Q: My God!
A: Yeah, right.
Q: I thought you’d never come back.
A: I’m in the middle of a panic attack right now.
Q: Sit down. Tell me what happened?
A: I had it when I was at Starbucks and then it kinda went away for a while… Just now I realized it’s came back.
Q: Describe them for me.
A: My throat feels like it’s swelling up to the point where it’s almost closing down. I cannot breathe normally. I have to take a huge amount of oxygen from my mouth. My heartbeat went kinky for a while and then I just felt like I could’ve gone down crying.
Q: Okay, well… that sounds like a panic attack to me.
A: You’re telling me!
Q: Why do you have this?
A: College. What else?
Q: Hah! God, I have no idea where you are right now. We have a lot of catching up to do.
A: Let me just describe myself to you right now, okay? I’m LOST.
Q: Start from the very beginning.
A: I read the past transcripts and it just shows that basically I have gone nowhere. I’m still as lost, still as complicated, still a total wreck. I thought I’d grown past that but in a way, I think I’m more childish now than I was then. I still have the same dream and I still do not know what I should do. Oh, God, it’s coming again…
Q: Try to breathe…
A: I am absolutely freaked out about tomorrow and I don’t know why. Going to college is like facing King Kong for me. It’s horrifying.
Q: Does it have something to do with the fact that you don’t like the major?
A: Yes. Thank you very much! That was spot on!
Q: Any traumatic experiences?
A: Well just that the start of the college begins with terror, so…
Q: How’s that?
A: Well they terrorize you to the point that you apologize to the seniors no matter what. Because if you do it wrong, you’re wrong; and if you do it right, you’re still wrong. There’s always something to blame. And I get the point that they want us to be strong-minded and stand up for what’s right but I just don’t think that’s the way to begin anything. With terror. That’s, like, the worst, crappiest way to start. And to me, it still haunts me to this day. Other people get over it and move on quickly but I don’t. Every time, that experience is looming and I somehow think that it can happen again…………. Do you think I have a mental condition?
Q: I wouldn’t know. From my point of view, you do need a little help but there’s nothing so serious about it. Let’s get back to the panic attack.
A: Oh, right.
Q: How do you deal with all of them? I take it you’ve had more than one?
A: Yes. Usually I calm myself by talking myself out of it just see it as “a day” instead of seeing it as… something full of obstacles.
Q: And that would work?
A: In a short term, yes. Then I have to do it all over again……….. I gotta tell you, I… some of the stuff I said to you, I didn’t even remember them. It’s like… “poof!” they’re all gone. That’s really something else.
Q: What do you think is the bast way to end the panic attacks permanently?
A: …. I don’t know. Get good grades? Oh, f%$# that’s the last thing I wanna talk about or think about! Anyways. I suppose all that jazz and get more friends.
Q: You mean you still don’t have many friends?
A: Nope.
Q: And why is that?
A: Ummmmmm……… Difference of opinion? Difference of interest? I’m always arguing with them and that would lead to self doubt, and I fancy the stuff they don’t. I usually don’t like the stuff they love… You know what, it’s making me sick. Like, seriously, I’m about to vomit right now. I think I’m going to throw up.
…
…
…
…
Q: Better?
A: Yeah. I didn’t actually vomit, though. It was just saliva.
…
…
Q: Do something for me.
A: Yeah?
Q: I think this might help you to handle the problems.
A: Ok…
Q: I want you to buy a recorder. Whenever you feel like you’re in a situation where you want to talk the whole thing out, you record it. You say everything you want to say and don’t hold back. Just let it all out.
A: I’ve actually been thinking about that.
Q: Well, good! Now you have a reason to buy it, and I say you buy it. For your sake. IF, in the future, you decide you want to go to another psychiartrist, you give them the recording so they can listen to it. I know you don’t feel comfortable talking directly to them so that’s another way of explaining yourself.
A: Yep. Sounds good.
Q: I really think that you should start a real teraphy. Not just with me.
A: …
Q: See what kind of explanation they can come up with you, and whether you agree with them or not, that’s up for our grabs later on. You can come back here and discuss the session with me if you want to.
A: Do you have any recommendation at all?
Q: No, not in this city, I don’t. But try it out. If you’re not comfortable with seeing another shrink, then do the tapes first. Bring them to me and we’ll go from there. I suggest you buy the recorder ASAP. Because this is not healthy.
A: OK.
Q: What are you feeling right now? What’s going on in your head? Right now?
A: This afternoon when I had a panic attack, I don’t think my facial expression changed. It’s more like… what I felt. I knew my heart just went-whoosh!-you know. It just jumped. And I knew I couldn’t breathe right. But my face remains the same.
Q: Well… do you think you’re ready for tomorrow?
A: Hell no! But what else can I do? I have to tough it up.
Q: Come back tomorrow. I wanna know how you feel after the first day.
A: Okay.