Miss Migraine: Freeing Yourself From Anxiety by Tamar E. Chansky

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The Adventures of Miss Migraine is an ongoing column about my life with chronic migraine. This post appeared first on my blog of the same name on September 4, 2012.

Freeing Yourself From Anxiety, Tamar ChanskyTitle: Freeing Yourself From Anxiety
Author: Tamar E. Chansky, Ph.D.
Publisher: Da Capo Lifelong Books
Format: Trade Paperback
ISBN: 978-0738214832
List Price: $16.00

Freeing Yourself From Anxiety isn’t the kind of book I look for (as the possibility of it featuring explosions in space is right around zero). But my library, the Carnegie Library of Pittsburgh, recently released a smart phone app that lets you download and listen to electronic audio books on your phone, among other cool features. As an unabashed book junkie, I have been, pardon my French, using the shit out of this app.

The app’s only flaw is that it presents you with a list of every audio book currently available for check out and download (2018 update: This is now fixed). You can search for a specific book, but can’t, say, browse for science fiction books. So one day, Dr. Tamar E. Chansky‘s book came up on the first page of the long list of books available for download, and I thought, what the hell, stress is a huge migraine trigger for me, maybe this will help.

Although I felt the book could have been organized better, the information and strategies for dealing with anxiety, stress, and “negative” emotions more than made up for that shortcoming. At the book’s heart are four steps to help the reader overcome anxiety. These steps work both in the moment of anxiety and as a daily practice to help reduce the overall incidence of anxiety.

And here is the book’s real strength: Chansky doesn’t simply provide direction for calming the mind and body down when anxiety grips both, but direction and ideas for daily practice to train the body not to overreact to ordinary stressors and stimuli. Examples include instituting a time for regular, deep breathing to calm the body, keeping a gratitude journal to remind us of good things, and creating positive moments of joy (like playing with a pet) instead of waiting for them to simply happen.

Throughout the book, Chansky focuses on “possible thinking.” She actually advocates against false positive thinking, because studies have shown that telling yourself things are okay when they are not is just as bad as thinking negatively. Instead, she suggests re-focusing on reality: What is the actual situation? What do you truly believe will happen? Then, we can prepare ourselves for that situation instead of becoming stressed about out unlikely possibilities.

Admittedly, I haven’t been as dedicated in applying these strategies to my life as I should be (again, because stress is a huge migraine trigger for me), but even in my casual application I’ve seen a reduction in my stress and anxiety levels, at least in the moment. Just making myself pause and ask, “Kelly, do you really think that will happen?” is enough to calm me down. This book is overflowing with strategies, so I imagine almost every reader could find several that would work for him or her.

If you suffer from migraine or another chronic illness, and stress or anxiety trigger symptoms — or if you suffer from an anxiety disorder or simple depression — this book will provide you with something to fall back on when it feels like the world is slipping away from you, fast. I would, however, suggest reading a paper copy, because I often found myself wishing I could go back and re-read sections that I liked, and that’s a little more difficult with an audio book. This is an unpaid, unsponsored review.

How do you deal with stress and anxiety?

Miss Migraine: How to travel in a group if you get frequent migraines

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The Adventures of Miss Migraine is an ongoing column about my life with chronic migraine. This post appeared first on my blog of the same name on August 8, 2012.

Travel is one of my passions, but before I go anywhere, I have to plan for myself and my migraines.

I’d been planning to write a travel tips post, but Diana Lee beat me to it with her excellent “Traveling with Migraine Disease: Top 5 Tips” article on Migraine.com, as well as with a post on her blog, Somebody Heal Me, so I decided to tackle group travel instead.

When you tour with a group, whether it’s with your school, church, for a medical missions trip, or a guided tour somewhere with people you don’t know, the rules are different. There’s often a set schedule of places you have to be and times you have to be there. Activities and sight-seeing are planned in advance, which can be both a blessing and a curse.

