Wednesday, February 24, 2016 // The Statement 7B to my health insurance company but never did. It was given to me nine weeks ago by a therapist… my therapist. I kept it because it gave me concreteness every time I opened this notebook that sat on the desk next to my bed, it told me — or by keeping it there I was trying to get it to tell me — a piece of my identity. “This is the room we have available at this time, it is typically for our younger patients, I apologize,” I was told on the first day of therapy as I entered a room painted blue full of puzzles and toy blocks. I made a joke about loving puz- zles, grabbed a piece, and played with it between my pointer finger and thumb as I thought. I spent an hour on a couch every week. I practiced cog- nitive behavioral therapy on white worksheets. I talked a lot. I didn’t hate it. I learned a lot: how my brain had created unhealthy synapses where when I heard one noise, no matter how small, I jumped to thinking I would never be able to fall asleep when in truth it was a pretty small noise. How other things, like not going to bed on time or it not being fully dark in my room, linked another unhealthy jump in my mind tell- ing me I’ll never be able to sleep. Every time these synapses fire they create deeper and deeper grooves in my neuro- logical paths that release anxious feelings within me. My brain was making these well-worn grooves and I had to train it not to follow down the same problematic grooves every night. I learned something really heart- breaking about the freedom of thought. I used to believe that every thought was your own and was healthy and true and deserved to be thought about and explored. I learned that this wasn’t true. *** According to the Anxiety and Depres- sion Association of America, anxiety is the most common mental illness in the United States. I paid a lot of money and spent a lot of mornings hoping my sis- ter’s car that wasn’t built for snowy roads would survive a 10-minute drive to a therapist’s office to be diagnosed with the most general dis- order that exists in the world. And now, I, too, was this basic denominator. I was the statistic written at the top of news articles addressing “mental health awareness” that were pitched in the newsroom. I have typed the word insomnia into Google a few hundred times. Insomnia can be classified into four categories: transient (insomnia lasting a single night or a few weeks), intermittent (if tran- sient episodes occur from time to time), chronic (if insomnia occurs most nights and lasts a month or more) or secondary (when insomnia is a side effect of another problem, a symptom of an emo- tional, neurological, or other medical disorder.) I believe I have experienced all four of these types. The most prominent, and also the hard- est to accept, is the secondary type — my anxi- ety gives me insomnia. But I don’t know if those words are true — the word insomnia and the word anxiety can very much be reversed in that sentence. My insomnia gave me anxiety. Because I could’ve sworn to you those first nights not sleeping there were no waves of nerves, I just sim- ply couldn’t sleep. Or, were the waves there and I just didn’t have a word to call them by? Did defin- ing them “anxiety” make them occur more often? Did identifying a problem help solve it or simply and boldly accentuate it? *** I traveled to New Hampshire in a minivan with five strangers at the start of May. We had all signed up for the New England Literature Program and would be camping and backpack- ing while studying the work of New England authors together. As hours of the drive stretched on and secrets seemed to be exposed like they were nothing fragile between us, I told them I was worried about my sleeping. I didn’t know in that minivan that I was about to spend six weeks learning how to sleep again. At night, my body would not feel anxious and buzzing but instead be calm enough to actually crave sleep now that it had been reminded how good sleep felt. There are a lot of things to fall in love with in the care- fully crafted community of NELP. Sleep was my largest love affair. When we spent three days in the pouring rain on the Pemigewasset trail, a trip we had to cut short due to the harsh weather, I faced my anxi- ety with higher physical stakes. Instead of hav- ing to wake up and walk my body through Ann Arbor to class, I had to be rested enough to climb a mountain. When the last week of the program came and I still hadn’t taken a solo camping trip where you hike out and set up camp to spend 24 hours com- pletely alone, I began to think about and realize why. I imagined all the waves of nerves finding me in a small green tent with thick rows of birch trees and miles of lake water around me. I knew I would spend 24 hours wide awake, counting the waves of nerves pulsing up and down the insides of me. After the dishes were cleaned that night, I signed myself up anyway. On my solo, when the sun went down and I crawled into my sleeping bag, I couldn’t find the waves of nerves. And where in the past the searching for waves typically brought them running to