What do you define as “extreme anxiety”


Extreme is when I start to go non functioning. Usually when I get quickly overloaded. Not triggered but still, shutting down, back and neck tighter than a piano wire, and in "get home mode" as I call it.
I dislike medication as well. However the one thing I do know is that I tend to discount my symptoms - or more accurately I don't know how bad it is until its gone, if that makes sense. I popped the cartilage in my left SI long ago and suffered from low back pain, back spasms, and the same with my neck. Do therapy, find trauma and my back is 95% better. No chiropractor every two weeks, as a matter of fact last month was the first time I had seem him in over a year.

Just saying that sometimes, from where we are inside the sh*tstorm we don't know how affected we really are..

Warrior Chicken

Is there part of you that feels like you don't deserve' to be diagnosed as having extreme anxiety?
Yes, absolutely. If I function, then that’s not extreme, or in my mind, often not even classified as anxiety.

Like @Freddyt describes, I also discount my symptoms. Prior to exploring my past I never noticed body pain like I do now. It’s daily, and I typically dismiss it as a fact of getting old. Even though, I’m still reasonably young, active, physically fairly healthy. So, when my stress is higher, of course certain parts of my body flair up to send me a message. But I keep functioning, ignore it, take Advil and carry on. So….nothing wrong with me.

So no, I don’t warrant a second glance or a description such as ‘extreme’ anything.

That’s one of the reasons why I’ve decided to return the prescription slip to my pdoc/T. The other compelling reason is that when he gets audited they question why a patient continues to receive that type of prescription and hasn’t ‘improved’. I refuse to let a stranger (paper-pusher) pass judgement on my T or on me. The only solution I can see is to stop filling that prescription.

I likely have not pushed myself hard enough to not use the medication when certain circumstances occur. If it’s the first thing I consider when managing specific issues, then I’m not doing it right.
Here's the thing, though - filling that Rx isn't a permanent thing. It could be that the Rx will help you. It's equally likely that the Rx will do nothing or not work in some way. But not trying the Rx has only one outcome: you continue to feel the way you do now.

My pdoc recently told me I should go on leave due to my own extreme anxiety. Because I trust my pdoc completely, I didn't dismiss her opinion out of hand. After some thought, I took the leave. But I could still go back to work tomorrow if I wanted to.


So no, I don’t warrant a second glance or a description such as ‘extreme’ anything.
What about this situation? When I had joint surgery last winter, they gave me pain meds to take after I went home. I was supposed to use them "as needed". Well, it hurt, of course, but it didn't hurt THAT bad. So I didn't really need the meds, right? And I started out not taking them. Because even though it hurt, I'd been in WAY worse pain than that, so I clearly didn't need them. Except that there were also a bunch of exercises I was supposed to do. And that was really important to a good recovery. And then I realized I could do the exercises better if I took the meds..... A dilemma. I took the pills for a week, did the exercises as perfectly as I could, and I think it was the right thing to do. Didn't use them as a way to do more than I was supposed to, just so I could do what was actually required. I find that to be a hard thing to sort out! Still is.

So, maybe talk to your PDoc about their definition of "extreme". Chances are they never really thought about it. That's probably just the word most commonly used when writing up a label.


So no, I don’t warrant a second glance or a description such as ‘extreme’ anything.
Except that PTSD is an extreme reaction to stress?

It’s not normal, having PTSD. As a baseline. Your normal and my normal? Send other people to the ER convinced they're about to die of a heart attack.

Just something that’s easy to forget, but important to remember.


It’s like when my kid was finally well enough to come home from the hospital? I had the direct number to the pulmonologist on call, no switchboard, because the YAY! Doing So. Much. Better! symptoms my son was sent home with after months inpatient? If I called the hospital switchboard & nurse line… rated immediate transport by ambulance, pulmonary called down, OR prepped, and surgeons scrubbing in. <<< Yeah. Same kid. Same symptoms. 2 wildly different expectations from those symptoms. >>> His normal, for the next few months? Was anyone else’s life threatening emergency. Because, yeah, his life was at very high risk… even doing Yay! So. Much. Better! We just happened to already have the supplemental o2, PICC line, and other interventions already in place. At home. With nursing shifts.

Just because it was his normal? Didn’t mean we could kick the medical equipment, interventions, experts, & medications to the curb. The opposite. He got to have a semblance of a normal life BECAUSE we had those things. Otherwise? It was back to living at the hospital.

Normal just means you’re used to it, and ideally, prepared for it. And it’s entirely relative.


Yes and don't discount how much quality of life you're actually loosing because of the anxiety. Not in the things you do, but the ones you don't, and the ones you screw up. It's a benefit risk balance and not a matter of judging your worth on the basis of your medication or disorder. PTSD is almost constant extreme stress and it causes a lot of impairment.

If I can function? More or less. But I function better with the meds than without. Would I thrive if PTSD wasn't there? You bet I would. But 85% of my hard drive is devoted in keeping shit together. If meds can reduce that to 60%, I'm taking it. Merely functioning and suffering isn't a life. We all deserve better, no matter if it's with meds, CBT or praying or all of this.

There is a perception we have of medication making us weak while we've been strong. Or more exactly, knowing that if the medication is becoming important it's because we've been weaker, and in fact, not really functioning. As a patient you have the right to choose what seems the most adequate and good for you, but I'd say we shouldn't discount how bad we feel and ignore the pain. I didn't realize how much I was in pain until it stopped for a bit. It's as if I saw the colour of the sky for the first time in my life.