Anxiety Symptoms Quotes

The trouble is, depression doesn't come with handy symptoms like spots and a temperature, so you don't realize it at first. You keep saying 'I'm fine' to people when you're not fine. You think you should be fine. You keep saying to yourself: 'Why aren't I fine?

It’s estimated that AI could free up to 25% of clinician time across different specialties. This increased amount of time could mean less hurried encounters and more humane interactions, including more empathy from happier doctors. This is important because empathy has been shown to improve outcomes by boosting patient adherence to the prescribed treatments, increasing motivation, and reducing anxiety and stress.

Ultimately, forgiveness is usually about one thing—“This is for me, not for you.” Hatred is exhausting; forgiveness, or even just indifference, is freeing. To quote Booker T. Washington, “I shall allow no man to belittle my soul by making me hate him.” Belittle and distort and consume. Forgiveness seems to be at least somewhat good for your health—victims who show spontaneous forgiveness, or who have gone through forgiveness therapy (as opposed to “anger validation therapy”) show improvements in general health, cardiovascular function, and symptoms of depression, anxiety, and PTSD. Chapter 14 explored how compassion readily, perhaps inevitably, contains elements of self-interest. The compassionate granting of forgiveness epitomizes this.41

Magnesium deficiency can produce symptoms of anxiety or depression, including muscle weakness, fatigue, eye twitches, insomnia, anorexia, apathy, apprehension, poor memory, confusion, anger, nervousness, and rapid pulse.

Anxiety, and the physical symptoms it causes, is merely fog along the path of independence and discovery.

Rape and war, she explained are among the most common causes of post-traumatic stress disorder, and survivors of sexual assault frequently exhibit many of the same symptoms and behaviors as survivors of combat: flashbacks, insomnia, nightmares, hypervigilance, depression, isolation, suicidal thoughts, outbursts of anger, unrelenting anxiety, and an inability to shake the feeling that the world is spinning out of control.

Chronic trauma (according to the meaning I propose) that occurs early in life has profound effects on personality development and can lead to the development of dissociative identity disorder (DID), other dissociative disorders, personality disorders, psychotic thinking, and a host of symptoms such as anxiety, depression, eating disorders, and substance abuse. In my view, DID is simply an extreme version of the dissociative structure of the psyche that characterizes us all.

And all this talk, over and over, of bravery: it would be nice one day if a public figure could talk about having depression without the media using words like 'incredible courage' and 'coming out'. Sure, it is well intentioned. But you shouldn't need to confess to having, say, anxiety. You should just be able to tell people. It's an illness. Like asthma or measles or meningitis. It's not a guilty secret. The shame people feel exacerbates symptoms. Yes, absolutely, people are often brave. But the bravery is in living with it, it shouldn't be in talking about it.

No one needs to hit rock bottom to change. And yet so many people do, only because most of us are unskilled in communicating with ourselves. Stress, depression, anxiety, insomnia, headaches, illness ... these are all symptoms of a bigger problem. You're trying to tell yourself something. Loudly. Listen now or listen later. There is no ignoring the call.

A hadith states, “Anxiety is half of aging.” Another hadith states, “Righteousness will lengthen your life.

Anxiety and depression, and the physical symptoms they cause, are merely distractions and smokescreens to “protect” you from dangers, which are usually, imaginary.

Here I want to stress that perception of losing one’s mind is based on culturally derived and socially ingrained stereotypes as to the significance of symptoms such as hearing voices, losing temporal and spatial orientation, and sensing that one is being followed, and that many of the most spectacular and convincing of these symptoms in some instances psychiatrically signify merely a temporary emotional upset in a stressful situation, however terrifying to the person at the time. Similarly, the anxiety consequent upon this perception of oneself, and the strategies devised to reduce this anxiety, are not a product of abnormal psychology, but would be exhibited by any person socialized into our culture who came to conceive of himself as someone losing his mind.

Age shame is also a problem primarily for women. As women approach and go through menopause, naturally gaining weight as fat-to-muscle ratios shift, they exhibit many of the same anxieties and symptoms that teenage girls do. The process of growing older makes women's 'flaws' more visible and acute, thus, aging, a natural process, becomes frightening, disorienting, and difficult for many women.

It isn't depression, or anxiety, though it can sometimes appear as a symptom of these better—known conditions. Often, it emerges with cruel ferocity as a chronic disorder completely unto itself. Its destructive impact on an individual’s sense of self is implied in its very name—depersonalization.

So, first, I want you to know that everybody experiences some level of anxiety. It's a normal human response to stress. It's like your body's smoke alarm. If there's a fire, you want to know so you can put it out or call 9-1-1, right?” I shrug. “I guess. But it feels like my alarm is going off all the time.” Doctor Ann nods. “Some people's systems are more sensitive than others'. For you, maybe all it takes is burning a piece of toast, and your alarm thinks the house is on fire.

Since the most annoying symptom of anxiety is refusing to believe the obvious and rational explanation

Yes: we have arrived at our common thread, the underpinning factor that lets us answer our tangled questions about causes and treatments, symptoms and overlaps. Mental disorders—all of them—are metabolic disorders of the brain.

If we try to ignore the inner world, as most of us do, the unconscious will find its way into our lives through pathology: our psychosomatic symptoms, compulsions, depressions, and neuroses.

You can't fight mental health bias if you label people based on a lists of symptoms and you have no medical degree to diagnose people. We all have crazy running through our blood and so many things trigger that. We all struggle with our anxiety and twisted issues. Defamation of character is not kind, nor Christlike. Because when you label people with self righteous vindication you open the door to the very idea that self righteousness is itself a disorder that we should all be afraid of. This doorway when left open too long gets people to pull away from Christ, not run to him.

Misinformation about the Bible's answers to these issues has led to much wrong teaching about boundaries. Not only that, but many clinical psychological symptoms, such as depression, anxiety disorders, guilt problems, shame issues, panic disorders, and marital and relational struggles, find their root in conflicts with boundaries.

Eating disorders are prevalent among women who were sexually abused as children. They seem to have components of other symptoms such as obsessions, compulsions, avoidance of food, and anxiety, and they primarily include a distorted body image and feelings of body shame. For some women, eating disorders are related to the loss of control over their bodies during the sexual abuse and serve as a means of feeling in control of their bodies now. Eating disorders can also be indicative of the developmental stage and age at which the sexual abuse began. Women with anorexia and bulimia report that they were sexually abused either at the age of puberty or during puberty, when their bodies were beginning to develop and they felt a great deal of body shame from the abuse. By contrast, women with compulsive eating report that the sexual abuse occurred before the age of puberty; they used food for comfort.

To be sure, depression, anxiety, and prolonged stress can cause specific physical symptoms, but these symptoms are not limitless, nor are they actually unexplained. When doctors invoke these labels for symptoms as diverse as vomiting, paralysis, and sever, unending pain, it is the concept of the somatoform disorders--hysteria dressed up in modern garb-- that allows them to do so.

Years ago, I dated a lovely young woman who was a few thousand dollars in debt. She was completely stressed out about this. Every month, more interest would be added to her debts. To deal with her stress, she would go every Tuesday night to a meditation and yoga class. This was her one free night, and she said it seemed to be helping her. She would breathe in, imagining that she was finding ways to deal with her debts. She would breathe out, telling herself that her money problems would one day be behind her. It went on like this, Tuesday after Tuesday. Finally, one day I looked through her finances with her. I figured out that if she spent four or five months working a part-time job on Tuesday nights, she could actually pay off all the money she owed. I told her I had nothing against yoga or meditation. But I did think its always best to try to treat the disease first. Her symptoms were stress and anxiety. Her disease was the money she owed. "Why don't you get a job on Tuesday nights and skip yoga for a while?" I suggested. This was something of a revelation to her. And she took my advice. She became a Tuesday-night waitress and soon enough paid off her debts. After that, she could go back to yoga and really breathe easier.

While I was able to rise and function almost normally during the earlier part of the day, I began to sense the onset of the symptoms at midafternoon or a little later- -gloom crowding in on me, a sense of dread and alienation and, above all, stifling anxiety.

The need to keep busy is both a symptom of high-functioning anxiety and the key to my success.

The fascist authoritarianism, characterized by sado-masochism and destructiveness, had a function which is comparable psychologically to a neurotic symptom - namely, fascism compensated for powerlessness and individual isolation and protected the individual from anxiety-creating situations. If one compare fascism to a neurotic symptom, it can be said that fascism is a neurotic form of community.

