Tag: Mental Health Journey

Welcome to Christian Faith and OCD, episode 41. On today’s show. I am talking with Tiffany Ciccone who is an English teacher and also working on writing a book about her anxiety.

Carrie: Tiffany, welcome to the show. I’m so glad that you’re going to talk with us about some of your personal experiences and your book writing process.

Tiffany: Thank you, Carrie. I’m happy to be here and have this opportunity. 

Carrie:  We actually met on social media through Instagram because you’re in the process of writing this book about your personal story with anxiety. And so I’m curious what that process has been like for you just like opening up and sharing your story.

Tiffany: Sure. So it started a long time ago, basically, when I was first diagnosed with generalized anxiety disorder. I did what we would all do. And I went home and Googled. I just Googled it hard. And there was a lot I found about what is generalized anxiety disorder and what are the symptoms, but there’s a whole part of me that wasn’t addressed anywhere online.

I couldn’t find it anywhere. It was back in 2006.  It was kind of early on with the whole mental health awareness thing. And there were no Christians talking about generalized anxiety disorder. There were Christians talking about, “Oh, don’t worry. Trust God. He takes care of the sparrows, he’ll take care of you,’ and all that good stuff. But, you know, I grew up in the church and I already knew that stuff. That wasn’t what my problem was. And I just felt so alone. There was nobody talking about and describing what I was going through. And so that night when I was on my laptop, looking for people I could relate to.

I think that’s the moment the book was conceived because I came across this quote by Tony Morrison and she says, if you can’t find the book you want to read, then you need to write it. 

Carrie: And that’s so good. 

Tiffany: So that was what I had to do. And it was like 10 years until I started writing it because there was a lot I had to go through.

A lot of healing that took place. And I didn’t know in that moment that I was going to write a book. Since then it’s been a ride. So I’m an English teacher and 10 years into teaching my husband and I moved from the bay area to San Diego. And that cleared up some time for me. And I started writing. I just started blogging because, well, if I want to write, I can, nothing’s stopping me. So I started a blog and I noticed that all of my content started to kind of focus around one topic and that was the intersection of anxiety and my faith. So I kind of decided, you know what? this topic is really new one. It’s really deep and it deserves its own book. So I stepped away from the blog and I started outlining a book and it’s been a challenging, worthwhile process. And it’s been a few years now kind of working through it and I have a manuscript now.  It’s over a hundred pages and I met kind of a fun point where it’s like a jigsaw puzzle.

I’m trying to see kind of how these different pieces I wrote fit together. And I’m hoping and praying that it can help people kind of in that moment where I found myself where who can relate to this. Who’s been here before, who can tell me what to do and give me the encouragement that I need. I’m hoping and praying that this book can be that for people in their early diagnosis or maybe long into their diagnosis. And they just want to read someone’s story who read, whose resonates with theirs. 

Carrie: Yeah, I would absolutely agree with you just from my own searches of who is speaking into this space about having a clinical level of anxiety, not just an anxiety that everybody faces on a day-to-day basis. Because everybody goes through some level of anxiety at some point or another in their life, but when you’re talking about things like I don’t know if this is part of your story, but when you’re talking about dealing with things like panic attacks or just intense episodes of anxiety, not being able to shut off the worries, It’s just a whole different level and a lot of times people in the church will kind of approach it like it’s just kind of, oh, it’s every day, like normal anxiety, like I deal with and not really realizing no, it’s really a little bit more complex than that. So some of the things that might be helpful. day-to-day worries. Anxieties fears are not going to be necessarily the same things that are going to be helpful for generalized anxiety disorder.

And I think kind of you, and I probably share some similarities in that we want to get this message out there and haven’t seen people who are talking about it and it’s kind of part of what’s propelled his podcast too. So it’s really great to have you on to talk about this. So tell us a little bit about in terms of your symptoms like when did you first start to experience anxiety, even if you didn’t know that’s what it was called.

Tiffany: I think the first kind of manifestation in my childhood, I had a lot of health anxiety. Back then we called it hypochondria, but I was just writing about it the other day. It would be like the craziest littlest things like a bump on my shin. And I would go crying to my dad that I have a tumor in my shin. When I Found split ends, I was in third grade, I think on a trip with my grandparents and the trip was great until I saw the split in. And I just knew like this is cancer, like, what else could this possibly be? And when I came home, I just felt the weight of the world.

