Debilitating Anxiety

Nurses Stress 101

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Hi everyone,

I am in desperate need of help. Please bear with me. This is a little lengthy. Without going into specifics and telling the whole story (simply because it would be an even longer post,) I'll give the essentials. I have debilitating anxiety when it comes to jobs. I graduated a year ago, so I'm a new nurse who feels trapped, hopeless and helpless. I am currently not working because I, yet again, quit my last job after just 3 days. I'm 31 and have had this problem my entire adult life. When I start a job, any job, I have extreme anxiety because I'm new and feel like I won't catch on and be good enough. I know anxiety is common, but mine is so intense, I become irrational and impulsive and do anything I can to get myself out of that feeling of anxiety, meaning I quit. I can think logically and tell myself it just takes time and all that good stuff, but when I'm in that state of panic, there is no talking sense into me.

It is ruining my life. I do see a psychiatrist. I am on medications. However it takes large doses of benzos to reduce that anxiety. NOT good. I do NOT want that for myself.

So my question? I have two. 1. Has anybody else ever experienced this? I'm asking to know whether or not as a nurse, if I'm alone in this. 2. I'm researching self help books on the topic, reading reviews of books on amazon. Can anybody recommend a self help book that relates to my situation? My psychiatrist calls it "performance anxiety" which perfectly describes what I feel.

I love nursing very much and want to really begin my career. I did work as a patient care tech for a hospital for 3 years, and I worked for 2 months at a SNF right after I got my license. I loved working with the residents. I got through it with Lexapro and Xanax, but need to work on the anxiety myself with techniques. (After I get used to a situation, I no longer need the xanax, hence lasting 3 years at the hospital and a previous job for 6 years) I quit my first nursing job because I was overcome with panic before a shift and did not have any more xanax. I absolutely could not bring myself to go in, so I quit right then and there.

I moved up my next psychiatry appointment to discuss this more with my doctor. He knows I have built up quite a tolerance to xanax. ( I've been on it 7 years.) I am very honest with him. Please don't turn this into judging me about meds :/

So any books anyone is aware of? I'm only finding stuff of mild to moderate anxiety, and mine is debilitating to the point where I can't hold down a job. And anyone else that can relate?

Thanks for taking the time to read this. I'd appreciate any responses.

P.S. I actually know the source of my anxiety, when and where it stems from, and that it has to do with low self esteem. But now I think, "ok, that's the first hurdle. I have insight. Now what?"

Specializes in School Nursing.

I have paralyzing anxiety which has caused me to quit a few nursing jobs (I've only been a nurse 3 years), so I totally relate. I am now trying out L&D and feel completely overwhelmed because I never gave any of my hospital jobs a chance... they were just too much. I didn't realize how stressful L&D could be and how much is there to learn. It is overwhelming. This is also causing me depression and I just feel like my nerves are shot and I'm on the verge of a nervous breakdown. I have been having symptoms of dizziness and almost feeling like I am going to faint. I have a prescription for klonopin but I feel that this doesn't leave me as "sharp" as I need to be. Same thing with Neurontin. I just started taking this a few days ago but it makes me feel very dumb! I think I'm going to try an old prescription of Paxil. I'm desperate. Sometimes I question whether I should even be a nurse :(

Specializes in School Nursing.

Oh, and I've never had this anxiety with other non-nursing jobs in the past. In fact, I excelled and was very confident. There was probably a learning curve with those jobs, but never have I had the paralyzing fear and anxiety like I have with nursing jobs. I've been considering trying a beta blocker because I am so sensitive to side effects from antidepressants.

Specializes in allergy and asthma, urgent care.
I have paralyzing anxiety which has caused me to quit a few nursing jobs (I've only been a nurse 3 years), so I totally relate. I am now trying out L&D and feel completely overwhelmed because I never gave any of my hospital jobs a chance... they were just too much. I didn't realize how stressful L&D could be and how much is there to learn. It is overwhelming. This is also causing me depression and I just feel like my nerves are shot and I'm on the verge of a nervous breakdown. I have been having symptoms of dizziness and almost feeling like I am going to faint. I have a prescription for klonopin but I feel that this doesn't leave me as "sharp" as I need to be. Same thing with Neurontin. I just started taking this a few days ago but it makes me feel very dumb! I think I'm going to try an old prescription of Paxil. I'm desperate. Sometimes I question whether I should even be a nurse :(

Please don't start or stop any medications without talking to your prescriber first. Best of luck to you!

Specializes in Geriatrics.

OMG you guys. I was feeling so alone before I read this thread. Long story short, I am at a crisis with my generalized anxiety disorder and felt that I would have to quit nursing and find a minimum wage job. Thanks for all of the honesty and support. Maybe I (and my family who I support alone) will make it after all. Kim

Specializes in Dialysis. OR, cardiac tell, homecare case managem.

I too feel as if I could have written your post, I quit a job last week due to the same anxiety and panic issues, I just didn't go in. I know this is wrong and basically self sabotage, but I literally had a panic attack and could not get myself to leave the house. I am not proud of this as I in the past have been a stable employee of a hospital for 20+ years. I am 48 and have been an RN for 15+ years, I have been on different meds but also stopped going to therapy because of the cost. I know I need to go back and get myself back on track. Thanks for posting, it is so hard to think you are going through something like this alone. I felt that way for along time.

Specializes in Pain, critical care, administration, med.

Have you thought about mindfulness based stress reduction class?it maybe helpful as it is very useful in other areas as well. We actually offer it where I work for all émigrés and is mandatory for residents. Good luck! Anxiety sucks but once it's under control life is so much better!

I am so glad to hear I am not alone.

I too, am in the nursing field and have went through many jobs (and resigned quickly) because of my anxiety.

Even when I was younger with non-nursing jobs I have done the same. I have been on many different benzo's, SSRI's etc.. And nothing has stopped this viscous cycle I am in. It's involuntary to me it feels, as if it is happening and I cannot control it. Something beyond my understanding. It must be a performance thing for me as well. I am currently unemployed trying to work through therapy and a regimen of medications. Thank you for sharing, I was starting to believe I was internally lazy or something.

Lots of love,

Lindsey.

Ps. If you find something that works, please let me know!

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