Sitting in the doctor's exam room, I stare down at my hands. My voice quavers,
"The depression is worse. I feel numb except for anxiety. Nothing brings me joy anymore....at all."
Large tears well up in the corner of my eyes. It had been 4 months since I had seen her.
"I'm pretty sure my boss is sick of me crying hysterically in her office."
My physician peers at me, her blue-green eyes filled with concern. I try to take a steadying breath so I can continue but it gets caught halfway.
"I'm self medicating....food....I've gained 30 pounds since the fall. I can't seem to run. That's what I always did to manage the stress. None of my tools are working, prayer, meditation nothing. I've been also talking to my therapist regularly since we last met. That doesn't seem to be helping."
"I'm drinking too much wine and smoking too much pot."
"Don't get me wrong, I am not being reckless...not smoking or drinking at work or driving under the influence. I just need to stop the noise. Drown it out somehow."
She regards me intently, her brow furrows. I notice the gray roots bleeding into her honey blond curls,
"So you blaze a big doobie to escape...I get it, but with the heightened anxiety, it's kind of like chasing your own tail."
"I know but I'm always on edge; haven't been sleeping well. All of my dreams are about work. I just can't escape it. I don't think I have emotionally or mentally been with my family since the end of last summer even though I'm physically with them every day. When my work phone rings when I'm at home, I literally panic. My pulse races and I just don't want to answer it, then I feel guilty because it could be someone on the other end just needing some support."
I begin picking at the nude color polish on my thumb. Chips of it fall to the floor making little rose beige half moons on the tile,
"I tried taking a vacation at Christmas but I just couldn't disconnect....kept worrying about having to go back."
"You know how it is there. It's the worst I've ever seen it. Everyone's exhausted, working short, trying to keep things going. Everyone is just done. I drive to work and look at the rock cuts on the way and think about just driving into them or sometimes in the midst of a panic attack when my chest is hurting and I can't breathe, I fantasize that I am having a heart attack....I don't want to die...I just want everything to stop for a while. I know how sick this sounds but it's the truth."
She nods her head in what I perceive to be sympathetic agreement and then looks me dead in the eye,
"Humans are not wired to stay in fight or flight mode indefinitely. You have burn out. I'm officially diagnosing you."