The system can be paralyzed in yet another way. Every feedback system needs a margin of “lag” or error. If we try to make a thermostat absolutely accurate–that is, if we bring the upper and lower limits of temperature very close together in an attempt to hold the temperature at a constant 70 degrees–the whole system will break down. For to the extent that the upper and lower limits coincide, the signals for switching off and switching on will coincide! If 70 degrees is both the lower and upper limit the “go” sign will also be the “stop” sign; “yes” will imply “no” and “no” will imply “yes.” Whereupon the mechanism will start “trembling,” going on and off, on and off, until it shakes itself to pieces. The system is too sensitive and shows symptoms which are startlingly like human anxiety. For when a human being is so self-conscious, so self-controlled that he cannot let go of himself, he dithers or wobbles between opposites. This is precisely what is meant in Zen by going round and round on “the wheel of birth-and-death,” for the Buddhist samsara is the prototype of all vicious circles. We saw that when the furnace responds too closely to the thermostat, it cannot go ahead without also trying to stop, or stop without also trying to go ahead. This is just what happens to the human being, to the mind, when the desire for certainty and security prompts identification between the mind and its own image of itself. It cannot let go of itself. It feels that it should not do what it is doing, and that it should do what it is not doing. It feels that it should not be what it is, and be what it isn’t. Furthermore, the effort to remain always “good” or “happy” is like trying to hold the thermostat to a constant 70 degrees by making the lower limit the same as the upper.

As for the actual causation of neuroses, apart from constitutional elements, whether somatic or psychic in nature, such feedback mechanisms as anticipatory anxiety seem to be a major pathogenic factor. A given symptom is responded to by a phobia, the phobia triggers the symptom, and the symptom, in turn, reinforces the phobia.

When I’m able to slough it off, when it’s not causing physical symptoms or putting me on edge, my anxiety still pops up out of nowhere to spoil nice moments. I fear good things happening because I believe something bad is sure to follow.

Unfortunately, even as we try to submerge our pain deep down inside, it finds a way to bubble up: Through addiction. Through anxiety. Through eating disorders. Through insomnia. Through all the different PTSD symptoms and self-destructive behaviors that assault survivors experience for years on end. These incidents may last minutes or hours, but their impact lasts a lifetime.

In moving through apprehensive chills to mounting excitement and waves of moist tingling warmth, the body, with its innate capacity to heal, melts the iceberg created by deeply frozen trauma. Anxiety and despair can become creative wellspring when we allow ourselves to experience bodily sensations, such as trembling, that stem from traumatic symptoms. Held within the symptoms of trauma are the very energies, potentials, and resources necessary for their constructive transformation. The creative healing process can be blocked in a number of ways—by using drugs to suppress symptoms, by overemphasizing adjustment or control, or by denial or invalidation of feelings and sensations.

Rape and war, she explained, are among the most common causes of post-traumatic stress disorder, and survivors of sexual assault frequently exhibit many of the same symptoms and behaviors as survivors of combat: flashbacks, insomnia, nightmares, hypervigilance, depression, isolation, suicidal thoughts, outbursts of anger, unrelenting anxiety, and an inability to shake the feeling that the world is spinning out of control.

One means of allaying anxiety is frantic activity. The anxiety arising out of the dilemma of powerlessness in the face of suprapersonal economic forces on one hand, but theoretical belief in the efficacy of individual effort on the other, was symptomized partly by excessive activism.

Imagine a person who enjoys alcohol, perhaps a bit too much. He has a quick three or four drinks. His blood alcohol level spikes sharply. This can be extremely exhilarating, particularly for someone who has a genetic predisposition to alcoholism.23 But it only occurs while blood alcohol levels are actively rising, and that only continues if the drinker keeps drinking. When he stops, not only does his blood alcohol level plateau and then start to sink, but his body begins to produce a variety of toxins, as it metabolizes the ethanol already consumed. He also starts to experience alcohol withdrawal, as the anxiety systems that were suppressed during intoxication start to hyper-respond. A hangover is alcohol withdrawal (which quite frequently kills withdrawing alcoholics), and it starts all too soon after drinking ceases. To continue the warm glow, and stave off the unpleasant aftermath, the drinker may just continue to drink, until all the liquor in his house is consumed, the bars are closed and his money is spent. The next day, the drinker wakes up, badly hungover. So far, this is just unfortunate. The real trouble starts when he discovers that his hangover can be “cured” with a few more drinks the morning after. Such a cure is, of course, temporary. It merely pushes the withdrawal symptoms a bit further into the future. But that might be what is required, in the short term, if the misery is sufficiently acute. So now he has learned to drink to cure his hangover. When the medication causes the disease, a positive feedback loop has been established.

Failure per se is not a disease but it can trigger anxiety, depression and even suicide. If failure can strike anyone, how can we handle it? Medical science has a well-defined mechanism in place for dealing with diseases – it identifies the symptoms and then prescribes a methodology for their management. Psychologists and Psychiatrists have management practices for dealing with anxiety and depression. But do we have a method for dealing with failure?

Further studies on humans have shown that certain probiotic treatments can reduce symptoms of depression, anxiety, and the occurrence of negative thoughts (Mohajeri et al. [2018] and Valles-Colomer et al. [2019]). However, a multibillion-dollar probiotics industry hovers around the field of neuromicrobiology, and a number of researchers have pointed out the tendency to overhype findings. Gut communities are complex, and manipulating them is a challenge.

The trillion-dollar pharmaceutical industry puts its research money into the search for magic bullets in the form of chemicals because pills mean money. If energy healing could be made into tablet form, drug manufacturers would get interested quickly. Instead, they identify deviations in physiology and behavior that vary from some hypothetical norm as unique disorders or dysfunctions, and then they educate the public about the dangers of these menacing disorders. Of course, the over-simplified symptomology used in defining the dysfunctions prevalent in drug company advertisements has viewers convinced they are afflicted by that particular malady. “Do you worry? Worry is a primary symptom of ‘medical condition’ called anxiety disorder. Stop your worry. Tell your doctor you want Addictazac, the new passion-pink drug.

Your current situation fits every one of the criteria for this disorder:   Exposure to a traumatic event. Yes, relationship abuse from someone you love is traumatic and life-altering. Persistent re-experiencing. Yes, through the mean and sweet cycle, you were repeatedly subjected to their abuse. Persistent avoidance and emotional numbing. Yes, this is the coping mechanism you adopted to excuse their behavior. Persistent symptoms of increased arousal not present before. Yes, you begin to feel these during the delayed emotions stage, ultimately manifesting as anxiety and fear. Duration of symptoms for more than 1 month. Yes, most survivors will require anywhere from 12-24 months of recovery before they begin to trust & love again. Significant impairment. You tell me—how do you feel right about now? I’d say impaired is an understatement.

Thus Aretaeus describes it, under the name of Heterocrania: And in certain cases the whole head is pained, and the pain is sometimes on the right, and sometimes on the left side, or the forehead, or the fontanelle; and such attacks shift their place during the same day … This is called Heterocrania, an illness by no means mild … It occasions unseemly and dreadful symptoms … nausea; vomiting of bilious matters; collapse of the patient … there is much torpor, heaviness of the head, anxiety; and life becomes a burden. For they flee the light; the darkness soothes their disease; nor can they bear readily to look upon or hear anything pleasant … The patients are weary of life and wish to die.

Things weren’t always as good as they are now. In school we learned that in the old days, the dark days, people didn’t realize how deadly a disease love was. For a long time they even viewed it as a good thing, something to be celebrated and pursued. Of course that’s one of the reasons it’s so dangerous: It affects your mind so that you cannot think clearly, or make rational decisions about your own well-being. (That’s symptom number twelve, listed in the amor deliria nervosa section of the twelfth edition of The Safety, Health, and Happiness Handbook, or The Book of Shhh, as we call it.) Instead people back then named other diseases—stress, heart disease, anxiety, depression, hypertension, insomnia, bipolar disorder—never realizing that these were, in fact, only symptoms that in the majority of cases could be traced back to the effects of amor deliria nervosa.

An anticathexis of this kind is clearly seen in obsessional neurosis. It appears there in the form of an alteration of the ego, as a reaction-formation in the ego, and is effected by the reinforcement of the attitude which is the opposite of the instinctual trend that has to be repressed—as, for instance, in pity, conscientiousness and cleanliness.

Online chatting, on the other hand, has been linked to symptoms of loneliness, confusion, anxiety, depression, fatigue, and addiction.

Fear can hold your vision hostage and anxiety is the symptom of the things you are afraid of.

I'm cracking up in this fucking Fishbinder Problem Box. A terrible seizure is coming on, I can feel its sinister pulsation creeping up my spine as I gnaw my tail apprehensively, grinding my teeth with anxiety, wishing I had some DDT to drown these rats in misery, repetitive cycles of poetry, symptoms of psychotic activity, rhyming of lines endlessly, results in Mazes D and E, dervish spinning round me vis-a-vis, Poole, Broome, Helvicki, help me, please, somebody, take a look at my pedigree, Albino Number 243, Doctor of Psychology, rashes, warts, and a small goatee, expert in lobotomy, performed six times on a chimpanzee, sweet land of liberty, Jesus this is agony, poisonous snake subfamily, here he comes after me!

