Professional Documents
Culture Documents
Koziara
4/21/13
In seventh grade I went to bed each night convinced I would die before sunrise,
certain
that
in
the
morning
the
world
would
awaken
but
I
would
lay
cold
in
my
bed.
This
wasn't
because
of
a
terminal
illness
or
a
recent
diagnosis;
my
anxiety
was
the
root
of
this
fear.
I
pictured
my
mother
entering
the
bedroom
to
get
me
up
for
school
and
finding
my
corpse.
Each
time
I
tried
to
sleep,
my
mind
filled
with
these
images.
Stuck
alone
with
these
thoughts,
I
tried
and
tried
to
shut
them
out
until
I
eventually
became
so
exhausted
that
I
fell
asleep.
The
dreams
I
had
were
more
of
the
same.
No
matter
how
promising
and
jovial
they
began,
they
concluded
with
my
soul
hovering
towards
the
ceiling,
watching
my
mom
shout
and
shake
my
lifeless
body
and
try
to
get
me
to
wake
up.
Yelling
down
to
her
that
I
was
"up
here,
up
here!!"
never
worked,
and
these
screams
were
inaudible
to
those
on
Earth.
Surviving middle school is difficult; surviving middle school with the burden of
apprehension,
the
kind
that
goes
beyond
forgetting
a
locker
combination,
seemed
impossible.
I
wanted
to
fit
in
with
the
popular
girls,
sit
at
the
best
lunch
table,
and
be
in
on
all
of
the
jokes,
but
a
significant
barrier
to
accomplishing
these
tasks
stood
in
my
way:
anxiety.
General anxiety typically stems from family background and stressful life
experiences. While my mother suffered from Posttraumatic Stress Disorder for a long
period
of
time,
she
did
a
fairly
good
job
of
hiding
it
from
my
brother
and
me
until
we
were
old
enough
to
comprehend
the
disease.
Occasionally
she
would
have
small
panic
attacks
while
sitting
in
traffic
or
in
the
presence
of
sudden
loud
noises,
but
I
didn't
understand
these
were
connected
until
I
was
in
high
school.
Her
PTSD
was
the
cause
of
childhood
traumas,
however,
and
I
hadn't
suffered
any
of
the
abuses
that
brought
on
her
disorder.
My mother's history may be related to my childhood anxiety, but it isn't the root
cause
of
these
problems.
As
for
the
"stressful
life
experience"
aspect,
I
don't
have
any
recollection
of
this
kind
of
event.
I
grew
up
in
a
nice
home,
in
a
small
town,
with
two
parents
who
loved
me,
an
older
brother
who
put
up
with
me,
and
a
dog
who
was
always
happy
to
see
me
when
I
came
home
from
school.
Aside
from
moving
a
few
times
before
elementary
school,
my
life
was
pretty
ordinary.
wanted
to
succeed
academically,
and
I
placed
some
pressure
on
myself
to
reach
the
99th
percentile
on
standardized
tests.
Falling
short
of
perfection
caused
some
stress
in
my
life,
like
when
I
couldn't
remember
11
times
12
equals
132
while
completing
a
multiplication
tables
quiz
or
when
I
lost
a
mock
election
in
fourth
grade.
This
apprehension,
however,
was
nothing
compared
to
the
anxiety
I
felt
during
middle
school.
I was wrapped up in my own mind, trying to understand what makes life worth
living
when
the
world
is
full
of
difficulties.
I
was
taught
the
afterlife
liberates
individuals
from
these
troubles.
My
parents
refer
to
themselves
as
"I
love
Jesus"
Christians,
meaning
they
aren't
affiliated
with
any
particular
denomination.
While
we
were
young
we
attended
Walloon
Lake
Community
Church
each
week,
my
brother
and
I
building
a
solid
foundation
of
the
books
of
the
Bible
through
Sunday
School
classes,
but
this
changed
before
I
entered
high
school.
Since
then,
they
travel
to
conferences,
try
out
different
churches,
or
listen
to
sermons
online
to
learn
more
about
God
and
the
Bible.
They
take
what
they
like
from
the
talks
and
leave
the
church
politics
behind,
avoiding
potlucks
and
Christmas
pageants.
My
childhood
was
filled
with
trips
to
the
International
House
of
Prayer
in
Kansas
City,
Pentecostal
churches
in
the
Detroit
suburbs,
and
one
large
convention
under
pop-up
tents
in
Orlando.
During
elementary
school,
when
I
joined
my
parents
on
these
trips,
I
filled
notebooks
with
drawings
and
doodles
while
my
parents
filled
journals
with
notes
about
the
power
of
prayer.
