Coping With Anxiety Quotes

. . .from their earliest years children live on familiar terms with disrupting emotions, fear and anxiety are an intrinsic part of their everyday lives, they continually cope with frustrations as best they can. And it is through fantasy that children achieve catharsis. It is the best means they have for taming Wild Things.

And finally - FINALLY - after a lifetime of feelings and anxiety and more feelings, I didn't have any feelings left. I had spent my last feeling being disappointed that I couldn't rent Jumanji.

What does your anxiety do? It does not empty tomorrow of its sorrow, but it empties today of its strength. It does not make you escape the evil; it makes you unfit to cope with it if it comes.

See, anxiety doesn’t just stop. You can have nice moments, minutes where it shrinks, but it doesn’t leave. It lurks in the background like a shadow, like that important assignment you have to do but keep putting off or the dull ache that follows a three-day migraine. The best you can hope for is to contain it, make it as small as possible so it stops being intrusive. Am I coping? Yes, but it’s taking a monumental amount of effort to keep the dynamite inside my stomach from exploding. The

Females with ASDs often develop ‘coping mechanisms’ that can cover up the intrinsic difficulties they experience. They may mimic their peers, watch from the sidelines, use their intellect to figure out the best ways to remain undetected, and they will study, practice, and learn appropriate approaches to social situations. Sounds easy enough, but in fact these strategies take a lot of work and can more often than not lead to exhaustion, withdrawal, anxiety, selective mutism, and depression. -Dr. Shana Nichols

Mental health, contemporary psychiatrists tell us, consists of the ability to adapt to the inevitable stresses and misfortunes of life. It does not mean freedom from anxiety and depression, but only the ability to cope with these afflictions in a healthy way.

Fear and anxiety affect decision making in the direction of more caution and risk aversion... Traumatized individuals pay more attention to cues of threat than other experiences, and they interpret ambiguous stimuli and situations as threatening (Eyesenck, 1992), leading to more fear-driven decisions. In people with a dissociative disorder, certain parts are compelled to focus on the perception of danger. Living in trauma-time, these dissociative parts immediately perceive the present as being "just like" the past and "emergency" emotions such as fear, rage, or terror are immediately evoked, which compel impulsive decisions to engage in defensive behaviors (freeze, flight, fight, or collapse). When parts of you are triggered, more rational and grounded parts may be overwhelmed and unable to make effective decisions.

I’ve found that it’s of some help to think of one’s moods and feelings about the world as being similar to weather. Here are some obvious things about the weather: It's real. You can't change it by wishing it away. If it's dark and rainy, it really is dark and rainy, and you can't alter it. It might be dark and rainy for two weeks in a row. BUT it will be sunny one day. It isn't under one's control when the sun comes out, but come out it will. One day. It really is the same with one's moods, I think. The wrong approach is to believe that they are illusions. Depression, anxiety, listlessness - these are all are real as the weather - AND EQUALLY NOT UNDER ONE'S CONTROL. Not one's fault. BUT They will pass: really they will. In the same way that one really has to accept the weather, one has to accept how one feels about life sometimes, "Today is a really crap day," is a perfectly realistic approach. It's all about finding a kind of mental umbrella. "Hey-ho, it's raining inside; it isn't my fault and there's nothing I can do about it, but sit it out. But the sun may well come out tomorrow, and when it does I shall take full advantage.

You can’t be beaten by something you laugh at.

Certainly we want to protect our children from new and painful experiences that are beyond their emotional comprehension and that intensify anxiety; and to a point we can prevent premature exposure to such experiences. That is obvious. But what is just as obvious — and what is too often overlooked — is the fact that from their earliest years children live on familiar terms with disrupting emotions, fear and anxiety are an intrinsic part of their everyday lives, they continually cope with frustrations as best they can. And it is through fantasy that children achieve catharsis. It is the best means they have for taming Wild Things.

The degree to which a surviving parent copes is the most important indicator of the child's long-term adaptation. Kids whose surviving parents are unable to function effectively in the parenting role show more anxiety and depression, as well as sleep and health problems, than those whose parents have a strong support network and solid inner resources to rely on.

The traditional techniques used in getting sleep aren’t much effective any longer and our sleep techniques need to evolve as rapidly as our life style has, in order to cope with it.

The Stoics can teach you how to find a sense of purpose in life, how to face adversity, how to conquer anger within yourself, moderate your desires, experience healthy sources of joy, endure pain and illness patiently and with dignity, exhibit courage in the face of your anxieties, cope with loss, and perhaps even confront your own mortality while remaining as unperturbed as Socrates.

At first, when a child meets something that scares him, the fear grows, like a wave. But when he goes into the water and swims - gets used to the water - the wave grows small. If we pull the child away when the wave is high, he never sees that, never learns how to swim and remains afraid. If he gets a chance to feel strong, in control, that's called coping. When he copes, he feels better.

Be the good & seek the good. Faith fights anxieties… go after your faith with body, mind & soul.

Procrastination is a mechanism for coping with the anxiety associated with starting or completing any task or decision.

What ever happened to mental hygiene?” he asked rhetorically. “It doesn’t exist—and never did. When you went through high school, you were never taught how to deal with stress, how to deal with trauma, how to deal with tension and anxiety—with the whole list of mood impairments. There’s no preventive maintenance. We know how to prevent cavities. But we don’t teach children how to be resilient, how to cope with stress on a daily basis.

People with Asperger’s or autism expend a huge amount of mental energy each day coping with socializing, anxiety, change, sensory sensitivity, daily living skills and so on.

Fear is the vigilance and the need to escape from something real. Anxiety is about dread and foreboding and your imagination running away with you. Much as with depression, anxiety is rooted in a cognitive distortion. In this case, people prone toward anxiety overestimate risks and the likelihood of a bad outcome.

One way of coping with my anxiety has been to imagine it as a tax. In order to do the things I want to do, in order to go about my life, or to get anything done, I just need to pay the anxiety tax first. The tension and soreness I feel in my shoulders that never goes away; the hour of preparation it takes for me to talk myself into leaving the house; the constant fear that I will say the wrongest thing or write the wrongest thing or do the wrongest thing without ever knowing it—these are all part of the tax.

But she found ways to cope, to tunnel her way out of herself, to climb down. Some people accept that they will never be free of their anxieties, they just learn to carry it.

The heart carries heavy loads when it is being trained to carry weighty blessings.

When the Time Is Right: December 7 There are times when we simply do not know what to do, or where to go, next. Sometimes these periods are brief, sometimes lingering. We can get through these times. We can rely on our program and the disciplines of recovery. We can cope by using our faith, other people, and our resources. Accept uncertainty. We do not always have to know what to do or where to go next. We do not always have clear direction. Refusing to accept the inaction and limbo makes things worse. It is okay to temporarily be without direction. Say “I don’t know,” and be comfortable with that. We do not have to try to force wisdom, knowledge, or clarity when there is none. While waiting for direction, we do not have to put our life on hold. Let go of anxiety and enjoy life. Relax. Do something fun. Enjoy the love and beauty in your life. Accomplish small tasks. They may have nothing to do with solving the problem, or finding direction, but this is what we can do in the interim. Clarity will come. The next step will present itself. Indecision, inactivity, and lack of direction will not last forever. Today, I will accept my circumstances even if I lack direction and insight. I will remember to do things that make myself and others feel good during those times. I will trust that clarity will come of its own accord.

