Lori -- dunno if this will help you, but it does ME (in fact, I have a SCAD of 'coping mechanisms' that help me at work so much I don't even really notice I"m 'coping'.).
When you have something tough to do, like the phone call, write it down.
"Hi, this is __________ and please don't interrupt me for a minute. I wrote this down so I'd get it right. I know I've got a problem with depression, and via pen and paper I've worked up the courage to call and ask for an appt with Dr. _______________. I'd prefer to come on a [put in whatever day(s) of the week work best for you) so my husband can drive me (or so I can stand on my head in the corner or whatever makes you prefer that day). Honestly, I'd like to get in as soon as possible. If you have to ask me questions would you mind if my husband called you back, cos honestly I don't think I can handle it. I'm gonna shut up now and let you tell ME when the doctor can see me, ok? Thanks."
Obviously, use your own words. You probably won't need to say much. The fact that you had to write it out to accomplish it will tell them a bunch. But for me, if it's written down I can spit it out (I'm notorious -- I talk a mile a minute, but put me on the phone with a stranger when it's about ME and MY shortcomings and I either can't shut up and I babble incessantly or I choke and can't speak. (Yep, Callie speechless -- I know everbuddy is shaking heads in amazement!! pffftttt!!!)
When I get so overmaxed that I can't think, I write stuff down. When I'm stressed I'd forget to breathe if I didn't write it down. And sometimes I have to tell myself where I left the list!! Or make a note to myself (that I staple to my purse or tape to the mirror, or TO THE COMPUTER SCREEN to remember to do the things I have to do.
And with me, 'memory' is pure and simply STRESS-related.
So I'm just telling you what *I* do. If you know that your biggest hold-back is because you're afraid you'll get scared on the phone, or what will I say if they ask me _________________, or what will I say if they say I'm not bad enough or whatever ...think of all those things you just can't SAY, then prepare a short list of easy answers:
"That question is on the short list of things that make me choke -- can the doctor take a rain-check on that one and I'll answer it later?"
"If I answer that I'll hyperventilate -- this is stock answer #3"
"In honesty, I"m about to shake out of my shoes here, can you take pity on me and not ask that right this instant so I can get thru this phone call?"
It doesn't have to be funny -- just make a list of totally non-committal things that will indicate you can't dialogue about that NOW, so get off my back about it. But have them writen down so you don't have to 'think' of them but you can just plain READ them off.
And to keep it simple have 3 'non-committal' answers and just repeat them. But do tell the receptionist "I've got non-committal answers written down just so I can cope here". They should respect that and it should get you thru the phone call.
I'm also a list maker (particularly when I don't want to let MYSELF waylay myself).
1. feed Willow
2. shower - the towels and underwear are laid out. No decisions.
3. get dressed -- wear what I've laid out no matter IF I don't want to wear THAT today. I decided last night!
4.eat breakfast -- (make the coffee the night before so it only has to brew, and even set out the mug -- no decisions)
.5. whatever else you MUST do.
6. By 9:30 a.m. sit at the table where the notepad is already laid out with a pen and call 222-333-4444. (make sure your cheat sheet of what to say is already laying there)
By the time I wade thru all the things I've 'done' for myself so I can't boobytrap myself and 'avoid' what I don't want to do, I've done it.
But the more nervous I am about a thing the more I 'do' the night before so I can't sabotage myself and not do that thing. I crack myself up with the things I'll 'do' the night before and yet the other things I won't need to 'do' for myself.
Just a trick that works for me. And when other folks "see" it they think I'm incredibly well-organized and 'together'. Man, have I got THEM fooled!!
But if I make myself a list -- or if I make a big deal out of it to myself that I have to do THIS PARTICULAR THING by ___:00 a.m., then I tend to do it because I've learned to trust myself and not question a "schedule" or a list once I've compiled it. And as time passes, I've had such good luck with it that I tend to trust myself MORE (il.e., I trust the fact that I've thot thru everything when I MADE the list so I don't need to bother to change it, cos dang, it's probably gonna save my butt!!)
My favorite way to sabotage myself is to say "I'll do _____ after the news goes off" or "after Gilligan's Island" (or whatever I watcjed first) -- but then it was always too easy to say well, I've still go to to _____(whatever) and I'll have to do it after __________ (usually the next TV show, or whatever I'm using today to put things off). But if I made myself a list or a schedule, then I remembered I had to try really hard the night before to 'plan' it all out, so I'd better do what it says cos I had a good reason for it LAST night!