There were definitely things about this book that annoyed me - the way the writing style sounded like an infomercial at times, how some sections seemed to over-explain (like the chapter on the difference between stress and anxiety) while others didn’t get the attention I thought they needed (I would have liked to have seen much more on battling the social anxiety component of this phobia, but I suppose you can always supplement with a book specifically about social phobia), and the author’s overconfidence in the methods and emphasis on “cure.” I get the sense that you could never say ‘this program didn’t cure me’ without hearing in response that it was because you didn’t fully understand some part of it or didn’t work hard enough or didn’t do one of the exercises enough times. I guess that’s something that applies to most self-help books though. It’s not an attitude that appeals to me, but maybe other people feel differently and think the author lacks credibility if they don’t have that die-hard belief that their methods (and only their methods) will always work in the end (and if not, the fault lies with you). I am not cured. Again, I am not convinced this phobia can be fully cured. On the other hand, I certainly haven’t put the effort into this program that the author recommends (which includes at least 6-8 weeks of continuing to follow the program once you have finished the book, and then starting all over if you still aren’t cured), so the author could still say I haven’t done enough, and there is no way for me to prove it will never cure me, just as there’s no way for him to prove it will. But I’m going to stop being hung up on that word “cure” now, and putting that aside, the book contains a lot of incredibly helpful information. It’s certainly the best emetophobia-related book out there (we don’t have many options at this point in time, but still), and overall I would say it’s worth reading and having in your possession as a reference. It has made me think a lot (most of those thoughts have been documented here) and given me ideas on what more I can do to make my life better. I’m sure I will keep going back to it, re-working exercises, trying to internalize the more rational thought processes I know I should have. Practice always helps. And revisiting always helps, because even if you have heard about or read the same ideas a hundred times (such as how important it is to counter negative thoughts with positive ones), there is something about encountering those ideas again that is inspiring and motivating. That reminds you, ‘oh yeah, I haven’t been using affirmations and I really wanted to try that’ or ‘I know working through an exposure hierarchy would help me so much; I should start again and not give up on it this time.’ It’s easy to lose sight of all the many options you have for improving or changing things when you’re busy living your day to day life and reacting to the world based on your current instincts or coping mechanisms.

[shmemetophobia]

improvement

The trip to Virginia was a complete success! I seriously can’t believe how well I handled it, especially with all the phobia “triggers” it included:

Flying, which leads to worries about motion sickness (something I never have a problem with, but I always worry I will), other people getting motion sickness, and catching some illness from someone on the plane.

Socializing frequently with people who may or may not be sick. I was only hanging out with my family, and they don’t know and/or understand and/or care about my phobia (we don’t really talk about anything emotional, so I am unsure who knows/understands what). So I could not rely on them to look out for me by warning me that they were sick or had been sick recently. It seemed like one of them might have a cold, so that was a little stressful, but nothing came of it. For all I know, it was allergies.

Spending a lot of time in a hospital. I was mainly there to visit a relative who has cancer, so I was in the hospital with them for a few hours each day. I knew I couldn’t catch the diseases of the people around me, but I still felt “contaminated” by germs. Even hugging my sick relative felt unsafe, but I did it anyway. My parents tried to harass me into eating in the hospital cafeteria, but that was something I could not bring myself to do.

Hanging out with my very young nephews, a one year old and a four year old. This probably stressed me out even more than the hospital. They were all over me, and the one year old even put his hand right on my lips as soon as I walked in the door. Plus they unpredictably cough on you, and every time they eat, I can’t stop thinking about how they don’t know the limits of what they can consume without being ill. On the other hand, they are so adorable and sweet, and I really had a great time with them. I hadn’t met the one year old yet, and I hadn’t seen the four year old since he was a baby, so he didn’t remember me and was excited to “meet” me and show me all his books.

Spending long stretches of time away from my wife and my “safe space” (usually home, but in this case the hotel room). I would leave in the mornings and hang out with my family most of the day, not getting back to the hotel until the evening. I don’t spend that much time out in public by myself anymore (since I started working from home). Usually when I’m out somewhere for a whole day, my wife is with me.

Eating while on vacation. This didn’t go quite as well as it did in New York City, because I avoided eating while around my family. But during the times it was just me and my wife, I was completely fine and able to eat normally. We bought a few safe snacks from a grocery store to keep in the hotel room just in case, but we didn’t even eat most of them. We mostly went out, and I got to have all the delicious food I have missed from my hometown that I hadn’t had in SIX YEARS, because when we went down there in 2011 I could barely eat anything.

I didn’t have any panic attacks or intense episodes of feeling “sick”. No feeling dizzy or crappy because I couldn’t eat. No having to cancel plans because of that. No inability to sleep. And not that much holding back from what I wanted/needed to do. I’m so glad that I went and was able to offer some support to my sick relative and the rest of my family.