It’s hard to explain how much that feeling of the bottom potentially falling out at any moment takes its toll. It makes you anxious, of course, and constant anxiety is impossible for the body to handle. So you develop a coping mechanism, and for us that meant shutting down. Everything we liked or wanted or felt joy in had to be hidden or suppressed. I’m sad to say that this method works. If you don’t give as much credence or value to whatever it is that you love, it hurts less when it is inevitably taken from you. I had to pretend I had no joy. It will come as a shock to people who know me now, but being able to express joy was something it took me a long time to be confident enough to do.

See, anxiety doesn’t just stop. You can have nice moments, minutes where it shrinks, but it doesn’t leave. It lurks in the background like a shadow, like that important assignment you have to do but keep putting off or the dull ache that follows a three-day migraine. The best you can hope for is to contain it, make it as small as possible so it stops being intrusive. Am I coping? Yes, but it’s taking a monumental amount of effort to keep the dynamite inside my stomach from exploding.

It’s hard to explain how much that feeling of the bottom potentially falling out at any moment takes its toll. It makes you anxious, of course, and constant anxiety is impossible for the body to handle. So you develop a coping mechanism, and for us that meant shutting down.

Hayes and his colleagues have distilled these insights into seven skills for coping with loss. In more than a thousand studies over thirty-five years, they’ve found that the acquisition of this skill set predicts whether people facing loss fall into anxiety, depression, trauma, substance abuse—or whether they thrive. The first five skills involve acceptance of the bitter. First, we need to acknowledge that a loss has occurred; second, to embrace the emotions that accompany it. Instead of trying to control the pain, or to distract ourselves with food, alcohol, or work, we should simply feel our hurt, sorrow, shock, anger. Third, we need to accept all our feelings, thoughts, and memories, even the unexpected and seemingly inappropriate ones, such as liberation, laughter, and relief. Fourth, we should expect that sometimes we’ll feel overwhelmed. And fifth, we should watch out for unhelpful thoughts, such as “I should be over this,” “It’s all my fault,” and “Life is unfair.” Indeed, the ability to accept difficult emotions—not just observe them, not just breathe through them, but actually, nonjudgmentally, accept them—has been linked repeatedly to long-term thriving.

Goldstein's central thesis is that anxiety is the subjective experience of the organism in a catastrophic condition . An organism is thrown into a catastrophic condition when it cannot cope with the demands of its environment and, therefore, feels a threat to its existence or to values it holds essential for its existence.

Wherever the shadow of economic growth touches us, we are left useless unless employed on a job or engaged in consumption...We lose sight of our resources, lose control over the environmental conditions which make these resources applicable, lose taste for self-reliant coping with challenges from without and anxiety from within.

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.

Running is not magic beans and I now know that I can’t expect it to inure me to the genuine sadness of life. But throughout tough periods in my life, and without realising it, I had finally acquired a coping skill, one that has helped me every day since I found myself on that floor, wondering how I’d ever get up. It’s something that has taken me out of my self-made cage, propelled me towards new jobs, new experiences, real love and a sense of optimism and confidence that I can be more than just a woman with crippling anxiety. It has given me a new identity, one which no longer sees danger and fear first. It’s not an exaggeration to say that I ran myself out of misery. It has transformed my life.

When one removes this factor by surgical repair, the patient is cast adrift from the more or less acceptable emotional protection it has offered and soon he finds, to his surprise and discomfort, that life is not all smooth sailing even for those with unblemished, “ordinary” faces. He is unprepared to cope with this situation without the support of a “handicap,” and he may turn to the less simple, but similar, protection of the behavior patterns of neurasthenia, hysterical conversion, hypochondriasis or the acute anxiety states.17

Defenses are psychological strategies we use to keep us safe. They help us cope and reduce our anxiety.

Get ready for change Identify what you need to change Let go of old habits to make room for change Learn new coping skills Incorporate the changes into your life

Procrastination is a habit you develop to cope with anxiety about starting or completing a task. It is your attempted solution to cope with tasks that are boring or overwhelming.

Of course sometimes she couldn’t help thinking about the reasons why she had wanted to jump, all the things she thought were missing from her reflection. Her loneliness at the dinner table. But she found ways to cope, to tunnel her way out of herself, to climb down. Some people accept that they will never be free of their anxiety, they just learn to carry it.

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.

Living in the land of, "What if....?" leads to emotional paralysis. It sets the stage for doom and gloom thinking. It prevents us from experiencing the beauty of the present moment. Happiness resides in the here and now. It can not thrive in a prison of the past or in the worry of future outcomes that may or may not, happen. We need to trust that we have the divine wisdom within ourselves and through the support of others, to climb the treacherous terrain this human existence brings. It is worth the struggle. The view from the top is extraordinary. Onward and upward!

Possible Problems with Journal Writing Be careful not to get too involved with your journal. In many published journals, writers such as Anais Nin worried that they found writing in a journal so satisfying that they were trapped into spending their lives writing about events, rather than living them. Don’t let writing about feelings replace speaking with others. Journal writing should be a tool to help you become more confident, not a crutch that increases your isolation. If you find yourself becoming too dependent on your journal, take a break from writing for a week or two.

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).

Even if we do manage to get our act together, the goalposts for what counts as “good enough” seem always to remain frustratingly out of reach. We must be smart and fit and fashionable and interesting and successful and sexy. Oh, and spiritual, too. And no matter how well we do, someone else always seems to be doing it better. The result of this line of thinking is sobering: millions of people need to take pharmaceuticals every day just to cope with daily life. Insecurity, anxiety, and depression are incredibly common in our society, and much of this is due to self-judgment, to beating ourselves up when we feel we aren’t winning in the game of life.

Nature’s ultimate goal is to foster the growth of the individual from absolute dependence to independence — or, more exactly, to the interdependence of mature adults living in community. Development is a process of moving from complete external regulation to self-regulation, as far as our genetic programming allows. Well-self-regulated people are the most capable of interacting fruitfully with others in a community and of nurturing children who will also grow into self-regulated adults. Anything that interferes with that natural agenda threatens the organism’s chances for long-term survival. Almost from the beginning of life we see a tension between the complementary needs for security and for autonomy. Development requires a gradual and ageappropriate shift from security needs toward the drive for autonomy, from attachment to individuation. Neither is ever completely lost, and neither is meant to predominate at the expense of the other. With an increased capacity for self-regulation in adulthood comes also a heightened need for autonomy — for the freedom to make genuine choices. Whatever undermines autonomy will be experienced as a source of stress. Stress is magnified whenever the power to respond effectively to the social or physical environment is lacking or when the tested animal or human being feels helpless, without meaningful choices — in other words, when autonomy is undermined. Autonomy, however, needs to be exercised in a way that does not disrupt the social relationships on which survival also depends, whether with emotional intimates or with important others—employers, fellow workers, social authority figures. The less the emotional capacity for self-regulation develops during infancy and childhood, the more the adult depends on relationships to maintain homeostasis. The greater the dependence, the greater the threat when those relationships are lost or become insecure. Thus, the vulnerability to subjective and physiological stress will be proportionate to the degree of emotional dependence. To minimize the stress from threatened relationships, a person may give up some part of his autonomy. However, this is not a formula for health, since the loss of autonomy is itself a cause of stress. The surrender of autonomy raises the stress level, even if on the surface it appears to be necessary for the sake of “security” in a relationship, and even if we subjectively feel relief when we gain “security” in this manner. If I chronically repress my emotional needs in order to make myself “acceptable” to other people, I increase my risks of having to pay the price in the form of illness. The other way of protecting oneself from the stress of threatened relationships is emotional shutdown. To feel safe, the vulnerable person withdraws from others and closes against intimacy. This coping style may avoid anxiety and block the subjective experience of stress but not the physiology of it. Emotional intimacy is a psychological and biological necessity. Those who build walls against intimacy are not self-regulated, just emotionally frozen. Their stress from having unmet needs will be high.

