might also be useful to include their definitions:
Anxiety (worry or unease about what may happen)
Sadness (a state of unhappiness, sorrow)
Anger (irritability, hostility)
How do these common emotions manifest themselves in the situations that weâre dealing with in this book? You can feel anxious about the implications of your disorganization (âWhat is losing that important document going to mean when I get into work next week?â); sadness about the impact on your apparent inability to change (âWhy canât I stop losing things?â); anger about the challenges at hand (âIâm going to have go back and redo hours and hours of work because I was so stupid!â). Iâve had patients who have exhibited all three and who, in their respective quests to get a better handle on their lives, have had to wrestle with these basic emotions. Anxiety, sadness, anger.
Letâs meet one of them.
----
CASE STUDY IN ANXIETY: THE ONLY THING WE HAVE TO FEAR IS FEAR ITSELF (AND MAYBE XBOX, TOO).
The woman in her late thirties who walked into my officeâfifteen minutes late for her appointmentâwas clearly distraught. Her eyes were red, she looked as if she had been crying and her face was careworn. She appeared as if she hadnât been getting enough sleep. Her primary care physician had referred her to me, apparently with good reason.
âSo,â I asked, as she sat in the chair in my office, eyeing her surroundings warily, âdid you find the office without any problems?â
âNot really,â she said, rolling her eyes. âIâm sorry Iâm late. I made a wrong turn in Central Square and practically ended up in Somerville.â She laughed ruefully. âItâs just another example of the shambles my life is in these days.â
I waited a beat, but she said nothing further. I tried to gently prod her.
âCan you elaborate on that?â I said. âHow so?â
She sighed deeply and then related a tale of unhappy events. Eileen, as weâll call her, had been divorced a year ago. Her son, the product of that marriage, was twelve years oldâa âtweenâ as the demographers now call these early middle-school-aged kids because they are between their childhood and teenage years.
The son, to hear her side of it, was struggling: in his first year of middle school, he had a heavier workload, and a bulging backpack to go with it. He had band practice, baseball practice, tests to study for, homework to do, friends he wanted to hang out with and video games he wanted to play. It sounded, to me, like a fairly typical schedule for a sixth grader these daysâschool, music, the arts, sportsâbut instead she told me they were one step away from everything falling apart, it seemed, almost every night.
âThe other night, he was late to his baseball game,â Eileen said. âIt was because I was behind on some of my reports at the office, and I got home a few minutes late from work. But then I couldnât drag him off the Xbox game. This had happened a couple of times already, so the coach said he couldnât start that night, and he had to sit on the bench most of the game.â
I started to interject, but she was already off on the next of what became a litany of catastrophes: There were problems keeping up with his schoolwork. There were problems at her work (she was a physical therapist). There were problems with other members of her family and with her ex in-laws (or as she preferred to call them, âthe outlawsâ). She wasnât whining; she just sounded weary and overwhelmed.
She went on to tell me how she had responded to some of these crises: she talked to her sonâs teachers. She got a tutor to help him with math, which seemed to be his most challenging subject and was not her strong suit.
I had a sense that she and her son often worked things out reasonably well, but she still seemed to be operating in
J.A. Konrath, Bernard Schaffer