me, none came. I fell asleep effort- lessly, on a slanted hill because I couldn’t find flatter ground, on twigs and branches and rough dirt because I didn’t do a good job of clearing the ground, listening to strange animals thud through the brush. Despite all of the unhealthy synapse-inducing factors, I slept. *** This year, as I folded sheets under my mattress and pushed pins into a tapestry to hang on my wall, I told myself I was constructing a purpose- ful place to sleep. I told myself it was going to be different this year. It is different, of course it is, but sleep doesn’t come like it did in New Hampshire or in San Diego or in Washington D.C., where I spent the rest of the summer. It seems to remember it is unwelcome here in Ann Arbor. Sometimes I go to class with the old exhaus- tion. But sometimes there are days when some- one answers my question of "how are you?" with “good, but tired” and I feel like I can actually relate because I feel a normal amount of tired. There is never a night I fall asleep — that luxuri- ous sinking feeling that I miss — effortlessly. The second week of the semester I sat on a black couch and a boy asked me to explain why I said I didn’t want to see him anymore after a very sudden and short amount of time. I scram- bled with too many words, trying to explain how I have problems sleeping and don’t understand it fully and his presence in my life added more waves of nerves and less sleep. I didn’t say to him what I have written here. I fumbled a lot. He looked at me and said, “Claire, that’s the point. You have general anxiety disorder; you don’t have to explain it. It is a clinical disorder.” Maybe he’s right; maybe I need to get better at understanding the clinical part of my disorder. Maybe I need to pull out that white piece of paper that has my diagnosis on it and study it, learn to cope with the tangible symptoms of anxiety. To accept that my insufficiencies are excused by my diagnosis. Maybe my exhaustion will finally evaporate if I can stop trying to solve my anxi- ety, to cure it. But here is the difference: It is not as simple as what all the thought catalogs and WordPress blogs from every anxiety-suffering teen who preaches to accept yourself and become not a statistic but a normality, because I have tast- ed cured-ness. In New Hampshire I was strong. I know I do not have to live sleepless. There is something sickening attached to what I learned in therapy, attached to this clini- cal part. I learned that my brain, my self, cre- ated unhealthy neurological pathways. I made so many unhealthy choices that I gave myself a disorder. Though I am trying to pull myself out of those deep problematic neurological pathways, I am haunted by this idea that I gave myself a dis- order. *** It is a strange sensation to watch your- self in very real, tangible ways change into a person you don’t recognize. Last year I noticed I’d creep away from loud conversations and into the confines of my bedroom. Outside of my house, I noticed when conversations got loud more often and would remove myself from them, not commenting or speaking up. In these awake times, there were never waves of anxiety. So why was I creating distance between myself and the people around me? Why, when I genuinely liked and wanted to share my life with the people around me, was I reverting more inward- ly than ever? So this week I sat on each of my room- mates’ beds and challenged myself to explain my insomnia, something I always struggled to make public. As I opened my mouth an elevator speech of what my insomnia is like flowed from my mouth, and, strangely, I didn’t hate it. I said it seven times, to each of them, and for the first time in a long time I recognized and liked the sound of my own voice. I wasn’t explaining a diagnosis, I wasn’t explain- ing a definition of insomnia that I had Googled, I was explaining, quite simply, me. Just like those deep grooves that are the neurological pathways in my brain, I’m typing these words to create new grooves that lead to a healthy explanation of my anxiety. I’m pull- ing myself out of the problematic grooves. I’m remapping my brain. I’ll now always think of my anxiety as not general, not the same, most common mental disorder in the country, not everyone else’s. I’ll think of it as this peculiar, hybrid disorder that surfaces only in this unique arena right before and right after sleep. Sleep is a romantic time between self-awareness and self-lost-ness, and I feel lucky my anxiety allows me to exist so alert in these times: They might be the most impor- tant. I’ll share what I can about this precious part of me and I’ll know sharing feels reassuring and rewarding. But I won’t forget that there is beauty in the nuances of my secret: There will always be a little bit of all of this that is still unsolved, and I’m not afraid, worried or anxious to keep that part to myself. I am going to create a new word for my type of anxiety — a precious type that only comes alive in the secret moments in between the conscious and the unconscious. That word will be all mine. ILLUSTRATION BY EMILIE FARRUGIA