There must be quite a few things a hot bath won’t cure, but I don’t know many of them. Whenever I’m sad I’m going to die, or so nervous I can’t sleep, or in love with somebody I won’t be seeing for a week, I slump down just so far and then I say: 'I’ll go take a hot bath.' I meditate in the bath.The water needs to be very hot, so hot you can barely stand putting your foot in it. Then you lower yourself, inch by inch, till the water’s up to your neck.

Mental health, contemporary psychiatrists tell us, consists of the ability to adapt to the inevitable stresses and misfortunes of life. It does not mean freedom from anxiety and depression, but only the ability to cope with these afflictions in a healthy way. “An outstanding feature of successful adaptation,” writes George Vaillant, “is that it leaves the way open for future growth.” Of course, Abraham Lincoln’s capacity for growth would prove enormous.

Fear of Dating Dating is a big part of the teenage years. Dances, parties, and other social events can make you long for a significant other. However, if you have social anxiety, you may be terrified of getting close to someone of the opposite sex. You may be afraid of saying something silly or acting inappropriately. Flirting, a playful way of getting noticed and letting someone know you like him or her, may seem impossible when you feel awkward and insecure.

...it is often reported that women with autism are more likely to internalise the anxiety and stress they feel around change, not wanting to draw attention to their inability to cope with the situation. This leads other people to believe they are coping, when in fact they are not. Repression of emotions and the effort involved in hiding them from others can cause long-term mental health problems, and eventually the facade crashes as the curtailed stress has to come out.

Finding ways to blame victims is psychologically prophylactic for some people because it helps them cope with anxiety induced by uncontrollable environmental threats while maintaining a comforting view that the world will still be fair to them.

Barkley’s comment that ADD is more impairing than any syndrome in all mental health that is treated on an outpatient basis. More impairing than anxiety, more impairing than depression, more impairing than substance abuse. The “morbidity” of untreated ADD is profound.

Overcoming panic attacks has left me humbled. It’s taught me how to be brave. It’s left me compassionate to the fears and sufferings of other people. It’s given me the wisdom that my thoughts and feelings are simply subjective responses, and don’t need to be taken as true reflections of reality. But the most important thing I’ve learnt from coping with panic is this: No matter what happens in life, no matter how hard things seem, no matter how painful things are, moments always pass like fluffy clouds in a blue sky, and I will be fine.

accommodation is helpful when it teaches your child the valuable lesson that she is able to cope with feeling anxious. Accommodation is unhelpful when it reinforces your child’s belief that she cannot cope with anxiety and must avoid situations that are likely to trigger it.

Avoidance, the second coping strategy for anxiety, is not showing up and often spending a lot of energy zigzagging around and away from that thing that already feels like it’s consuming us. And avoidance isn’t benign. It can hurt us, hurt other people, and lead to increased and mounting anxiety.

To suggest that someone requires a hug is to say something potentially, but only potentially, demeaning. It’s suggesting that they are, at least for the moment, rather like a child. They have the same kinds of emotional needs that we come to think of as essentially childlike. To need a hug is to admit that one is incapable of coping on one’s own, that one requires protection, guidance, the help of someone wiser and more capable, that one needs to have one’s troubles and anxieties reinterpreted by a more mature mind. It is to say, in shorthand, ‘I am at the moment like a child and I need someone else to be, for a while, like a parent.’ Yet even if we don’t usually like to admit it, there are in fact many times when we should be able to revert to a childlike position. There are moments of adult life when one seems petulant, scared, shy and sure that everything suddenly feels totally unfair. One’s ability to look after oneself is terribly depleted. At such times, to get ourselves back together, we need someone else to take the burden from us. We require the equivalent of what the parent does for the child. We are in need of someone to pat us on the head, to put us to bed early, tuck us in and hold us tight.

Physiological stress, then, is the link between personality traits and disease. Certain traits — otherwise known as coping styles — magnify the risk for illness by increasing the likelihood of chronic stress. Common to them all is a diminished capacity for emotional communication. Emotional experiences are translated into potentially damaging biological events when human beings are prevented from learning how to express their feelings effectively. That learning occurs — or fails to occur — during childhood. The way people grow up shapes their relationship with their own bodies and psyches. The emotional contexts of childhood interact with inborn temperament to give rise to personality traits. Much of what we call personality is not a fixed set of traits, only coping mechanisms a person acquired in childhood. There is an important distinction between an inherent characteristic, rooted in an individual without regard to his environment, and a response to the environment, a pattern of behaviours developed to ensure survival. What we see as indelible traits may be no more than habitual defensive techniques, unconsciously adopted. People often identify with these habituated patterns, believing them to be an indispensable part of the self. They may even harbour self-loathing for certain traits — for example, when a person describes herself as “a control freak.” In reality, there is no innate human inclination to be controlling. What there is in a “controlling” personality is deep anxiety. The infant and child who perceives that his needs are unmet may develop an obsessive coping style, anxious about each detail. When such a person fears that he is unable to control events, he experiences great stress. Unconsciously he believes that only by controlling every aspect of his life and environment will he be able to ensure the satisfaction of his needs. As he grows older, others will resent him and he will come to dislike himself for what was originally a desperate response to emotional deprivation. The drive to control is not an innate trait but a coping style. Emotional repression is also a coping style rather than a personality trait set in stone. Not one of the many adults interviewed for this book could answer in the affirmative when asked the following: When, as a child, you felt sad, upset or angry, was there anyone you could talk to — even when he or she was the one who had triggered your negative emotions? In a quarter century of clinical practice, including a decade of palliative work, I have never heard anyone with cancer or with any chronic illness or condition say yes to that question. Many children are conditioned in this manner not because of any intended harm or abuse, but because the parents themselves are too threatened by the anxiety, anger or sadness they sense in their child — or are simply too busy or too harassed themselves to pay attention. “My mother or father needed me to be happy” is the simple formula that trained many a child — later a stressed and depressed or physically ill adult — into lifelong patterns of repression.

anxiety, with its concomitant feelings of helplessness, isolation, and conflict, is an exceedingly painful experience. One tends to be angry and resentful toward those responsible for placing him in such a situation of pain. Clinical experience yields many examples like the following: A dependent person, finding himself in a situation of responsibility with which he feels he cannot cope, reacts with hostility both toward those who have placed him in the situation and toward those (usually parents) who caused him to be unable to cope with it. Or he feels hostility toward his therapist, whom he believes should bail him out

she found ways to cope, to tunnel her way out of herself, to climb down. Some people accept that they will never be free of their anxiety, they just learn to carry it. She tried to be one of them. She told herself that was why you should always be nice to other people, even idiots, because you never know how heavy their burden is.