As I had to tell my parents that their oldest daughter’s dying and I wasn’t afraid of the death part. I was like really afraid of ruining my parents’ lives of bringing them all this sorrow and grief and through like a medical nightmare and that kind of incident just repeated itself throughout probably when I was like 20. I kind of like eased up and stopped.

I was really blessed that my dad gave me extra reassurance. And some of the logical things that he talked me through when I would freak out God kind of embedded in me. 

Carrie: So you can start to challenge. 

Tiffany: Yeah. He didn’t know it, but he was teaching me like a part of cognitive-behavioural therapy and giving me good ways to challenge those thoughts.

Also, I recently read on, I think it was the national Institute for mental health that children who are really shy, that can be one indicator later on. Maybe there will be an anxiety disorder. I was a super shy kid. I was put in a study of an experimental playgroup were super shy kids and overly aggressive kids were combined.

Carrie: Oh no, that sounds awful.Who thought of that one.

Tiffany: I know. Great opportunity for bullying. I don’t know if it really worked with me, but it wasn’t horrible. The toys were great. And I don’t remember anyone beating me up. So I don’t think I was healed by it. That’s just like how shy I was.  I remember also some perfectionism like I wouldn’t know the answer to a question or I’d be confused in class and there’s one time a computer class where the teacher kept saying to push return and he’s like, I don’t know what return is. What’s return. Oh my gosh. I ended up bursting out crying, like hysterically crying. I can see moments like that where it’s just like, that’s, doesn’t seem quite normal. I can see anxiety there. And then in my adolescence, a few symptoms took me to my doc. And those are symptoms of anxiety, muscle tension. I had really tight back muscles. He had to give me shots in my back to loosen them up. I went to him because my hands were tingling and I thought I had diabetes because of my health anxiety. And it was because I was hyperventilating and I didn’t believe him. So he had me breathe into a paper bag and I’m like, okOkay. And then I, as a teenager, had perfectionism in the context of relationships. I would be crying late in the day because I said something to someone and I thought it would have hurt them or something. And then in college, I over-thought a lot. And I felt the weight of the world on my shoulders with a lot of things.

So really like I do see a lot of pieces of it growing up. 

Carrie: Yeah. It seems like you were a shy, but also like very conscientious child of like trying to please everyone and making sure they’re happy. And then that pressure that it doesn’t necessarily have to be pressure that other people put on you, you can put it on yourself, like, oh, I’ve got to do a good job, or I’ve got to be perfect at this. And then when it doesn’t happen like you don’t know how to respond in the school scenario that just creates so much anxiety. Makes a lot of sense. How old were you when you were actually diagnosed? 

Tiffany: I was 23. 

Carrie:  Wow. So you had been dealing with it for years, really before you got a formal diagnosis, even with everything you went through with the doctor in high school and stuff, they weren’t able to identify and pinpoint.

That’s interesting. So what was that process for you like of getting help for? 

Tiffany: Well, the awareness was at like zero. I had grown up at a church where it was an evangelical free church with a great youth group, but I never forget the most memorable sermon I’ve sat through our head pastors said that anxiety is a sin.

Depression is a sin. There’s spiritual problems that needs spiritual solutions. You need more faith. That kind of a thing. And I was probably 20 when I heard it and it struck me as wrong then because I knew people who were depressed or who struggled with rage and who had traumatic past.

And I’m sure it was harsh. So I grew up in that kind of context. And at the same time, I had a strong faith myself. I’d been on mission trips. I’ve learned to trust God. I’ve learned to be flexible. I grew up with this understanding the anxiety is for when you’re not trusting God with things that are beyond your control. Whereas my problem was I was freaking out about what was under my control. That was my anxiety, that I was going to screw up what’s on mine.  I couldn’t see it. I actually ran into like one of my best friend’s moms back when just before I was diagnosed and I was losing my functionality, basically I ran into her at a grocery store and we chatted for a moment.