During the summer after sixth grade I started paying attention to these sermons. I
had
just
gone
through
my
first
year
of
middle
school,
where
the
teachers
abandoned
the
elementary
school
policy
of
occupying
students
with
projects
and
crafts,
and
instead
expected
us
to
develop
listening
skills
as
they
lectured
us
on
pre-algebra
and
the
rock
cycle.
While
sitting
in
a
spacious
auditorium
in
Missouri,
filled
with
rows
upon
rows
of
families
like
mine,
I
listened
to
a
preacher
discuss
the
afterlife.
I
had
already
learned
about
Heaven
and
Hell
in
Sunday
School,
but
this
preacher
had
an
effect
on
me
that
caused
a
change
in
the
way
that
I
viewed
life
on
Earth.
"We are only here for a short time, and glory is waiting for us on the other side!" he
proclaimed,
while
I
watched
him
on
the
projector
screens.
"When
we
are
reunited
with
Jesus
we
will
experience
a
life
far
more
vital
than
the
one
here
on
Earth!"
Spit
flew
from
his
mouth
and
his
face
turned
red
while
shouts
of
"Preach!"
"Oh
Lord!"
and
"Hallelujah!"
from
the
crowd
encouraged
him.
I stopped thinking about how much longer I had to listen to him until the musicians
came
back
on
stage
as
my
adolescent
mind
began
to
wonder
about
the
value
of
life.
I
started
to
consider
why
anyone
chooses
to
continue
to
live
when
this
supposed
greatness
was
waiting
on
the
other
end
of
the
spectrum.
Torn
between
my
faith
that
life
is
better
on
the
other
side,
and
my
fear
of
the
afterlife,
I
became
paralyzed
with
anxiety.
I
couldn't
figure
out
what
made
life
worth
living,
and
I
also
couldn't
negotiate
how
details
of
the
afterlife
couldn't
be
confirmed.
Why do we continue to toil through each day, when a quick accident is all it would
take
to
transport
us
straight
from
life
on
earth
to
the
glory
of
Heaven?
A
bus
crash
during
a
class
fieldtrip
or
a
gas
leak
in
the
school
could
easily
take
me
away
from
my
family.
Did
my
actions
on
Earth
matter?
If
good
deeds
couldn't
get
me
into
the
Kingdom
of
God
according
to
Christianity,
then
why
should
I
do
good
deeds
at
all?
Why
should
I
do
anything
at
all?
Wasn't
I
just
waiting
to
die
and
transcend
to
the
next
phase?
I didn't consider suicide, but I wondered for those who had chosen to end their lives,
why
not?
What
was
so
wrong
about
hastening
the
process
of
getting
to
the
next
stage,
the
better
stage?
These
thoughts
caused
my
anxiety.
I
had
to
associate
some
meaning
to
life,
but
I
couldn't
figure
out
what
form
this
meaning
would
take.
I
quickly
became
afraid
to
die,
to
suffer
a
sudden
death
and
go
to
Heaven
and
discover
that
my
fears
were
correct:
that
life
on
earth
was
almost
entirely
inconsequential.
Clinging
to
my
family,
isolating
myself
from
the
world,
and
putting
off
sleep
for
as
long
as
possible
became
my
every
day.
This internal conflict was compounded that fall when my seventh grade gym teacher
passed
away.
One
November
morning
in
2005
he
suffered
a
brain
aneurism
shortly
after
I
had
left
my
gym
class,
dropped
to
the
floor
while
conducting
another
class,
and
was
dead
by
the
next
morning.
Now
I
was
immediately
up
against
the
concept
of
death;
the
entire
school
mourned
the
loss
and
attended
the
funeral.
Counselors
were
available
at
the
school
to
help
students
cope,
but
everyone
just
kept
focusing
on
how
sad
it
was
that
our
teacher
had
passed
away,
and
I
thought
it
was
selfish
to
talk
to
one
of
these
professionals
about
my
fears
about
death
and
worries
about
the
significance
of
life
while
the
school
dealt
with
a
tragedy.
I
tried
to
keep
a
running
list
of
topics
to
think
about
when
the
significance
of
life
became
too
overwhelming,
but
the
constant
buzz
of
meaningless
thoughts
about
TV
shows
and
to
do
lists
was
always
interrupted
by
this
idea
of
negligible
life.
I began to fear I would die from some unforeseen illness, afraid every time my mom
dropped
me
off
for
school
that
I
wouldn't
see
her
face
again.
When
my
parents
took
me
to
see
a
counselor
I
recounted
these
feelings.