.,,women are numbed enough to endure rough sex acts through extreme humiliation. When alcohol isn’t enough and the pain spirals into addiction, porn stars are sent to local doctors in conspiracy with the porn industry to receive prescriptions for Vicodin, Xanax, Valium and other anti-anxiety drugs to help them cope with the trauma.

And what about this. When we’re thrust into it, we anxious folk can often deal with the present really rather well. It’s worth remembering this. As real, present-moment disasters occur, we invariably cope, and often better than others. The day after no sleep, I get on with things. At funerals, or when I’ve fallen off my bike, or the time I had to attend to my grandmother when she stopped breathing, or whenever a major work disaster plays out leaving my team in a panic, I’m a picture of calm. Dad used to call me “the tower of strength” in such moments. I also don’t tend to have a lot of bog-standard fear (as opposed to anxiety). In fact, I relish real, present-moment fear and actively seek it out.

when we get into a physiological uproar and activate the stress-response for no reason at all, or over something we cannot do anything about, we call it things like “anxiety,” “neurosis,” “paranoia,” or “needless hostility.” Thus, the stress-response can be mobilized not only in response to physical or psychological insults, but also in expectation of them.

Our brains work automatically to create strategies for avoiding unpleasant feelings (such as anxiety) and masking their severity. This avoidance is built into our neural pathways and wiring and helps us manage stress and keep going. But as our internal and external lives/environments change, we often outgrow these coping mechanisms or they just stop working.

morning, be aware of My Presence with you. You may not be thinking clearly yet, but I am. Your early morning thoughts tend to be anxious ones until you get connected with Me. Invite Me into your thoughts by whispering My Name. Suddenly your day brightens and feels more user-friendly. You cannot dread a day that is vibrant with My Presence. You gain confidence through knowing that I am with you—that you face nothing alone. Anxiety stems from asking the wrong question: “If such and such happens, can I handle it?” The true question is not whether you can cope with whatever happens, but whether you and I together can handle anything that occurs. It is this you-and-I-together factor that gives you confidence to face the day cheerfully. PSALM 5:3; PSALM 63:1 NKJV; PHILIPPIANS 4:13

Most of us do not like not being able to see what others see or make sense of something new. We do not like it when things do not come together and fit nicely for us. That is why most popular movies have Hollywood endings. The public prefers a tidy finale. And we especially do not like it when things are contradictory, because then it is much harder to reconcile them (this is particularly true for Westerners). This sense of confusion triggers in a us a feeling of noxious anxiety. It generates tension. So we feel compelled to reduce it, solve it, complete it, reconcile it, make it make sense. And when we do solve these puzzles, there's relief. It feels good. We REALLY like it when things come together. What I am describing is a very basic human psychological process, captured by the second Gestalt principle. It is what we call the 'press for coherence.' It has been called many different things in psychology: consonance, need for closure, congruity, harmony, need for meaning, the consistency principle. At its core it is the drive to reduce the tension, disorientation, and dissonance that come from complexity, incoherence, and contradiction. In the 1930s, Bluma Zeigarnik, a student of Lewin's in Berlin, designed a famous study to test the impact of this idea of tension and coherence. Lewin had noticed that waiters in his local cafe seemed to have better recollections of unpaid orders than of those already settled. A lab study was run to examine this phenomenon, and it showed that people tend to remember uncompleted tasks, like half-finished math or word problems, better than completed tasks. This is because the unfinished task triggers a feeling of tension, which gets associated with the task and keeps it lingering in our minds. The completed problems are, well, complete, so we forget them and move on. They later called this the 'Zeigarnik effect,' and it has influenced the study of many things, from advertising campaigns to coping with the suicide of loved ones to dysphoric rumination of past conflicts.

An intolerance for uncertainty is an important contributing factor to all types of anxiety. Those of us who are generally uncomfortable with uncertainty are more likely to experience anxiety in specific situations as well as to have trait anxiety and anxiety disorders. Our anxiety often leads to one of two coping mechanisms: worry or avoidance. Unfortunately, neither of these coping strategies is very effective.

This feeling of stress triggers a cascade of physiological consequences. The hypothalamus and pituitary gland in the brain release hormones that cause the release of cortisol from the adrenal glands located on the kidneys. Cortisol increases heart rate, among other things, readying the body for “fight” or “flight.” Acutely, the release of cortisol is beneficial and helps you cope with whatever is urgently being demanded of you. But if the stress becomes chronic, maladaptive things begin to happen. Normally, the release of cortisol turns the hypothalamus and pituitary off, stopping the release of hormone, which in turn stops the further release of cortisol from the adrenal glands. It’s a nice, clean, negative feedback loop. But in the chronically stressed, the loop breaks. The brain stops reacting to cortisol. Our natural, automatic shutoff valve stops working. The brain keeps releasing hormone, and the adrenal glands keep dumping cortisol into the bloodstream, even when the stressful thing that initially triggered the stress response is no longer around. Chronic, elevated levels of cortisol have been associated with a weakened immune system, deficits in short-term memory, chronic fatigue syndrome, anxiety disorders, and depression.

[B]eyond hiding our need and neurotically pursuing self-esteem, there is a third way our neurotic anxiety about death interferes with love. And this is the darkest manifestation of all, as it makes us violent. Because our worldview is the source of our significance and self-esteem, we want to defend it from the criticisms of out-group members. Those who are different from us implicitly or explicitly call into question the things we hold most dear, the cultural values that ground and shape the contours of our identity and self-esteem in the face of death. In this, out-group members become a source of anxiety, an existential threat. To cope with the anxiety, we rush to defend our worldview and become dogmatic, fundamentalist, and ideological in regard to our values, culture, and way of life. We embrace our worldview as unique and exceptional, as superior to other worldviews, which we deem inferior, mistaken, and even dangerous. This mindset begins the process in which out-group members are denigrated and eventually demonized, sowing the seeds of violence. The point to note here is how this violence is fueled by an underlying neurotic fear that the cultural projects that we’ve invested in and sacrificed for are not actually immortal, eternal, timeless, or immune to death.

Anxiety, in a generalized sense, is a fear of “what if.” From a cognitive behavioral therapy perspective, to the anxious person, the fear that it could happen is as real as if it is happening.2 In the case of IAD, “I feel like I’m dying” can quickly and easily become “I am dying.” In a nutshell, this is how anxiety works: it ignores the present and often obscures the facts that might keep an individual feeling safe and secure.

We live in a culture that has monetized and commercialized “well-being” and “health” to such an extent that concern for our physical health has grown into an often unmanageable worry. We seek answers, diagnoses, and treatments from questionable sources, such as the omnipresent “Dr. Google.” We stress and fret about our health, which ironically, has a negative impact on the very part of ourselves that we are trying so diligently to protect.