Many survivors of relational and other forms of early life trauma are deeply troubled and often struggle with feelings of anger, grief, alienation, distrust, confusion, low self-esteem, loneliness, shame, and self-loathing. They seem to be prisoners of their emotions, alternating between being flooded by intense emotional and physiological distress related to the trauma or its consequences and being detached and unable to express or feel any emotion at all - alternations that are the signature posttraumatic pattern. These occur alongside or in conjunction with other common reactions and symptoms (e.g., depression, anxiety, and low self-esteem) and their secondary manifestations. Those with complex trauma histories often have diffuse identity issues and feel like outsiders, different from other people, whom they somehow can't seem to get along with, fit in with, or get close to, even when they try. Moreover, they often feel a sense of personal contamination and that no one understands or can help them. Quite frequently and unfortunately, both they and other people (including the professionals they turn to for help) do misunderstand them, devalue their strengths, or view their survival adaptations through a lens of pathology (e.g., seeing them as "demanding", "overdependent and needy", "aggressive", or as having borderline personality). Yet, despite all, many individuals with these histories display a remarkable capacity for resilience, a sense of morality and empathy for others, spirituality, and perseverance that are highly admirable under the circumstances and that create a strong capacity for survival. Three broad categories of survivorship, with much overlap between them, can be discerned: 1. Those who have successfully overcome their past and whose lives are healthy and satisfying. Often, individuals in this group have had reparative experiences within relationships that helped them to cope successfully. 2. Those whose lives are interrupted by recurring posttraumatic reactions (often in response to life events and experiences) that periodically hijack them and their functioning for various periods of time. 3. Those whose lives are impaired on an ongoing basis and who live in a condition of posttraumatic decline, even to the point of death, due to compromised medical and mental health status or as victims of suicide of community violence, including homicide.

Just as the human body requires three macronutrients (protein, carbohydrates, and fat) to run properly, Ryan and Deci proposed the human psyche needs three things to flourish: autonomy, competence, and relatedness. When the body is starved, it elicits hunger pangs; when the psyche is undernourished, it produces anxiety, restlessness, and other symptoms that something is missing.

The act of consciously and purposefully paying attention to symptoms and their antecedents and consequences makes the symptoms more an objective target for thoughtful observation than an intolerable source of subjective anxiety, dysphoria, and frustration. In ACT, the act of accepting the symptoms as an expectable feature of a disorder or illness, has been shown to be associated with relief rather than increased distress (Hayes et al., 2006). From a traumatic stress perspective, any symptom can be reframed as an understandable, albeit unpleasant and difficult to cope with, reaction or survival skill (Ford, 2009b, 2009c). In this way, monitoring symptoms and their environmental or experiential/body state "triggers" can enhance client's willingness and ability to reflectively observe them without feeling overwhelmed, terrified, or powerless. This is not only beneficial for personal and life stabilization but is also essential to the successful processing of traumatic events and reactions that occur in the next phase of therapy (Ford & Russo, 2006).

The next symptoms that may appear are: •   Panic attacks, anxiety, and phobias •   Mental “blankness” or spaced-out feelings •   Avoidance behavior (avoiding places, activities, movements, memories, or people) •   Attraction to dangerous situations •   Addictive behaviors (overeating, drinking, smoking, etc.) •   Exaggerated or diminished sexual activity •   Amnesia and forgetfulness •   Inability to love, nurture, or bond with other individuals •   Fear of dying or having a shortened life •   Self-mutilation (severe abuse, self-inflicted cutting, etc.) •   Loss of sustaining beliefs (spiritual, religious, interpersonal)

The first thing you need to know if you are a survivor is that parts of you have probably been trained to create a variety of symptoms and behaviours. Abusers actually train child parts to cut the body, to make other parts cut, to attempt suicide, to create flashbacks by releasing pieces of visual or auditory memories, to create body memories of pain or electroshock, and to create depression, terror, anxiety, and despair by releasing the emotional components of memories to the rest of the personality system. The front person and most of the rest of the system do not know that this is the source of these feelings and behaviours. p126

which their previous doctors have chalked up to “normal.” These symptoms often include neck pain, seasonal sinus infections or recurrent colds, eczema, itchy ear canals, lower-back pain, acne, headaches, bloating, reflux, chronic cough, a little anxiety, trouble falling asleep, low energy, and PMS symptoms like cramps and moodiness. None of this is normal. You can and should feel incredible—mentally and physically—most of the time.

By [anticipatory anxiety] I mean that the patient reacts to an event with a fearful expectation of its recurrence. However, fear tends to make happen precisely that which one fears, and so does anticipatory anxiety. Thus a vicious circle is established. A symptom evokes a phobia and the phobia provokes the symptom. The recurrence of the symptom then reinforces the phobia. The patient is caught in a cocoon. […] [Obsessive-compulsives] fear the potential effects or the potential cause of the strange thoughts. The phobic pattern of flight from fear is paralleled by the obsessive-compulsive pattern. Obsessive-compulsive neurotics also display fear. But theirs is not 'fear of fear' but rather fear of themselves, and their response is to fight against obsessions and compulsions. But the more the patients fight, the stronger their symptoms become. In other words, alongside the circle formation built up by anticipatory anxiety in phobic cases, there is another feedback mechanism which we encounter in the obsessive-compulsive neurotic. Pressure induces counter-pressure, and counter-pressure, in turn, increases pressure. If one succeeds in making the patient stop fighting his obsessions and compulsions -- and this may well be accomplished by paradoxical intention -- these symptoms soon diminish and finally atrophy.

DID may be underdiagnosed. The image derived from classic textbooks of a florid, dramatic disorder with overt switching characterizes about 5% of the DID clinical population. The more typical presentation is of a covert disorder with dissociative symptoms embedded among affective, anxiety, pseudo-psychotic, dyscontrol, and self-destructive symptoms, and others (Loewenstein, 1991). The typical DID patient averages 6 to 12 years in the mental health system, receiving an average of 3 to 4 prior diagnoses. DID is often found in cases that were labeled as "treatment failures" because the patient did not respond to typical treatments for mood, anxiety, psychotic, somatoform, substance abuse, and eating disorders, among others. Rapid mood shifts (within minutes or hours), impulsivity, self-destructiveness, and/or apparent hallucinations lead to misdiagnosis of cyclic mood disorders (e.g., bipolar disorder) or psychotic disorders (e.g., schizophrenia).

Most of us have physical or mental conditions that have caused us distress in the past. And when we get a whiff of one coming—an incipient asthma attack, a symptom of chronic fatigue, a twinge of anxiety—we panic. Instead of relaxing with the feeling and letting it do its minute and a half while we’re fully open and receptive to it, we say, “Oh no, oh no, here it is again.” We refuse to feel fundamental ambiguity when it comes in this form, so we do the thing that will be most detrimental to us: we rev up our thoughts about it. What if this happens? What if that happens? We stir up a lot of mental activity. Body, speech, and mind become engaged in running away from the feeling, which only keeps it going and going and going. We

and only much later, when Mascha wanted a child, did I realize that love is a deadly poison, a vice, a vice that one wants to see shared, & that if one of the two involved is smitten, the other is often no more than a passive participant, or vixxtim, or possessed. And Moravagine was possessed. Love is masochistic. These cries & complaints, these sweet alarms. this anguished state of lovers, this suspense, this latent pain that is just below the surface, almost unexpressed, these thousand & one anxieties over the loved one's absence, this feeling of time rushing by, this touchiness, these fits of temper, these long daydreams, this childish fickleness of behavior, this moral torture where vanity & self-esteem, or perhaps honor, upbringing & modesty are at stake, these highs & lows in the nervous tone, these leaps of imagination, this fetishism, this cruel precision of senses, whipping & probing, the collapse, the prostration, the abdication, the self-abasement, the perpetual loss & recovery of one's personality, these stammered words & phrases, these pet-names, this intimacy, these hesitations in physical contact, these epileptic tremors, these successive & even more frequent relapses, this more & more turbulent & stormy passion with its ravages progressing to the point of complete inhibition & annihilation of the soul, the debility of the senses, the exhaustion of the marrow, the erasure of the brain & even the desiccation of the heart, this yearning for ruin, for destruction, for mutilation, this need of effusiveness, of adoration, of mysticism, this insatiability which expresses itself in hyper-irritability of the of mucus membranes, in errant taste, in vasomotor or peripheral disorders, & which conjures up jealousy & vengeance, crimes, prevarications & treacheries, this idolatry, this incurable melancholy, this apathy, this profound moral misery, this definitive & harrowing doubt, this despair--are not all these stigmata the very symptoms of love in which we can first diagnose, then trace with a sure hand, the clinical curve of masochism?