She was actually also a trained biblical counselor at church. So I ran to the supermarket. We chatted, I was super anxious at the time because it was hard for me to choose groceries because of my indecision. And she called me later that evening. She’d never called me before, my friend’s mom and she wanted to check in because she said it seemed like something was off, like what’s going on? Are you okay? And I didn’t have much of an explanation for her. And I think she was probably hoping for some breakthroughs, some spiritual something or other, and, you know, I just kind of told her my life circumstances and, and I didn’t have words for the anxiety part because it hadn’t been addressed yet and she couldn’t identify it.

So that just goes to show the level of unawareness that was present in kind of the Christian culture I was in. So I mentioned I was losing functionality, so my saving grace that brought me to a therapist was my husband at the time we were just dating and he got a front center road look at my life and how I was doing emotionally and mentally. And he saw me break down at target over like what toothpastes to buy. He saw me break down at church and I had no clue why I was hysterically crying and he’s like, honey, what’s wrong? And I’m like, “oh no, what’s wrong with me.” And he just hugged me. And he said I think you should see someone. And I was like, oh, you mean like a therapist?

And he’s like, “yes.” And it gave me permission to seek help.  It gave me a direction to go in it. It wasn’t like, oh, I’m so offended because you’re saying I need professional help. Like, that’s what I needed. And also at that time, I was in my first year of teaching, which is known to be a disaster, like regardless of how mentally healthy you are, that’s supposed to challenge your menta health.

And so I also had this disorder where I overthought every decision I was making in the classroom. So the kid’s behavior was a disaster and I was just getting like psychological beat downs all the time. So it was the hardest year of my life. I also developed a jaw disorder. It goes hand in hand with the muscle tension that we see with generalized anxiety disorder.

So I was like drinking these awful like lukewarm smoothies at lunch in school. Not just like food from clenching, like, 

Carrie: Was that from clenching your jaw, like out of anxiety or? 

Tiffany: Yeah, it was from clenching and they said a malocclusion. So my teeth just didn’t fit together. So I’d have to like shift my jaw to get my teeth ticket fit together right. And my jaw had clicked since I was a senior in high school, but my dentist didn’t really give me any guidance from there. And so basically by the time I graduated college, it was really, really painful. I went to specialists in San Francisco got physical therapy. I still see a physical therapist from time to time.

So it was just kind of this convergence of all of these really stressful things and got to mention, I was also earning my master’s degree, blond distance through my credential program. So all of that, like it just broke me and I actually knew a couple other people in my credential, in my master’s program who also dropped out because they couldn’t handle it. I don’t know if they were having mental breaks like I was, but I just got to the point where I was kind of barely functional. 

Carrie: Yeah. I think that you bring up a good point, cause it’s one thing to be aware of your symptoms. And it’s another thing to then be able to turn around and communicate those.

Like, sometimes all you can say is I just feel like a mess or I don’t feel well or I’m miserable and I don’t know why. Sometimes until you get around a therapist or a doctor,  asked you very specific questions like, what’s your sleep? what you’re eating? How do your muscles field you experienced this or that?

And then you’re better able to tease out and communicate some of those symptoms. I know, just from being a counselor and working with a lot of people with anxiety, sometimes people say things like, I just, I don’t feel well. And I’m anxious. I don’t feel good. I just want to feel better. And it’s really just being able to tease some of those things out to figure out what people’s symptoms are and what they actually need like where’s our starting point here. 

Tiffany: Yeah. That was very much my…that describes what it was like for me. And, I recently heard of the term free floating anxiety and I certainly had that where it just stuck around. Yeah. And I didn’t know what it was or what to do with it. I just knew that my breathing feels funny. I know I can’t concentrate anymore, but I had no idea why. 

Carrie: So you talked a little bit in terms of like how responses were in the church you were just hearing. Okay. Well, pretty much it’s your fault. You’re not trusting God in some way, or this is a spiritual issue that you need help for. How did you resolve some of those messages and turn them from like unhealthy messages, which is what I believe those are into something healthier and kind of make some resolution or peace with your faith.

Tiffany: That’s a great question. And it’s a really complicated, layered answer, I think pencil book. So we’ll see what words I can think of right now. Therapy really helped. And she wasn’t a Christian therapy, but she was a good therapist who knew how to take my religious beliefs and work with them.

And I was warned in a large sense that my church, I was warned against secular therapy. I was warned against medication. You know, like the Bible only is all we need. Why would you let the world. Like help you in the way that God can help you through the Bible. But like, this was different.

