Pill pals

I’m an anxious person, shaky and fretful, and when anxiety gets the best of me, I pop a pill. I hold out as long as I can before grabbing the amber prescription bottle, but when the physical jitters and mental goblins won’t blow off, then it’s time for Clonazepam. Swallow, wait, ahh.

Sort of. But the meds — those sedatives, so tiny and pink they’re almost cute — can blunt the edge, like sanding a jagged thumbnail on an emery board. Magic? Hardly. Mellow? Kinda. 

I’ve blabbed about this, my fun, adorable neuroses, on these pages before. But it’s been a long time and things evolve. 

No. No they do not. 

I’m exactly in the same place I was in 2020, or, for that matter, 2010. I remain a quaking Jell-O mold, gulping pharmaceuticals to stanch dramatized grief. Get a therapist! you scream. Exactly a dozen therapists later, starting at age 13, I’ve sworn off them. They’ve been as helpful as talking to my dear Aunt Gladys, who’s deaf in one ear and has narcolepsy.

Meditation has been my most recent move. Like many novices, my frantic, hamster-wheel mind — Did I pay that bill? Should I call her? Do I have a brain tumor? — has so far derailed any quality concentration, but I’m working on it. Anything to snuff my mind’s overactive orgy of tripe and trivia.

The tiniest shard of unresolved thought can keep me up all night. So angst often translates to sheet-tearing insomnia. I will toss, turn, cuss up a storm. I finally convinced my doctor to prescribe me Xanax expressly for insomnia, as it is worrisomely habit-forming. (A previous doctor scoffed, “That stuff is crack.”) 

My sleep success rate with Xanax so far is about seventy percent, which I consider worthy of confetti and party horns. Yet when it doesn’t work, look out. My pillow becomes a cloud of fluttering feathers. I chew it. 

I take other meds for mental “stability” (insert: laugh track), but the anxiety tabs yield the most direct effect. The other ones are like background Muzak, a calm, ubiquitous hum. In thirty minutes or less, my low-dosage Clonazepam is like a mental muffle, quieting the chaos. (I’ve also tried cannabis gummies, but they just make me woolly and irrationally hungry. A whole box of Kraft Mac & Cheese, at midnight — not a good look.)

As I travel a lot, I’m blessed my anxiety is rarely a stowaway; it was never issued a passport. I’m sure that’s because I’m relieved of quotidian complaints and overblown worries, transported to a scrubbed reality. I’ve written: “In my travels, my angst all but evaporates. I am unshackled, life’s daily detritus dispersed by an existential leaf blower.” 

I don’t need the pills in, say, Paris, though I bring them along for backup in case life kicks in and I start pacing and perspiring through the hallowed halls of Musée d’Orsay. 

Who needs all this? It must stop. It’s not so easy, of course. I’m resigned to being wired this way, though nostrums like meditation and mindfulness and all that cognitive crap pave avenues of mild hope.

Meantime I have the sweet companionship of Clonazepam, itty pink pills that chirp, “It’s okay, pal. I’m here to soothe the dread and iron out life’s pesky wrinkles.”

I’ve heard it all before. Almost daily. I don’t believe a word of it.

I’m doing fine, angst you very much

I’m a nervous guy, anxious about some things (social situations, small children, cancer, Tyler Perry movies) though calm about others (air travel, clowns, death), making my anxiety pool a kind of grab-bag, a Kellogg’s Cereals Fun Pak, if you will. 

Neuroses are a blast, a frothy enchantment of stomach pangs, irritable digestion, insomnia, jitters, fatigue, hypochondria, fatalism and an ambient unease that makes you want to switch skins with the nearest stable person, no matter if his name is Rupert.

Mornings are the worst. But as the day unfurls, the bad, the black, slowly burn off. By night I’m mostly calm, relaxed, hardly even thinking about brain tumors and leukemia. I assume that’s why I am steadfastly nocturnal, vampiric, stiff drink in hand.

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For instance, when I wake each morning, my upcoming Japan trip sounds like a terrible idea, an exorbitant blunder and colossal miscalculation. My stomach flips; I wince. Around midday, I warm to the thought and picture an experience of Michelin-star sushi, bullet trains and megalopolis madness. By dark, optimism flowing, I’m on the computer or flipping pages plotting my incontestably epic and mystical adventures in the Far East. 

They make pills for this, of course. But meds are at best serviceable. Too meager a dose scarcely soothes the nerves. Too much tends to narcotize. Things are lighter — aren’t they always when you’re napping? (Not really. My dream realm is an id-iotic hellscape of troubling memories, fraught encounters and anything that gnaws on my insecurities. Kafka would clutch his chin and nod.) Plus, you don’t know what’s what with some of those sedatives. A doctor once told me to chuck my Xanax. “That stuff is crack,” he scoffed. Oh.

I don’t think I’ve ever had a panic attack, unless that time browsing with my niece at the American Girl®  doll store counts. Though I have experienced shortness of breath, racing heart and a kind of overwhelming, generalized terror of being alive. I suppose that counts, even if I’m pretty sure it wasn’t a clinically defined panic attack and merely my reaction to deliriously unfunny ventriloquist Jeff Dunham’s latest Netflix special.

Want to churn my anxiety? Make me speak in front of a group, crowd or microphone. I don’t do meetings, panels, town-halls, televised interviews or, for that matter, karaoke or charades (charades — parlor game of the dark arts). I kind of recoil singing “Happy Birthday” among friends. With pathological resistance, I avoid having my picture taken (keep your cameras to your selfie).

My low-frequency embarrassment, raking self-consciousness and broken self-esteem are congenital delights. In the words of Morrissey (indeed, Morrissey), I am infected with a ”shyness that is criminally vulgar.” None of it is fun or poignant. But what are you to do? Therapy, meditation, yoga, tequila shots, a fistful of Clonazepam. These have been tried. Futility reigns. Relief is fleeting, often downright illusory. 

And yet we soldier forth. We function in spite of the topsy-turvy tummy, mild paranoia, paper-thin skin, social squirming, hyperbolic pessimism, etc. Then I think: I’m going to Japan in three weeks. That’s something. During my extensive travels, my angst all but evaporates. I am unshackled, life’s daily detritus dispersed by an existential leaf blower. For this trip, I expect elation, moderate ecstasy, radical stimulation and some of the best food I’ve ever eaten. Nothing short of sublimity.

I am nervous as hell.