Whereas we’d once believed that the symptoms and behavior exhibited by our clients primarily reflected their psychological defenses—a view that attributed a degree of intentionality, no matter how unconscious—now, we better understood the symptoms as manifestations of instinctive brain and bodily survival responses. We understood that sympathetic activation fuels anxiety and rage, parasympathetic dominance causes shutdown and passive-aggressive behavior, flight responses spur fleeing the therapist’s office, and fight responses lead to verbal or physical aggression or violence turned against the self. When clients self-harm, for example, these days, we understand their actions to be instinctive, rather than thought out—an effort to regulate or relieve, rather than punish.

A given symptom is responded to by a phobia, the phobia triggers the symptom, and the symptom, in turn, reinforces the phobia. A similar chain of events, however, can be observed in obsessive-compulsive cases in which the patient fights the ideas which haunt him. Thereby, however, he increases their power to disturb him, since pressure precipitates counter-pressure. Again the symptom is reinforced! On the other hand, as soon as the patient stops fighting his obsessions and instead tries to ridicule them by dealing with them in an ironical way-by applying paradoxical intention-the vicious circle is cut, the symptom diminishes and finally atrophies. In the fortunate case where there is no existential vacuum which invites and elicits the symptom, the patient will not only succeed in ridiculing his neurotic fear but finally will succeed in completely ignoring it. As we see, anticipatory anxiety has to be counteracted by paradoxical intention; hyper-intention as well as hyper-reflection have to be counteracted by dereflection; dereflection, however, ultimately is not possible except by the patient's orientation toward his specific vocation and mission in life. It is not the neurotic's self-concern, whether pity or contempt, which breaks the circle formation; the cue to cure is self-transcendence.

It makes sense for us to want a symptom, an 'it' to go away. If we begin to sense that we are made up of many selves ... then we might instead say, 'the anxious part of me is really suffering. I wonder how we might help her'. There is often a palpable softening as we gaze on a person inside who has value apart from the distressing symptom. We also may sense more clearly that this experience isn't all of us, but belongs to a part who has had encounters that give this anxiety context and meaning. The change of pronoun, granting personhood, may move us into a more right-centric way of perceiving, which also opens us to a more both/and perspective of broad acceptance, arouses our warm curiosity, expands receptivity to the present moment. It can really be a very profound change.

Every time we make a choice that is outside of our default programming, our subconscious mind will attempt to pull us back to the familiar by creating mental resistance. Mental resistance can manifest as both mental and physical discomfort. It can take the form of cyclical thoughts, such as I can just do this later or I don’t need to do this at all, or physical symptoms, such as agitation, anxiety, or simply not feeling like “yourself.” This is your subconscious communicating to you that it is uncomfortable with the new territory of these proposed changes.

When conventional medicine fails, when we must confront pain and death, of course we are open to other prospects for hope. And, after all, some illnesses are psychogenic. Many can be at least ameliorated by a positive cast of mind. Placebos are dummy drugs, often sugar pills. Drug companies routinely compare the effectiveness of their drugs against placebos given to patients with the same disease who had no way to tell the difference between the drug and the placebo. Placebos can be astonishingly effective, especially for colds, anxiety, depression, pain, and symptoms that are plausibly generated by the mind. Conceivably, endorphins -the small brain proteins with morphine-like effects - can be elicited by belief. A placebo works only if the patient believes it’s an effective medicine. Within strict limits, hope, it seems, can be transformed into biochemistry.

Of course, the diagnosis of PTSD was only itself introduced into psychiatry in 1980. At first, it was seen as something rare, a condition that only affected a minority of soldiers who had been devastated by combat experiences. But soon the same kinds of symptoms—intrusive thoughts about the traumatic event, flashbacks, disrupted sleep, a sense of unreality, a heightened startle response, extreme anxiety—began to be described in rape survivors, victims of natural disaster and people who’d had or witnessed life-threatening accidents or injuries. Now the condition is believed to affect at least 7 percent of all Americans and most people are familiar with the idea that trauma can have profound and lasting effects. From the horrors of the 9/11 terrorist attacks to the aftermath of Hurricane Katrina, we recognize that catastrophic events can leave indelible marks on the mind.

Thus it may be said that the symptoms are often ways of containing the anxiety; they are the anxiety in structuralized form. Freud rightly remarks about psychological symptoms: "The symptom is bound anxiety," or, in other words, anxiety which has been crystallized into an ulcer or heart palpitations or some other symptom.

Stronger than rage, astonishment, contempt, the pleasurable sense that at last she had slapped Frederick's face, the less pleasurable surmise that his slap back would be longer-lasting; stronger even than the desire to see Minna was her feeling that of all things, all people, she most at this moment wished to see Ingelbrecht, and the sturdy assurance that she would find in him everything that she expected. If she had gone up the stairs in the rue de la Carabine on her knees, she could not have ascended with a more zealotical faith that there would be healing at the top; and when he opened the door to her, enquiring politely if her errands had gone well she replied with enthusiasm, "Perfectly. My husband--it was he I went to see--has just threatened to cut me off with a penny." "A lock-out," said Ingelbrecht. "Very natural. It is a symptom of capitalistic anxiety. I suppose he has always been afraid of you." She nodded, and her lips curved in a grin of satisfaction.

In recent years, there has been an explosion of research into meditation, which has been shown to: • Reduce blood pressure • Boost recovery after the release of the stress hormone cortisol • Improve immune system functioning and response • Slow age-related atrophy of the brain • Mitigate the symptoms of depression and anxiety

If your boundaries have been injured, you may find that when you are in conflict with someone, you shut down without even being aware of it. This isolates us from love, and keeps us from taking in safe people. Kate had been quite controlled by her overprotective mother. She’d always been warned that she was sickly, would get hit by cars, and didn’t know how to care for herself well. So she fulfilled all those prophecies. Having no sense of strong boundaries, Kate had great difficulty taking risks and connecting with people. The only safe people were at her home. Finally, however, with a supportive church group, Kate set limits on her time with her mom, made friends in her singles’ group, and stayed connected to her new spiritual family. People who have trouble with boundaries may exhibit the following symptoms: blaming others, codependency, depression, difficulties with being alone, disorganization and lack of direction, extreme dependency, feelings of being let down, feelings of obligation, generalized anxiety, identity confusion, impulsiveness, inability to say no, isolation, masochism, overresponsibility and guilt, panic, passive-aggressive behavior, procrastination and inability to follow through, resentment, substance abuse and eating disorders, thought problems and obsessive-compulsive problems, underresponsibility, and victim mentality.

The A.W.E. Method A.W.E stands for Attention, Wait, Exhale and Expand. Attention means Focusing your full and undivided attention on something you value, appreciate or find amazing. Wait means slowing down or pausing. Exhale and Expand amplifies whatever sensations you are experiencing. A.W.E. is a quick and easy intervention that can cultivate awe in the ordinary, at any time and in any place. Cultivating awe for less than a minute a day reduces symptoms of depression and anxiety, improves social connection, decreases loneliness, reduces burnout, lowers stress, increases wellbeing and reduces chronic pain. The capacity to help heal the mind and body is only one of awe's superpowers.

It's like I've had a stroke. Do you think I've had a stroke?" "I don't think you've had a stroke." "But how do you know? How can you be sure I haven't had a stroke?" "What are the symptoms of a stroke?" "I don't know. Look them up. Look them up on line." "OK. Hold on...OK. Here it is. Do you have trouble speaking?" "I have trouble speaking intelligently.

Often, women's symptoms are brushed off as the result of depression, anxiety, or the all-purpose favorite: stress. Sometimes, they are attributed to women's normal physiological states and cycles: to menstrual cramps, menopause, or even being a new mom. Sometimes, other aspects of their identity seem to take center stage: fat women report that any ailment is blamed on their weight; trans women find that all their symptoms are attributed to hormone therapy; black women are stereotyped as addicts looking for prescription drugs, their reports of pain doubted entirely. Whatever the particular attribution, there is often the same current of distrust: the sense that women are not very accurate judges of when something is really, truly wrong in their bodies.

shocking conclusion. It suggested that there appears to be one common pathway to all mental illnesses. Caspi and Moffitt called it the p-factor, in which the p stands for general psychopathology. They argued that this factor appears to predict a person’s liability to develop a mental disorder, to have more than one disorder, to have a chronic disorder, and it can even predict the severity of symptoms. This p-factor is common to hundreds of different psychiatric symptoms and every psychiatric diagnosis. Subsequent research using different sets of people and different methods confirmed the existence of this p-factor.25 However, this research was not designed to tell us what the p-factor is. It only suggests that it exists—that there is an unidentified variable that plays a role in all mental disorders.

