I thought I was done with panic attacks. It’s not that I was free of anxiety or depression, but for a long time now I’ve felt like I could handle the difficult things that came up without shattering into a million pieces or becoming paralyzed, but something changed in the past few weeks. I’m pretty sure it started when I tried a new Rheumatological medication (Methotrexate), which was meant to lessen my overall body pain and allow me to exercise more, but instead made me even more exhausted and exacerbated my pre-existing depression and anxiety.
At first, I had no idea where the extra depression was coming from: was it from thinking about adopting a new dog? From watching the news? The exhaustion of doctor visits? Discovering that weight loss medication would remain out of reach? I don’t remember now what finally made me believe that it was the Methotrexate that was sending me into the deep dark, but after weeks of worsening depression I decided to stop taking it and see if things improved, and, gradually, I started to feel better and able to think and write and plan and hope again.
When I called the Rheumatologist to tell her what was going on, she said to wait a few weeks before trying the next medication, which shouldn’t have any of those side effects, and since I wanted to believe her and finally see some improvement in the overall body pain that has seriously restricted my life, I agreed.
But since I’d been taking the Methotrexate weekly, instead of daily, the timeline for it to leave my system was very slow, and in the meantime, I had my first panic attack: a small one, at Whole Foods. I used to have food panic all the time, because of the thousands of different diets I’ve been on, and because of old conflicts around keeping kosher, but after years of working on Intuitive Eating a lot of that noise had calmed down. Except, at Whole Foods (a ridiculously high priced store that rarely has the things I need, but always has fun stuff I want), I got all mishkebobbled by the prices and the choices and I had no idea what to buy. Eventually, I chose a few small things and got out of there as quickly as possible. It was only a small echo of my old panic attacks though, and I was mostly okay.
The second panic attack, also small, also happened around food, this time at the enormous supermarket near my house. I blamed it on Passover, because there was a large section of Passover foods that made me feel like I should buy jars of borscht and boxes of cake mix and cans of chocolate chip macaroons that I would never eat. But, again, the panic passed quickly, and when the effects of the Methotrexate finally wore off I thought I was stable enough to try the second rheumatological medication.
And then the car battery died. This had happened once before, because one of the lights above the driver’s seat goes on accidentally at times and if I don’t notice it right away, and don’t drive the car for a few days, by the time I get back to the car the battery is dead.
This time it happened when I needed to take Mom for a medical procedure, an endoscopic ultrasound of her heart (called a TEE), but the car wouldn’t start and there was no one around to help, and instead of being able to problem solve, or even think, I panicked. Mom told me that she would call a cab, and then call AAA or the maintenance men at our co-op to help me charge the battery, and the idea that I would have to interact with strangers scared me so much that I left my mother and my pocketbook in the car and race-walked back to the apartment to curl up on my bed and hide.
Mom called me from the parking lot a few minutes later to say that the cab was on its way, and that the maintenance men would be able to help with the car in about half an hour, but in the meantime I should come back outside and get my pocketbook, because it wouldn’t be safe to leave it in the car. She didn’t seem to be upset with me, or to understand that I was curled up on my bed in an altered state, but I couldn’t think for myself so I did as I was told and went out to the car for my pocketbook. I was able to give Mom a hug just as the cab arrived, and then I walked back up to the apartment, resumed my curled up position, and cowered in my room.
There was a knock at the door a while later and I jumped out of bed and put on my jacket and answered the door on automatic pilot; some part of me was able to function enough to make chit chat and ignore the bad jokes about my lack of car knowledge. When the guys said I should drive the car around for ten or fifteen minutes before turning it off (and then on again), I did as I was told, even though my pocketbook, with my driver’s license, was still upstairs.
To fill the time, I decided to do a practice drive to the hospital where Mom was having her test done, to make sure I’d know where to pick her up later, and I got stuck in traffic for forty minutes, worrying the whole time that the car would stop suddenly or that I’d get into an accident and have no identification on me. But I made it home safely and turned off the car and waited a few minutes, as I’d been told, and then turned the car back on, successfully (which meant I wouldn’t have to call the maintenance guys again, which was good because I didn’t have their phone numbers). While I was still in the car, taking my first deep breath in more than an hour, Mom called from the hospital to ask if the car was working, because they’d been delaying her procedure until she could assure them that I would be able to pick her up when it was over, and I spoke to the nurse on the phone and reassured her that I would be there on time.
I survived the rest of the afternoon on automatic pilot and picked Mom up from the hospital and got her home safely. I felt awful for having had a panic attack when she needed me, and really scared that this would be my new normal, but most of all I was exhausted and needed sleep. When I woke up from my nap a few hours later I started to wonder if there might be a connection between starting the second rheumatological medication the night before and this latest, much more significant, panic attack. But my brain was telling me that I was always this useless, and I couldn’t come up with a convincing argument to fight back.
