Post-Accident Packing and Travel Anxiety [en]

I’m on the train to Paris. I’ll be coming back a week on Monday. It’s a comfortable, easy trip. The reason for my travel is I’m attending a two-day course on burnout – part of my training at the Gregory Bateson Institute. I’d planned on postponing this module until next year or the year after, given that my main priority now is building my working capacity back up following last year’s accident. But earlier this year, the whole curriculum was redesigned (it’s a good thing!), and the material on burnout will be incorporated into a longer module which is largely redundant with the courses I’ve already taken. So: now or never.

Following my relapse/brain crash earlier this year, I took the decision in March to pretty much clear out anything that was in my calendar. It was a tough decision, but it was the right one (people who have experience with chronic fatigue will know what I’m talking about). For those few plans I held on to, I « cleared the decks » around them to ensure they would not interfere with getting my work done, and that work would not jeopardise them. This means I took the whole week off for these two days of training, just like I took the whole week off a fortnight ago to go and see Mika live at the Caribana Festival. It worked.

In my pre-accident life, I might have travelled on Monday, attended the training on Tuesday and Wednesday, and travelled home Thursday. The « recovery » version of this is to add at least a day of padding in between training and travel, with nothing planned, so I can rest/stock up on « energy »/recover, and reduce the risk of (for example) travelling on a maxed out brain. I figured I might as well add on a few extra days (particularly as Oscar is not around anymore – something I’m really thankful for to be honest, with the awful heat wave that hit us over the last week), and catch up with a couple of people, if I’m in good enough shape.

This is my fourth « real trip » since my accident. I went to France twice for extended week-ends with family or friends last year. Each time was absolutely exhausting (but nice). Then after Christmas I went to spend some time at the chalet – first time I was going back since my accident – and we know what a disaster that turned out to be. This time, I think I’ve planned and organised things well enough and with a lot of caution.

As I was packing and preparing for departure yesterday, I realised I was really stressed out. More than usual. Packing and preparing to travel has always been stressful for me. It’s not the actual travel or being in a strange place or away from home. Or maybe just a little. What it is mainly is all the executive function acrobatics required in dealing with travel-related logistics:

• making sure I do the things that need to be done before leaving
• deciding what to bring with me (this is a huge one)
• organising cat- and plant-sitting
• inserting these « unusual activities » into my days at the right time, in the right order, and with enough time to carry them out
• leaving wherever I’m at to go “somewhere else” – the transition itself.

Putting things in the suitcase is actually a part I like. It’s real-life Tetris: fun. Once I’ve locked the door behind me and am heading out with my luggage, I’m good. But before that, it’s complicated. I have got much better at dealing with it over the years, and with the clearer view on my executive function challenges that my ADHD diagnosis brought me a few years ago (and meds!) it’s even better.

I don’t have a very clear memory of how preparation for my two France trips went last year (only that I overpacked, a sign that making decisions regarding what to take or not was difficult, so in doubt, pack more). But I do know that packing for the chalet in December was a nightmare.

OK, I had already « crashed » during the previous week, but I’d taken rest to recover and felt functional enough to tackle it. And yes, it was also the first time back to the chalet since my accident, but I was really looking forward to heading back. I was aware there was maybe a little (normal) underlying apprehension that I might not be perceiving.

What apprehension I could feel was not about going to the chalet, but about the possibility of an unexpected emotional reaction to being there again. It was the same thing when I went back on the ski slopes: not scared of skiing, just worried I might have misjudged my readiness and have some kind of PTSD-like reaction to being back on my skis or where the accident took place. Nothing like that happened, by the way. Everything was fine.

This illustrates where most of my post-accident anxiety lies. I am normally pretty good, in general, in predicting how I’ll react, what will be challenging, what I can and can’t deal with. I know myself well, including my biases, and of course I know that when you expect something to do this way or that, it does have an influence on the outcome – I do my best to correct for that. Since my accident however, I have been blindsided by my brain more times than I can count. At times I feel like I do not know myself anymore, though of course I’m still me and very much feel me, but when it comes to “what I can take”, whether mentally, physically or emotionally, I’ve had a lot of bad surprises.

I am repeatedly finding myself in the situations where my brain does not deliver in the way I expect it to, and where I misjudge what I’m able to do. In my accident-recovery-life, the consequences of these prediction errors are swift: I crash. I don’t know if it hits everybody this hard, but for me in any case, it’s pretty traumatising to have my brain brutally and unexpectedly go on strike like that. Both the “brain not working” and the “didn’t see that coming” aspects are really scary.