000-x02 Dissociative reaction This reaction represents a type of gross personality disorganization, the basis of which is a neurotic disturbance, although the diffuse dissociation seen in some casts may occasionally appear psychotic. The personality disorganization may result in aimless running or "freezing." The repressed impulse giving rise to the anxiety may be discharged by, or deflected into, various symptomatic expressions, such as depersonalization, dissociated personality, stupor, fugue, amnesia, dream state, somnambulism, etc. The diagnosis will specify symptomatic manifestations. These reactions must be differentiated from schizoid personality, from schizophrenic reaction, and from analogous symptoms in some other types of neurotic reactions. Formerly, this reaction has been classified as a type of "conversion hysteria.

The more closely individuals monitor their symptoms, the more stressed out by them they become. When people make reducing anxiety their primary focus, they usually do a lot of checking in with themselves about how anxious they feel at any given moment and what anxiety-provoking situations they have coming up. They might wake up in the morning and immediately ask, “How anxious do I feel today?” Overall, this tends to make their anxious feelings worse. Have you ever had a situation in which focusing on your anxiety symptoms has caused them to increase? People sometimes think they need to reduce their anxiety before they start thinking about other goals. However, because overfocusing on anxiety isn’t helpful, that’s the wrong way around. You need to have your goals clearly in mind first, and then think about how you can pursue them without getting derailed by anxiety.

After all, a terrible anxiety attends chronic illness. Over time, it becomes difficult to untangle the suffering from symptoms like pain from the suffering inflicted by the anxiety over the possibility of more pain, and worse outcomes, in the future. This does not mean that the illness is in the mind; rather, the mind—that machine for making meaning—makes endless meanings of its new state, which may themselves influence the experience.

Ideas for Journal Entries You may find the following ideas useful in beginning your journal or keeping the entries varied. If you are not used to expressing your thoughts on paper, it may seem awkward at first. The longer you do it, the easier it will become. You’ll be amazed at the insight you gain into your life. -Write about your most memorable experience with social anxiety. How did you feel? What did you think? How did others react? Why do you think the event happened? -Write about situations that make you anxious every day. Record your thoughts, feelings, and actions. You may want to divide the page into columns with the headings: situation or event; negative thoughts; physical reactions; and actions. Following is an example of how this may look: Situation or Event Should I attend the first art class after school. Negative Thoughts I thought about skipping out. I was afraid of what people would think. I wanted to do a good job. Physical Reactions I felt a shortness of breath. In general, I was nervous and in a bad mood. Actions I took some deep breaths and visualized the class going well. Later, I became engrossed in my drawing. -Write about a time when you were pleased with how you acted in a social situation. -Identify times when anxiety symptoms kept you from doing something that you really wanted to do. How did you feel? What might have happened if you had not been afraid? -Write a letter to someone who made you feel bad about yourself. You aren’t going to show the letter to anyone, so feel free to write whatever you want. -Write out a conversation with your inner voice. Begin the entry with a question directed to yourself, then write your mental response. It may help to label the different voices A and B. Dialogue writing is a very effective way to get to the heart of the matter.

I have seen mood stabilization, reduced or eliminated depression, reduced or eliminated anxiety, improved cognitive functioning, greatly enhanced and evened-out energy levels, cessation of seizures, improved overall neurological stability, cessation of migraines, improved sleep, improvement in autistic symptoms, improvements with PCOS (polycystic ovary syndrome), improved gastrointestinal functioning, healthy weight loss, cancer remissions and tumor shrinkage, much better management of underlying previous health issues, improved symptoms and quality of life in those struggling with various forms of autoimmunity (including many with type 1 and 1.5 diabetes), fewer colds and flus, total reversal of chronic fatigue, improved memory, sharpened cognitive functioning, and significantly stabilized temperament. And there is quality evidence to support the beneficial impact of a fat-based ketogenic approach in all these types of issues. – Nora Gedgaudas

A book is open in front of me and this is what it has to say about the symptoms of morphine withdrawal: '... morbid anxiety, a nervous depressed condition, irritability, weakening of the memory, occasional hallucinations and a mild impairment of consciousness ...' I have not experienced any hallucinations, but I can only say that the rest of this description is dull, pedestrian and totally inadequate. 'Depressed condition' indeed! Having suffered from this appalling malady, I hereby enjoin all doctors to be more compassionate toward their patients. What overtakes the addict deprived of morphine for a mere hour or two is not a 'depressed condition': it is slow death. Air is insubstantial, gulping it down is useless ... there is not a cell in one's body that does not crave ... but crave what? This is something which defies analysis and explanation. In short, the individual ceases to exist: he is eliminated. The body which moves, agonises and suffers is a corpse. It wants nothing, can think of nothing but morphine. To die of thirst is a heavenly, blissful death compared with the craving for morphine. The feeling must be something like that of a man buried alive, clawing at the skin on his chest in the effort to catch the last tiny bubbles of air in his coffin, or of a heretic at the stake, groaning and writhing as the first tongues of flame lick at his feet. Death. A dry, slow death. That is what lurks behind that clinical, academic phrase 'a depressed condition'.

It would seem that the affects, biological needs, and forms of behavior most repressed in a given culture are the ones most likely to give rise to symptoms . [...] in our culture it is considered much more acceptable to have an organic illness than an emotional or mental disorder; this would influence the fact that anxiety and other emotional stresses in our culture so often take a somatic form. In short, the culture conditions the way a person tries to resolve his anxiety, and specifically what symptoms he may employ.

It’s very hard for us to believe that people who loved us would intentionally hurt us, so we feel the need to excuse their behavior. But repressing that pain just makes us more likely to hit our own children. If you were willing to reach deep inside and really feel again the hurt you felt when you were physically punished as a child, you would never consider inflicting that pain on your own child. And the pain does not end in childhood, even if we repress and deny it. The scientific consensus of hundreds of studies shows that corporal punishment during childhood is associated with negative behaviors in adults, even when the adult says that the spanking did not affect them badly. Even a few instances of being hit as a child are associated with more depressive symptoms as an adult. While most of us who were spanked “turned out okay,” it is clear that not being spanked would have helped us turn out to be healthier. I suspect that one contributing factor to the epidemic of anxiety and depression among adults in our culture is that so many of us grew up with parents who hurt us.

James Pennebaker, a researcher at the University of Texas at Austin and author of Writing to Heal, has done some of the most important and fascinating research I’ve seen on the power of expressive writing in the healing process. In an interview posted on the University of Texas’s website, Pennebaker explains, “Emotional upheavals touch every part of our lives. You don’t just lose a job, you don’t just get divorced. These things affect all aspects of who we are—our financial situation, our relationships with others, our views of ourselves, our issues of life and death. Writing helps us focus and organize the experience.” Pennebaker believes that because our minds are designed to try to understand things that happen to us, translating messy, difficult experiences into language essentially makes them “graspable.” What’s important to note about Pennebaker’s research is the fact that he advocates limited writing, or short spurts. He’s found that writing about emotional upheavals for just fifteen to twenty minutes a day on four consecutive days can decrease anxiety, rumination, and depressive symptoms and boost our immune systems.

Metaphysical anxiety of knowing that I am nothing standing in the crux of infinity haunts me. Self-centered mind chatter is a symptom of the illness of my soul. I instigated this banal writing excursion attempting to escape the monotony of the self, the tedium of living an exclusively external life of sensation and acquisition. I lived a vain, materialist, and empty life seeking pleasurable diversions from thinking and perceiving. I stupidly asked what I can take from life and measured the value of existence by repeatedly assessing what I received from living and ignored what I illiberally refused to give.

Bereavement is useful; full-blown depression is not. William Styron renders an eloquent description of “the many dreadful manifestations of the disease,” among them self-hatred, a sense of worthlessness, a “dank joylessness” with “gloom crowding in on me, a sense of dread and alienation and, above all, a stifling anxiety.”14 Then there are the intellectual marks: “confusion, failure of mental focus and lapse of memories,” and, at a later stage, his mind “dominated by anarchic distortions,” and “a sense that my thought processes were engulfed by a toxic and unnameable tide that obliterated any enjoyable response to the living world.” There are the physical effects: sleeplessness, feeling as listless as a zombie, “a kind of numbness, an enervation, but more particularly an odd fragility,” along with a “fidgety restlessness.” Then there is the loss of pleasure: “Food, like everything else within the scope of sensation, was utterly without savor.” Finally, there was the vanishing of hope as the “gray drizzle of horror” took on a despair so palpable it was like physical pain, a pain so unendurable that suicide seemed a solution. In such major depression, life is paralyzed; no new beginnings emerge. The very symptoms of depression bespeak a life on hold. For

ME/CFS is not synonymous with depression or other psychiatric illnesses. The belief by some that they are the same has caused much con- fusion in the past, and inappropriate treatment. Nonpsychotic depression (major depression and dysthymia), anxiety disorders and somatization disorders are not diagnostically exclusionary, but may cause significant symptom overlap. Careful attention to the timing and correlation of symptoms, and a search for those characteristics of the symptoms that help to differentiate between diagnoses may be informative, e.g., exercise will tend to ameliorate depression whereas excessive exercise tends to have an adverse effect on ME/CFS patients.