It was clinical. Like he said earlier, you know, it’s, it’s not a spiritual issue of trusting God. It had a much more profound, complicated effect on my relationship with God, actually. So my therapist helped me turn that around. I saw her for two years at the end of my first year, I went on medication as well.

She worked with my doctor. So a little bit also if my kind of getting health story, I started with my doctor, I made an appointment and I told him how I was feeling. I was like crying myself to sleep. And part of that was just sheer loneliness, especially before I met my husband. And I shouldn’t say shared loneliness.

It was a convergence of everything. Thankfully he didn’t just write me a prescription. Referred me to three cognitive behavioral therapist. He said, you know, the research shows, this is the most effective treatment. Here’s three good ones I know of. And this is the same doctor that I grew up with actually who didn’t catch the isolated symptoms.

But when I told him I kinda saw the wheels turning in his head, he was like, oh, you always have been pretty hyper.

And we had this thing where my blood pressure was always elevated at the doctor’s office because of my health anxiety. So like, yeah, he, and just the, my mannerisms, I suppose. So he led me to my therapist. So then a year into therapy, I had learned cognitive behavioral journaling, and that was a huge help because I’d always been a journaler.

And that was a huge coping mechanism for me before I was diagnosed. I can look back at my journals, like in high school and I see that I’m coming to my journal to seek what the heck is happening in my head. I’m like, I’m feeling this way. Why God? And then I kind of dialogue with God through prayer in my journal and do some sort of similar thing to cognitive behavioral therapy.

And so when I learned the formal structure that really helped me. And when I learned cognitive distortions and I learned to identify what thought was, what cognitive distortion and then how to deal with those distortions. There was a lot of healing there, but then the triggers kept popping up. So I’d like have an anxious thought deal with it.

30 minutes later, it’s back, but a different topic. And so I deal with that 30 minutes later, I feel it again. And so that’s when my therapist called my doctor. And he started me on medication. And then that medication journey started. I’m still on it today. I’ve been on various ones over time.

It gives me a strong baseline to work from, and it makes the incidents much fewer. I don’t have a pop-up as frequently. So those things. Ironically, the things that my church had warned me against are the things that helped me see more clearly what was happening to me and brought me back to truth because when my anxiety got under control, I was able to see God more clearly along with everything else.

And I was able to concentrate in prayer again and before I was so confused as to why I couldn’t connect with God like I used to, and I thought it was a sin issue. I heard Christian say before that Christians would mention this feeling of I feel convicted of sin and I’d always, I’d always thought like, what is that like” I don’t really feel that. And so then when I had these new feelings of anxiety, I’m like, oh my gosh, this must be conviction of sin. What’s wrong. And I would search my heart. I would do all the right things to try and find answers with God. And I would come up with nothing. I was stuck and then not just exacerbated things and kept the cycle going of this scrupulosity to use a new word that I recently learned. My obsessing over pleasing God, my obsessing over I don’t want to be a failure to God. And I felt like his little failure. I obsessed about what is the will of God. 

And then when I moved to San Diego, I mentioned the move. I started a new church. stopped going to that other church. I didn’t keep going and going.

The other churches in between, you know, we went to my husband’s a little while and you know, they were okay. Nothing major either way, but I didn’t open up about my anxiety because all I had known was that people are not going to understand the church’s definition of anxiety is totally different from my experience of it.

They should have different words in my opinion. So when I moved down to San Diego, this new church. The second sermon I heard there, there was a couple on stage and they’re giving their testimony and it involved infidelity. And my husband and I were sitting there, like with our mouths wide open and I was like, oh my gosh, like, okay, if they can talk about this here from the stage, I can talk about my anxiety.

Carrie: Wow. So freeing.

Tiffany:  And by that time I was 10 years into this journey with anxiety. And I had actually gone into a remission at a point where my anxiety was under control. It was minimal. And I remember one of the things my therapist told me when she graduated me at the end of my two years. She said, don’t be surprised if this comes back during a major life transition.

You know, like if you have a baby, if you move and sure enough, I quit my job of 11 years in the bay area, quit the ministry I was involved with, moved down to San Diego and I was unemployed for awhile. That was my big trigger. And my anxiety came back with new manifestations too.