Family ancestor temple in Ky La, Vietnam

Members of my Vietnam travel group enter a family ancestor temple in the village of Ky La, outside of Danang, Vietnam.

Group Travel Pros:

  • Unless you’re leading the group, the work of planning and scheduling has been done for you. All you have to do is show up! This equals less stress for you.
  • Your group leader will take care of you. Regardless of your age, the group leader is in charge of making the trip successful, and a good will ensure that her travelers are well taken care of and enjoy the sights. She might be working hard (and getting paid for it), but you’ll be having fun.
  • You’ll likely do things you wouldn’t have thought to do on your own, or do things that are slightly out of your comfort zone. This will help you bond with your group mates and make awesome new friends.

Group Travel Cons:

  • If you’re out in the middle of nowhere (or even just taking a bus tour of a city), it may be difficult or impossible for you to get back to the hotel if a nasty migraine strikes. A good group leader, however, should be prepared for emergencies like this.
  • If meals or restaurants are pre-planned, you may not have a choice in what you eat. This can be a con for anyone, especially if you’re in a foreign country and find you don’t like the cuisine! Talk to the leader about food requirements or allergies you may have BEFORE you go.
  • Someone on the trip is going to get on your nerves, under your skin, and make your head hurt worse. It’s going to happen. There’s no way around it. Deep breathing and polite avoidance are the best strategies.

I’ve been on plenty of group trips, many of them to foreign countries like Vietnam, Mexico, and New Zealand. Despite the inevitable annoying person or two, I think the pros far outweigh the cons. In Mexico, I helped a group of doctors and nurses fix cleft lips and palates by translating for them. That’s not something I would have done on my own. But as migraine patients, we do have to take precautions.

Here are my tips for group travel:

  1. Tell the group leader about your disease and give him/her a list of ALL your medications, even over-the-counter ones and herbal supplements. This allows your group leader to help you when you’re in pain, and help medical professionals help you if there’s an emergency. Do this well in advance of departure. While on the trip, Let your leader know when you feel a migraine coming so she can help you manage it.
  2. Make yourself a “migraine kit” and keep it with you AT ALL TIMES. This should include your medications and anything else you need to prevent or relieve pain. For example, I have a sachet of lavender that I keep with me to avoid triggering smells. Other items might include ear plugs or noise cancelling headphones and your MP3 player, an eye mask, or snacks.
  3. Stay hydrated and avoid alcohol and too much caffeine. You may not be able to control everything on the trip, but you can control how much water you drink. Staying hydrated at least reduces one possible trigger. Avoiding excess caffeine and all alcohol also reduce the chances you’ll get an attack. It might be hard when everyone else is toasting and having fun at dinner, or when travel fatigue sets in, but the consequences of missing part of the trip because of blinding pain aren’t worth it.
  4. Get as much sleep as possible. When I went to Vietnam, some nights we were out late and then had to wake up early in the morning, and I had no control over this. The best I could do was take advantage of every opportunity for sleep that came along. Often this meant missing out on evening activities with my friends, but being well-rested and having less pain was a worthy trade off. If there’s a long plane or bus ride during a time you’d normally be sleeping, consider taking something to help you sleep, like Benadryl or an OTC sleep aid. You could even ask your doctor for a few sleeping pills like Lunesta. Talk to your doctor or pharmacist before you take anything to make sure there are no interactions.
  5. Be flexible! This is travel. You’re probably going somewhere you’ve never been before, and with a bunch of people you may not know. Something’s going to go wrong at some point: a museum will be closed unexpectedly, the bus will break down, someone will get lost or be late and put the whole group behind schedule. It’s important to remember that all of these are out of your control. Don’t stress yourself out about them or think they’ve ruined the whole trip. Expect to have fun, but be willing to let that fun come in whatever form it’s going to come in. You won’t get to do everything you want to do, but enjoy the things you do get to do.