Coopersmith’s study with adolescent boys indicates that children develop self-trust, adventuresomeness and the ability to deal with adversity if they are treated with respect and are provided with well-defined standards of values, demands for competence and guidance toward solutions of problems. The development of individual self-reliance is fostered by a well-structured, demanding environment, rather than by largely unlimited permissiveness and freedom to explore in an unfocused way. The research of both Stanley Coopersmith and Morris Rosenberg has led them to believe that pupils with high self-esteem perceive themselves as successful. They are relatively free of anxiety and psychosomatic symptoms, and can realistically assess their abilities. They are confident that their efforts will meet with success, while being fully aware of their limitations. Persons with high self-esteem are outgoing and socially successful and expect to be well received. They accept others and others tend to accept them. On the other hand, according to Coopersmith and Rosenberg, pupils with low self-esteem are easily discouraged and sometimes depressed. They feel isolated, unloved and unlovable. They seem incapable of expressing themselves or defending their inadequacies. They are so preoccupied with their self-consciousness and anxiety that their capacity for self-fulfillment can be easily destroyed.4

When Does Social Anxiety Appear? Social anxiety can develop at any age. Many people remember feeling afraid during social situations as early as kindergarten. Others don’t develop symptoms until they are adults. However, social anxiety most commonly appears in adolescence, between the ages of 15 and 20. When you think about the changes that are taking place in your life at this time, this fact makes a lot of sense. As a teenager, you are expected to act more like an adult than a child. You are beginning to take on adult responsibilities and see yourself as a part of society. Meeting the expectations of others and making a good impression are very important. As a result, you may worry about what others think of you and be afraid of acting incorrectly.

To the extreme of this feeling I was ever a victim. The heavy responsibility, often suddenly and unexpectedly imposed—the struggle for success, when success was all but hopeless—the intense anxiety for the arrival of those critical periods which change the character of a malady, and divest it of some of its dangers, or invest it with new ones—the despondence when that period has come only to confirm all the worst symptoms, and shut out every prospect of recovery—and, last of all, that most trying, of all the trying duties of my profession, the breaking to the perhaps unconscious relatives, that my art had failed, my resources were exhausted, in a word, that there was no longer a hope. These things have preyed on me for weeks, for months long, and many

Imagery exposure is a technique in which you vividly recall a situation you’ve been ruminating about, such as a colleague pointing out an embarrassing error you made. You can also use imagery exposure for a worry thought (something that hasn’t happened yet). To start, recall all the sights and sounds of the past situation (or feared situation) in as much detail as you can. For example, if you’re recalling a situation that has happened, you might recall turning bright red with embarrassment and the other people looking at you strangely or laughing. You would also recall details like what the room looked like, what the temperature was, whether the sun was streaming in through the window, and so on. Bring the image of the embarrassing or worry situation vividly to mind. The following is based on the principle that anxiety symptoms will naturally subside if you don’t use escape or avoidance strategies: Deliberately keep the image in mind until your anxiety falls to half of where it started (or less). For example, if vividly recalling the situation triggers 8 out of 10 anxiety initially, hold the image in mind until your anxiety drops to about a level 4. Repeat the imagery exposure exercise at least once a day until you can bring the image to mind without it triggering more than about half of the peak anxiety you experienced the first time you tried imagery exposure. Exposure techniques like this are some of the most powerful ways to solve problems with intrusive thoughts when an event is still bothering you long after it happened. Only use the technique if you feel like you can handle it. You can use imagery exposure for recent memories or more distant ones.

Paced Breathing People who experience anxiety often breathe improperly. They take shallow breaths from their chests instead of deep breaths from their diaphragms. (The diaphragm is the muscle that separates your chest cavity from your abdominal cavity and that makes it possible for you to inhale and exhale.) Breathing from the chest can cause you to hyperventilate, which has a negative effect on your body’s chemistry. Hyperventilation does not only mean panting or gasping for air; it also includes yawning, holding your breath, and sighing. The symptoms of hyperventilation are similar to those associated with anxiety: shortness of breath, lightheadedness, faintness, tingling or numbness in your fingers and toes, and the feeling that you are walking around in a dream. If you deal with anxiety and begin to hyperventilate, it will make the situation even worse.

It was a sad fact that the commonest complaint in the outpatient department was “Rasehn . . . libehn . . . hodehn,” literally, “My head . . . my heart . . . and my stomach,” with the patient’s hand touching each part as she pronounced the words. Ghosh called it the RLH syndrome. The RLH sufferers were often young women or the elderly. If pressed to be more specific, the patients might offer that their heads were spinning (rasehn yazoregnal) or burning (yakatelegnal ), or their hearts were tired (lib dekam), or they had abdominal discomfort or cramps (hod kurteth), but these symptoms were reported as an aside and grudgingly, because rasehn-libehn-hodehn should have been enough for any doctor worth his salt. It had taken Matron her first year in Addis to understand that this was how stress, anxiety, marital strife, and depression were expressed in Ethiopia—somatization was what Ghosh said the experts called this phenomenon. Psychic distress was projected onto a body part, because culturally it was the way to express that kind of suffering. Patients might see no connection between the abusive husband, or meddlesome mother-in-law, or the recent death of their infant, and their dizziness or palpitations. And they all knew just the cure for what ailed them: an injection. They might settle for mistura carminativa or else a magnesium trisilicate and belladonna mixture, or some other mixture that came to the doctor’s mind, but nothing cured like the marfey—the needle. Ghosh was dead against injections of vitamin B for the RLH syndrome, but Matron had convinced him it was better for Missing to do it than have the dissatisfied patient get an unsterilized hypodermic from a quack in the Merkato. The orange B-complex injection was cheap, and its effect was instantaneous, with patients grinning and skipping down the hill. T

Of course, the diagnosis of PTSD was only itself introduced into psychiatry in 1980. At first, it was seen as something rare, a condition that only affected a minority of soldiers who had been devastated by combat experiences. But soon the same kinds of symptoms—intrusive thoughts about the traumatic event, flashbacks, disrupted sleep, a sense of unreality, a heightened startle response, extreme anxiety—began to be described in rape survivors, victims of natural disaster, and people who’d had or witnessed life-threatening accidents or injuries. Now the condition is believed to affect at least 7 percent of all Americans and most people are familiar with the idea that trauma can have profound and lasting effects. From the horrors of the 9/11 terrorist attacks to the aftermath of Hurricane Katrina, we recognize that catastrophic events can leave indelible marks on the mind. We know now—as my research and that of so many others has ultimately shown—that the impact is actually far greater on children than it is on adults.

If you want to secure Dhyana, let go of your anxieties and failures in the past; let bygones be bygones; cast aside enmity, shame, and trouble, never admit them into your brain; let pass the imagination and anticipation of future hardships and sufferings; let go of all your annoyances, vexations, doubts, melancholies, that impede your speed in the race of the struggle for existence. As the miser sets his heart on worthless dross and accumulates it, so an unenlightened person clings to worthless mental dross and spiritual rubbish, and makes his mind a dust-heap. Some people constantly dwell on the minute details of their unfortunate circumstances, to make themselves more unfortunate than they really are; some go over and over again the symptoms of their disease to think themselves into serious illness; and some actually bring evils on them by having them constantly in view and waiting for them. A man asked Poh Chang (Hyaku-jo): "How shall I learn the Law?" "Eat when you are hungry," replied the teacher; " sleep when you are tired. People do not simply eat at table, but think of hundreds of things; they do not simply sleep in bed, but think of thousands of things."[FN#239]

It is tragic, too, that students now describe themselves as mentally ill when facing what are the routine demands of student life and independent living. The NUS survey reports that students' feelings of crippling mental distress are primarily course-related and due to academic pressure. In 2013, in response to that year's NUS mental health survey, an article cheerily entitled 'Feeling worthless, hopeless ... who'd be a university student in Britain?' listed one young writer's anxiety-inducing student woes that span the whole length of her course: 'Grueling interview processes are not unusual, especially for courses like medicine, dentistry, and veterinary science, or for institutions like Oxbridge'. And then: 'Deadlines come thick and fast for first-year students, and for their final-year counterparts, the recession beckons'. Effectively, the very requirements of just being a student are typified as inducing mental illness. It can be hard to have sympathy with such youthful wimpishness. But I actually don't doubt the sincerity of these 'severe' symptoms experienced by stressed-out students. That is what is most worrying--they really are feeling over-anxious about minor inconveniences and quite proper academic pressure.

