Journaling Series: Journaling Through Fear
This is the second post in this series. You can find the intro here, and the first post here.
The title of this blog is somewhat ambiguous, and that’s on purpose. Like the famous “litany against fear” that appears in “Dune”, fear is something that you cannot avoid, the best you can do with it is let it wash over you, observe the lessons that it has to teach you, and be left standing stronger and wiser in the end.
“I must not fear. Fear is the mind-killer. Fear is the little-death that brings total obliteration. I will face my fear. I will permit it to pass over me and through me. And when it has gone past I will turn the inner eye to see its path. Where the fear has gone there will be nothing. Only I will remain”.
Frank Herbert, Dune
I’m a cancer survivor, still living through the high risk of recurrence years of my remission. All my close family members have serious, life-threatening medical conditions. I live in a country where rockets are shot at me and my loved ones at regular intervals, where there’s always the threat of terrorism or just regular, run-of-the-mill violence. My government is methodically stripping me, my family and friends of rights and legal protections even as I write this. I spend my weekends (and lately my weekdays) going to protests where both police and counter-protesters have been regularly violent towards us. Being a human being these days is a fear-inducing thing, and I personally am living through a very fear-inducing life.
So it is not surprising that journaling when I am afraid, to work through that fear, has become a staple of my daily journaling habit. I have so many examples of working through it just in the past week, that I can break one out and actually write out an example of my journaling techniques in this case here. Note that my personal notes are messier, and that this is just what works for me, and even then, not all the time. Sometimes it just buys me some time, or eases the fear enough for me to gain some much needed perspective, or get on the phone with someone to talk it through. What I’ve written here is deeply personal, so if you comment, please be kind. It’s not easy to write about any of this.
When You’re Afraid of Breathing
The first and strongest symptoms relating to my cancer were shortness of breath (dyspnea in medical jargon). I’m in remission now, but still within the window where it’s not unlikely for my cancer to return (recurrence in medical jargon). During this time it’s up to me to notice possible recurrence indicating symptoms and flag them to my oncologist (cancer doctor in medical jargon). It’s only up to me: there are no scans, no blood tests, no physical exam that can indicate recurrence. It’s just me going to my doctor to talk about how I felt over the last three months. The main indicator will be the return of the shortness of breath. That same shortness of breath that is at the heart of my PTSD and anxiety attacks.
In short: I really, really don’t like not breathing.
Enter the local weather lately: a never ending heatwave with extreme temperatures and very high humidity that makes breathing outside difficult. Especially when running and walking to and back from protests.
The Fear Journaling Template
That’s not a great name, but that’s what I’ve got for now. I really recommend doing this with pen and paper, and feel free to destroy it once it’s done if you feel uncomfortable with anyone else accidentally reading it. Take out your journal or a loose piece of paper and write the following down:
- Fear – write what you’re afraid of in a sentence. Be specific, honest, and don’t make it pretty. Don’t explain anything – just state your fear. Don’t work on more than one fear at once – do them one at a time.
- Facts – write down any facts related to your fear. Be honest and thorough and be sure to include everything (both things that corroborate and contradict your fear). Make sure these are all facts and not perceptions, hunches or feelings.
- Feelings – go into your feelings related to your fear: shame, anger, frustration, etc. Expand on what it’s making you feel. Don’t self censor – you’re writing this only for you.
- Fixes – look at the Facts and Feelings you wrote down and try to come up with fixes that can help ease some of what you’re experiencing. What can you do to get through that frustrating and potentially explosive meeting? How can you get help with the relative that’s been hospitalized? Where can you look for tips on public speaking for the big presentation that you have to give? Again, don’t self-censor. This is just you writing ideas down on paper – it’s not a to-do list. You don’t have to do any of this.
- What’s the best outcome – in a sentence write what’s the best possible outcome of the fear that you’re facing.
- What’s the worst outcome – in a sentence write what’s the worst possible outcome of the fear that you’re facing. This is the scary part, but it’s worth doing. It’s worth seeing written down and not bouncing around in your head. Go as dark as your mind wants to take you.
- What’s the outcome I would bet on – take a step back and read everything you’ve written so far. Consider who you are as a person, the facts you’ve written down, how you’re feeling about things right now, and the outcomes you’ve written down. Then write down the outcome you think is most likely to be realized – the outcome you would bet on. It will fall somewhere along the spectrum between your best and worst outcome, and chances are it will be closer to the best outcome than the worst one. If it is the worst one, then double down on the fixes, get as much help as you can, batten down the hatches and get as ready as you can to deal with its consequences.
- When do I check-in next – give yourself a timeframe to return to these notes in – in a day, in a week or even in a few hours. This is both to help you get some distance from it all, and to let your mind feel OK with focusing on other things in the meantime.
Here’s an example of how this all works, from my own journal (warning: this gets pretty dark):
Fear – the shortness of breath that I’m feeling is an early warning that my cancer is back.
Facts – I’m finding it hard to breath outside lately. The heat index is extremely high: high temperatures and high humidity. The air quality index is moderate. I find it difficult but not impossible to exert myself under these conditions – I can still run in the early morning, and I can still walk to places if I need to. I can run normally in the gym, and I can breath normally when I’m inside with the AC on. The shortness of breath started about when the heat wave started. I’m in the 2 year high risk of recurrence window. My lungs aren’t functioning at 100% capacity. I haven’t gotten the results of my cardio-pulmonary exercise test yet.
Feelings – I don’t want to be a burden on my family or my doctor (being “the boy who cried wolf”). I’m terrified of my cancer returning. I’d feel even worse if it returned and I could have raised the flag sooner, and I didn’t because I wasn’t paying enough attention to my body. I would never forgive myself for that.
Fixes – accommodate the weather in my exertion levels and training. Move whatever you can indoors or into cooler hours. Check your breathing status in the gym. Call the hospital to get your CPET results and send them to your lung doctor.
What’s the best outcome – this is nothing, it’s just a result of this heatwave.
What’s the worst outcome – my dyspnea gets worse, and it is the cancer coming back for round 2.
What’s the outcome I would bet on – It’s likely just the weather coupled with my lung situation.
When to check in next – the heatwave will continue well into next week. Check back in next Saturday, after my long run.
We live in a tough world during a tough time. I hope that the ideas here help you out when dealing with whatever curveball life throws at you. The point is to gain more perspective, empathy and some tools when dealing with fear, and most importantly not let all that negativity bounce around in your head. Pen and paper are your friends here, and can help you get out of whatever fear you’re facing. It’s also nice looking back at old fears and realizing that most of them were never realized.
Where the fear has gone there will be nothing. Only I will remain.






