Freud had been the first to point out that these [driving forces in neurosis] were compulsive drives. He regarded these drives as instinctual in nature, aimed at satisfaction and intolerant of frustration. Consequently he believed that they were not confined to neuroses per se but operated in all human beings. If, however, neuroses were an outgrowth of disturbed human relationships, this postulation could not possibly be valid. The concepts I arrived at on this score were, briefly, these. Compulsive drives are specifically neurotic; they are born of feelings of isolation, helplessness, fear and hostility, and represent ways of coping with the world despite these feelings; they aim primarily not at satisfaction but at safety; their compulsive character is due to the anxiety lurking behind them. Two of these drives—neurotic cravings for affection and for power—stood out at first in clear relief

Suppose a major traumatic stressor occurs, of a sufficient magnitude to disrupt hippocampal function while enhancing amygdaloid function. At some later point, in a similar setting, you have an anxious, autonomic state, agitated and fearful, and you haven’t a clue why—this is because you never consolidated memories of the event via your hippocampus while your amygdala-mediated autonomic pathways sure as hell remember. This is a version of free-floating anxiety.

Are you publicly or privately shy? If you are publicly shy, you will agree with the following types of statements that focus on how others view you. -I’m concerned about my style of doing things. -I worry about my appearance. -I want to make a good impression. If you are privately shy, you will agree with the following types of statements that focus on how you view yourself. -I’m always trying to figure myself out. -I constantly scrutinize my feelings and motives. -I notice changes in my mood easily.

Once a habit has been encoded, the urge to act follows whenever the environmental cues reappear. This is one reason behavior change techniques can backfire. Shaming obese people with weight-loss presentations can make them feel stressed, and as a result many people return to their favorite coping strategy: overeating. Showing pictures of blackened lungs to smokers leads to higher levels of anxiety, which drives many people to reach for a cigarette. If you’re not careful about cues, you can cause the very behavior you want to stop.

The key difference, of course, is that non-HSPs with anxiety disorders can approach their anxiety as a mental illness that can be eliminated entirely with the right treatment. On the other hand, an HSP will never fully eliminate their sensitivity and susceptibility to anxiety and panic. If you are a particularly anxious HSP, aim to get your tendency to worry under control rather than to overcome it completely. You can help yourself cope with high levels of intense stimuli, but you will always have a lower stress threshold than a non-HSP.

Problems in Your Social Life Social anxiety can make you feel empty and alone. You may feel as though you go through each day like a robot--simply doing only what you need to without drawing attention to yourself. You may feel trapped in an unfulfilling and unsatisfying life. When you suffer from anxiety, it is difficult to have the courage to change your situation. However, trying to get through life without the support of others is tough. The longer you live without creating fulfilling relationships, the more difficult it will be to make them in the future.

The severity and intensity of this disorder comes from the NPD individual's desperate pursuit to gain a sense of self. He consciously understands none of this, yet his inner need to feel worthwhile causes him to manipulate people in order to maintain an endless supply of attention, control, status, money, power, or recognition. This single-minded purpose covers the almost malignant anxiety and emptiness he feels. Totally unaware of his inner problems, he looks to the world for fulfillment, relentlessly driving himself and others to meet his grandiose expectations.

Cutting. Starving. Compulsive exercising. Drinking. Drugs. Hair pulling. Skin picking. These are not attention-grabbing strategies, or else why would we, who employ them, work so very hard to keep our behaviors secret? They are evidence of poor coping skills. Of terrible anxiety. Of invalidation and loneliness—and shame. Manifestations of anxiety and cognitive rigidity to the point of epidemic levels. Why? It’s all about relief. About trying to escape from your own feelings and experiences of the world that those of us on the spectrum are constantly told are wrong.

The psychological condition of fear is divorced from any concrete and true immediate danger. It comes in many forms: unease, worry, anxiety, nervousness, tension, dread, phobia, and so on. This kind of psychological fear is always of something that might happen, not of something that is happening now. You are in the here and now, while your mind is in the future. This creates an anxiety gap. And if you are identified with your mind and have lost touch with the power and simplicity of the Now, that anxiety gap will be your constant companion. You can always cope with the present moment, but you cannot cope with something that is only a mind projection — you cannot cope with the future. Moreover, as long as you are identified with your mind, the ego runs your life, as I pointed out earlier. Because of its phantom nature, and despite elaborate defense mechanisms, the ego is very vulnerable and insecure, and it sees itself as constantly under threat. This, by the way, is the case even if the ego is outwardly very confident. Now remember that an emotion is the body’s reaction to your mind. What message is the body receiving continuously from the ego, the false, mind-made self? Danger, I am under threat. And what is the emotion generated by this continuous message? Fear, of course.

EMOTIONAL INTENSITY DEFINED Emotional intensity can typically be described as strong and intense emotional reactions to various situations. Explosive outbursts, crying jags, paralyzing anxiety, or fear are all features of the negative aspects of emotional intensity (Sword, 2006a). But not all emotional reactions are negative or sad. Sometimes the extreme emotions include giddiness, highly frenetic energy, laughter, and general happiness. Most often, emotional intensity features the frequent vacillation between happiness and anxiety. That’s right, mood swings. Gifted children are prone to intense and somewhat erratic mood swings; it is the very nature of their giftedness.

Melancholy is that a scrambled egg can't be unscrambled--entropy increases--experience is subject to the arrow of time. And the infinite sadness of my life consists in that I only recognize the beauty of simple arrangements from the relative vantage of the scrambled; memory, not experience, is my only access to it. Anxiety is the progression toward equilibrium. Despair is the inescapability. Insanity is the rationalizing of it all. Sanity is the irrational acceptance of it all. Indifference is just detached therapy. And progression--activity / toil / tasks / success / failure--just coping distraction and procrastination, just ill-placed deferment--my preferred route. And crisis--

