General Anxiety Disorder

A reflection on my anxiety and how I cope these days

General Anxiety Disorder. That’s what the cardiac rehab psychiatrist wrote in their notes after recently interviewing me via computer video for an hour or so.

Not sure what I was anticipating, but "General Anxiety Disorder" seems like a fair description of my post heart attack state of being. Note: during the interview, I was more anxious about the cost of the time with a psychiatrist than with their line of questioning.

With that telehealth assessment in mind and reflecting back, it seems I’ve lived with anxiety most of my life. In childhood and adolescence it was my unwitting reaction to the fear-based preaching and coercive discipline of my dad. That guilt-filled, shame-based religious milieu fueled anxiety in a faith structure that considered anxiety and mental health disorders somehow either sinful or evidence of one's lack of faith. So, I was anxious about being anxious.

While I gradually let go of many of those notions (with a lot of disparate counsel, reading, experiences, and reflection), continuous low-grade anxiety has over the past twenty years boiled over into three panic attacks that have landed me in an emergency room. The COVID-19 pandemic spiked my anxiety and I began to use prescribed anti-anxiety medication for the first time. I also started working with a counselor routinely. I chose to retire at age 65 more over concern for work-related and general anxiety than anything else (albeit retirement, I have now discovered, is itself a significant source of anxiety). 

I can see now that I used to deny my anxiety or rename it “intensity.” A respected friend once told me I was the most intense person they knew. And, blind to my own issues, I initially took that as a compliment; I now see it as a gracious red flag.

Only in the recent decade have I recognized and begun to acknowledge the extent of my anxiety and its impact on my considerations, actions and decisions across 50+ years. It’s pretty revealing and humbling. I continue to unpack and process this.

I now manage my anxiety with a bit of prescribed medication. It seems to help. Instead of waking up at 3 am with my mind racing through all kinds of tough life scenarios, I now sleep through the night and usually awaken with some sense of peace.

My August 2025 heart attack (surprise, unwelcome surprise!) and aftermath brought low-grade anxiety to another boiling point. Why me? Why now? How limited does this make me? What is that mild pain in my chest? Can my heart handle the level of cycling, running, and activity in which I aspire to engage? Will this happen again? On and on the questions flow (thus my request to talk with a cardiac rehab psychiatrist).

Three months of Monday-Wednesday-Friday monitored physical activity and heart health education in IU Health's Cardiac Rehab program at Methodist Hospital has reduced my heart attack-related anxiety significantly. I follow their guidance about food, stress, mindfulness, and physical exercise. When stressed to its max, my heart (according to the electronic heart monitors) responds normally. I now run over three miles each session. I'm training for a half marathon (13.1 miles) early in May. It all feels good and promising.

As I invest in my relationship with my spouse Jodi, attend to my four adult children and my 8 (soon to be 9) grandchildren, volunteer in the community, read, meet with friends, ride my bike, run, and participate in local arts, music and justice advocacy events, I find my anxiety significantly reduced. I don't have a sure-fire formula, but I know that these things bring meaning and purpose and release in different but important ways.

So, I'll take "General Anxiety Disorder" as a reasonable assessment. I'll follow up with the psychiatrist and continue to do the things that help me reduce anxiety, cope, recover, and thrive. And I'll try to find ways to support anyone who is grappling with anxiety and mental health disorders.