I Thought I Was Doing Better

(Title image: Photo by Merch HÜSEY on Unsplash)

Last week, I met with a friend that I don’t see often. We were talking about what was going on in our lives and he related how he loved where he lived right now, and put a positive spin on everything in his life, even when talking about negative happenings.

He sounded sunny and was handling the tough stuff that came his way.

But then it was my turn to tell him about what I’d been up to. I started describing what I’d been dealing with: my father’s decline and death last year, worries about my mother’s well-being, concerns about the increasing cost-of-living…

My friend smiled at me. The last time he had talked to me, he said, I was stressed about something else. In fact, every time he calls me, there’s some new thing that I’m stressed about.

And of course he’s right. As much as I’ve improved in handling anxiety using all the tools I’ve developed to calm myself down—and, yes, I’ve found success with that—the overarching feeling that I have is that I’m playing whack-a-mole with my worries.

It’s as if I’m trying to regain my footing, but something new comes up and knocks me off balance again.

I admit it. I’m feeling worn out.
(Photo by Anca Gabriela Zosin on Unsplash)

After getting past cancer treatments like chemotherapy and radiation, you’d think that the skies would look brighter and my outlook would be more positive. And for quite some time that was completely true.

But as endocrine therapy wore on and I went through menopause, my spirit suffered. The luster of surviving cancer started wearing off. That’s embarrasing to admit, especially when I have lost friends and family to the disease and know of many others desperately fighting it.

But even being aware of that, my day-to-day seems to have become darker overall. I start the day with energy to get things done but by evening I’m exhausted and sometimes overwhelmed by what’s in front of me.

I know some of this is my own doing. In fact, one of the big, scary changes that I was faced with this year just sorted itself out. It was simpler than I expected (note my previous post). And then my son was admitted to the college he wanted to attend. All these are refreshing successes that I should have spent time basking in. But it didn’t take long for the clouds to gather again.

After hearing my friend’s assessment of me, I am trying to figure out whether what I’m going through is really getting harder? Or have I gradually been losing my ability to pull myself out of a funk? And once the uncertainties are settled, will I bounce back?

I feel disappointed in myself, which is exactly part of the problem. Lack of self-compassion simply compounds the stress. You know the carrot-and-stick analogy? Well, I’ve tossed the carrot and am just beating myself with the stick.

Back to the drawing board.

“My Eyelids Are Heavy, But My Thoughts Are Heavier” – Anxiety At Night

I have a full toolbox of techniques for handling anxiety during the day, but nighttime is a little trickier. If you’ve had the same experience, you’re not just imagining things.

A Live Science article by Louise Bond examines this issue. According to Clinical Psychologist Charissa Chamorro, PhD, at night our brains have fewer distractions, leaving us more vulnerable to worries that creep in. This makes sense as we can redirect our attention during the day to activities that are not available when we’re in bed.

Darkness can be unsettling enough, but researchers feel that the circadian rhythmn is also involved in the accentuation of nighttime fear.

And you don’t need to be suffering from horrible anxiety for this to be the case. Research (Li et al., 2015, Int J Psychophysiol) showed that even among women without anxiety, fear was enhanced at nighttime, and not simply because of darkness, suggesting the involvement of the circadian rhythm. At the same time, as diurnal beings, humans naturally evolved to have stronger fear responses at night. This is partly due to the fact that we don’t see well in the absence of light and therefore are more vulnerable to nighttime predators.

Furthermore, while there is a natural ebb and flow of cortisol throughout the circadian cycle with cortisol levels peaking in the morning and being lowest at midnight, when anxiety keeps cortisol levels high during the day, that affects nighttime hormone release and therefore your ability to rest (Hirotsu et al., 2015, Sleep Sci).

To make matters worse, once your sleep is disrupted, worrying about your inability to get a good night’s sleep can result in being unable to sleep, and a vicious cycle develops.

Establishing calming practices during the day can have a positive effect on nighttime anxiety.

You’ve probably heard the suggestions for improving sleep: turning the lights down in the evening, avoiding electronics (or using blue-light blockers), keeping your bedroom cool and dark, using a sound machine to mask noises, avoiding stressful or polarizing conversations in the evening, and the like.

To that I would add that what you do during the day itself can affect what kind of sleep you have at night. Meditation, practicing mindfulness, doing deep breathing exercises all put us into a calmer state. If you wake up in the middle of the night with a racing mind, having practiced and become adept at self-grounding techniques in daytime can help you soothe yourself at night.

While the roots of our anxiety may be complex, for those of us for whom it’s built up over time, so too will it take time to establish behaviors to help control it. Sometimes we need support of a therapist or medication, sometimes we can manage on our own, but setting aside time every day for even a short calming practice can help you improve management of anxiety no matter when it appears.

REFERENCES

Bond, Louise (2023) Can’t sleep? An expert reveals why anxiety may be worse at night. Live Science, https://www.livescience.com/anxiety-at-night

Li Y, Ma W, Kang Q, Qiao L, Tang D, Qiu J, Zhang Q, Li H (2015) Night or darkness, which intensifies the feeling of fear? Int J Psychophysiol, 97, 46-57. https://www.sciencedirect.com/science/article/abs/pii/S0167876015001713

Hirotsu, Tufik S, Anderson ML (2015) Interactions between sleep, stress, and metabolism: From physiological to pathological conditions. Sleep Sci, 8, 143-152. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4688585/pdf/main.pdf

“Fly the Friendly Skies”?

What if the skies aren’t guaranteed to be friendly?

While I’ve not been a nervous flyer in the past, I’ve haven’t flown since 2005 (!) and I’m starting to feel unsettled about our upcoming trip. It’s going to be a cross-continental red-eye during which I’ll be Tetris-ing myself into a plane seat (I’m 5’11”) and trying to sleep upright. Then there’s that plane change in the wee hours of the morning, at a time when any sane person would be fast asleep.

After writing a post on the importance of sleep, I’m going to go against my own advice and really screw up my family’s sleep cycle. So there’s that. But I’m also feeling prickly about making it through security, finding storage room in the overhead compartments, making our connection on time, picking up the rental car and remembering how to get to my parents’ home on a few hours’ sleep.

Oh yeah, and hoping that the plane doesn’t drop from the sky. That’s a biggie.

Life: enjoy the flight.

For a cancer patient, plane flight is one of those things you’re supposed to avoid. While I’m well past “patient” stage, my white blood cell count remains abnormally low, so breathing recycled air in cramped quarters is a bit of a concern. Taking Tamoxifen brings with it a risk of deep vein thrombosis, which is associated with long plane rides, and I’ve been warned about breast cancer survivors developing lymphedema due to the changes in air pressure during airflight.

Okay, okay, okay, realistically none of that will cause me problems. And all those other worries about the trip? They only matter if I’m thinking about them. When I’m not thinking about them, they don’t exist (*crossing fingers*).

Of course, the risk remains. I can sleep calmly on the flight with 99.99% confidence that we’ll get to where we need to go without mishaps, but there is that 0.01% that hangs in the back of my mind. Whether or not I give it attention depends on me. My life is not going to be any better if I’m fretting about it.

Cancer is the same way. There is no guarantee that I’ll stay cancer-free and I have to live with the possibility of recurrence for the rest of my life. That is disconcerting, particularly to a card-carrying worrier like me, but when I detach from that and simply appreciate where I am, I find that my days are a lot brighter. So for both air travel and life, the best course of action is to sit back, relax and just enjoy the flight.