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Angela Grey is a writer with paranoid schizophrenia, OCD, PTSD, and social anxiety. She has created memorable moving tales about the sometimes unexpected and challenging road to first love: Secret Whispers (a story about schizophrenia), Déjà vu (a tale about a teen with bipolar disorder), and Of Laughter & Heartbreak (a piece about obsessive-compulsive disorder).

Until my next post, why not check out my YA novels about mental illness, memoir writing, novel in verse, or even my Native American mystery series on Amazon, or follow me on Bookshop, TwitterInstagramFacebookGoodreadsLinkedInBookbub , BookSprout, or AllAuthor.

Social Anxiety Disorder Evolution

social-anxiety

As with my previous post, where I elaborated on my mental health according to each decade, here, I will go over how my social anxiety disorder came to be.

It began in college when I sought my Bachelor’s degree, which included numerous presentations, speech coursework, and one Acting class. I don’t remember why I chose that elective instead of the other options. In acting, I liked the preparatory exercises each day, and the journaling to the instructor assignments, but the acting itself was a genuine hardship. King Lear and Steel Magnolias scenes were my midterm and final. Oh my god, it’s difficult to even recollect.

With King Lear, I had an angst-ridden, class-skipping cohort which left me in the lurch during on-stage practice sessions where the instructor filled in for him. However, I don’t know if that perfunctory student was worse than an acting major with a precisionist pace that led to palpable Steel Magnolia scene rehearsals. I spent moments in the restroom beforehand, popping Xanax to allow me the assertiveness to complement her rigorous retention of detail, dramatic capability, and goal.

Speech class was about as negative an experience as Acting class turned out to be. I received A’s in both, but it didn’t come without permanent damage to my psyche. During my first three minute speech on day one of that class, others comforted me out by the college commons cafe during break and telling me that “it will get better and easier,” which never happened. Apparently, I shook so much that my fellow students thought I’d faint. The spontaneous speech, and subsequent interview from my peers, found me racing home to bed to quell my nerves, almost bringing about a psychotic break, and I’m not using hyperbole. My final was a tribute to my (foster) dad that raised me, maintained the lengthy ten-minute minimum delivery, and hit all the requisite buttons. But again, not without damage to my mental health.

social anxiety disorder evolution

After those courses, I withdrew from groups, except for the Center for Spirituality and Healing classes, where I gave many performances, but only because after getting to know the other classmates did I realize they had experiences or issues in their lives that were only slightly below mine. Those classes taught me that everybody has anxiety, everybody has regrets, and that everybody has negative memories that carry within themselves.

But outside of those courses, I shielded myself from the world, choosing instead of at the front of the class, in the back, which allowed for a smooth departure. In between classes, I’d sit in the commons at Moos Tower, where I’d nurse a vanilla cooler for hours by myself in the corner. Classmates would wave, but I’d pretend I didn’t see them and instead hide my nose in a book.

Then with work, I became an independent contractor, thereby allowing others to do the hands-on tasks which demanded social interaction. Those around me learned of my behavior and assisted me in the sense that they made excuses for my absence or lack of participation even better than I could’ve come up with each time. I learned to better hide my anxiety from their input. Most of them didn’t know then or don’t even remember now the extent of my mental illness, only sufficing to describe me as quirky. Whatever the cause or reasoning, I’ve found that it isn’t for the best and need to continuously challenge my obstacles and limits.

Mental Illness Struggles by Decade

mental health

In my twenties, after getting over the years of low self-esteem in my adolescence, which came about through parenting and realizing what really matters in life, I noticed changes first in college seeking my Associate’s degree. I began thinking someone followed me throughout my days and into the night. Paranoia also set in big time. The voices and hallucinations started slowly and, at that time, were indecipherable. Did I know something was wrong? Yes. However, I knew I couldn’t remain married to an alcoholic any longer and filed for divorce while my four children were preschool age. With that came worries about custody, so I kept my illness to myself.

The thirties brought security in my relationship in the form of Robert. I knew I’d met the love of my life and didn’t want to lose him. My jealousy turned into hallucinations, which I felt a subsequent loss of control with as days progressed. This brought about disagreements and strife. Custody issues permeated my thoughts. So I kept my illness to myself. I’d returned to college for drafting, as well as the goal of a Bachelor’s degree.

During my forties, I was deep in hallucinations. Any anxiety brought about a deeper delve into madness. This also was the start of social anxiety disorder. I think that came roughly due to the fear of being found out. I started taking more online classes for the generals. I only stepped foot in a classroom if it was through the U of M’s Center for Spirituality and Healing, such as yoga, MBSR, or other overall wellness-related topics.

Alas, the start of the fifties. Am I really this old? I don’t feel it. This time is pretty much entrenched upon the adage: Life begins at the edge of one’s comfort zone. I don’t know where I heard that, but it rings true.

For this reason, I push myself to remain part of society, and not hide away in my writing cave, in hopes of attaining real enjoyment despite discomfort to achieve such new experiences. Coming to grips with my intuition, which in turn configures new perspectives, thereby helps me conquers fears. Although it’s easier said than done…

Course of Illness (Schizophrenia)

chart symptoms

My psychiatrist can’t confirm any possible course of my illness; but he does think that due to my later onset and of my being female that it will be milder. At this point on my vigorous medication regimen, I’m having essentially no positive or negative symptoms. He doesn’t think that there will be any deterioration in behavior or cognition. However, potential short-term working memory problems may arise and he also thinks that I may continue to have subtle peculiarities in my language (negative symptom).

