In which I require psychiatric help

I am going to be continuing to work from home for the foreseeable future. New Covid cases in Indiana and in my county have skyrocketed since our school board made the decision to return to school, (scroll down and select the state) and I don’t actually expect the kids to be back for very long, but I am going to keep teaching from my house, and I’m currently working out exactly how that’s going to work with my various and sundry co-workers who are affected by this decision.

Now, this is not the reason that I’m working from home, but as this whole thing drags on it’s becoming more and more of a problem: masks give me panic attacks, and nothing I’ve been able to do has been able to fix that. Furthermore, none of the masks I’ve found have really made much of a difference, although some are better in some ways than others. Now, to be completely clear: this absolutely does not affect whether I wear a mask in public! I’m just fucking freaking out while I’m doing it. If I’m outside my house and not in the car, I’m wearing a mask, and I’ve noticed that if I’m talking to people it’s generally not bad, so it might be that an eight-hour day where I’m constantly talking to students might not be as bad as I think it is. But I had to go into my building twice today (don’t ask) and I discovered a new wrinkle to this whole thing: even the mildest physical activity makes it a lot worse. Like, say, climbing stairs to get to my classroom. Both times I went upstairs today– a single flight, mind you– I was damn near ready to claw my face off by the time I got to my classroom. I start focusing on my breathing, which leads to heavier breathing, which quickly turns into a really nasty spiral that I don’t like at all.

This is not a call for excuses to avoid wearing masks (and, for the record, my issues with them date to well before Covid-19 was an issue,) it’s a call for strategies for dealing with panic attacks. I’m already on Effexor for anxiety issues, which I continue to think is a lifesaver, but I’m not going to up my dose just because of mask issues, and I’m not convinced that would help anyway. I need, like, concrete strategies for how to trick my brain out of falling into a panic spiral every time I start thinking about my breathing. Because one way or another this is going to keep being a thing for a while, and I need a way to deal with it. Anybody have any suggestions?

2 thoughts on “In which I require psychiatric help

  1. I wonder if visualisation techniques might be helpful. Starting with a safe environment e.g. imagining walking up and down a staircase with mask on and feeling good about it. If injured athletes/pianists can keep muscles in good trim by exercising them in the brain alone, maybe this technique could be used to (re) accustom the brain to the idea that wearing a mask is OK, does not stop you breathing and is a safe, clever and worthwhile thing to do at the moment. Best of luck.

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  2. My therapist recommended grounding techniques like paying attention to sounds, tactile sensations, etc to keep yourself in the moment. Google can help you with specific ideas.

    What helps me, strangely, is counting. I count ceiling tiles, or the number of circles I can see, or things that are red. I have no idea why this helps, but it stops me from spiraling.

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