and confused if someone does not appreciate their niceness. Others often sense this and avoid giving them feedback not only, effectively blocking the nice person’s emotional growth, but preventing risks from being taken. You never know with a nice person if the relationship would survive a conflict or angry confrontation. This greatly limits the depths of intimacy. And would you really trust a nice person to back you up if confrontation were needed? 3. With nice people you never know where you really stand. The nice person allows others to accidentally oppress him. The “nice” person might be resenting you just for talking to him, because really he is needing to pee. But instead of saying so he stands there nodding and smiling, with legs tightly crossed, pretending to listen. 4. Often people in relationship with nice people turn their irritation toward themselves, because they are puzzled as to how they could be so upset with someone so nice. In intimate relationships this leads to guilt, self-hate and depression. 5. Nice people frequently keep all their anger inside until they find a safe place to dump it. This might be by screaming at a child, blowing up a federal building, or hitting a helpless, dependent mate. (Timothy McVeigh, executed for the Oklahoma City bombing, was described by acquaintances as a very, very nice guy, one who would give you the shirt off his back.) Success in keeping the anger in will often manifest as psychosomatic illnesses, including arthritis, ulcers, back problems, and heart disease. Proper Peachy Parents In my work as a psychotherapist, I have found that those who had peachy keen “Nice Parents” or proper “Rigidly Religious Parents” (as opposed to spiritual parents), are often the most stuck in chronic, lowgrade depression. They have a difficult time accessing or expressing any negative feelings towards their parents. They sometimes say to me “After all my parents did for me, seldom saying a harsh word to me, I would feel terribly guilty complaining. Besides, it would break their hearts.” Psychologist Rollo May suggested that it is less crazy-making to a child to cope with overt withdrawal or harshness than to try to understand the facade of the always-nice parent. When everyone agrees that your parents are so nice and giving, and you still feel dissatisfied, then a child may conclude that there must be something wrong with his or her ability to receive love. -§ Emotionally starving children are easier to control, well fed children don’t need to be. -§ I remember a family of fundamentalists who came to my office to help little Matthew with his anger problem. The parents wanted me to teach little Matthew how to “express his anger nicely.” Now if that is not a formula making someone crazy I do not know what would be. Another woman told me that after her stinking drunk husband tore the house up after a Christmas party, breaking most of the dishes in the kitchen, she meekly told him, “Dear, I think you need a breath mint.” Many families I work with go through great anxiety around the holidays because they are going to be forced to be with each other and are scared of resuming their covert war. They are scared that they might not keep the nice garbage can lid on, and all the rotting resentments and hopeless hurts will be exposed. In the words to the following song, artist David Wilcox explains to his parents why he will not be coming home this Thanksgiving: Covert War by David Wilcox

Shyness is not necessarily a problem. It can be a very nice aspect of your personality. Many introverted celebrities, such as Chelsea Clinton and the late Princess Diana, are considered sophisticated and classy because of their reserved personalities. Shyness can make you appear intelligent, discreet, and circumspect. Shy people are valued as good listeners and are more likely to be considered kindhearted, conscientious, and trustworthy. They rarely are overaggressive or obnoxious and usually try not to act in ways that hurt others. A degree of shyness also allows you to be cautious and judge situations before jumping into them. You can stand back, observe, make careful decisions, and then act deliberately. With all of these positive qualities, it is no surprise that between 10 and 20 percent of those who consider themselves shy like their personalities and don’t want to change. They are comfortable with being quiet and are confident that when they do have something to say others will pay attention. Distinguishing social anxiety from normal shyness is sometimes difficult. It has to do with the level of distress and impairment associated with social fears. If you prefer being quiet and listening to others and you feel comfortable with that role, you probably don’t have social anxiety. On the other hand, if you don’t speak up because you are afraid others won’t like what you say or you are terrified of sounding foolish, you most likely have a degree of social anxiety.

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.

How to Perform Paced Breathing Paced breathing is a slow, regular rate of deep breathing. There are three main points to keep in mind when practicing: 1. Breathe slowly. Concentrate on slowing the rate of your breathing to eight or ten breaths per minute. 2. Inhale and exhale through your nose. It is more difficult to take shallow breaths from the upper chest when you breathe through your nose. This keeps you from hyperventilating. 3. Choose a neutral word to focus on while practicing paced breathing. The words “one,” “calm,” and “relax” work well. Each time you exhale, say the word in your mind. This will assist in keeping your breathing evenly paced, and will help to reduce the chances of interfering thoughts. During the day, when you are not practicing paced breathing, alternate paced and normal breathing. Every single breath you take does not have to come from the diaphragm. There should be a natural rhythm between chest breathing and diaphragm breathing. Find a comfortable balance but do more diaphragmatic breathing than you usually do. Tony is at a local law office to interview for an internship. He wants to become a trial lawyer. He is very excited by the thought of working professionally, but is so anxious about the interview that he feels lightheaded and numb. He is afraid he won’t be able to say what he wants to, and that his answers will be incorrect. As he waits for the interviewer, Tony starts to concentrate on slowing the rate of his breathing. With only a few deep breaths, his mind clears and his racing heart calms. He feels more relaxed and is confident.

Kelly McGonigal, a health psychologist at Stanford University, warned about the dangers of stress for a full decade before she realized that maybe it was her advice, rather than stress itself, that was sending people to their graves faster. “I’m converting a stimulus [stress] that could be strengthening people into a source of disease.” With a breakthrough in her thinking, and some powerful new research, McGonigal made a complete turnaround. Turns out, stress might just be our friend. Just as you put stress on a muscle to make it stronger (by lifting weights or running), emotional stress can make us physically and psychologically stronger too. McGonigal now highlights new research showing that when you change your mind about stress, you can literally change your body’s physical reaction to it. In an eight-year study, adults who experienced a “lot of stress” and who believed stress was harmful to their health had a 43% increase in their risk of dying. (That sure stressed me out.) However, people who experienced an equal amount of stress but did not view stress as harmful were no more likely to die! McGonigal says that physical signs of stress (a pounding heart, faster breathing, breaking out in a sweat) aren’t necessarily physical evidence of anxiety or signs that we aren’t coping well with pressure. Instead, we can interpret them as indications that our body is energized and preparing us to meet the next challenge. The bottom line is, science has now proven that how you think about stress matters—the story you attach to stress. Telling yourself it’s good for you instead of harmful could mean the difference between a stress-induced heart attack at 50 or living well into your 90s.

If at all possible, a boy should stay home with one of his parents or a close relative until about age three. Daycare of the institutional kind does not suit boys’ nature during these very early years. Many studies have shown that boys are more prone than girls to separation anxiety and to becoming emotionally shut down as a result of feeling abandoned. Also, a boy of this age may cope with his anxiety by becoming restless or aggressive. Experienced caregivers talk about the “sad/angry boy syndrome”—a little boy who feels abandoned and anxious and converts that into hitting and hurting behavior. He may carry this behavior into school and later life. Care by a loving relative is far better than an institutional situation for toddlers under three. Children under three need to spend the long days of childhood with people to whom they are very special.

How Journal Writing Helps Because of your social anxiety, you may be so afraid that any opinions you have are wrong that you remain neutral on most subjects. Or, you might feel like a chameleon who changes opinions depending on the situation. Not expressing your opinions can make you feel empty and unsure of what you really believe. Writing your thoughts and feelings in a journal can help you figure out your likes and dislikes, your opinions on tough issues, and what you stand for. Once you have your true beliefs down on paper, they will seem more concrete and you will be able to remember them during social situations. Although you probably are aware of what causes you the most anxiety, you also may have worries that are more difficult to identify. People often use various mental tricks to bury problems that are painful or difficult. As you write in your journal, you will become more aware of hidden fears and worries. Once they are brought into the open, you can begin to cope with them more effectively. Writing about events also makes it easier to be objective. While a belief, such as “Everyone thinks I’m stupid,” may cross your mind unconsciously, writing it down makes you realize how false and exaggerated it is. Once you see how maladaptive some of your thoughts are, it is easier to change them. In addition, a journal is valuable whenever you feel discouraged. Reviewing past entries will remind you how much you have improved over time. This insight will help you stay motivated and will make you want to keep working on the problem. Past entries are also helpful in figuring out how to deal with events in the present. You can look back at various situations, discover what actions worked (or didn’t), and feel confident in repeating them (or not).

