I say this all the time. I mean, who doesn’t? “I’m going to lose my mind!” I say. “I’m going to go crazy!”

Well, today it feels like losing my mind is a distinct possibility. And that is because it wouldn’t be the first time. In 2007 I had what we all refer to as my nervous breakdown. I don’t know if there’s a single definition of “nervous breakdown,” but something happened that was serious and undeniable and that changed me.

At the end of summer and in early fall that year, a lot was going on. In addition to parenting my challenging seven-year-old yet-undiagnosed daughter and a five-year-old son, we were about to embark on a whole house remodel. Our house was about to be taken down the studs, which meant we needed to move out. I was charged with finding somewhere to live for the next six to nine months (ten, in the end). It was a difficult task to be sure: not only was the rental market terrible, we had two cats, which nobody would accept; we didn’t want to sign a year lease; we wanted something close to the school; and to top it all off, it was urgent in a way, but I couldn’t actually do anything because we didn’t have our construction permit yet. We didn’t want to pay rent until we really needed to. “Hurry up and find a place but we can’t actually sign a contract, so do this but don’t do this!” I was under so much pressure but completely powerless.

And then our house became infested with fleas. I didn’t realize we had such an infestation until Maddie showed me what had started as a flea bite but was then scratched into a big mess. Such a mess that it turned into a staph infection, and a dangerous strain of one. She had to miss several days of school to soak in a tub all day long to drain the infection and take antibiotics. The doctor called every day to check on her. It was serious.

And then I couldn’t get rid of the fleas. Nothing was working. I tried everything, and the fleas were still there. I combed and combed and combed our cats, and I still found fleas. Eventually we moved out after flea-bombing our furniture and rugs, and then left the cats there for another week. I would go over every day for a week and a half and comb then and comb then until I the fleas were gone. We couldn’t move our fleas to the new place!

I was also packing up our entire house by myself, for the most part, because I was at home and my husband worked long days in between a long commute. Apparently it was all too much.

It was sometime in August when the sensation started. I felt a little tingle in the middle of my chest. It was strictly a physical sensation. I couldn’t link it to an emotion at the time. I took note and wondered, Hmmm, what is that?

As the weeks went by, the tingling became stronger. I still didn’t connect it to anything in particular, but it was harder to ignore. It was pretty uncomfortable, and really I knew it was stress but that was as much as I could deduce.

And then it happened. A panic attack. I was at the grocery store. I walked in and the whole place began to swirl. I felt the panic rise in my chest. And the tears came. I could not cope with grocery shopping and I wouldn’t be able to for months after that.

I cried when I ran out of butter. I cried when I couldn’t find a knife to cut a grilled cheese sandwich in half. I cried and cried. I was unable to make meals. I was unable to be social. I skipped Thanksgiving and sat alone at home by the heater and cried.  I was debilitated by anxiety and panic. I didn’t know why this was happening, but my body was trying to tell me something.

And that something was that I needed to take care of myself. I still struggle with that concept. I don’t think I know how. I grew up with a over-self-sacrificing mom, and although I’m not nearly as selfless as she is, I have had difficulty thinking about the importance of self-care as a way to be a better person for everybody myself and everybody else. I know that’s true. I would tell anybody else that’s true. But I don’t know how to do it very well.

Panic and anxiety disorder are hard things to describe to someone else. It doesn’t sound nearly as terrible as it is. Some people feel like they’re going to die from a heart attack. I didn’t feel that way at all. I just felt incapacitated and scared. And when you feel that much anxiety, depression is inevitable. How can you feel so incapacitated and helpless without getting kind of depressed about it?

I remember not wanting to go to sleep because I knew I would wake up feeling terrible yet again. Feeling unable to face anything. Feeling overwhelmed, afraid, and then guilty because I wasn’t able to take care of my family, which was really my primary responsibility.

Of course, at that point I could see I had a big problem. I couldn’t go on feeling that way, so I immediately got the help I needed. There’s no magic involved, although some medication sure came in handy. But I also had to embark on a journey to figure out why I went down this road, and how I could change myself so that wouldn’t happen again.

One of my big challenges was to learn how to set boundaries. You hear that a lot in the world of psycho-therapy. Here’s what it meant for me: First, stop taking on other people’s problems as if they are actually your own. I have enough of my own problems to do that! Second, stand up for yourself. Third, don’t take things so personally. That means recognizing that somebody else’s treatment of you isn’t necessarily about YOU at all. I began to learn to think “Jeez, that person has big a problem” rather than “This is crushing my soul.”

I have known for a long time that improving your life isn’t necessarily about changing the external. I once had a friend who lived all over the world and no matter where he was, that place was making him miserable. Finally I realized, it’s HIM. It’s up to him to figure out what’s going on inside and then make himself happy wherever he is.

So here I am with some pretty complicated and challenging external circumstances. I wish I could fix them. I wish Maddie would get up and go to school. I wish she wasn’t so stubborn. I wish I could know what her future will hold. I wish my mornings were relaxing and fun instead of a recurring nightmare of frustration and anxiety and the feeling of futility.  I am doing what I can do make my mornings better, but I also realize that’s out of my control.

What IS in my control–theoretically anyway–is how I manage it all. Right now, to be honest, I’m struggling.

Today I planned to visit my parents for the afternoon. They live about an hour away. Last week my dad had a minor stroke. He’s fine, but when things like this start happening, the reality of your parents’ mortality rears its ugly head. I was away for the weekend, and now I’m back and I’m dying to spend some time with them.

This morning, however, Maddie announced, “Screw Tuesdays.” Yes, today is Tuesday. And yes, she is still at home. I still planned to drive up north for a couple hours, but I just can’t. I’m feeling so anxious and afraid of that tingly feeling of pre-panic rising up. The tears are there, mostly behind my eyes, burning as their way to tell me, “Let us out!” A couple fell, but I don’t give in easily in times like this. I’ll cry if I see a little kid singing really well, or a cute dog commercial, or somebody else crying, but I don’t like to cry for myself. I don’t like to cry over my life. I just don’t.

Maybe I should cry more. Maybe the panic attacks started as a way of forcing my body to express my emotions. They just came flooding out. I was holding it all in until I just couldn’t anymore. Perhaps I should watch a sad movie today and just cry and cry.

At the moment, I’m hiding in our “man cave,” which is separate from our house. Maddie thinks I left, I think. She was relentlessly begging me for her computer, and I had said no enough times, I thought. She followed me around the house, asking me again and again. The blood was rushing to my head. I don’t have one of those bulging forehead veins, but I might develop one if this keeps happening.

I’m trying to breathe and stay calm. Maybe I should scream instead. But I won’t. I’ll breathe and breathe, and at some point I’ll get up the courage to go back in the house. All the while, trying to find peace in my head and in my body, and the strength to do this again tomorrow.