ADHD, crippling anxiety attacks, and horrible self-esteem

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I am nurse in my first year as an RN, and I have ADHD "Severe Type" (according to the Duke ADHD Program). I have been suffering from crippling anxiety on the job. I go into the bathroom to cry and often have panic attacks where I find it difficult to stop hyperventilating and my chest and throat get sore from it. My face gets awfully red and it takes me so long to calm down and just stop crying uncontrollably. I have horrible self esteem problems and feel like I suck at my job because I am horrible with time management. The other day, I didnt even have a chance to sit down and chart anything until after 5pm. I hate where I am working, because I feel that the patient load is too intense for me, and EVERY patient on my unit has pain management issues. I dont know how much more of this I can take. I spend my days off worrying about how the next day at work is going to go, and I cry and cry and call myself stupid when I know that I deserve to feel better about myself and not abuse myself like this. I don't know where else to turn. I want to find a different job, but my management wants to work with me to help me improve my organization. I just want to get the hell out of the place and get an office position. I feel a lot better already after typing this, but I still feel hopeless about the future. I thought that I was going to be a great nurse, but I can't get the time management down, and then my anxiety gets the best of me. I have been safe and competent, but I am 'slow' at getting my tasks completed and charting done, and I dont see what I can do to go faster.

Any advice and prayers of support is appreciated.

I have the same issue with my panic attacks, I'm so aware of my heart pounding and afraid I'm having a heart attack, even though I've had more panic attacks than I can count! Finding the right medication is what worked for me. I hear you about the stress of clinicals, if it weren't for my meds I don't think I could have functioned at all in clinicals. Good luck :)

How is everyone doing? I left the hospital environment and am loving my job in home health. It isn't stress-free, but I get to deal with one patient at a time. It has made a huge difference in my life!

Congrat's on making a positive work environment change!! Hope you are feeling better! Thanks for giving us an update! Wishing you continued success in your new position!

Lee

Specializes in Inpatient Adult Oncology.

What specialty are you in right now? If you are feeling this overwhelmed it may have something to do with where you are working. As far as time management goes, it takes a while to start feeling like you even know what is going on, let alone feeling like you have it together, if you felt like you knew everything in your first year of nursing, that quite possibly could make you the scariest nurse ever; knowing your limits is important...however, limiting yourself with doubt is not a good thing either. Try to remember why you decided to become a nurse, try to remember the good things about being a nurse...and try to focus on the good things that happen while you are working. Maybe if you make a list while you are working, just quickly, and keep it in your pocket, and add possitive things as your shift goes along, and then go home and look at it, it will make you feel a little better...

"All the world is full of suffering. It is also full of overcoming." ~Helen Keller

Love your quote, JamieLee

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