I totally agree with DeAnn. Anxieties are pretty common, and it certainly helps when you can identify the source. Especially for those of us with SMA, anxieties about getting proper care for ourselves is pretty much always going to be there. Even those of us who have outside care deal with it. It’s just one of those things we have to deal with. Though I will never not recommend therapy to anyone. I strongly recommend seeing a therapist if you have anxiety and/or depression. There’s no shame in seeing a therapist.
Regarding the whole “things outside our control” mentality, it’s important to determine what we can’t control and what we can. For instance, I’ve come to terms with the fact that I have to rely on people for help with my daily needs as long as I have SMA. I’m ok with this, and I understand that I have to be willing to trust caregivers to take care of my needs, as well as friends, family, and even strangers.
On the flipside, adjusting my plan of care and acquiring more independence is something I can control. When I was in your situation my freshman year of college, I was unhappy with the fact that I was totally reliant on my parents for my caregiving needs. I didn’t want to remain in this position, so I did something about it. I talked with other SMA folks who were older than me for advice, started the process of interviewing and hiring caregivers, and I also hired some friends from college to drive me around. I refused to just sit around and wait for things to change. I took the initiative.
Have there been bumps along the road? Of course. Things don’t just change overnight. I worked my tail off, but it was well worth it. I still live at home, but I have caregivers every day of the week/weekend. Also, I pay for caregiving services that aren’t covered by the government with my own money, and I pay rent. The amount of things I rely on my parents for is pretty minimal these days.
The point I’m trying to make is that while there are things that are outside of our control, there are plenty of things that we can change. It’s a matter of putting our minds to it and taking action. I know people with SMA who are weaker than you and me, and they have college degrees, careers, and caregivers.
Here are some things that have helped me the most in terms of gaining more independence:
-Continually meeting new people and cultivating new friendships (relying on a small group of friends is very limiting; people move and you can’t rely on the same people forever)
-Education: I’m not saying you have to go to college, but I wouldn’t be where I am if I hadn’t gone. Even if you don’t go, always be willing to learn. Read every book you can.
-Get a good social worker to help manage your care plan. If you’re relying on government services and your social worker is useless, find a new one.
-Talk with other SMA people/people with disabilities in your state. Every state has different rules and regulations, and it helps to find someone in your state/area who can give you advice about living independently. I know Christine Getman and her husband live in Oregon.
-Assistive technology: You have your JACO arm. Use it to go out on your own sometime to a coffee shop or restaurant. There’s also Amazon Alexa technology, apps for people with disabilities, transportation services, etc. Use every resource at your disposal.
-Work hard. No successful person I know, whether they have SMA or not, got to be where they are through some kind of shortcut. I have a full-time job in writing/communication, but I went to a four year university and worked for the school newspaper while I was there. I also took advantage of any writing opportunity I could get, both paid and unpaid. Don’t just do the bare minimum. Go the extra mile.
My hand’s getting tired from typing, but this is the best advice I can give. Thanks for coming to my Ted Talk.