Who Suffers? If you have social anxiety, you are not alone. The National Comorbidity Study found social phobia to be the third most common psychiatric disorder, after major depression and alcohol dependence. Experts believe that millions of people suffer from it. It is difficult to get exact numbers because the nature of social anxiety often makes it difficult for people to seek help. Many people who appear confident and strong suffer silently for years before telling anyone how they feel. In the general population, social anxiety appears to affect more women than men. This may be due in part to the social norms that determine that women should be less aggressive and more reserved than men. However, more men seek treatment, possibly because social anxiety has more of an impact on the jobs traditionally held by men. As gender roles in society continue to shift, these statistics will probably change.

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.

Loneliness A recent study showed that 13.5 percent of college students are severely lonely. Overall, they felt that they were to blame for their loneliness. Characteristics of social anxiety, such as shyness, fear of rejection, and lack of social knowledge and experience, often were listed as reasons. Loneliness is not the same thing as being alone. Many people enjoy solitude and find it a good time to be creative. They use time alone to write, read, listen to music, work on a hobby, or exercise. Often, sensitive people feel recharged after spending time alone. They make private time part of their schedules. Loneliness is a problem when you find it unpleasant and distressing. Social bonds are considered necessary to psychological well-being. When it is difficult to develop and maintain relationships, you may find yourself vulnerable to increased stress, depression, other emotional disorders, and impaired physical health.

The History of Social Anxiety The fact that some people are shyer than others has been observed since ancient times. However, the medical community didn’t become interested in this condition until the 1970s, when Philip Zimbardo founded the Stanford Shyness Clinic. At the time, many professionals believed that shyness was a natural state that children eventually outgrew. Zimbardo showed that shyness actually is a widespread psychological problem that has deep and lasting effects on those who suffer from it. This new awareness led to a great deal of research into the causes and treatment of social anxiety. Today, the condition is in the spotlight. Ads in magazines and commercials on television tell about social anxiety and advertise medications to treat it. People are becoming more open about discussing when they feel anxious and feel less ashamed about asking for help. The time has never been better for you to try to overcome your social anxiety.

We know about your presence          that fills the world,          that occupies our life,          that makes our life in the world true and good.   We notice your powerful transformative presence     in word and     in sacrament,     in food and in water,     in gestures of mercy         and practices of justice,     in gentle neighbors         and daring gratitude.   We count so on your presence     and then plunge—without intending—into your absence.     We find ourselves alone, abandoned, without resources         remembering your goodness,         hoping your future,     but mired in anxiety and threat and risk beyond our coping.   In your absence we bid your presence,     come again,     come soon,     come here:         Come to every garden become a jungle         Come to every community become joyless                           sad and numb.   We acknowledge your dreadful absence and insist on your presence.                           Come again, come soon. Come here.

Learning from Negative Experiences Many people with social anxiety can remember certain events that contributed to their fears. Martin knows exactly why he is afraid to speak in class. When I was in seventh-grade science class, the teacher had each student read aloud a paragraph from the textbook. It was a chapter on different types of organisms. When it was my turn, I accidentally said “orgasm” instead of “organism.” Everyone howled with laughter, including the teacher. I felt so embarrassed. My face was bright red and I wanted to hide. Kids teased me about it for a long time. Ever since then, I am terrified about reading anything aloud. Sometimes, I am even afraid of simply speaking. This event, together with Martin’s biochemistry and genes, set him up to have a form of social anxiety. People who don’t have the same heightened sense of awareness or the same chemicals rushing through their bodies may not have been upset by this event. They may have laughed with the class or even have been able to make fun of themselves.

Add Healthy Coping Mechanisms Regardless of how much work we do to heal our root issues, we will always need to deal with life, people, our family, assholes, emotions, pain, disappointment, anxiety, depression, loss, grief, and stress. So we need to not only work on the root causes and break the cycle of addiction, but also to replace our crappy coping mechanisms with healthy and constructive ones. Some examples of healthy coping mechanisms are: breathing techniques, spiritual practices, essential oils, chants and sound therapies, supplements, meditations, positive affirmations, and so on. We need to learn how to incorporate these healthy substitutes—not just know what we “should do.” We need to create an existence where we naturally and impulsively reach for something that builds us up or reinforces us or heals us (a poem or mantra, a meditation, a cup of hot water with lemon) instead of something that just takes us down further (a cigarette, a text to an abusive ex-lover, a bottle of wine, a new pair of shoes we can’t afford).

But one can see exactly why Dr Ali is so successful - he seems to offer a solution within the individual's grasp: you may not be able to change deadlines and workloads, but you can make yourself more efficient. Ancient wisdoms can be adapted to speed up human beings: this is the kind of individualised response which fits neatly into a neo-liberal market ideology. It draws on Eastern contemplative traditions of yoga and meditation which place the emphasis on individual transformation, and questions the effectiveness of collective political or social activism. Reflexology, aromatherapy, acupuncture, massage - these alternative therapies are all booming as people seek to improve their sense of well-being and vitality. Much of it makes sense - although trips to the Himalayas are hardly within the reach of most workers and the complementary health movement plays an important role in raising people's under standing of their own health and how to look after themselves. But the philosophy of improving ‘personal performance' also plays into the hands of employers' rationale that well-being and coping with stress are the responsibility of the individual employee. It reinforces the tendency for individuals to search for 'biographic solutions to structural contradictions', as the sociologist Ulrich Beck put it: forget the barricades, it's revolution from within that matters. This cultural preoccupation with personal salvation stymies collective reform, and places an onerous burden on the individual. It effectively reinforces the anxieties and insecurities which it offers to assuage.

Generalized Social Anxiety In contrast to people with specific social anxieties, you may be afraid in a wide variety of situations. You might feel that people are judging everything you do and you might set unreasonable standards of perfection for yourself. This condition is called generalized (or discrete) social anxiety. Generalized social anxiety accounts for 80 percent of all cases of social anxiety. Often, people with generalized social anxiety get caught in a vicious cycle. Because they are overly anxious in many situations, they act in clumsy and awkward ways, which in turn makes them feel even more discouraged and anxious. This cycle often results in depression and chronic stress. Generalized social anxiety can affect almost every aspect of your life. This has been the case for Toni, a college senior. In high school, I hardly had any friends. I didn’t participate in any extracurricular activities and managed to get by with average grades. Because I attend a large state university, I am even more invisible. So far, I have avoided any class that has any interaction with my peers, such as discussion groups or labs. As graduation approaches, I need to decide what type of career I want. The thought of job interviews terrifies me. I am considering grad school but would need recommendations to apply. I haven’t even spoken to most of my professors, and the ones who know me probably can’t say anything good about me. As a result, I’m really depressed. When I imagine the future, I can’t see myself being happy. I’ll probably move back to my parents’ house after graduation. I know they are disappointed in me, and that makes me feel like a complete failure.