It was far more physical than before, far less of the thoughts.  It was harder for me to cope because it was harder to find the thoughts underneath the physical symptoms. And I had just like happened. I was like, you know, I’ve done this before. I’ve been here. I’ve been through the therapy. I’ve been through this stigma, whatever, I’m done, I’m talking about it.

And so I started more writing about it more freely. I just put it all on paper. I would talk about it. And my church really embraced that and I could give you great examples of it if we have time for it if you want to take it in that direction. 

Carrie: It seems like hearing somebody else’s story that totally freed you up and reduce shame and stigma to allow you to share your story.

And then I’m sure like you sharing your story has blessed someone else in the church who thought, oh gosh, I just thought I was sitting here. And I was the only one going through anxiety because I do think that that happens a lot in church unfortunately, if we don’t open up and we don’t talk about these things, or we don’t say… I look at my clients who talk about their therapy openly to other people. And oftentimes that will free someone up in their life to get therapy because then their friend or family member, whoever will go, oh, you’re getting therapy. Like, I guess it’s okay. Then, it’s that whole reducing the stigma and just kind of making it more of a normal process that, that it’s okay to go through. That’s awesome. 

And I love what you said too earlier about how it’s almost like anxiety was this cloud in between you and your relationship with God where you had a hard time seeing God clearly or connecting with him because this was in the way. And I really believe that as we’re able to work through some of those things, so we have a clear picture of who God is, of how much he loves us, so that, you know, he’s for us. And it just changes things a lot in terms of that positive connection with God. 

Tiffany: Yeah. I kind of felt in one of those moments, I felt like the prayer where the, I forget who it was, but a man in the Bibles tells Jesus, you know, I believe help my unbelief.  In those moments where the anxiety was heavy. It’s like, God, I, yeah, I know these things deep in my gut, but they’re not true in my, yeah.

I can’t grasp them rationally and I don’t know why or how, and, and God was definitely good and that he did help me brought me to that therapist and brought me on this huge journey since then. 

Carrie: So what I used to do on my show, I’d have guests on and I’d say, okay, now tell me a story of hope, you know, sometime where you receive hope from God.

And then I started doing more of these personal stories and just in a really make sense, because your whole story is hopeful, right? So I decided that this go-around of recordings. I’m going to shift the question, the kind of, some of our closing question a little bit. So your closing question is if you could go back in time, what encouragement or hope would you provide to your younger self?

Tiffany: This is a great question. And I gave her a bit of thought and I kind of came up with like everything I needed, like basically to my younger self. If I’m going to look at this, literally. I wouldn’t give myself any extra encouragement or hope where I went because God gave me what I needed when I needed it through people, through things like this podcast.

And I wouldn’t change that journey painful as it was because God is a beautiful artist, but there are things, I decided what I wanted to share was what I wanted to hear that night when I realized nobody understood, nobody was talking about what I was going through. So if I could, I think I just closed by reading a piece. I have a writing coach and he challenged me if I only had 15 minutes and don’t worry, this isn’t 15 minutes of reading. If I only had 15 minutes with the people who I’m writing for, what would I tell them? So I’m just gonna read that if that’s okay. So this is, I feel like what I needed to hear.

We have been told that as Christians, we shouldn’t be anxious or depressed. This makes us feel like crap because anxiety and depressive disorders don’t really give us. Scriptures like be anxious for nothing and rejoice the Lord always are directed and fired at us by church leaders, Christian authors, and friends and family who like to tack on offhand remarks and platitudes.

When I’m anxious, be anxious for nothing just makes me feel like that much more of a failure. They don’t understand the desperate darkness we’re dealing with or what it stems from. They expect us to be able to remove the very thorns that God alone can remove. Because the experience is limited and because they’d forget to listen, they assume that depressive disorders are the same as their own struggle with discontentment and they assume that anxiety disorders are the same as their own struggle to trust God with the present and future.

Infact, I consider it a misnomer to use the word anxiety for both their spiritual struggles and our visceral psychological disorders. I know it’s cheesy, but it might help a little bit to refer to the clinical stuff is thorny, after the thorn that the apostle Paul was inflicted with. That’s how I think we need to understand our disorders.

