On December 19, 2014, I published an article titled, 3 Questions I Asked My Loved One About My Anxiety Disorder. It was a candid interview with one of my very good friends. Her responses were unedited, very candid, and, in many ways, very painful for me to read. I recommend reading that post before reading this one about my response to my loved one's feelings about anxiety disorder.

Anxiety is a great obstacle, a jagged rock in the lives of tens of millions of human beings. Anxiety definitely isn't a state of being that most of us would describe as pleasant. It worms its way into our thoughts, tricking us into believing that there’s a lot to fear and to worry about, that we are ruining all sorts of things. Anxiety makes us feel sad, afraid, choked and crushed. It makes us feel miserable in countless ways, and because of that, we want it to vanish from our lives without a trace. But one way to deal with anxiety is to think of life like a Zen garden.

This week’s Anxiety-Schmanxiety blog is an interview with one of my very good friends. I have known her for over 10 years and she has witnessed and helped with many of my anxiety and panic attacks. In order to “shake things up,” I thought it would be eye-opening to hear about anxiety and panic disorder from a loved one’s perspective. I asked her three questions and her unedited responses are below.

Anxiety affects us in profound ways. It colors the way we think, feel, and act. Anxiety, once it takes root (Anxiety in Our Brains), it becomes a lens through which we view the world. Our interpretation of what is happening in our lives is filtered through the anxiety disorder with which we live. To be sure, it’s uncomfortable at best to experience a world colored by our own anxiety, but thankfully, we can clean that lens. After all, as Marcus Aurelius wisely observed, “Everything we see is a perspective, not the truth.”

Feeling delusional and suicidal doesn’t lend itself to stable relationships of any sort, especially those of a romantic variety. Many people with mental illness, including me, describe a loss of friends, alienation from family, and a general sense of loneliness. The stigma of mental illness is very real and people tend to avoid us, rather than date us. Many people with mental illness, though, do reach recovery and lead relatively normal lives – including dating and marriage. What is the secret to finding love and disclosing mental illness to a love interest?

There are a lot of catch-22s when it comes to managing anxiety. For example, many people with anxiety would feel a lot better if they could avoid anxiety triggers altogether. It is simple to say, but harder to do. Avoiding anxiety triggers isn't always possible. Another common suggestion is to join a support group. But what if a person has too much anxiety to join a support group?

  Imagine yourself at a gathering. Big or small, it doesn’t matter (because with anxiety, even the smallest things can seem gigantic). Perhaps it’s a family get-together, coffee with acquaintances,  a meeting, or a pancake feed for your kids’ school. You’re there, others are there, and your anxiety is there. How do you feel?

There are many pitfalls to being a person living with an anxiety disorder. The mental, physical, and emotional tolls that it takes to live with this disorder is, at times, heartbreaking. Anxiety tells me everyone hates me, it panics me, and it embarrasses me. In the midst of high anxiety and/or panic attacks, it causes me to appear distant, uninterested, or even makes me appear to be ignoring someone. An ill-timed panic attack, for example, at a first meeting, can make it appear that I am a snob.

I have experienced more panic attacks than I can count. On average, I have one panic attack per week, and that is after panic attack treatment. Before I knew what was happening to me, I was experiencing panic attacks multiple times per week. Because I am a social person, I often experience these attacks around other people. This has made me very good at explaining, in layman’s terms, exactly what a panic attack is.

A diagnosis of generalized anxiety disorder (GAD) or having panic attacks doesn’t automatically mean there will be a co-occurring diagnosis of depression. However, many people with an anxiety diagnosis do suffer from clinical depression, even if only from time-to-time. In my case, I have both bipolar and anxiety disorders. Like many others, I have found that serious anxiety can lead to depression.