Sociological Explanations Sociologists theorize that people can live together in peace because of the development of a social hierarchy that ranges from dominant to submissive. Everyone in a group takes his or her place in the hierarchy. A certain degree of anxiety around others allows people to assess the level of threat that they pose, and helps maintain the balance between aggression and inhibition. However, people with social anxiety tend to misinterpret others’ behavior as more aggressive or powerful than it really is. As a result, a socially anxious person often will become overly submissive--blushing, not making eye contact, freezing, or withdrawing. Sociologists believe this response may be the result of a fundamental fear of rejection. In monkeys, apes, and humans, being left to fend for oneself usually is a threat to survival. In social anxiety, people may see being judged as a threat to their position in the group. To them, rejection means failure. Kyoto went through her day at school constantly apologizing to everyone. Whenever she walked down the hall, opened her locker, sat down in an empty seat, or got in line in the cafeteria, she always said “Excuse me” or “I’m sorry.” Most of the time, she didn’t know why she was apologizing. She always wanted to please others. Kyoto’s mother took her to see a psychologist because of Kyoto’s anxiety. The psychologist helped Kyoto see that she misinterpreted others’ behavior as being more aggressive than it was. Her constant need to apologize was meant to tell others “I’m not a threat.” Now, before she apologizes, Kyoto asks herself if it is really necessary. Usually, she finds that other people aren’t angry at all.

Are you wondering what to write? Let’s start with some general statements that are useful each and every day. Then we’ll create statements that address specific emotional states like depression, anxiety, and feelings of stress. We’ll also create statements that pertain to specific situations such as sleep, relationships, parenting, job, school, health, skills, talents, and leisure activities. GENERAL STATEMENTS Here are some useful statements to write each and every day. Select two or three that resonate with you. You are not limited to these examples. You can write whatever you wish as long as it is a POSITIVE statement in the PRESENT TENSE that begins with ‘I AM’ and uses the PROGRESSIVE ‘ing’ form of the verb. At first, while learning the technique, you might want to use the statements suggested in this book. REMEMBER: Each POSITIVE, PRESENT TENSE, PROGRESSIVE statement is something you would like to be true. But you are writing it as if it already is true. In other words: I am writing positive statements. I am wanting them to be true. I am noticing that they are becoming true. I recommend writing at least two general statements every day. Here are some examples: I am embracing each and every day. I am enjoying today. I am living in the present moment. I am looking forward to today. I am having a productive day. I am staying focused. I am handling things well. I am taking things as they come. I am coping well with problems. I am focusing on the positives. I am moving smoothly through the day. I am confidently coping with challenges. I am noticing how well the day is going. I am feeling fully and deeply alive. Select two or three statements from the above list and write them here.

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'.

I heard the fear in the first music I ever knew, the music that pumped from boom boxes full of grand boast and bluster. The boys who stood out on Garrison and Liberty up on Park Heights loved this music because it told them, against all evidence and odds, that they were masters of their own lives, their own streets, and their own bodies. I saw it in the girls, in their loud laughter, in their gilded bamboo earrings that announced their names thrice over. And I saw it in their brutal language and hard gaze, how they would cut you with their eyes and destroy you with their words for the sin of playing too much. “Keep my name out your mouth,” they would say. I would watch them after school, how they squared off like boxers, vaselined up, earrings off, Reeboks on, and leaped at each other. I felt the fear in the visits to my Nana’s home in Philadelphia. You never knew her. I barely knew her, but what I remember is her hard manner, her rough voice. And I knew that my father’s father was dead and that my uncle Oscar was dead and that my uncle David was dead and that each of these instances was unnatural. And I saw it in my own father, who loves you, who counsels you, who slipped me money to care for you. My father was so very afraid. I felt it in the sting of his black leather belt, which he applied with more anxiety than anger, my father who beat me as if someone might steal me away, because that is exactly what was happening all around us. Everyone had lost a child, somehow, to the streets, to jail, to drugs, to guns. It was said that these lost girls were sweet as honey and would not hurt a fly. It was said that these lost boys had just received a GED and had begun to turn their lives around. And now they were gone, and their legacy was a great fear. Have they told you this story? When your grandmother was sixteen years old a young man knocked on her door. The young man was your Nana Jo’s boyfriend. No one else was home. Ma allowed this young man to sit and wait until your Nana Jo returned. But your great-grandmother got there first. She asked the young man to leave. Then she beat your grandmother terrifically, one last time, so that she might remember how easily she could lose her body. Ma never forgot. I remember her clutching my small hand tightly as we crossed the street. She would tell me that if I ever let go and were killed by an onrushing car, she would beat me back to life. When I was six, Ma and Dad took me to a local park. I slipped from their gaze and found a playground. Your grandparents spent anxious minutes looking for me. When they found me, Dad did what every parent I knew would have done—he reached for his belt. I remember watching him in a kind of daze, awed at the distance between punishment and offense. Later, I would hear it in Dad’s voice—“Either I can beat him, or the police.” Maybe that saved me. Maybe it didn’t. All I know is, the violence rose from the fear like smoke from a fire, and I cannot say whether that violence, even administered in fear and love, sounded the alarm or choked us at the exit. What I know is that fathers who slammed their teenage boys for sass would then release them to streets where their boys employed, and were subject to, the same justice. And I knew mothers who belted their girls, but the belt could not save these girls from drug dealers twice their age. We, the children, employed our darkest humor to cope. We stood in the alley where we shot basketballs through hollowed crates and cracked jokes on the boy whose mother wore him out with a beating in front of his entire fifth-grade class. We sat on the number five bus, headed downtown, laughing at some girl whose mother was known to reach for anything—cable wires, extension cords, pots, pans. We were laughing, but I know that we were afraid of those who loved us most. Our parents resorted to the lash the way flagellants in the plague years resorted to the scourge.

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.

Kathy’s teachers view her as a good student who always does her homework but rarely participates in class. Her close friends see her as a loyal and trustworthy person who is a lot of fun once you get to know her. The other students in school think she is shy and very quiet. None of them realize how much Kathy struggles with everyday life. When teachers call on her in class, her heart races, her face gets red and hot, and she forgets what she wants to say. Kathy believes that people think she is stupid and inadequate. She imagines that classmates and teachers talk behind her back about the silly things she says. She makes excuses not to go to social events because she is terrified she will do something awkward. Staying home while her friends are out having a good time also upsets her. “Why can’t I just act like other people?” she often thinks. Although Kathy feels isolated, she has a very common problem--social anxiety. Literally millions of people are so affected by self-consciousness that they have difficulties in social situations. For some, the anxiety occurs during very specific events, such as giving a speech or eating in public. For others, like Kathy, social anxiety is part of everyday life. Unfortunately, social anxiety is not an easily diagnosed condition. Instead, it is often viewed as the far edge of a continuum of behaviors and feelings that occur during social situations. Although you may not have as much difficulty as Kathy, shyness may still be causing you distress, affecting your relationships, or making you act in ways with which you are not happy. If this is the case, you will benefit from the advice and techniques provided in this book. The good news is that it is possible to change your thinking and behavior. However, there are no easy solutions. It takes strong motivation and time to overcome social anxiety. It might even be necessary to see a professional therapist or take medication. Eventually, becoming free of your anxiety will make the hard work well worth the effort. This book will help you understand social anxiety and the impact it can have on your life, now and in the future. You will find out how the disorder is diagnosed, you will receive information on professional guidance, and you will learn ways to cope with and manage the symptoms. Becoming an extroverted person is probably unlikely, but you can become more confident in social situations and increase your self-esteem.

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.