I'm not sure what the right forum to post this in is so I'll just post it here for now. Please move it if it needs to be.
I'll start by just basically giving a description of my history and what I've gone through in the last 6 months. I also want to preface this by saying that, before these last 6 months, I have never had any issues with anxiety, panic attacks, or OCD whatsoever; I mean NONE. Also, this whole situation is very complicated so I'll try to explain to the best of my ability.
Around september of last year I had to go to the ER due to a heart arrhythmia (atrial fibrillation). They put me to sleep and shocked my heart back into sinus rhythm. About 2 miles down the road after I left, however, I was checking my pulse and found that my heart had fallen right back into the arrhythmia. After going back to the ER and talking to a cardiologist for a while, I was basically told that the condition was not harmful at all and the best thing to do would just be to take aspirin once a day as a mild blood thinner, to avoid clotting during the arrhythmia.
I have been hospitalized many times due to lung problems, but they didn't really bother or scare me at all. This incident with my heart however sort of freaked me out and caused a significant change in my behavior, which would later completely spiral out of control and lead me to where I am now. Even though I knew that the condition with my heart was not dangerous to me, I found myself checking my pulse many times throughout the day, because I thought I was feeling it skipping beats or something.
This is where everything began. I was checking my pulse more and more, and putting so much focus onto my body and what it was doing, that I put myself in a sort of constant state of anxiety. I would worry about my heart, which would make it worse, which would make me more anxious, and so goes the endless feedback loop. I would literally spend hours just sitting in my room and checking my pulse. This started a depressive state for me, and it would also isolate me from people. I was at a music festival in seattle and had a full blown panic attack from one hit of a joint because I just kept worrying about my heart endlessly.
The next thing that started happening for me were muscle spasms. Not severe or anything, just a twitch once in a while. I'm pretty certain that, and my doctor agrees with me on this, they were just a result of the anxiety that I had created. Anyway, I now had another thing to focus on and obsess about, which was my muscles. I started feeling like my body could never relax and that my muscles were really tense, and of course just by obsessing about this it became a reality, and my muscles WOULD tense up and spasm more. The power of the mind is incredible.
So basically the state I was in now was, I would wake up every single morning, be thinking about whatever I was dreaming about, and then my mind would default to the SAME EXACT place, which was thinking about my body and obsessing over whether or not my heart was steady and whether or not my body was relaxed. Regardless if I actually felt anything or not, I would obsess about it until it became a reality, I would obsess over it until my body became very very tense, and then of course I could not relax all day. I became extremely depressed from all of this because I was pretty much thinking about this 90% of the time, and my mind could not go anywhere else, and even if it DID go anywhere else it would almost immediately return because I would be *expecting* myself to obsess. I decided to follow my mothers advice and see a psychologist.
At first the psychologist was not that helpful but after a few weeks of working with him he helped me to realize one EXTREMELY important piece of knowledge, which was that I could still make the same decisions and do everything I wanted to regardless of how I was actually feeling. This was a revolutionary step for me, because for about 3 solid months at this point I was pretty much avoiding all social gatherings, and the only reason why was because while I was experiencing these symptoms of tension, I felt like they prohibited me from doing anything. There was no real rational reason for this (although none of this is rational), I just felt like while I was obsessing and feeling terrible that the only thing i COULD do was to continue to obsess and feel terrible, and so I never did anything, I would just sit in my room or something. So my psychologist helped me understand that I could still do things, and this caused me to basically revolt against how I was feeling, and force myself to do things. I began exercising a ton, hanging out with people more, writing music again, in fact I wrote an entire album.
I wasn't feeling any better though. I was able to do everything I wanted, but I was still very depressed and still in the same state of anxiety where I was obsessing about how my body felt all day. I noticed something, however, which makes absoultely no sense but remained true and is a key element I think to understanding whats going on. I was no longer worrying or obsessing about my heart. In fact, I wasn't thinking about it at all. I was no longer checking my pulse, ever. All I was doing was obsessing over the muscle tension I felt. Instead of checking my pulse, I found that I was constantly glancing at my hands to see if they were shaking. This was very odd, I thought, because this all started over worrying about my heart and focusing on that, and now it had morphed into this completely different thing; it was still the same mental process though. It's as if after so much obsessing over my heart I had triggered some sort of switch in my brain that would always try to find something wrong with my body to obsess about.