When your interactions are inhibited by social anxiety, you are unable to get as much out of life as possible, and so a “harmless personality trait” can become a major obstacle that stands in the way of fulfillment and productivity. But this doesn’t have to be the case. Social anxiety is a learned response-a habit that can be broken. This book will show you, step by step, how to break the social anxiety cycle that may have caused loneliness in your personal life, decreased productivity in the workplace, and an overall lack of fulfillment. As you begin to understand that social anxiety is a combination of attitudinal, emotional, behavioral, and physical responses, you will see that there is actually no such thing as shyness. Rather, what you may refer to as “shyness” is actually social anxiety, a psychophysiological response that you can learn to control. To recognize social anxiety is to give yourself permission to resolve the issues that cause your symptoms. In working through this self-help program, learn to substitute the phrase “social anxiety” for the vague term “shyness” and you will start to see your response pattern in a different light: as a way of reacting that you have chosen, not some unchangeable instinct that has chosen you.

I will begin by describing the nature of an emotional regression and showing how in any society, no matter how advanced its state of technology, chronic anxiety can induce an approach to life that is counter-evolutionary. One does not need dictators in order to create a totalitarian (that, is totalistic) society. Then, employing five characteristics of chronically anxious personal families, I will illustrate how those same characteristics are manifest throughout the greater American family today, demonstrating their regressive effects on the thinking and functioning, the formation and the expression, of leadership among parents and presidents. Those five characteristics are:    1. Reactivity: the vicious cycle of intense reactions of each member to events and to one another.    2. Herding: a process through which the forces for togetherness triumph over the forces for individuality and move everyone to adapt to the least mature members.    3. Blame displacement: an emotional state in which family members focus on forces that have victimized them rather than taking responsibility for their own being and destiny.    4. A quick-fix mentality: a low threshold for pain that constantly seeks symptom relief rather than fundamental change.    5. Lack of well-differentiated leadership: a failure of nerve that both stems from and contributes to the first four. To

We can all be "sad" or "blue" at times in our lives. We have all seen movies about the madman and his crime spree, with the underlying cause of mental illness. We sometimes even make jokes about people being crazy or nuts, even though we know that we shouldn't. We have all had some exposure to mental illness, but do we really understand it or know what it is? Many of our preconceptions are incorrect. A mental illness can be defined as a health condition that changes a person's thinking, feelings, or behavior (or all three) and that causes the person distress and difficulty in functioning. As with many diseases, mental illness is severe in some cases and mild in others. Individuals who have a mental illness don't necessarily look like they are sick, especially if their illness is mild. Other individuals may show more explicit symptoms such as confusion, agitation, or withdrawal. There are many different mental illnesses, including depression, schizophrenia, attention deficit hyperactivity disorder (ADHD), autism, and obsessive-compulsive disorder. Each illness alters a person's thoughts, feelings, and/or behaviors in distinct ways. But in all this struggles, Consummo Plus has proven to be the most effective herbal way of treating mental illness no matter the root cause. The treatment will be in three stages. First is activating detoxification, which includes flushing any insoluble toxins from the body. The medicine and the supplement then proceed to activate all cells in the body, it receives signals from the brain and goes to repair very damaged cells, tissues, or organs of the body wherever such is found. The second treatment comes in liquid form, tackles the psychological aspect including hallucination, paranoia, hearing voices, depression, fear, persecutory delusion, or religious delusion. The supplement also tackles the Behavioral, Mood, and Cognitive aspects including aggression or anger, thought disorder, self-harm, or lack of restraint, anxiety, apathy, fatigue, feeling detached, false belief of superiority or inferiority, and amnesia. The third treatment is called mental restorer, and this consists of the spiritual brain restorer, a system of healing which “assumes the presence of a supernatural power to restore the natural brain order. With this approach, you will get back your loving boyfriend and he will live a better and fulfilled life, like realize his full potential, work productively, make a meaningful contribution to his community, and handle all the stress that comes with life. It will give him a new lease of life, a new strength, and new vigor. The Healing & Recovery process is Gradual, Comprehensive, Holistic, and very Effective. www . curetoschizophrenia . blogspot . com E-mail: rodwenhill@gmail. com

What a shocking bad hat!' was the phrase that was next in vogue. No sooner had it become universal, than thousands of idle but sharp eyes were on the watch for the passenger whose hat shewed any signs, however slight, of ancient service. Immediately the cry arose, and, like the war-whoop of the Indians, was repeated by a hundred discordant throats. He was a wise man who, finding himself under these circumstances 'the observed of all observers,' bore his honours meekly. He who shewed symptoms of ill-feeling at the imputations cast upon his hat, only brought upon himself redoubled notice. The mob soon perceive whether a man is irritable, and, if of their own class, they love to make sport of him. When such a man, and with such a hat, passed in those days through a crowded neighbourhood, he might think himself fortunate if his annoyances were confined to the shouts and cries of the populace. The obnoxious hat was often snatched from his head and thrown into the gutter by some practical joker, and then raised, covered with mud, upon the end of a stick, for the admiration of the spectators, who held their sides with laughter, and exclaimed, in the pauses of their mirth, 'Oh, what a shocking bad hat!' 'What a shocking bad hat!' Many a nervous poor man, whose purse could but ill spare the outlay, doubtless purchased a new hat before the time, in order to avoid exposure in this manner.

The past folds accordion-like into the present. Different media have different event horizons—for the written word, three millennia; for recorded sound, a century and a half—and within their time frames the old becomes as accessible as the new. Yellowed newspapers come back to life. Under headings of 50 Years Ago and 100 Years Ago, veteran publications recycle their archives: recipes, card-play techniques, science, gossip, once out of print and now ready for use. Record companies rummage through their attics to release, or re-release, every scrap of music, rarities, B-sides, and bootlegs. For a certain time, collectors, scholars, or fans possessed their books and their records. There was a line between what they had and what they did not. For some, the music they owned (or the books, or the videos) became part of who they were. That line fades away. Most of Sophocles' plays are lost, but those that survive are available at the touch of a button. Most of Bach's music was unknown to Beethoven; we have it all—partitas, cantatas, and ringtones. It comes to us instantly, or at light speed. It is a symptom of omniscience. It is what the critic Alex Ross calls the Infinite Playlist, and he sees how mixed is the blessing: "anxiety in place of fulfillment, and addictive cycle of craving and malaise. No sooner has one experience begun than the thought of what else is out there intrudes." The embarrassment of riches. Another reminder that information is not knowledge, and knowledge is not wisdom.

The first step in retracing our way to health is to abandon our attachment to what is called positive thinking. Too many times in the course of palliative care work I sat with dejected people who expressed their bewilderment at having developed cancer. “I have always been a positive thinker,” one man in his late forties told me. “I have never given in to pessimistic thoughts. Why should I get cancer?” As an antidote to terminal optimism, I have recommended the power of negative thinking. “Tongue in cheek, of course,” I quickly add. “What I really believe in is the power of thinking.” As soon as we qualify the word thinking with the adjective positive, we exclude those parts of reality that strike us as “negative.” That is how most people who espouse positive thinking seem to operate. Genuine positive thinking begins by including all our reality. It is guided by the confidence that we can trust ourselves to face the full truth, whatever that full truth may turn out to be. As Dr. Michael Kerr points out, compulsive optimism is one of the ways we bind our anxiety to avoid confronting it. That form of positive thinking is the coping mechanism of the hurt child. The adult who remains hurt without being aware of it makes this residual defence of the child into a life principle. The onset of symptoms or the diagnosis of a disease should prompt a two-pronged inquiry: what is this illness saying about the past and present, and what will help in the future? Many approaches focus only on the second half of that healing dyad without considering fully what led to the manifestation of illness in the first place. Such “positive” methods fill the bookshelves and the airwaves. In order to heal, it is essential to gather the strength to think negatively. Negative thinking is not a doleful, pessimistic view that masquerades as “realism.” Rather, it is a willingness to consider what is not working. What is not in balance? What have I ignored? What is my body saying no to? Without these questions, the stresses responsible for our lack of balance will remain hidden. Even more fundamentally, not posing those questions is itself a source of stress. First, “positive thinking” is based on an unconscious belief that we are not strong enough to handle reality. Allowing this fear to dominate engenders a state of childhood apprehension. Whether or not the apprehension is conscious, it is a state of stress. Second, lack of essential information about ourselves and our situation is one of the major sources of stress and one of the potent activators of the hypothalamicpituitary-adrenal (HPA) stress response. Third, stress wanes as independent, autonomous control increases. One cannot be autonomous as long as one is driven by relationship dynamics, by guilt or attachment needs, by hunger for success, by the fear of the boss or by the fear of boredom. The reason is simple: autonomy is impossible as long as one is driven by anything. Like a leaf blown by the wind, the driven person is controlled by forces more powerful than he is. His autonomous will is not engaged, even if he believes that he has “chosen” his stressed lifestyle and even if he enjoys his activities. The choices he makes are attached to invisible strings. He is still unable to say no, even if it is only to his own drivenness. When he finally wakes up, he shakes his head, Pinocchio-like, and says, “How foolish I was when I was a puppet.

