"Except you're making that face you make when someone breaks one of your ribs."
"And you know what that looks like, alright. Is there something wrong with us?"
"Yes."
"I thought so."
I snorted in amusement as I pulled into a spot, then turned off iPod, radio converter, and car. Grab bag, get out, lock up, keys in pockets, check for phone, wallet, keys (again), iPod, go. The building was an unassuming square brick of office space, except the people coming out usually wouldn't meet each other's eyes. Cute. First left, fourth right, two doors down, and a fire engine careened towards me, sirens blazing. I hopped over it, winked at an ambitious four year old and his apologetic mom, and sauntered in.
"Hi Laura!" The receptionist waved at me, absentmindedly. "Take a seat, I'll tell him you're here."
"Sounds good." I plunked down and leafed through magazines, listening to a pair of kindergarteners argue about how exactly the block-fort had gotten blown up. My shrink shared office space with some kid/family behavioral therapists, meaning the waiting room always had something in one state of explosion or another.
My shrink - or as he referred to himself, "that crazy bastard," - popped out of the hallway and disappeared into a small room behind the desk. I stretched my legs, gathered my thoughts, and met him as he reemerged, taking a piece of paper from his hand. We walked down the hall in sync. He peeled off to get some coffee and I plunked down on the couch in the end office, reading.
This was a 50 min individual therapy appointment with Laura to address anxiety. She appeared pleasant but anxious, and did not report any feelings of suicidality... She has done a good job of identifying automatic thoughts, distortions, and rational responses... We also identified some core beliefs that seem to be operating underneath her distress-request for positive regard - possibly admiration from the people in her life.
Assessment: panic disorder with agoraphobia, generalized anxiety disorter, likely histrionic personality traits.
(While writing this, I had to look up what histrionic means. I burst out laughing.)
"Didja take a look at that?" He settled into the chair next to me, cradling a cup of coffee in slightly gnarled hands. "Our delusions from last week match up?"
"Hyup." They had this week, although there was a point of contention in the beginning when he had described me as a dark blonde.
"Good. Now howya doin'?"
"Tired." As if to illustrate my point, I slouched back in the soft leather and yawned. "I haven't been hanging out with anybody. I just go to work, come home, eat, shower, sleep. Rinse and repeat."
"Is that bad?"
"I feel like I should-"
He shook his head, cutting me off. "Feelings are emotions. One word - happy, sad, angry, anxious. More that one, it's a belief."
I glared under half-lidded eyes. "I believe that I should... could-" should was a swear word in his office "-could be getting together with more of my friends... aww, fuck."
He never called me out for the real swear words. "Good. So you feel..."
"Anxious, because I believe that if I don't see my friends more, they will all get mad at me and stop loving me and I'll be all alone for ever and ever. I feel like - fuck, I believe - I'm not worthy of love because I can't do everything and always let somebody down sometime so I must be a horrible person, and why would anybody love me?"
"And?"
I hate this man. "There are several cognitive distortions in there. Fallacy of control - I believe I have power over how others feel, when really it's their interpretations of my actions that control their emotions, and such things are outside of my control. Implied shoulds - I should be better than I am, I should spend lots of time with all my friends, I should be able to do everything. Mind reading - I'm deciding what others will think of me, ie be mad at me, when in actuality I have no clue."
"So?"
"So there is no evidence to back up these delusions except for more delusions. My friends have been super cool about me bailing a lot or being scarce. They love me for who I am, not who I'm trying to be, and failure to reach my own ridiculously high expectations for myself will lead to improved mental health instead of the end of the world."
He sat back with a smile, and raised his coffee cup in salute. I glared back. Never trust a man with a ponytail.
I tugged a lock of my own hair in frustration. "Now I only have to do that ten thousand more times before it finally sticks."
Then we got to work.
After an hour, I waved good-bye to the receptionist, trudged out to my car, and sat in the sun-warmed interior for a minute or five. Then I turned the key, plugged the converter-tape into the stereo, and hit play.
"And now, Decoder Ring Theatre presents the continuing adventures of Canada's greatest superhero, that scourge of the Underworld, hunter of those who prey upon the innocent, that marvelous masked mystery man known only as... THE RED PANDA."