Wednesday, February 20, 2013

Phobias, Fear, and Control.

This is a departure from the Story series. Which I will resume sooner or later. Something else have come to mind that I want to write about.

This blog entry is super personal and contains details that I may have never told anyone before. Only my family and closest friends know about my phobia. Only two of my closest friends have any knowledge of how debilitating it was.

Have you ever heard of emetophobia - the fear of vomiting? I didn't know it was a real thing until I was a teenager, though I struggled with it for over half of my life. When I have told some people about it, they say, "Yeah, I hate throwing up too." I just drop it because I don't want to sound crazy. The phobia drove my life for years and years, affecting all aspects of it. It was much more than "hating it".

It started when I was about 10, which is typical for emetophobes. A traumatic experience causes fear and emetophobia develops as a way of coping with (and creating) anxiety for years to come. I don't know how much money my mom and I spent collectively on all the Pepto Bismal I consumed all those years. I used to take it daily. Sometimes multiple times daily. After every meal I felt nauseous. Sometimes I could control myself. Other times it blew up into a full-fledged panic attack, with my body shaking violently because of the surge of adrenaline. It always happened privately. I dragged my mom into it constantly and I will never understand her patience with me. She got frustrated, sure, and she would sometimes make it known. But she always stood by me and never abandoned me when I had those panic attacks.

Violent panic attacks like these happened on a regular basis too. Sometimes everyday, sometimes every week. I began to try to find ways to cope. I always carried around a huge purse. No one knew what I carried in it. If they were to look inside, they would think, "Oh, she's such a kid. I'm glad she's taking her time growing up." But everything inside was a coping mechanism. I had gum, mints, Silly Putty, a Cat's Cradle string, pens, nail polish, lotions, toothpaste, and others. Gum and mints gave me something to focus my attention to. A non-offensive flavor that would provide focus. Silly Putty gave me something to squeeze and to focus sensations on. I tried to ignore the sensations of nausea by filling my mind with other sensations. Feelings, tastes, smells, and mental tasks.

I hated going out to eat. I was terrified of food poisoning. The question I always asked my mom was, "Is this cooked enough? Will it make me sick if I eat it?" After I finished my meal, I immediately excused myself to the restroom to deal with a panic attack (either preventing it or letting it play out, if it was too late) and out came my bag of tricks. I was a skinny kid. I was so afraid that people would assume I was bulimic the way I disappeared after every meal.

It affected everyday life. If you google phobias, almost any phobia in fact, you will find a pseudo-religiosity to it. People form rituals to cope. They fear that breaking rituals will cause their phobia to occur. I'm not sure if I had any like that, per se. But I remember it interfering in ways that go beyond fear and edge into control. Occasionally throughout the day I remember thinking, "If I don't _________, I'm going to get sick". They weren't rituals. There was no regularity to what this phrase was applied to. But things that had nothing to do with being sick were associated with that fear. I felt that I had to do things in a certain amount of time or a certain way or I was doomed.

I remember grotesque would-you-rather scenarios would pop into my mind. Would you rather get sick or (insert something clearly worse here)? I wouldn't know how to answer these in my mind. I refused to answer. I knew what was rational, but if I admitted it, I was doomed to get sick. I remember thinking, "I need to pray for peace and for calm to deal with these panic attacks." But I was afraid to pray. If I prayed, Satan might afflict me with sickness. If I didn't for fear of Satan, God might punish me with it. I couldn't win. It interfered with my faith, giving my false perceptions of God and an overwhelming fear of figurative darkness. In fact, I and other emetophobes, couldn't even say (or type) the word "vomit" or any common euphemisms. It was like Voldemort. You say it, you summon it. The more you think about it, the sicker you feel. It was like Vomiting was a god and you didn't want to anger it.

Strange thing about emetophobia... If you Google it, you will find that research shows that people with emetophobia vomit far less often than most people. I found the average for non-emetophobes to be about 2 times a year. For emetophobes it varies, but I believe the average was around once every 12 years. What's ironic about the phobia is that we have fear because we believe we can prevent it. And guess what? We pretty much can. People used to ask why I would waste time being afraid about something I can't control. Well, I can control it. And if you ask most emetophobes, they would much rather be emetophobic and deal with this crippling fear that interferes with daily life than to not have it and throw up. That's just true.

On another note, something I always used to find really strange about myself is that I couldn't burp. I burped maybe twice a year and before it happened, I thought I was going to be sick. I haven't known anyone else in person who can't burp. I taught others how to make themselves burp, but I couldn't do it. When I googled "inability to burp", I found others who couldn't, and even more strangely... I found a solid connection to emetophobia. Burping and vomiting both involve the same flap of skin over the esophagus or throat or something. Anyway, as it turns out, people who can't burp experience more nausea on a regular basis than the typical population. This is because all of the gas gets trapped inside and has a longer route to be released, which means you are carrying it in you. Eating more food would aggravate it and make it more uncomfortable and nauseating.

