More threads by David Baxter PhD

David Baxter PhD

Late Founder
Panic on the subway
By Eric Wilinski
Sat, Mar 22 2008

This bit starts with the ER visit that came at the tail end of my first-ever panic attack, and ends with my second-ever panic attack:

The ambulance deposited me in the emergency room at Stamford Hospital, where a nurse put me in a robe and ushered me behind a curtain. A doctor put a stethoscope to my chest, an EKG tech wired me up and recorded my heart?s electrical rhythms, and I was discharged with a clean bill of health. ?There?s nothing wrong with your heart,? the doctor said.

Nothing wrong?

My parents had made the 90-minute drive to the hospital from their home on Long Island, and now they drove me back out onto the Connecticut Turnpike and to the McDonald?s parking lot where I?d left my car. There, my mother joined me in my Ford and my father continued on alone in his Cadillac. During the next 90 minutes, down through Westchester and the Bronx, over the Throgs Neck Bridge, and east to my parents? home, I must have apologized 25 times for ruining our plans for their 25th anniversary celebration. We?d had a plan, and I?d ****************ed it up. That was the way I saw it. My mother, God bless her, assured and reassured me. ?That you?re okay, that?s what?s really important.?

But I wasn?t okay. I didn?t realize it then, but today I can see, clearly, that I was in a state of shock, that I?d been through a trauma that, strange as it might seem, had had the same effect on me as if I?d been in a car wreck.

Back at home in the city, though, I carried on as though all was normal. 7:15 alarm. Shower, shave, choose a tie from the tie rack. ?Good morning? to the doorman on the way outside. Join the herd streaming downstairs to the southbound 96th Street IRT platform. Exit at 59th Street, head west to Madison. Enter the GM Building, push onto the elevator to the 50th floor. Take off suit jacket, start the computer, scan the Wall Street Journal. ?Hey, Mike, hey, Jane, good weekend??

Monday at work began uneventfully. To a degree I was just going through the motions, but it wasn?t like I hadn?t done that before at work.

Things were still okay at the end of the workday. Downstairs I made my way east on 59th Street, remembering that just a few months back it would?ve been dark and cold at 5:30, glad for the lengthening days. As I joined the stream of commuters descending from street level to the subway platform, though, my mood shifted. There were too many people, too close to me. This was odd; I?d never found crowds particularly upsetting. In fact, some of my fondest memories involved times I?d been part of the power of crowds, one tiny drop in a tidal pull of energy: in the press of concertgoers immediately in front of the stage, for instance, or with my voice joined with those of tens of thousands of others at hockey and basketball games. I looked to the exit, considering just walking home, the thought defeated by the prospect of navigating the crowd to make my escape. At that moment a push of stale, warm air pushed over the platform from the tunnel to the south, and the train barreled into the station and screeched to a halt.

?Step lively! Watch the closing doors!?

I squeezed my way to the middle of the car, and as the train pulled out of the station, I felt a tiny flutter in my chest, and was immediately swept up in a flood of disturbing thoughts. What if it happens again? What if they were wrong, and there is something wrong with my heart?

The train jostled in the darkness of the tunnel, and I reached for the strap to steady myself. I told myself it wasn?t going to happen again, that I was fine, that I was just still shaken up from my experience the day before on the Connecticut Turnpike. But then I felt a sharp pain in my chest, and no amount of logic could?ve helped me avoid the wave of fear engulfing me suddenly. My heart jackhammered. My breath heaved. My legs felt weak, like they were about to give out. I stared at the advertisement above me for what must have been 10 seconds before realizing that it was one I?d laughed at a hundred times before (?Anal warts? Try LASERS!?), but if I?d opened my mouth in that moment it would have been not to laugh but to scream. This time, I knew, it was for real; I was having a heart attack. I was about to die.

Hardly realizing what I was doing, I made my way through the crowd toward the nearest doors, ignoring the annoyed expressions on the faces of those I was pushing past. Escape: that was my imperative, the thing I wanted with an urgency I?d never felt before. There was no question of taking this subway all the way to 96th Street, my stop. We pulled into 72nd Street, and I was off that train and up on the street in a matter of seconds.