Expressing
them
to
a
complete
stranger
made
me
see
how
irrational
these
fears
were,
but
the
fraction
of
my
mind
that
was
holding
onto
these
worries
couldn't
catch
up
with
the
reasonable
part.
My
anxiety
expanded
to
include
a
more
general,
social
anxiety
that
began
to
affect
more
aspects
of
my
life
in
addition
to
my
obsession
with
life
and
death.
On a typical morning, I woke up for school, attended my first two classes, and, when
I
didn't
make
it
through
Algebra
without
getting
a
pit
in
my
stomach,
walked
to
the
office,
and
requested
to
leave
for
the
day.
My
excuse
was
that
I
was
sick
--
headache,
stomachache,
anything
to
get
me
out
of
school
and
back
into
my
home.
The
secretaries
thought
I
wasn't
ill
and
simply
wanted
to
leave
school,
but
my
issues
were
much
deeper.
I
was
ill;
I
had
anxiety
about
dying
and
I
wasn't
even
a
teenager
yet.
this
problem.
My
friend
Charlotte's*
thirteenth
birthday
party
seemed
like
the
perfect
opportunity
for
this
intervention.
Even
my
counselor,
Sam*,
suggested
I
try
it
out
and
see
if
I
could
use
this
experience
to
build
"self-efficacy,"
which
he
explained
to
me
as
just
a
fancy
term
for
"past
successes."
So
off
I
went,
on
a
January
weekend,
to
join
a
group
of
my
peers
for
an
evening
of
fun.
I
started
to
become
estranged
from
these
girlfriends
due
to
my
anxiety;
I
hadn't
spent
a
lot
of
time
with
them
outside
of
soccer
practice,
the
setting
where
we
all
met
during
elementary
school
and
built
our
friendships.
I
knew
if
I
kept
missing
parties
and
sleepovers
I
risked
my
membership
in
the
friend
group.
Charlotte's parents hired a limo that drove us to a nearby indoor water park, where
we
spent
Friday
afternoon.
Then
we
headed
back
to
her
house
for
pizza,
popcorn,
and
an
endless
supply
of
chick
flicks.
Everyone
was
settled
on
their
section
of
the
carpet
in
the
basement,
falling
asleep
to
film
credits,
while
I
lay
wide-eyed,
trying
to
think
of
any
possible
thing
I
could
do
to
make
my
parents
come
pick
me
up.
I
considered
forcing
myself
to
vomit
and
blaming
it
on
food
poisoning
or
faking
a
migraine.
Hidden
in
the
bathroom,
I
sat
on
the
edge
of
the
bathtub
and
called
my
mom.
"What, what, what's wrong?" my mom answered, clearly on edge after receiving a
"It's me, Mom. I don't feel that great." I knew she was going to see right through this
"You don't feel that great, Katie, or you are anxious?" she pried, gently.
"You know the answer already, Mom. Will you just come pick me up? I need to come
home."
I
looked
at
the
time.
It
was
1:40
a.m.,
and
the
drive
was
only
ten
minutes
from
my
house,
so
realistically
I
could
be
reunited
with
my
parents
in
less
than
a
half
an
hour
if
they
got
ready
quickly.
I
could
manage
a
half
an
hour.
"Can you go get Charlotte's mom, Katie? I want to talk to her, and then dad will come
At my next weekly appointment I felt like a failure. The counselor assured me I was
fine,
that
I
had
done
a
good
job
by
trying,
but
this
anxiety
had
forced
me
to
miss
out
on
so
many
staples
of
middle
school.
My
friends
began
to
ostracize
me,
in
part
because
I
ceased
to
be
involved
in
a
lot
of
the
activities
they
participated
in
and
in
part
because
they
were
annoyed
by
my
constant
failure
to
keep
my
plans
with
them.
It
was
time
to
take
a
more
aggressive
approach
than
weekly
chats
about
feelings.
At
this
pivotal
meeting
I
sat
on
a
couch
across
from
Sam,
a
short,
pudgy
man
with
round,
rosy
cheeks
and
a
bald
spot
that
staked
claim
to
most
of
his
scalp.
We
discussed
some
options.
He
wanted
me
to
go
on
an
Outward
Bound
experience,
a
weeklong
program
that
aimed
to
foster
personal
growth
and
social
skills
through
outdoor
activities
such
as
white
water
rafting.
I
pictured
myself
having
an
anxiety
attack
in
the
middle
of
a
river
and
quickly
shut
that
idea
down.
I
wanted
to
try
something
easier,
like
breathing
exercises.
He
noted
how
in
my
case,
this
would
accomplish
little
more
than
our
conversations
over
the
past
few
months
had.
We
settled
somewhere
in
the
middle,
with
Eye
Movement
Desensitization
and
Reprocessing
(EMDR)
psychotherapy.