See if Paul’sexperience resonates with yours. And then this is second Corinthians 12 seven. A thorn was given me in the flesh, a messenger of satan to harass me, to keep me from becoming conceited three times. I pleaded with the Lord about this, that it should leave me, but he said to me, my grace is sufficient for you.

For my power is made perfect in weakness. Therefore, I will boast all the more gladly of my weaknesses so that the power of Christ may rest upon me for the sake of Christ then I am content with weakness, insults, hardships, persecutions, and calamities. For when I am weak, then I am strong like Paul and his thorn, none of us asked for our disorders. They harassed. They keep us from being conceded, from thinking rationally and from being generally functional, they keep us weak and in the presence of tears and the collapsing and the haze and the stigma in the midst of it all, we find that his grace is sufficient.

This is the real gospel, the gospel of weakness. The mistaken American church preaches a gospel of strength self-sufficiency and name it and claim it success in healing. In short, it’s kind of like the pharisees. No wonder it is obsessed with removing thorns with all its books and sermons about overcoming anxiety and depression.

It is forgotten Jesus’s words, “Blessed are the weak in spirit.” It is forgotten that our king was a man of sorrows. Well acquainted with grief. It is forgotten how the heart of God grieves the fall of his beloved mankind is forgotten the, in our very nature, we are all weak. It is distant from the truth and its source. In this ironic sense we are blessed. Our thorns remind us that we need rescue. They keep us tethered to our savior and the source of truth. I need to be rescued regularly from the adrenaline that just shoots on for no reason when my prefrontal cortex shuts down, I need to be rescued when my mind turns on me in a thick fog sets in over the truth.

Over the years, these words of CS Lewis have given me great comfort. They have done the rare thing of understand me as a person of faith with an anxiety disorder. If you are a poor preacher poisoned by a wretched upbringing in some house full of vulgar jealousies and senseless corals saddled by no choice of your own.

With some loads, some sexual perversion, parenthetically I put were bipolar disorders, schizophrenia or panic disorder, or any of those nagged day in and out by an inferiority complex that makes you snap at your best friends. Do not despair. He knows all about it. You are one of the poor whom he blessed. He knows what a wretched machine you were trying to drive. Keep on, do what you can one day, perhaps in another world, but perhaps far sooner than that, he will fling it on the scrap heap and give you a new one. And then you may astonished us all, not least yourself for you have learned. You’re driving in a hard school. The church’s obsession with curing anxiety and depression.

I was controlled. What if Paul came across a book called remove your thorn or pray your thorn away or choose Christ, not your thorn. Would Paul feel like a failure? Would he wonder what am I doing wrong? But he was obsessive, he searched for some horrible sin. That must be preventing his thorn removed. What would it cause him to spiral?

Like I do. I’ll never know the anxiety of guest 70. It’s a good thing that Paul’s thorn wasn’t removed. I have no more ability to cure my anxiety than Paul was able to remove his own thorn. And also like Paul, it doesn’t mean I don’t try. I’m surprised. He only asked God three times.

I’ve asked a bazillion while God is not cured me less I become conceited. He’s done so much healing, especially through means that have been denounced by many in the church like secular therapy, medication, nature, self-care.  Do what you can. Here’s my closing. Do what you can to take care of the body God gave you. I’m still learning how to take care of mine. Ours might be a little janky. But remember God redeems, all things let’s get comfortable with the law we’ve been given, not complacent, not giving up, but doing what we can and then surrendering the rest of Jesus. Perhaps the goal is to trust God with our anxiety disorders, that even if healing doesn’t come, that we may have the posture of the mother of God.

I am willing to be used of the Lord. Let it happen to me as you have said, Luke, that’s from Luke one. That’s my prayer of submission. When I can’t shake my anxiety, that’s the end. And that was way longer than I thought it would be. 

Carrie: Oh, wow. So good, Tiffany, we really need this book out. And so we will definitely let people know, whenever you let me know that it’s going to be out, I will let the people know because I love that.

I feel like we share a similar heartbeat for people in the church who are struggling. So thank you so much for being brave and coming on here and talking about your own struggles. I know this is definitely going to be relatable to our audience and that people are going to be blessed by the encouragement.

Tiffany: Well, thank you so much.

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Until next time may you be comforted by God’s great love for you.