Monday, April 1, 2013

Understanding and Soothing the Anxious Self


By Lisa Catania, LCSW

 
Anxiety is one of the primary reasons individuals come to counseling. Everyone deals with anxiety in some capacity.  For some it is an infrequent experience, and for others it is a lifelong companion.  For most, it tends to be an uncomfortable feeling suggesting risk in near and potentially unmanageable.  For this reason, anxiety can turn into real panic and can render a person feeling powerless.

 
Believe it or not, anxiety in its’ basic form serves a positive function, as do all emotions.  Anxiety is your sympathetic nervous system sounding an alarm that danger is present.  This creates a “flight or fight” response.  When this alarm system gets triggered, your brain creates “circuitry” to tag situational related events to give you an early warning system the next time a similar threat is present.  This is where problematic anxiety can set its’ roots – if you experience an adrenaline charged alarm while engaging in an ordinary event (like driving your car in snow), you can misperceive the benign experience as a dire threat to your safety and well-being (alas, developing a fear of driving in winter).  When you respond to these false alarms by reacting as if it is real (by flight: avoiding; or by fight: over-reacting), you can deepen your fear response and a reoccurring anxiety reaction can result.

 
Compassion and self-compassion are of primary importance as distress dominates, and sometimes shame can develop as self-criticism and a misconception of weakness can occur.  Here are some beginning ideas to help begin to “soften” the anxiety experience.

 
First, look for the beginning signs of stress or anxiety; for example: a worried thought, a quickened heart beat, or butterflies in the stomach.  Label it as what it is: the anxiety response. Begin right away with “turning down the alarm system” by practicing relaxation and calming.  Take deep belly breaths.  Use positive, reassuring, calming self-talk, such as “relax…. I can handle this”. This first step is important: when you calm yourself and self-soothe, you are activating your parasympathetic nervous system which is a “rescue” system that restores a calm physical state. In other words, you remind yourself that you can handle the experience of the moment, as well as the actual situation.

 
Anxiety-ridden moments can be ferocious, especially when they have been reinforced by avoidance or over-reaction. To be able to thwart these moments, you need to build up the “muscles” of your relaxation response.  Practicing deep breathing and relaxed feelings daily, especially when you are not triggered, will help you build and access this helpful “circuitry” when you need it most. It is also helpful to recognize and change any thoughts or beliefs related to your anxiety reaction, especially thoughts that reduce your sense of safety or control.  Instead of believing “I can’t drive in the snow”, reframe the thought: “I am scared, but can breathe into my real strengths. I can handle this”. Practice thoughts that include patience, self-compassion, forgiveness, and self-empowerment, such as “I can acknowledge my anxiety, and have compassion for my fear.  I am more than one feeling/experience.  I have real strengths I can bring to the situation.  I can ask for help, understanding, and support. I am safe.”

 
Also, develop routines of self-care to increase general health and well-being.  Exercise and healthy eating help to release pent-up energy and frustrations, and physically build up inner strength, hardiness, and self-worth.  Practices of meditation, mindfulness, and prayer help settle the mind and connect to a higher source or the bigger picture.

     

 Once you feel calmer, you can more readily access the problem-solving frontal lobe area of the brain.  At this point, you can address situations in their real form and develop a strategy plan.  Problems are more solvable or navigable if you can calm your anxiety, take things a-step-at-a-time, implement strategy plans and practice self care and self-compassion.