EMDR
uses
repeated
eye
movements
and
other
types
of
back
and
forth
motion
to
work
through
distressing
memories
and
develop
coping
mechanisms.
I
decided
to
give
it
a
shot,
and
soon
I
was
holding
two
black,
battery-powered
ovals,
waiting
for
the
next
step.
Sam
turned
on
the
machine,
which
sent
small
vibrations
back
and
forth
between
the
two
tiny
eggs,
and
asked
me
some
questions
in
a
calm
voice.
"Visualize an image of your anxiety. Figure out where you are, what you are doing,
who
you
are
with.
Let
me
know
when
you
have
this
image."
I
pictured
the
scene
from
my
dreams,
the
one
where
I
was
silently
screaming
at
my
mother
but
she
couldn't
hear
me.
I
winced,
not
wanting
to
face
the
image
in
the
daylight.
"I have the image," I noted, hoping the next question wouldn't be so painful.
"Now conjure an image where you don't feel anxiety at all. When you have this
image,
let
me
know,"
Sam
said
calmly.
I
pictured
a
pool.
A
pool
out
in
the
sunshine,
filled
with
crystal
blue
water.
My
mom,
dad,
and
brother
all
relaxed
in
pool
chairs
next
to
me,
reading
books
and
listening
to
music.
Next, he asked me how true I thought those images were. Initially, the anxiety image
felt
very
true,
very
pressing.
We
began
the
eye
movement
therapy
until
I
was
able
to
recognize
the
anxiety
image
was
only
true
in
my
dreams;
it
didn't
exist
in
reality.
The
pool
image
was
an
actual
memory
from
a
recent
trip
to
Florida.
This
was
an
image
I
could
strongly
believe
in.
We
continued
the
therapy
until
our
session
was
over
that
afternoon,
and
Sam
gave
me
relaxation
techniques
for
whenever
I
felt
anxious
and
encouraged
me
to
keep
a
journal
through
the
next
few
weeks.
At first the journal was filled with the same, recurring nightmare. The feelings didn't
end in a day. Throughout the spring of 2006 I was constantly struggling to implement my
new
anxiety
management
strategies
before
feelings
of
fear
became
too
strong
to
combat
with
breathing
patterns
and
eye
movements.
I
went
to
counseling
until
the
end
of
the
school
year
and
had
a
few
more
EMDR
sessions.
Even
after
these
sessions
ended,
the
struggle
to
control
my
anxiety
remained
through
the
beginning
of
my
high
school
years.
By
the
time
I
entered
freshman
year,
the
group
of
girls
I
had
been
so
close
to
in
middle
school
no
longer
wanted
to
be
associated
with
me.
I
can
understand
why
--
I
always
found
an
excuse
to
stay
home
with
my
family
when
my
girlfriends
went
skiing
or
shopping,
and
when
I
did
join
them
I
was
a
liability
as
I
could
get
that
all
too
familiar
pit
in
my
stomach
at
any
moment
and
need
an
escape
route.
The fact that I would have to find a new friend group that didn't know about my
dealings
with
anxiety
became
apparent
during
a
particular
high
school
soccer
practice
that
took
place
during
my
sophomore
year.
On
this
fall
evening
I
had
to
scramble
to
find
a
partner
outside
of
my
circle
of
friends
for
soccer
drills
because
none
of
them
chose
to
work
with
me.
When
practice
was
let
out
a
little
early,
my
friends
all
piled
into
a
teammates
car
and
waited
for
their
parents
to
pick
them
up,
as
she
was
the
only
one
with
her
license.
I
ran
over
to
the
Jeep
and
tapped
on
the
passenger
side
window.
Another
teammate,
Elise*,
rolled
down
the
window
a
few
inches
and
glanced
over
at
me.
"Can I hop in with you guys until my ride shows up?" I asked, eager to get in on the
"Um, there isn't really room for you, sorry," Elise sneered, closing the window. I sat
down
on
top
of
my
soccer
bag
a
few
yards
in
front
of
the
car
and
pretended
to
be
occupied
with
my
phone.
Blasting
music
reverberated
from
the
Jeep,
and
I
became
extremely
uncomfortable.
Not
only
was
I
humiliated,
but
I
was
also
alone,
and
I
just
wanted
my
mom
to
arrive
and
save
me
from
this
embarrassing
situation.
What
was
actually
fifteen
minutes
seemed
like
an
hour,
and
I
began
checking
the
time
on
my
cell
phone
and
texting
my
family
to
see
why
no
one
picked
me
up.
