Stress And Anxiety Quotes

If you want to conquer the anxiety of life, live in the moment, live in the breath.

I promise you nothing is as chaotic as it seems. Nothing is worth diminishing your health. Nothing is worth poisoning yourself into stress, anxiety, and fear.

In an era of stress and anxiety, when the present seems unstable and the future unlikely, the natural response is to retreat and withdraw from reality, taking recourse either in fantasies of the future or in modified visions of a half-imagined past.

All negativity is caused by an accumulation of psychological time and denial of the present. Unease, anxiety, tension, stress, worry - all forms of fear - are caused by too much future, and not enough presence. Guilt, regret, resentment, grievances, sadness, bitterness, and all forms of nonforgiveness are caused by too much past, and not enough presence.

The reality is that the lives of the smallest patients are in our hands, and their clinical condition can change in an instant. No matter how many times you are involved in situations such as this, the physical stress and anxiety as well as the emotional and psychological effects of being immersed in that environment are dramatic and lasting on the human body, mind, and central nervous system. These effects are severe, and I firmly believe that they are cumulative over your lifetime.

No amount of me trying to explain myself was doing any good. I didn't even know what was going on inside of me, so how could I have explained it to them?

After a traumatic experience, the human system of self-preservation seems to go onto permanent alert, as if the danger might return at any moment.

Our stresses, anxieties, pains, and problems arise because we do not see the world, others, or even ourselves as worthy of love. (9)

Each moment of worry, anxiety or stress represents lack of faith in miracles, for they never cease.

Stress and anxiety at work have less to do with the work we do and more to do with weak management and leadership.

Many of us are slaves to our minds. Our own mind is our worst enemy. We try to focus, and our mind wanders off. We try to keep stress at bay, but anxiety keeps us awake at night. We try to be good to the people we love, but then we forget them and put ourselves first. And when we want to change our life, we dive into spiritual practice and expect quick results, only to lose focus after the honeymoon has worn off. We return to our state of bewilderment. We're left feeling helpless and discouraged. It seems we all agree that training the body through exercise, diet, and relaxation is a good idea, but why don't we think about training our minds?

When I run after what I think I want, my days are a furnace of stress and anxiety; if I sit in my own place of patience, what I need flows to me, and without pain. From this I understand that what I want also wants me, is looking for me and attracting me. There is a great secret here for anyone who can grasp it.

Sabbath, in the first instance, is not about worship. It is about work stoppage. It is about withdrawal from the anxiety system of Pharaoh, the refusal to let one’s life be defined by production and consumption and the endless pursuit of private well-being.

Meditation is a journey from effort to effortlessness, from activity to stillness, and from stress, anxiety and frustration to a state of peace and tranquillity.

You're stressing over things that haven't even happened yet.

A positive attitude may not solve all our problems but that is the only option we have if we want to get out of problems. -Subodh Gupta author "Stress Management a holistic approach -5 steps plan".

What worries you masters you.

If you're stressing over happiness, you're doing it wrong!

A premature death does not only rob one of the countless instances where one would have experienced pleasure, it also saves one from the innumerable instances where one would have experienced pain.

Toxic relationships are dangerous to your health; they will literally kill you. Stress shortens your lifespan. Even a broken heart can kill you. There is an undeniable mind-body connection. Your arguments and hateful talk can land you in the emergency room or in the morgue. You were not meant to live in a fever of anxiety; screaming yourself hoarse in a frenzy of dreadful, panicked fight-or-flight that leaves you exhausted and numb with grief. You were not meant to live like animals tearing one another to shreds. Don't turn your hair gray. Don't carve a roadmap of pain into the sweet wrinkles on your face. Don't lay in the quiet with your heart pounding like a trapped, frightened creature. For your own precious and beautiful life, and for those around you — seek help or get out before it is too late. This is your wake-up call!

Do the next thing.” I don’t know any simpler formula for peace, for relief from stress and anxiety than that very practical, very down-to-earth word of wisdom. Do the next thing. That has gotten me through more agonies than anything else I could recommend.

To be interested in something is to be involved in what is essentially a stressful relationship with that thing, to suffer anxiety on its behalf.

You are the biggest enemy of your own sleep.

Today I wore a pair of faded old jeans and a plain grey baggy shirt. I hadn't even taken a shower, and I did not put on an ounce of makeup. I grabbed a worn out black oversized jacket to cover myself with even though it is warm outside. I have made conscious decisions lately to look like less of what I felt a male would want to see. I want to disappear.

