Need Help Mental Health Monkeys

This past year I’ve struggled with some anxiety, which did a number on my mental and physical health. The past couple of months it had significantly improved and I started my PE internship. 
 

However, for reasons not related to my internship it has rebounded and been taking a huge toll on my work/personal life. The biggest issue is usually I’ll wake up with anxiety attacks in the night which will wipe out anywhere from 1-3 hours of sleep. On top of 60-70 hour work weeks(I get it it could be worse sue me) it’s so hard to stay awake and function as a normal human being.

I still have 5 weeks left in my internship but after last night really don’t know how I can keep it up but really want that return offer/don’t want to put myself into a position where my employers wouldn’t want to rehire me because of this impacting work. It’s a great firm and I love my team but I just can’t keep this up. 
 

Any advice please?

 
Most Helpful

I’ve put a bit of thought into how to handle my own anxiety over the years. These are the best ways to improve mental health on your own:

  1. Exercise. I couldn’t tell you why precisely, but exercise does wonders for your underlying mental state neurobiologically speaking (I.e endorphins). On top of that, it can have a lot of psychological benefits - you’ll feel better about yourself / more productive, and it can be a good distraction from thinking about the things that make you anxious. If you don't have a lot of time, try to just get 15 minutes of cardio in. Even 5 minutes is better than nothing.
  2. Cognitive behavioral therapy. This is essentially the practice of looking at the thought patterns and action patterns that trigger your anxiety, and challenging them or changing them. For example, lets say you constantly have imposter syndrome at work. You can systematically challenge those thoughts. What is the evidence you are an ‘imposter’? Even if you were an ‘imposter’, do you really stand to lose as much as your anxiety implies, or are you letting your imagination run wild? CBT provides a framework for implementing this. Its simple, but effective.
  3. Meditation. Some people dismiss this right away as too spiritual / new age, but meditation is really just the practice of learning to control your attention. It gives you a means to observe your anxiety rather than getting lost in it - like having a raft on top of rough water instead of flailing about in the water itself. If you’re interested in this, I recommend a guy called Sam Harris - he gives a modern take on meditation without losing some of the deeper / more interesting things that can come out of practice.

None of these things are a magic bullet, but are rather ways to make 5-10% improvements over time. For some that can get up to 85-90%, but like everything else, mental health takes effort, and practice. Don’t set yourself up for disappointment by expecting to be able to resolve your anxiety overnight - I've done that many times and it only leads to more anxiety.  

I will add a huge caveat to all of this to say that these are good ways of dealing with mild / moderate anxiety on your own. If you’re having  panic attacks in the middle of the night, its likely best to talk to a professional. 

 

Echo on the exercise. I also have anxiety and it occasionally picks up at work. I've recently gotten back into running which has made me calmer in the office, happier overall, and sleep easier at night. Additionally, if you drink a lot of coffee, would recommend substituting a few cups for something like green tea, which is high in flavonoids, has lower caffeine content, and is anti-inflammatory. I know it may seem like coffee is the only way to get through the day but I felt a significant difference after substituting my afternoon cups for green tea. As mentioned earlier, these are small things which add up over time. 

 

Propranolol, which is a drug that doesn't mess with your brain (just blocks adrenaline receptors in your cells) has worked wonders from me. Basically takes away those jitters that come before public speaking, competing, etc. and helps sleep. You can get it form any doctor by just asking, it's not OTC but it's as safe as ibuprofen. Also not going to impair your cognitive ability, driving, etc. because it's not a CNS/brain drug--it's actually primarily prescribed as a blood pressure medication, but that juicy side effect makes it great for situational anxiety.

Remember, always be kind-hearted.
 

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