Scenarios
of
my
mom
getting
into
a
car
accident
on
the
way
to
the
soccer
field
or
a
house
fire
engulfing
my
entire
family
started
playing
in
my
mind.
At
that
moment
I
knew
I
needed
to
control
the
situation.
I
shut
my
phone
off
and
placed
it
into
my
bag.
Closing
my
eyes
and
stretching
my
legs
out
onto
the
grass,
I
took
deep
breaths
and
calmed
my
mind.
By
placing
my
hands
on
my
knees
and
tapping
back
and
forth,
concentrating
on
this
movement,
I
was
able
to
relieve
my
anxiety
until
my
mom
arrived.
This incident was a breakthrough for me in multiple ways. I realized I could manage
my
anxiety
in
times
such
as
these,
and
began
to
sign
up
for
overnight
conferences
for
high
school
students
at
universities
across
Michigan.
While
I
experienced
anxiety
before
and
during
these
events,
I
usually
ended
up
enjoying
myself
and
forming
friendships
with
the
other
students.
Each
time
I
saw
what
I
had
been
missing
out
on
when
I
allowed
my
anxiety
to
control
my
life,
I
grew
stronger
in
my
combat
against
anxiety.
I also came to terms with the fact that my problems had destroyed my friendships
with
my
circle
of
friends.
Growing
up
in
a
small
town
meant
few
people
my
age
were
unaware
of
my
flakey
friendship.
There
were
people
who
would
have
accepted
me
had
I
been
honest
with
them
about
my
anxiety,
but
the
risk
of
my
problem
becoming
the
gossip
of
the
week
and
thus
making
my
time
at
school
even
more
difficult
was
too
high.
I
spent
a
lot
more
weekends
during
high
school
going
home
after
football
and
basketball
games
than
going
to
hang
out
at
a
friend's
place,
but
I
decided
to
throw
myself
into
books,
music,
and
10
extracurricular
activities
to
occupy
my
time,
figuring
I
could
make
a
new
name
for
myself
once
I
went
to
college.
I still suffer more anxiety than a typical, female college student does when she
leaves
home
for
a
completely
new
setting.
When
I
begin
to
feel
sick
from
social
situations
I
use
the
techniques
I
learned
in
middle
school,
but
I
don't
let
this
feeling
of
apprehension
stop
me
from
creating
and
maintaining
friendships,
attending
campus
events,
and
enjoying
my
time
at
the
University
of
Michigan.
Unlike my social anxiety, which has been lessened due to my comfortable social
standing
at
college
and
my
confidence
that
I
can
effectively
control
these
emotions,
I'm
still
unsettled
by
talk
of
the
afterlife.
I
won't
have
the
answers
to
my
questions
until
I
die,
and
this
uncertainty
is
enough
to
produce
anxiety.
My
way
of
dealing
with
these
thoughts
when
they
present
themselves
is
to
focus
on
being
present
today
and
not
worry
about
the
inevitability
of
death
and
what
follows
it.
Religion
has
helped
me,
but
not
in
the
way
one
might
think.
I
share
my
parents'
Christianity
because
love
is
the
key
principal
emphasized
throughout
the
Bible
and
the
teachings
they
follow.
I
don't
focus
on
the
judgment
or
the
condemnation
some
religious
aficionados
preach
about
week
after
week,
but
I
instead
try
to
be
kind
to
everyone:
my
best
friends
and
my
family,
as
well
as
the
coffee
baristas
or
the
post
office
workers
I
encounter
over
the
course
of
a
typical
day.
I
sign
up
for
clubs
with
philanthropic
goals,
I
invest
my
time
in
my
relationships
with
friends,
and
I
plan
on
pursuing
a
career
in
the
public
service
sector.
11
This connection to other people, this feeling of a shared humanity, is what keeps me
grounded
in
the
present
rather
than
obsessing
about
the
future.
It
is
these
relationships
that
constantly
remind
me
why
life
is
meaningful,
why
living
isn't
just
a
stagnant
process
of
waiting
to
find
out
what
comes
next.
When
my
anxiety
flares
up,
I
recognize
the
feeling
of
fear
and
then
I
use
eye
movements
or
pat
my
hands
back
and
forth
on
my
legs
or
tap
my
feet
repetitively
against
the
ground
and
I
make
it
through
the
feeling.
Through
this
process
I
acknowledge
I
don't
have
control
over
what
happens
when
life
ends
but
that
I
do
have
control
over
my
experiences
and
the
connections
I
form
while
I
still
have
life
to
live.
I
do
this
until
I
am
no
longer
stuck
between
fearing
death
and
rationalizing
life.
_________________________________________________________________________________________________________
*Denotes
Name
Change
12