Although, I’d have been the first to say that I never got depressed just anxious, it has been determined that I have suffered from depression and may continue to do so. My depression is an anxious case not the sad states. Fertility and fecundity are a non-issue for me as I’ve already raised my four kids. And my doctor doesn’t think that life span will be decreased but I am at risk for diabetes and high blood pressure due to the medication side effects.

As for the meds, I have to be symptom free for a year before he will cut back on any one or better yet discontinue all. He worries about the statistic of 90% recurrence within five years of stopping meds. So, that was the extent of my discussion with my doctor today.

Relapse

angiegrey

One surefire way to go into relapse is not taking medications. Why or how would that occur? Degree of insight into the illness, disorganized thinking (forgetfulness of a complex meds regimen), prescription costs, negative side effects, or stigma towards taking anti-psychotics. For the longest time I thought that I was in control of my problem and that nothing really was wrong: I wrote the symptoms off as other things (PTSD or anxiety). Then I took meds for another more acceptable problem (depression). I shouldn’t have hidden my symptoms for so long; but I was afraid.

What are other possible reasons for a possible relapse? Susceptibility to stressful interpersonal conflicts, adherence to the complex meds schedule, or discouragement are but a few. My family knows to watch for the signs of relapse: withdrawal from social situations, changes in sleep patterns or eating habits, staying focused, controlling behavior, being obsessive or compulsive, fear of common things or places, strange or risky behaviors, feeling targeted, or definitely seeing or hearing things that aren’t there.

It is difficult enough with all the possibilities of relapse; but the one we shouldn’t have to worry about is stigma. Myths and misperceptions are preventable.People with schizophrenia aren’t serial killers or don’t have split personalities. Shame, humiliation, and/or isolation need not be another things that people with schizophrenia need to cope with in addition to all the other reasons for relapse.

Psychosocial Treatment

angelagreyI’ve been receiving psychotherapy since I was twelve plus in and out of group therapy from the age of fifteen. So why is it now that I’m being prompted to add other psychosocial treatments to the mix. I know the response: to improve socialization. However, doesn’t class work count towards psychosocial therapy?

Psychosocial treatments include cognitive behavioral therapy (changing negative thought patterns), family education, occupational therapy, group and family psychotherapy, and cognitive remediation. They are thought to help lessen schizophrenia symptoms, learn new skills, help in coping with the illness, prevent relapse, and achieve a connection with others.I already learn new skills from all the classes that I take. Regarding the compensatory learning strategies, I think the classes I’m in also aid in memory, planning, organizing, and concentration.  I think this blogging helps, too. It allows me an outlet to journal experiences each day. In that way, it will aid in preventing relapse by getting feedback from my family members in order to stay focused on being mentally healthy.

Positive vs. Negative Symptoms for Me

strengthThe positive symptoms (in addition to reality) of schizophrenia are: hallucinations (see and hear things), delusions (false beliefs that defy reasoning), paranoia, disorganized thinking,and grandiosity (believing that I have supernatural powers),

And the negative symptoms (lacking from normally considered behavior) are: lack of emotion, slow speaking, poor hygiene, impaired memory, poor concentration or decision making skills, limited social functioning, lacking motivation, and inability to experience enjoyment in things I once found pleasurable.

I’ve highlighted the ones that I experienced. In addition to those, I experienced sleeplessness, OCD, depression, and high anxiety. All of my symptoms have been treatable. I do still experience hallucinations when the stresses in my life are too great. Things haven’t gotten easier for me; instead, with the aid of medication, psychotherapy and my support structure, I’ve learned what is and isn’t real. I can control my emotions but I still have trouble relating to other people because I fear that my symptoms may arise in their presence. But the key is that I am in control and feel empowered.

Contrary to myths, as a person with schizophrenia, I don’t have developmental disabilities, violent tendencies, or a split personality. Not being in contact with my birth family, I don’t if genetic susceptibility or environmental factors (nature or nurture) played a role. I was diagnosed with PTSD years back due to physical and emotional trauma as a child; but I believe those are irrelevant at this point in my life as I’ve gotten over and forgiven all responsible. I truly hope they are as happy as they can be in their own part of this world.

At this point, the medication works but isn’t without side effects. The worst of all is the tremors. However, restlessness comes in a close second. All in all, I prognosticate that I will be in full remission (symptom free), with the aid of medication, within six months time.

Suicidal Tendencies

Hi, my name is Angie Grey and I attempted suicide at the age of seventeen while I was pregnant. It was within six months after being released from the psychiatric ward. I jumped off a train bridge in Bismarck, North Dakota and was rescued by a boater in the water beneath me. I didn’t realize how lucky I was for him to be there that late at night because I didn’t know how to swim and was sure to die. For a long while, I was okay with living up until May of 2009. At that point, I had a suicide date in mind. Fortunately for me, I found Pathways Health Crisis Center in Minneapolis. At that time, my next door neighbor, Angela had committed suicide and I was in full blown delusion. For years, the dead woman living in my home urged me to take my life just as she did my neighbor. My grandiosity was that I could see through walls to the adjacent townhome. I saw my neighbor laying in her bathtub, with pill bottles and a bottle of wine in hand. All the while, the dead woman who lives inside my home was telling me that life wasn’t worth living. Most recently, during my psychotic break, the dead woman said my new neighbor is planning on taking his life too; but this time it will be with a gun and due to the constant hip pain he is experiencing. She (the dead woman) continued to tell me and show me how obvious it is that life isn’t worth living. Look at all the suffering. Thanks to my medicine, I see this isn’t real. Fortunately for me, I have a strong support network and Pathways as well. I feel bad for the others that don’t!