After lots of pushing from my mom and my psychologist, i decided to try an SSRI for the anxiety. This was a very hard decision for me because I very firmly do not want to be on a daily antidepressant, ever. It feels wrong, and fake, and just horrible. Anyway, I wanted to see if it would make the tension in my body go away; the only way I was able to relax was to take xanax, and that sucked because it just made me want to sleep. So I agreed to try it, and I went on lexapro, and continued to take it for 2 months. Honestly, there is not much to say about it, because not a lot changed while I was on it. The tension did not go away. The biggest thing that changed was that I wouldn't get as frustrated by my obsession, it calmed me down a little bit and I never got angry as I would sometimes. But it didn't change the fact that I was always thinking about this, and it didn't change the fact that I felt tense all the time.
I decided to stop seeing the psychologist because I told him he really helped me to understand that the way I'm feeling shouldn't need to affect the decisions I make in life (and he did, this was huge for me). I also decided to stop taking the medication because I didn't want my emotions to be altered in any way, I really just hated that. So I slowly tapered off the medication as the school term was ending and spring break was coming up. Then I got an e-mail a few days before spring break saying I was admitted to the student program at a conference in san fransisco, one that I had REALLY wanted to go to. I was still generally feeling like $#%^ and being anxious all the time so naturally I didn't feel like going at all, but I told myself that this was something very important to me and that I should just do it.
So I got on a train to san fransisco, really nervous that I was going to have some sort of breakdown and pass out while I was at the conference, due to some sort of overwhelming anxiety. Of course, this never happened, because it is completely irrational. The first few days of spring break at the conference I was feeling pretty much the same, but I was making myself do it and it wasn't that bad. Then something happened, I don't know how, but it just did. For the first time in about 5 months, I actually forgot. I forgot about what I think about every day. I forgot to worry and obsess and be miserable. What I mean is that it left my head entirely. And the feelings started to go away. I felt better. I believe what happened is that I got my mind to focus on other things enough that I fell out of my obsessive habits. I don't know how this happened but it just did.
I came back to oregon after the conference in a good mood, and the first few days back here were great. I went to parties and enjoyed myself. Then exactly what I was afraid of happened: everything started to come back. The reason for this, I believe, is that I still associate many things with my past feelings of anxiety. Being back in my room, sitting here at work, I worried that the horrible feelings and obsessions would come back, so of course they did.
So here's where I am now. I am no longer depressed, which is a pretty big change from where I was a few months ago, and I believe thats mostly because I feel like I can do things now-- I'm doing well in school, I'm making more friends again, etc. However, I'm falling into the same old patterns of obsession again. The best way I can describe it is a mental trap. Once I start thinking and obsessing about something in my body (lately, I have been obsessing about a weight on my chest that makes it feel harder to breathe, again I believe this to be entirely created by myself yet I experience it as completely real), I continue to obsess about it for long periods of time. It really sucks because it feels like I have to constantly work against this thing, constantly fight it, which is exhausting and frustrating. Even if I'm feeling ok, something will remind me of how I used to feel, and I fall right back into it. I'm obsessing all the time again.
Part of what makes it so hard to break out of this is that I only have negative memories recently of feeling like this. I know that I have one very positive memory of spring break when I began to feel better, but it doesn't seem to matter because it is overshadowed by thousands of terrible memories. My mom's theory of why I got better is that even though I stopped the medication, by the time spring break came it was when the medication was finally starting to work on me. I don't agree because the withdrawl from the medication is supposed to come on pretty quickly, and also I truly believe the reason I felt better was because I forgot about this altogether and got my mind to shift focus elsewhere.
I appreciate those who took the time to read all of this. I'm sure I didn't cover anything but I basically just tried to sum everything up as best as I could. Anybody who has advice for me, similar experiences, or even comments, I encourage you to share them. I am lost.