Compare this to the way the trip went in 2011 (see post here), and I’m amazed at how much has changed in four years. And I wasn’t even aware of it! It’s so weird to have actual strong evidence that all the work I’ve put into getting better has actually gotten me somewhere. I have often felt like I’m not doing enough, but it has helped so much anyway. I think it helped just to make the commitment to learn to think a different way, because now, even when I lapse into old negative thought patterns, there is that sense that I am doing something wrong which leads to the motivation to get back on track.

It also helps that I take better care of myself physically now, specifically when it comes to eating habits. Trying to eat healthier, plus forcing myself as much as possible to eat regularly, on a normal schedule, has cut down on instances of feeling “sick” so much, and that of course means I don’t get anxious as frequently. Seriously. My stomach used to hurt all the time from going long periods of time without eating, and I just kept telling myself it was better and it was safer not to eat, that not eating had to lead to less stomach pain, or would ensure I was safe from getting sick even if I felt stomach pain. The reality is that it made me feel terrible, and then I wondered why I felt terrible all the time and experienced near constant anxiety because of it.

So I’m super pleased. If I can take trips without having some kind of meltdown, even when they are stressful or short or last-minute trips, that would be such an incredible improvement to my life. I want to be able to travel. My dream of eventually getting to Europe is seeming much more within my reach.

[shmemetophobia]

more traveling

The trip for work got pushed back again. Now they are saying maybe it will be a few weeks from now. It’s been at least a year since they first brought it up. The other day I was trying to say that this trip would be hanging over me the rest of my life, but I accidentally said “lives” instead. And you know, I think that’s more accurate. I’ll be reincarnated, some confused little kid thinking “I don’t even have a job! Why do I have to go on a business trip?” But now another situation has come up where one of my family members is in very poor health, so I am having to go down to Virginia anyway, this weekend, to see them. I mean, I don’t have to in this case. It’s my choice. But it still doesn’t really feel like it is, because even though I want to see them, I don’t want to make this trip and am dreading it so much. I want to stay home and have things be normal. I just have to keep reminding myself it’s important and I can’t be selfish all the time. Plus there is another bright side to this. The trip is going to follow the exact route I’ll have to take when I go on the work trip (if that one ever actually happens), and since this one is a short trip over a weekend my wife can go with me. So it’ll be like a practice run, which I think will be really helpful. All signs pointing to this being the right thing to do. And yet it still feels like a horrible decision made by someone who isn’t me, and I want to crawl into a cave where no one will ever expect or need me to do anything ever again. As usually happens, my brain has already started assaulting me with extra irrational thoughts. “Your hands will only really be clean if you wash them in THIS sink. The other one’s no good.” “If you wear mismatching clothes to bed, you’ll get sick.” Things that make no sense, just little things that I guess make me feel like I am in control. Or could be in control, I should say, because I’m doing my best to ignore these thoughts. But it’s strange how they suddenly appear and feel absolutely true even though I can see how insane they are. I’m hoping I’ll feel better once we leave and I have to start going through the motions of getting through this. The anticipation is always the worst part. I’m so used to my safe routine and it feels surreal to even imagine doing something else. But in reality, it probably won’t be that strange. I mean, the NYC trip went so much better than I thought it would. Maybe this will be totally fine. Sometimes I think I am stuck in this mentality of thinking my anxiety is still as bad as it was a few years ago. That’s obviously not true. I think back to things I said or wrote during that time period and can barely remember what it was like to feel that way. I guess that’s part of the worry - that things got so terrible so fast, and it was so unexpected, and I am still not even sure why it happened. Part of me wonders if something will set it off again, as unlikely as that seems. At least this trip will give me plenty more opportunities to try out the CYEAT book’s special technique for fighting negative thoughts.

[shmemetophobia]

CYEAT: Chapter 12

Throughout this book, the author keeps dropping hints of a special technique he developed that you’re going to learn later to help reduce anxiety and change your negative thoughts. Well, in this chapter, that special technique is finally revealed, and I’m not all that surprised it was a bit of a let-down. It’s not even that it’s not a good technique. It is just very similar to the anxiety-reducing advice you would get anywhere else, kind of a melding together of a few different common techniques (noticing and countering negative thoughts, positive visualization, self-esteem building). The technique, I’m sure, could be helpful. It’s the trademarking and the weirdly intense hype that lead me into the mindset of ‘that’s it?’ Before finally telling you the technique, the author builds it up for several pages. I honestly feel like I am watching an infomercial at times. This will make your life substantially easier! Quick and simple! Anyone can learn it! You don’t need to believe it, just do it! Stop living a life that isn’t really the life you want! This may seem like other techniques you have used, but it is actually very unique! It is a pretty short chapter, especially if you disregard the lengthy sales pitch. The exercise at the end is to keep a log of every time you can use this technique to combat an anxious or negative thought over the next week. If I’m wrong about the amazingness of this technique and it works much better in practice than it sounds, I’ll report back here. One part of the technique is focused on detailed visualization of a positive outcome, and that is something I’ve been thinking about a lot lately. Because I am great at envisioning everything that could go wrong, but I don’t put nearly enough effort into imagining something could go well. Or even adequately. And it has usually been the case that things don’t go quite as badly as I thought they would.