So now, as time goes on and my recovery stretches out way longer than I initially imagined, as the clock of certain administrative deadlines regarding my return to full work capacity start audibly ticking, as I fail again and again to know my fluctuating limits, I can feel my underlying confidence in my abilities and self-awareness slowly erode, leaving place to self-doubt and increased anxiety about dealing with life and the world. It sucks: the anxiety is not crippling, it’s just a nuisance and an energy-drain at this stage, but I can see the process and the slope I’m on, and I do not like it one bit. Breathe. Relax. Deal with today. Be patient. Hang in there. Keep at it. Trust the recovery process. All this works, and I don’t feel in danger, but it’s more and more work to not let myself be dragged down.

Right. So there’s that. My trust in my ability to manage myself and deal with life is weaker than it was. So my baseline anxiety is higher, my executive function is struggling more, and I tire quickly. But as I was walking to my neighbourhood station to catch the local train a few hours ago, I understood that something else was probably coming into play in terms of post-accident travel and packing anxiety.

You see, my accident happened on the very day I travelled to the chalet for my holidays. I hadn’t been there for a while, I’d actually emptied the chalet of all my stuff and Oscar’s when I had last departed, so it was already an “increased stress” packing and travel operation. Nothing disastrous, still quite within the realm of ordinary, but not a walk in the park.

I got to the chalet (later than I had intended), got Oscar settled, dumped my unopened luggage in a corner and headed off immediately to get a couple of hours of skiing in on this first day. When I fell, I was heading back to unpack and enjoy the evening. I didn’t make it back: I spent the night at the hospital, in the haze and stress you can imagine, worried about my shoulder and my old diabetic cat who was alone at the chalet, trying to make decisions and organise logistics (How can I get back to the chalet? Should I go back to Lausanne? Who has a good shoulder specialist? Who can help me with my car as I can’t drive? That’s just the start of them). The next day a friend picked me up at the hospital and drove me back to the chalet, and another one came to help me empty the chalet and drive me back home. It was horribly stressful. I was in pain, I was freaked out, and instead of resting my concussed brain I was in full crisis management mode. It didn’t get better over the next two weeks.

I wouldn’t be surprised if my accident taking place just on the heels of travelling to the chalet didn’t add an extra layer of “negative association” to a transition that was never that easy for me to begin with.

Say you have a pet who always stressed out when heading to the vet’s. You do stuff to make it smoother: stay calm yourself, get your pet used to the carrier or the car, add treats, maybe a mild sedative, maintain usual routines as much as possible… It’s not great, but it’s not a disaster anymore, it’s manageable. And then, one fateful vet visit, something “bad” happens there. Not on purpose, of course. An exam that’s longer or more intrusive. A different vet. A loud noise at the wrong time. The pet freaks out, has a really bad experience.

Well, chances are that the next time you prepare to take your pet to the vet, it’s going to be more complicated.

That’s how I feel it’s playing out for me. I’m not actively scared of travelling or having an accident. But I’m clearly more stressed when preparing to travel, and some part of that could very well be the proximity of my accident to travel which has left a negative association. Not PTSD of course, but maybe on that continuum, probably closer to normal than pathological.

In 2019 I had a bad car accident (which resulted in surgery on my right wrist six months later). I was in a roundabout when a car entering it hit the back of my car right from the side. I didn’t see anything – there was a loud bang and choc and suddenly I was heading off the road right onto a big metal signpost solidly anchored in the ground. The car flattened it, ripped it out of the ground, and in turn it bent the car frame into a right angle. The car was totalled, we were lucky. I drove quickly afterwards with a rental, without issues. I’ve always liked driving and never been afraid at the wheel. But for months afterwards I felt a tiny surge of apprehension when going through roundabouts (it even still happens sometimes now when I’m on the precise spot of the accident). Nothing huge, but a clear signal – and this was on the backdrop of an activity (driving) that was very positive in terms of associations, compared to packing/traveling which was already fraught.

We’ll see how things play out over the next months and years. But I think I’ve put my finger on something that wasn’t on my radar. You know how sometimes you have an insight that just feels like it’s the missing piece? That’s what this feels like. In my experience, it’s often enough for me to just understand this kind of mechanism to defuse it. Like when I understood that a huge amount of my anxiety over Oscar’s impending death was the possible consequences this loss would have on my recovery timeline, given the post-accident uncharted territory I described higher up when it comes to my ability to “deal with life” in these times.

I typed this on my phone, with an external keyboard. Pretty comfortable I have to say, but not quite enough that I feel like adding links (there would be a good handful to add). I’d also like to say more regarding continuums between normal and pathological, and also on the somewhat related question of normality: when it comes to living beings, normal/average is a mathematical abstraction (or a bell curve), which should make us think real hard about how we frame certain realities (e.g. “neurodiversity”).

Anyway, I’m going to leave things there. I’m starting to feel a bit of motion-sickness and I feel just about ready for a nap in my comfy train seat.