Cognitive-Behavioral Therapy There are almost no pure cognitive or behavioral therapists. Instead, most therapists use a combination of both techniques. This is known as cognitive-behavioral therapy. It is generally recognized as the best therapy for social anxiety. In cognitive-behavioral therapy, a therapist helps you identity maladaptive thinking patterns and replace them with new ways of thinking. He or she also teaches you relaxation techniques and new behaviors that make you feel more comfortable in social situations. Cognitive-behavioral therapy uses many of the same techniques that we explored in the previous chapter. Although you might make great strides on your own, sometimes it is easier and faster to have someone guide you. Often it is difficult for people to explore hidden beliefs about themselves. A professional therapist is experienced in working with people who are trying to change. Often a therapist will see connections in your situation that you cannot. Carlos was terrified of speaking in class. Whenever the teacher called on him, his heart raced, he blushed, and his stomach felt upset. His therapist first had him focus on his thoughts during class. As an experiment, she had him purposely answer a question incorrectly during biology class. To his surprise, the teacher didn’t make a big deal out of it, and the other students didn’t laugh. As a result, Carlos realized that his imagined consequences for making errors were greatly exaggerated. He also realized that he held himself to a higher standard than other people, including the teacher, did. Next, his therapist showed him various relaxation techniques to lessen the physical symptoms of anxiety. Soon, he felt more comfortable and even volunteered to lead a discussion group.

This linking of bullying to mental illness and the idea that it causes 'life-long damage' really concerns me. I fear it is the anti-bullying industry that is the real threat to young people's state of mind. Rather than reassure, it adamantly stresses, indeed exaggerates, the harmful effects of bullying. Such scaremongering is impacting on young people's coping mechanisms and possibly exacerbating the problem. As such, it actually contributes to the young feeling overly anxious, and ironically creates an atmosphere likely to encourage symptoms of mental ill health. The headline should be 'anti-bullying causes mental illness'. The anti-bullying industry has made a virtue of catastrophizing, always arguing things are getting worse. With the advent of social media, bullying experts are quick to point out there is now no escape: 'Bullying doesn't stop when school ends; it continues twenty-four hours a day'. Children's charities continually ratchet up the fear factor. Surely it is irresponsible when Sarah Brennan, CEO of YoungMinds, declares that 'if devastating and life-changing' bullying isn't dealt with 'it can lead to years of pain and suffering that go on long into adulthood'. Maybe I am being over-cynical about the anti-bullying bandwagon, and there is a danger that such a critique will cause me to be labelled callous and hardhearted. Certainly, when you read of some young people's heartbreaking experiences, there is no doubt that it can be a genuinely harrowing experience to go through. But when we hear these sad stories, surely our job as adults should be to help children and young people put these types of unpleasant experience[s] behind them, to at least put them in perspective, rather than stoking up their anxieties and telling them they may face 'years of pain and suffering'.

Central to any understanding of stress, health and disease is the concept of adaptiveness. Adaptiveness is the capacity to respond to external stressors without rigidity, with flexibility and creativity, without excessive anxiety and without being overwhelmed by emotion. People who are not adaptive may seem to function well as long as nothing is disturbing them, but they will react with various levels of frustration and helplessness when confronted by loss or by difficulty. They will blame themselves or blame others. A person’s adaptiveness depends very much on the degree of differentiation and adaptiveness of previous generations in his family and also on what external stressors may have acted on the family. The Great Depression, for example, was a difficult time for millions of people. The multigenerational history of particular families enabled some to adapt and cope, while other families, facing the same economic scarcities, were psychologically devastated. “Highly adaptive people and families, on the average, have fewer physical illnesses, and those illnesses that do occur tend to be mild to moderate in severity,” writes Dr. Michael Kerr. Since one important variable in the development of physical illness is the degree of adaptiveness of an individual, and since the degree of adaptiveness is determined by the multigenerational emotional process, physical illness, like emotional illness, is a symptom of a relationship process that extends beyond the boundaries of the individual “patient.” Physical illness, in other words, is a disorder of the family emotional system [which includes] present and past generations. Children who become their parents’ caregivers are prepared for a lifetime of repression. And these roles children are assigned have to do with the parents’ own unmet childhood needs — and so on down the generations. “Children do not need to be beaten to be compromised,” researchers at McGill University have pointed out. Inappropriate symbiosis between parent and child is the source of much pathology.

Hypnotherapy You may have seen scenes on television in which hypnotists make people act like chickens or take off their clothes. In reality, hypnotherapy is nothing like that. You actually might experience a hypnotic state many times every week, or possibly every day. It is essentially no different than being engrossed in a book or movie, or being in the meditative state you may reach while exercising. During hypnosis you are highly focused and are not distracted by random thoughts. At the same time, you are aware of outside events, such as the telephone ringing or a door slamming. When you see a hypnotherapist, he or she is simply a guide helping you reach a deeply relaxed state. The therapist may begin by having you picture a pleasant and safe environment. Or, he or she might ask you to focus on an object in your line of vision until your eyes become heavy. Once you are in the hypnotized state, it is easier to focus on your anxiety. You can talk about past experiences, can work on your self-esteem, and can prepare for upcoming social events. You won’t have distracting thoughts or be monitoring everything you say. You may remember events you had forgotten, or may come up with new ways to help yourself cope with the symptoms of anxiety. Adriana was really nervous when her therapist suggested they use hypnosis to work on her fear of meeting new people, but she decided to try it. First, the therapist asked her to visualize a quiet place where she felt completely relaxed and comfortable. When Adriana’s body felt heavy and warm, the therapist asked her to describe how she feels when she speaks with strangers. Adriana discussed how she feels embarrassed and worried, how her face gets red and hot, and how her mind is distracted by negative thoughts. Next, the therapist asked Adriana to visualize being introduced to a stranger. She imagined herself feeling calm and relaxed and looking the person in the eyes. She rehearsed what she would say about herself and said it over and over, sounding more confident each time. The therapist then asked her to think of three things that could help her in those situations. Adriana decided to try relaxing, making sure she is breathing properly, and focusing on the other person instead of on her negative thoughts. Later that week, she dined with a friend and his cousin, whom she had never met before. She was able to take deep breaths and remain relaxed. Once initial introductions went well, Adriana felt more confident and was able to maintain conversations for the entire evening.

PATTERNS OF THE “SHY” What else is common among people who identify themselves as “shy?” Below are the results of a survey that was administered to 150 of my program’s participants. The results of this informal survey reveal certain facts and attitudes common among the socially anxious. Let me point out that these are the subjective answers of the clients themselves—not the professional opinions of the therapists. The average length of time in the program for all who responded was eight months. The average age was twenty-eight. (Some of the answers are based on a scale of 1 to 5, 1 being the lowest.) -Most clients considered shyness to be a serious problem at some point in their lives. Almost everyone rated the seriousness of their problem at level 5, which makes sense, considering that all who responded were seeking help for their problem. -60 percent of the respondents said that “shyness” first became enough of a problem that it held them back from things they wanted during adolescence; 35 percent reported the problem began in childhood; and 5 percent said not until adulthood. This answer reveals when clients were first aware of social anxiety as an inhibiting force. -The respondents perceived the average degree of “sociability” of their parents was a 2.7, which translates to “fair”; 60 percent of the respondents reported that no other member of the family had a problem with “shyness”; and 40 percent said there was at least one other family member who had a problem with “shyness.” -50 percent were aware of rejection by their peers during childhood. -66 percent had physical symptoms of discomfort during social interaction that they believed were related to social anxiety. -55 percent reported that they had experienced panic attacks. -85 percent do not use any medication for anxiety; 15 percent do. -90 percent said they avoid opportunities to meet new people; 75 percent acknowledged that they often stay home because of social fears, rather than going out. -80 percent identified feelings of depression that they connected to social fears. -70 percent said they had difficulty with social skills. -75 percent felt that before they started the program it was impossible to control their social fears; 80 percent said they now believed it was possible to control their fears. -50 percent said they believed they might have a learning disability. -70 percent felt that they were “too dependent on their parents”; 75 percent felt their parents were overprotective; 50 percent reported that they would not have sought professional help if not for their parents’ urging. -10 percent of respondents were the only child in their families; 40 percent had one sibling; 30 percent had two siblings; 10 percent had three; and 10 percent had four or more. Experts can play many games with statistics. Of importance here are the general attitudes and patterns of a population of socially anxious individuals who were in a therapy program designed to combat their problem. Of primary significance is the high percentage of people who first thought that “shyness” was uncontrollable, but then later changed their minds, once they realized that anxiety is a habit that can be broken—without medication. Also significant is that 50 percent of the participants recognized that their parents were the catalyst for their seeking help. Consider these statistics and think about where you fit into them. Do you identify with this profile? Look back on it in the coming months and examine the ways in which your sociability changes. Give yourself credit for successful breakthroughs, and keep in mind that you are not alone!