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When you are in some careers it is hard to separate yourself from work since people like to ask for advice. This is something that I experience quite often because I'm a social worker. When people find this out they like to ask my opinion about what they should do about different circumstances, generally involving one of their relatives or neighbors. This can become inconvenient, but being in a helping profession this is part of the job. Many individuals don't know where to turn to access services for mental health needs, so they find it easier to ask someone they know how to do this.

Most of the members of our faith community know that I'm a social worker. We had an incident that happened during a church function that called for my knowledge. We were gathered in our fellowship area for a potluck dinner one Sunday evening. One of the parish members was sitting off on their own. I have spoken to her at other functions and she has shared with me that she has problems with anxiety. When I saw her I noticed that her skin texture was flushed and she seemed to be having a hard time regulating her breathing. I recognized the early symptoms of an anxiety attack. I knew that they would get worse rather quickly. I quietly asked our minister if he would open his office. I went over to the woman and asked her to come into the minister's office with me. As we were walking toward the office she informed me that she was feeling sharp chest pains. She doesn't have a history of cardiac disease so I assumed that the pains were yet another of the symptoms of an anxiety attack. When we were in the office I had her concentrate on doing some deep breathing exercises with me. I calmly rubbed her hands and kept repeating the directives for the breathing that I was doing with her. She had been heavily perspiring so I opened a window, even though it was quite cold outside. The cold air along with the deep breathing began to calm her. She admitted that she had been quite anxious over the past couple of days and that she had not taken her medicine that day. As we talked most of the symptoms of the anxiety attack dissipated.

Our church is very close to a hospital and I asked her if she wanted to be checked there to ensure that the chest pains had been part of the apprehension. She informed me that she was sure they were and that if she had just a few more minutes to calm herself she thought she would be able to leave for home. I told her that nobody in the gathering had observed our departure because they were visiting and having crudite. She agreed to join me in the group with the promise that I would take her home the moment she asked. She ended up staying for most of the evening. She informed me when I drove her home that if she had been alone she would have called an ambulance due to the fact that she thought the symptoms of the anxiety attack were a heart attack instead. I assured her that this was a widespread mistake and that she needed to be more aware of how her anxiety impacts her.

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