People who are emetophobic control this unknowingly. In fact, after years, they may not know how to relinquish that control. I tried to burp for years and it wasn't able to happen.

I remember starting public high school after being homeschooled. I wasn't afraid of the people. At all. I was terrified of feeling nauseous or having a panic attack or actually being sick at school. Over the years, the daily fear started to go away. It become a bi-weekly or monthly occurrence. I had panic attacks very infrequently. By this point, I knew it was mostly in my head. I still felt nauseous and awful, but I knew I wouldn't be sick, which made it easier to deal with. Only two of my close friends from high school knew about my phobia. Both of them found out by accident. One when I freaked out on her in the middle of a panic attack.

It wasn't until college when I began to feel the fear being erased rather than simply being diminished. Part of it was having multiple times of feeling so sick that I wanted to throw up (something I had never experienced before nor imagined was possible). But the biggest event that happened took place at a University Ministries leadership retreat. I opened up to one of my close friends about my phobia, my regular stomach issues (only loosely related to the phobia), and even my inability to burp.

What happened still doesn't make sense to me. Then again, none of this is "rational". She talked to me about God's love driving out fear. Yeah, I'd known that verse since I was a kid. I'd never thought about it in terms of my phobia though. She talked to me about how easy it is to believe God loves us, so far as we can comprehend it. She talked about how we need to truly trust God's love as incomprehensible. Greater than what we comprehend. Not just know it, but accept it. How much freedom there is in that. We talked in general terms about fear. Of my friends, she's the only one who knew about how my phobia occasionally turned into a battle between God and Satan in my mind. As ridiculous and untrue as I see that being now, it speaks to how much of my faith was influenced by fear.

I tried to control my fear. I could keep myself from throwing up, so I had control. Yet, my phobia controlled me. I didn't know whether I was serving God in my fear or whether I was serving my own phobia. I don't think it's my "fault" that I developed the phobia. I don't think God was angry with me or was thinking, "Why doesn't she just trust me?" It was its own thing that in a way became its own little religion or the lens through which I saw my own God. And man, I saw Him wrongly through that fear.

My friend prayed for me, for my stomach, for my fear, and for my inability to burp (which I had to fight to keep from laughing out loud at). By this point, my phobia was already nearly gone, but its effects on my faith and perception of God still had a residual presence. She prayed that I would truly believe and accept God's love being larger than I could imagine it. That I wouldn't accept only as much as I could imagine, but that I would accept more. I don't really know what happened. But that night I burped. I got excited, then figured "Well, this is probably one of my twice a year burps." Then it happened again the next day. A few times.

I know this is weird. But I can burp now. And it makes a difference in my day to day life. My phobia has slowly dissipated over the years and it hasn't effected my day-to-day life in years. I might even say I don't have that phobia anymore. But being freed to burp has been *huge*. This is one of those stories I don't tell people either. Some don't believe in healing. Some think it's offensive to think of God healing this when he doesn't heal other things. I don't know if God divinely stepped in to heal me in this or not. At the very least, I believe that my trust in Him opened up something in me. Was it physical? Mental? Spiritual? Yeah, something like that.

The whole story of my phobia and my getting over it is so interesting to me. I still don't know when I began to get over my fear. High school was probably the start. It wasn't until my second year of college that I truly began to feel real freedom. It wasn't until that last year that I experienced that healing, if you want to call it that. This whole experience shows me how the physical, mental and spiritual aspects of a person are really closely related. And how closely fear and control are related. There's a whole lot more to examine there. May blog about that another time in more general terms (separate from this story).

I still occasionally have times where I have to fight off what I know could become a panic attack. I still don't swallow pills. I still chew my food way too long and eat too slowly. I still know and occasionally use coping tactics if I think I'm descending to a fear-driven place in my mind. But I know what it is happening. I know what is true. Some of these things may be permanent - like eating slowly. But the fear doesn't have to be. In fact, it is not.
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Thanks for indulging this blog that is so focused on me. It is a place of vulnerability that I have not shared with people pretty much ever. Again, close friends, roommates who had to know, and my poor wonderful family who stood with me in it (especially my mom - shout out to her, any response but hers I am certain would have made the phobia worse). Here it is, public. Maybe someone with emetophobia will stumble upon it and be encouraged that there is hope. Many people with emetophobia never know life without that crippling fear. And many people have it even worse than I did. I hope they too may find freedom.

Monday, February 4, 2013

Story 4: A Tale of Two Addicts

It was the best of times, it was the worst of times... Yeah, wrong story. I wonder how much that phrase applies to the story I am about to share though.

A couple notes before I dive in. I am a little wary about sharing this story. I mentioned in my last blog that I have learned a lot from eavesdropping. This story is entirely composed of things I heard while eavesdropping during a long public transit commute. The moral grounds for navigation in this story is a little less clear. I don't know the names of the people, which may protect their identities, but may serve as proof that I have no right to share the story either.

