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Suggest treatment for anxiety

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Posted on Tue, 17 May 2016
Question: So this next round we need to focus on an underlying stressor. We can discuss what is causing my work performance to suffer Internal and external factors or forces that are at play and causing me great problems I am conscious of the quality of my work and in 15 months I have managed to create a mess that makes me look totally incompetent and I am having a hard time dumping it out of thoughts at end of day.
doctor
Answered by Dr. Alexander H. Sheppe (15 hours later)
Brief Answer:
Private consultation

Detailed Answer:
Your "allergies" to cleaning the house and ironing gave me a good chuckle :)

Remind me, what kind of work do you do? Do you enjoy it? How were things going prior to 15 months ago? Did something happen around then (specifically, not just anxiety/panic in general) that caused a specific incident or problem at work that has spiralled out of control? Are you working now that you are living outside South XXXXXXX or taking some time off?

Think through these questions, it will help to organize your thinking about work. Then we can take a look at the situation together and try to make some sense of it, and how to help.

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Alexander H. Sheppe (8 hours later)
First of all I am an accountant, a CPA. Specific I am an assistant controller at a medium sized retail corporation. I love accounting. Prior to 15 months ago, I was a controller at a small commercial roofing company. I think the key issue as I have noticed recently is I find that the pace of this company is faster than I am comfortable with. I like to do my work with confidence that what needed to be reported was accurate. When under a push timeline, I tend to make very stupid mistakes that are poor reflection of my true abilities

To best describe my overall picture is to say that I spend more time fixing what I previously did wrong. Each time I do this, I fall further behind and create a bigger mess to get out of.

I have a bunch of resumes out for work in SD but hearing not much yet
doctor
Answered by Dr. Alexander H. Sheppe (18 hours later)
Brief Answer:
Private Followup

Detailed Answer:
I understand. It must be stressful to be worrying about something (accounting) that you previously found enjoyable and rewarding.

Why the change from the roofing company to the retail corporation? When was that? Was it because of the move out of SD?

Have time pressures actually increased, or has your anxiety caused you to slow down, making and fixing more mistakes? How do you feel about that? I would suspect this is sort of an anxiety spiral, panic causing you to make mistakes and then worrying more about those mistakes and so on.

What would be your ideal job back in SD right now? Working in a small company, a big company? Something light or something more intensive?

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Alexander H. Sheppe (40 minutes later)
I left South XXXXXXX because i got married and my wife lives in Nebraska. The Job came about as a form of employment once I moved. Actually, I got the job then completed the move. I stayed in SD working until I found employment here.

My direct boss is a high wired, brilliant minded individual. She has 5 college degrees that she obtained in 6 years worth of study. Anyway, she can see things immediately that others miss. I believe that she fails to see that others do not work at her level and her expectations. I fail to keep up with her, the attempt to get everything done on time causes me to work faster with less follow up to ensure accuracy. This then causes more problems as I have to go back and correct.

So I am not going to fret to much other than try to keep things clean so that when i leave there is no issues. Up in SD I would like to go back to smaller companies where I can keep up and not have these problems.
doctor
Answered by Dr. Alexander H. Sheppe (6 hours later)
Brief Answer:
You seem to have great abilities

Detailed Answer:
I find it interesting that you use phrases like "I've created a mess," "fail," "stupid mistakes." These are phrases that suggest you are embarrassed or feel you are incompetent in some way. Am I right? I think it is important to keep in mind that you have been dealing with enormous amounts of stress over the last several months and even years, stress that would cause many people to function so poorly they would lose their job or otherwise fall apart. You've managed to keep things together despite enormous anxiety and panic, which is actually a testament to your great abilities.

I think your approach to not fret too much is a good one. You clearly have talent as an accountant, and any job you find you will excel at, especially since now you are developing new insights and tools to help manage your anxiety.

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Alexander H. Sheppe (5 hours later)
The phrases I used are correct. I was responsible for the mistakes I made They were mistakes that I find to be made by not paying attention or knowing better. I see your point though and I like the reasoning that all the issues that I've had may have distracted my thoughts so much that I make those mistakes

I have a busy weekend with band rehearsal on sat afternoon late and to catch work up I must put rest in there too
doctor
Answered by Dr. Alexander H. Sheppe (10 hours later)
Brief Answer:
Private Followup

Detailed Answer:
I certainly respect your taking responsibility for things. I only intend to point out that there are many reasons why these mistakes were made, and not all of these reasons are your fault. Specifically, it's not your fault that you're experiencing anxiety and panic attacks. So, it's okay to give yourself a break and not get too down on yourself about these mistakes -- a significant portion of this was indeed out of your control and not your fault at all.

I hope you have a fantastic weekend. I look forward to hearing how the band rehearsal goes, and if it improves your mood. I hope it keeps your mind occupied and helps relieve some of that anxiety. When you aren't working, try to relax this weekend with things you know help you -- a warm bath/shower, candles, music. Take it easy and let me know how it goes!

Now that we're at the end of this thread, go ahead and rate/close and open up a new one whenever you'd like. You know the drill.

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Alexander H. Sheppe (25 hours later)
One last comment before next thread is opened.

Strange events with lingering anxiety after effects or maybe simple thought suggestion

Watched a movie with some heavy physical activity. Just thinking of that activity set a sensation of heavy short breathing.

Today had burdensome day with stress included thank goodness tomorrow is band day.

Wait to hear from you. My next thread will be on new thread
doctor
Answered by Dr. Alexander H. Sheppe (8 minutes later)
Brief Answer:
Private Followup

Detailed Answer:
It is not surprising to me that seeing a movie with heavy physical exertion in it triggered anxiety in you. Your mind is trained to be scared of exertion, in any setting, because that means shortness of breath which your mind associated with COPD and dying. When you're confronted with this, just remember that you do not have COPD. Your breathing may quicken and you may feel short of breath, but remind yourself that this is not dangerous. Utilize your rational mind to fight against this fear reflex. Tomorrow will be a better day with band practice, I'm sure of it.

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2240 Questions

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Suggest treatment for anxiety

Brief Answer: Private consultation Detailed Answer: Your "allergies" to cleaning the house and ironing gave me a good chuckle :) Remind me, what kind of work do you do? Do you enjoy it? How were things going prior to 15 months ago? Did something happen around then (specifically, not just anxiety/panic in general) that caused a specific incident or problem at work that has spiralled out of control? Are you working now that you are living outside South XXXXXXX or taking some time off? Think through these questions, it will help to organize your thinking about work. Then we can take a look at the situation together and try to make some sense of it, and how to help. Dr. Sheppe