I had a proper little panic attack in the veterinary practice a couple of weeks ago. Here are my strategies to avoid it happening again
In the previous post, I told you about my little ‘moment’ at work and what I think led to it.
Now, I’d like to look at a few strategies I’ll try to employ to avoid this – because isn’t that the point of strong negative emotions: to teach you something?
But first, a few thoughts on what helped me de-escalate in the moment.
Recognition.
I think a semi-regular meditation practice has helped me be more self-aware of my emotions by reading their physical manifestations and hearing the associated self-talk in a semi-detached way – “..watching the dancing from up on the balcony’” as someone once told me.
Being cerebrally aware of my tight chest and thumping heart was a clear signal to listen to what was going on in my head, which was something along the lines of “f…f….f…., I don’t think I can do this. All I wanted was a quiet shift. Why do I always get the challenging cases?! I just want to be at home – I don’t need this in my life.”
This step of recognition is useful for several reasons:
- It helps me remember that these are feelings, not facts.
- Now I can question that internal narrative: “Is what it’s telling you saying true? Do you REALLY ALWAYS get the hard cases? Is it true that you can’t do this?” Of course not.
- I can provide counter-evidence. Internal dialogue: “I don’t think I can do this.” My reply: “I’ve dealt with much worse than this 500 times – I can totally do this.” (Yes, there are voices in my head. Don’t tell anyone.)
- Simply witnessing the emotions can help, even if I can’t ‘fix’ them. Like a rogue set of waves beating you up when you’re surfing, you know that they’ll pass.
- It’s a signal to tell someone. Ask for help. “Hey Colleague/ Nurse, for some reason this case is really messing with me and I’m feeling totally overwhelmed. Is there any chance that you can help me think it through/ see my next consult / make me a cup of tea / give me a hug?” If said colleague is not in physical proximity, then pick up the phone. (Of course, I did not do this because, just like you, I have way too much ego. But that’s stupid.)
- Breathe. Don’t underestimate the power of a minute of box breathing or simple mindfulness. You’ve heard this before, but I bet you’re still cynical about its effectiveness. Try it next time and see.
- Necessity. The reality is that there were things that needed to be done, and I was the one tasked to do them. Balancing the narrative of self-kindness, there remains a tougher voice with a very clear internal dialogue: “You ARE the adult in the room, so stop whining, put on your big boy pants and do what you can with what you have.” I don’t think this voice should run the show, but cultivating it by doing hard things is still useful.
What will I do differently next time?
What will I do differently for my next shift? Like I said last time, we all know the answers, right?
- Sleep.
- Make time to actively unwind.
- Exercise.
- Meditate.
- Engage in non-work related activities that nourish and bring joy.
- Foster relationships.
We hear about all the basic self-care stuff but don’t do it because, honestly, if we did all of this well, we’d have about two hours left for work each day.
What is the solution for me?
So what’s the solution? For me, it’s a mix of mindset and strategy:
- Accept that I’ll never do these things perfectly, but don’t give up on trying my best.
- Schedule them and apply the same self-discipline to these that you apply for work. Would you skip a scheduled work shift because something else came up, or do you just not feel like it? Give the same respect to your self-care. It’s as important.
- Be prepared to disappoint others and learn to be ok with it. I should have had my nap, I should have done a proper workout, and I should have watched a bit of TV before my shift. But this would have meant I didn’t publish the next episode on time, skipped a newsletter, or annoyed my wife because the gutters weren’t cleaned. Something had to give, and someone would have been disappointed in me. (Probably less than I imagine.) We hate that, right? But is it better to disappoint a little bit now but have the capacity to keep showing up in the long term?
- Debrief. I will make a point of calling someone to talk me through the cases that challenge and upset me. What can I do better next time? Maybe I did everything right, and that’s just how they go.
It’s hard to get it all consistently right
These are hard things and not something we will likely get right consistently. (Cue the occasional emotional episode to help you correct the course!) But that, in itself, is something to be grateful for. If your life is busy and full of expectations from others with a seemingly endless to-do list, it means you are needed, not entirely useless, and, most importantly, not dead yet.
This first appeared in The Vet Vault 3.2.1 email on 16.8.24