Two days later, Mom and I went to a dog rescue event, because my therapist had suggested (insisted) that I go, and because the depression was getting so dark again that I didn’t have the energy to think for myself. We got the address of the rescue event wrong, twice, but finally found it by following the crowd of cars. Once we’d parked and walked over to the row of tents and tables advertising all of the different rescue organizations, I was overwhelmed by all of the noise and people and dogs, and I couldn’t make sense of what I was supposed to do or where I was supposed to go.
We eventually found an enclosure filled with many small and hypoallergenic dogs, along with some full-sized Poodles and Golden Retrievers and a horse-sized Siberian Husky. But none of the volunteers seemed to know how their adoption process worked, or which dogs were still available for adoption, and no one knew about age and weight and health status, except that all of the dogs were probably around three years old and had been rescued from dog meat festivals in Asia (that’s hard to type, let alone to say out loud).
There was a little black poodle mix who was already on one of the rescue’s leashes outside of the enclosure, but when I asked about him a very possessive older woman glared at me and said she was considering adopting him, which seemed to mean he was off limits. Then we saw a little butter-colored dog who looked like the perfect size for us, but another woman had picked him up and held him tight while she looked for a volunteer to help her with the adoption; when she finally found the volunteer-in-the-know it turned out that that dog was already spoken for by someone else. I was getting more and more overwhelmed by the confusion and heat of the day and part of me wanted to leave (or escape), but part of me felt like it was my job to stay there and tough it out.
Finally, one of the volunteers asked me if I’d like to meet one of the dogs and I looked around and saw a little white dog who looked very much like Butterfly, and I chose her. I held her for a while and she was very calm, to the point where she didn’t even make eye contact or react to much of anything. When I put her down on the ground though, she freaked out at a noise I couldn’t hear and almost strangled herself trying to get out of her leash. The volunteer put her back into the enclosure with the other dogs and she sat down against the fencing, near where I was standing, and seemed to calm down again. She wasn’t the dog I was looking for, especially because she looked so much like Butterfly and was triggering all of the old grief and responsibility, rather than the love, but I couldn’t untangle my feelings or get myself to leave her behind in the chaos either. Mom finally found someone who could explain the adoption process, including the $2,000 adoption fee, which is basically what it would cost to buy a puppy from a breeder, and by then the Butterfly look-alike was sitting patiently on a little girl’s lap, so we took a brochure and finally walked away.
The whole time we’d been near the enclosure I’d been beyond thinking, unable to figure out what I wanted to do or what I thought I should do, except that I knew I should adopt all of the dogs, including the big dogs, because what kind of monster leaves a dog behind just because of money or because the world is tilting, or for any other clearly not-good-enough reason. As we got further away from the dogs I started to be able to hear my own thoughts a little more clearly, but I still felt sick and dizzy and angry and confused. I was able to drive home safely, but hopelessness and the long list of things that were wrong with me was rushing through my mind and refused to shut up.
Hours later, on Mom’s prompting, I looked up the side effects for the second rheumatological medication, and depression and anxiety were at the top of the list, despite the doctor’s assurances that this medication would not be a problem, so I emptied the rest of the pills from my pre-filled weekly pill box and crossed my fingers.
It took a couple of days for the worst of the hopelessness to wane, but in a way the damage had already been done. I’d forgotten how bad things could get, and now it was right in the front of my mind. It didn’t help that the day after the rescue event Mom got the results of her TEE and told me that she would probably need surgery to repair or replace her mitral valve (her fourth surgery in three years).
I’m frustrated that these medication trials, which were supposed to help me function better, sent me so close to the brink; and I’m frustrated that this is how it’s been with so many medications over the years; and I’m angry that the one medication that was helping (Ozempic) was taken away; and I’m angry that the doctors still have no name for what’s wrong with my health, let alone any solutions.
But at least I can think again.
I called the Rheumatologist to tell her that I wouldn’t be trying the third medication on her list, at least not right now, because I needed to be in the best frame of mind possible to help Mom through her surgery, and the expected three months of recovery.
Only time will tell if the panic attacks were solely caused by the rheumatological medications, or if, with enough stress, they will return. I’m trying to be hopeful that I’ll be able to handle everything that comes my way this summer, but part of me is worried, remembering how bad it can get. Another part of me, though, is remembering Cricket’s insistent strength, and Ellie’s insistent belief in me and my strength, and holding those memories as close as possible, to inspire me and help me through.
If you haven’t had a chance yet, please check out my Young Adult novel, Yeshiva Girl, on Amazon. And if you feel called to write a review of the book, on Amazon, or anywhere else, I’d be honored.
Yeshiva Girl is about a Jewish teenager on Long Island, named Isabel, though her father calls her Jezebel. Her father has been accused of inappropriate sexual behavior with one of his students, which he denies, but Izzy implicitly believes it’s true. As a result of his problems, her father sends her to a co-ed Orthodox yeshiva for tenth grade, out of the blue, and Izzy and her mother can’t figure out how to prevent it. At Yeshiva, though, Izzy finds that religious people are much more complicated than she had expected. Some, like her father, may use religion as a place to hide, but others search for and find comfort, and community, and even enlightenment. The question is, what will Izzy find?