The death of a loved one has a ripple effect. There’s the loss of that person and then there are the secondary losses—the shifts in routines that make a day feel off, the friendships that fade because the person who held them together is gone or people are too uncomfortable to maintain them, the end of hobbies that depended on the person who died.
I count my anxiety and panic disorder (APD) as a secondary loss. Although I wasn’t diagnosed with APD until after my husband died, now that I understand what it is, I realize I’ve had panic attacks since I was a teenager.
My late husband had such a calming effect on me that I only had a handful of panic attacks after we met. With them going unrecognized by me as a symptom of APD and then them fading away during my marriage, by the time I was diagnosed after he died, it seemed like a new condition.
Now through the lens of hindsight, I see the reemergence of my panic attacks as both a reaction to his death and a response to the loss of his calming effect on me.
Throughout our relationship, when I felt panic rising in my chest, I knew that a hug from him or hearing his deep unwavering voice would steady me. I came to count on him whenever I was navigating a personal or work situation that felt overwhelming. He seemed to always be in control, which made me feel completely safe.
One time, for example, I was driving in a snowstorm on a busy highway before my vision impairments were diagnosed and it was the phase when my doctors were just telling me I wasn’t “trying hard enough” to see. The light gray of the sky, the white of the snow, the surrounding dirty vehicles, the asphalt all blurred together into a mottled smear. I wanted to pull off the highway, but I couldn’t see where the lanes were. I started hyperventilating in panic and realized I was on the verge of passing out while I was driving.
I called Tom and he talked me through the rest of the drive, settling my breathing so I didn’t pass out. As long as I could hear his steady voice, I knew I would be ok.
Even with the stress of his stroke during the COVID pandemic, holding his hand steadied me. Even when he was asleep, I found comfort in simply being in bed up against his body.
And then he died—and my entire APD coping arsenal was gone. The thought that he’s gone forever adds to my anxiety and panic. My learning to manage it on my own has been messy.
I’ve had a lot of anxiety lately as the three-year anniversary of his death in June looms on my calendar. One day last week I left to catch the bus to my dance lesson in a hurry and forgot my water bottle. One of my go-to strategies when I’m feeling anxious is to very deliberately drink some water, taking a sip, feeling it in my mouth, swallowing it, and being aware of it moving down my throat. Once I realized the bottle wasn’t in my bag, I could feel the anxiety tightening in my chest—a tell tale sign that a panic attack is rising. That’s when I realized I didn’t have my drugs with me either.
I held it together on the bus, telling myself the fresh air when I got off the bus would help. Once I got off the bus, I knelt on the sidewalk, gulping air. My hands were shaking and it took effort to think. I knew I needed to get some water. There is a water dispenser at the dance studio, but I knew the studio would be buzzing with people and I needed to avoid that. Physical activity helps, so I just started walking and came to a coffee shop a few blocks from the studio, where I bought a bottle of water.
I sat outside the studio, ritualistically taking sips of water between measured breaths. By the time my lesson started, I was on edge but not on the verge of a panic attack.
The dance lesson helped, too. I’m working on tango right now and hearing the familiar music activated my muscle memory and my body started shifting its resources from fight or flight mode to the work of holding my upper body in the tango frame, which is also surprisingly mental. I’m early enough in my work on tango that it takes a tremendous amount of focus for me to maintain the form (shoulders down, elbows up, head up and left, arms strong yet flexible, back arched yet tall).
The secondary losses hurt and nearly three years out, I’m still identifying them.
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