The conversation happened in a public place, and it wasn't a hush-hush conversation. I feel that this story is valuable to share because this is a world most of us have no access to. I don't know if this constitutes me being given access or me taking it. I hope that the way I tell this story does not diminish the character of the two people in this story. If it does, I have failed just what I set out to do. With anything else, you can have access to this world or you can deny it. It takes a certain disposition, an openness, to enter. If you continue to read, please keep that in mind and reserve judgement.

Also, I will be analyzing bits posing responsive questions to the story afterwards.
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Like two of my previous stories, I was on my way home from classes at my college. I had an hour commute on one bus. The 82. It usually took exactly 56 minutes, sometimes 57, unless there was a major setback. I knew this bus, I knew the route, and I even recognized some commuters who traveled with me (probably unknowingly) on a regular basis.

On one particular day, a girl on the bus who appeared to be just a little older than me sat down a few rows up. She looked to me like a girl in a punk-rock music video with her short, spiky platinum-blonde hair. Her clothing was fashionable and fit the persona she also wore.

A few stops later, a man that was probably in his mid-40s stepped onto the bus. He had tan skin with deep wrinkles in his worn face and he wore non-descript clothes. As he made his way up the main aisle he said "hi" to someone he knew. I was always fascinated when people just randomly ran into people they knew in such a big city. I knew of a few regular commuters and he wasn't one of them. But he knew people. I wondered how. My mind was blown when I saw his reaction upon spotting the blonde as he continued making his way up the center aisle.

His face lit up and once he was standing beside her, he reached forward to ruffle her hair. He sat down and began talking to her. "Ok," I think. "Things just got more interesting and bizarre." I listened to their conversation as best as I could, but I couldn't understand them. I was used to hearing multiple languages spoken in a single day at this point, but their conversation sounded different. Familiar, yet inaccessible. After trying to identify the language, I realized they were speaking English. They spoke faster than I had ever heard English spoken. I'm talking, they put the Gilmore Girls to shame. On top of that, the older man seemed to have speech difficulties. Not an impediment, perse, and certainly not a stutter, but his words never seemed fully formed.

I adapted to what I was hearing and finally made out some of what they were saying. From their conversation, I gathered that they were comfortable acquaintances. They shared details that true friends would have known about each other already, and details that no stranger would tell another stranger.

They were talking about their heroine addictions.

She told him that people always asked her, "Why don't you just stop?" She said, "I tell them to take a hit and see why they can't stop." She said that once you've found something you want to do more than anything else, it's sadistic not to do it. But with drugs, it's sadistic to keep doing it too.

Her addiction began in high school. She said she shot up so much that she started locating veins in her hands and feet because the other veins had become too difficult to locate. She talked about how good the highs felt and the man agreed with her. She told him about one of her friends who took an exceedingly large hit and the man just said, "He didn't want to get high. He just wanted to die. There's a difference. I just do it to get high. I just wanna get a good buzz." She agreed, conceding that sometimes she "overdoes it". He admitted the same.

Easily and matter-of-factly she said, "You know, my friend died last week."

He asked who it was, how, etc. She said, "You don't know her." Through more conversation, he determined that he did know the woman who died. Well, not the woman. But he knew the woman's husband. She went on to explain that she died from a blood infection. He asked her how she got it and what it was. She explained once. He asked again. She answered. Three times this repeated. She asked, "Are you high right now?" He didn't reply. She told him again that it was a bad needle that poisoned her blood. He asked who could get this blood infection. She said that anyone who happened upon a bad needle could.

"Why haven't I gotten it?" He asked.
"Why haven't I?" She echoed.

He reminded her that he'd been using for much longer than she had, implying that it was more shocking that he was still alive.

She nodded and continued. "My mom's a nurse. She keeps telling me to be careful so I don't get it."

Just that abruptly she had to leave. She frantically told him to pull the string to alert the bus that it needed to stop. As she scrambled to leave, she told him that she would probably see him in a few days, and she exited the bus.
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I don't know who this story is about, really. I also don't know who this story isn't about.

Is it about the man who, without an addiction would have been middle-aged, but who was far outliving the life expectancy for someone with his addiction?
Is it about the young woman who, in her young 20s, was a veteran heroine user?
Or perhaps her mother who, as a nurse, knew the risks and inevitable effects of heroine but could only plead with her daughter to "be careful" because she was otherwise unable to help her? 
Was it about the gravity of addiction and the rift between the life addicts want and the life they can't have?
Was it about the woman who died from a bad needle? Or perhaps the husband she left behind?
Or was it about the semblance of community that addicts naturally form?


Wasn't it about all of those things? I guess the story is about addiction. It's easy to disassociate from statistics and to be weirdly fascinated by those health class images of "before and after" addiction, all while removing humanity from the topic. But here was a girl, not much older than me. And here was a man. They themselves did a fair share of associating with and disassociating from their own stories. But their humanity and their struggle through their stories could not be denied.


"When you can stop, you don't want to. When you want to stop, you can't." -- Candy (2006)