Why do I always feel so disgusted by myself? Why do I put so much pressure on myself?

Hi there, 

I'm so sorry that you are feeling so overwhelmed with your anxiety. 

It does appear that you are putting a lot of pressure on yourself, while simultaneously being the source of comfort and love and of service to all those around you. 

I'd be interested in learning more about how and when you felt that you were so much stronger and when you felt so much more confident? And what happened to change that for you?

What are the areas in your life that you do still feel strength in?

Stress can also be exacerbated by a lack of quality sleep and poor nutrition. Are you able to get at least eight hours of sleep more days than not during a week? Or do you find yourself tossing and turning unable to maintain healthy sleep patterns? Eating healthy balanced meals and getting regular exercise are also so important to one's own self-care. Something as simple as taking a nice walk or bike ride outside now that the weather is getting better can help calm your mind. 

Panic attacks can be very hard for most of us, having some anxiety is normal but when it escalates to the levels that you are referencing, it really is a good idea to reach out to others, friends, family, and a professional to help you understand and manage the symptoms and perhaps help you gain some knowledge on what is triggering the panic for you. 

I hope that you are able to do some self-care such as reaching out to friends and family, exploring and learning how to incorporate mindfulness and meditation teachings into your daily lifestyle, and trying to be kinder to yourself.  Something as simple as setting limits on the amount of time and energy you give to others, having someone cook a meal for you, or treating yourself to a massage can really help in your own self-care management. Learning when and how to say no to others despite wanting to make everything good for everyone and having those kind but strong boundaries is wonderful, not only for yourself but for those you care about. 

Anxiety management techniques can be learned and incorporated into your life. 

These skills will help you live a less stressful existence and work your way back to that strength position that you are seeking 

I hope this answers some of your concerns about the anxiety in your life.

Please let me know if I can help you any further in this matter. 

Kind regards, 

Dr. Susan Hanson