The sidewalks were crowded, but nothing like the train had been, and I felt a great sense of relief, like I?d avoided a cataclysm. Like I?d escaped death. I caught my breath, then began walking uptown. I saw my reflection in the floor-to-ceiling windows of a bank branch. I looked completely normal. It seemed strange, to look normal after what I?d just been through.
 

David Baxter PhD

Late Founder
Panic begins to take over

Panic begins to take over
By Eric Wilinski
Mon, Mar 31 2008

In the coming months, this scenario would play itself out hundreds of times. The pounding heart, the blurred vision, the lightheadedness, the sweaty palms and jelly legs and gasping for air, and always the belief ? the absolutely certainty ? that I was dying, that these were the final breaths I would ever take.

It happened in all kinds of settings, when I was alone and when I was with others, in taxicabs and elevators, restaurants and bars, shops and department stores. Every few days at first, and then almost every day ? and then, sometimes, two or three times in a single day.

Once, at work, telling my coworkers I was feeling ?a little sick,? I retired to the darkness of the office of a vacationing vice president, where I lay on the cold, hard floor behind his desk (the last thing I wanted was for anyone to see me behave so strangely) to ride out the storm.

Another time, I spent most of the 4th quarter of a Knicks game in the corridors of Madison Square Garden, among a smattering of hot dog and pennant vendors and bathroom-goers, faced with an impossible decision: return to my seat and the unbearable frenzy of the crowd, or escape the arena and take a taxi home, which would result in my friends asking me all kinds of questions I didn?t want to answer.

At first, during these attacks, I wondered whether the people around me could tell that I was in the grip of something intense and threatening. Certainly, I thought, these attacks were producing signs clear and obvious to the world at large. Was I embarrassing the people in my life, the way they might be embarrassed by a legless guy begging for change on a street corner? Was everyone just being polite, giving me space to get ahold of myself? Then I?d catch a glimpse of my reflection ? in a barroom mirror, in a department store display window ? and I?d see that, despite the storm raging inside me, for all appearances I was the same perfectly healthy- and sane-looking young man I?d been before; yes, I wore an intense, faraway expression, but otherwise there was nothing notable about the way I looked.

When I was seized by these more public paroxysms, it took every effort I could muster to hold it together. Often, I walked away from dinner and workplace conversations with only a vague recollection of what had been discussed or what my contribution had been.
I?d get an occasional respite ? a calm weekend here, a relaxed few workdays there ? which I?d take as a sign I was becoming my normal self again. But then I?d be besieged by another attack, and I?d remember how terror feels, and the cycle would begin again.

Invariably, in the wake of these attacks, I felt wiped out, utterly fatigued in mind and body. Like I?d just pulled consecutive all-nighters to finish a college paper, or completed a three-day forced march with an 80-pound pack strapped to my back. Once my body and mind calmed, all I wanted to do was find someplace comfortable where I could lay down my head and lose consciousness. The comfort of my bed had never been so precious to me, and I walked through my days feeling constantly sleep-deprived.

At the same time, paradoxically, in some ways I?d never felt more alert. Even as I fought off the urge to nap, I?d be scanning my body and my environment, on the lookout for signs of internal disequilibrium and external threats. I was wide-eyed, hypervigilant, like a hunted animal. As tired as I was, I had enough adrenaline running through my system to keep me going until I could fall into bed and crash each night. The questions would run through my head like the cars making up a mile-long freight train. How long had it been since the last one? How long would it be before the next?

Panic wasn?t my entire life, of course. I still played basketball on Tuesday nights for the team of the law firm where Hubie worked as a paralegal; I still went to Vermont with friends for ski weekends. I still managed to laugh, to flirt, to enjoy good meals and good movies. But panic had began to haunt every aspect of my life. No matter where I was or what I was doing, I sensed it there, in the corner of my consciousness, watching me, waiting to strike.
 

lallieth

Member
Wow...it's as if he was writing about my life..I certainly can relate

No matter where I was or what I was doing, I sensed it there, in the corner of my consciousness, watching me, waiting to strike.
This is the hyper vigilance and probably the hardest aspect to let go of
 
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