Freedom from stress, freedom from anxiety, freedom from depression; freedom is autonomy from all that stagnates growth in this ever complex and noisy world. By the fear of being in the unknown, we often overlook and forget the serene view of being on the raft: the glowing virgin stars, the gentle ways that the waves moves, and the endless possibilities that exist under the sun. The fundamental principle of freedom is to be lost and our state of mind never differs too far from this analogy of being stranded in the middle of the ocean.

The ticket to emotional health, like that to physical health, comes from eating your veggies—that is, accepting the bland and mundane truths of life: truths such as “Your actions actually don’t matter that much in the grand scheme of things” and “The vast majority of your life will be boring and not noteworthy, and that’s okay.” This vegetable course will taste bad at first. Very bad. You will avoid accepting it. But once ingested, your body will wake up feeling more potent and more alive. After all, that constant pressure to be something amazing, to be the next big thing, will be lifted off your back. The stress and anxiety of always feeling inadequate and constantly needing to prove yourself will dissipate. And the knowledge and acceptance of your own mundane existence will actually free you to accomplish what you truly wish to accomplish, without judgment or lofty expectations. You

We live in a day when the adversary stresses on every hand the philosophy of instant gratification. We seem to demand instant everything, including instant solutions to our problems. . .It was meant to be that life would be a challenge. To suffer some anxiety, some depression, some disappointment, even some failure is normal.

Much of our anxiety and stress comes when we’re focused on fear and disconnected from the voice of our inner guide.

Intimidated, old traumas triggered, and fearing for my safety, I did what I felt I needed to do.

Being stress and anxiety free is a human preset, I just show you how to 'flick the switch' to off. Permanent stress and anxiety recovery is possible quickly and simply despite what many are told.

Conscious breathing is the best antidote to stress, anxiety and depression.

Breathing is our participation with the cosmic dance. When our breath is in harmony, cosmos nourishes us in every sense.

Sometimes, too often, I don't want to muster the energy. Stress and anxiety seem easier.

All of the diagnoses that you deal with - depression, anxiety, ADHD, bipolar illness, post traumatic stress disorder, even psychosis, are significantly rooted in trauma. They are manifestations of trauma. Therefore the diagnoses don't explain anything. The problem in the medical world is that we diagnose somebody and we think that is the explanation. He's behaving that way because he is psychotic. She's behaving that way because she has ADHD. Nobody has ADHD, nobody has psychosis - these are processes within the individual. It's not a thing that you have. This is a process that expresses your life experience. It has meaning in every single case.

Worry is worthless. It can't change the past or control the future. It only spoils the moment.

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.

We all have problems. Or rather, everyone has at least one thing that they regard as a problem.

It occurred to her, in a moment of sudden clarity, that what had always caused her anxiety, or stress, or worry, was not any one force, nothing independent and external- it wasn't danger to herself or the constant calamity of other people and their problems. It was internal: it was subjective: it was not knowing.

It is possible to stop the mental chatter, regain your emotional balance and live free of stress and anxiety when you create a new habit of daily energetic self-care using the four powerful tools in Nurturing Wellness through Radical Self-Care.

It is not a single crime when a child is photographed while sexually assaulted (raped.) It is a life time crime that should have life time punishments attached to it. If the surviving child is, more often than not, going to suffer for life for the crime(s) committed against them, shouldn't the pedophiles suffer just as long? If it often takes decades for survivors to come to terms with exactly how much damage was caused to them, why are there time limits for prosecution?

It fascinated me how depression and anxiety overlap with post-traumatic stress disorder. Had we been through some trauma we didn't know about? Was the noise and speed of modern life the trauma for our caveman brains? Was I that soft? Or was life a kind of war most people didn't see?

if you’re on the right track doing what serves your soul, then you’re going to feel good, relaxed, and peaceful. Your heart will beat steadily, your energy will remain high, and you’ll be relatively free from aches, pains, anxiety, or stress.

That night I did it. I used a utility knife from our garage. It was amazing. For that brief moment, all the tension, anxiety, stress I put on myself disappeared. It went up in a cloud of smoke and my head was finally clear after months of endless internal battles.

Unease, anxiety, tension, stress, worry — all forms of fear — are caused by too much future, and not enough presence.

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.

I like to read and write because it is the ONLY thing that takes my mind off of the real world and my spinning worries. It is a time I can be free of anxiety, worry, and stress. When my life gets hectic I HAVE to read and write or I'll drown.

Suicide and mental health problems have no boundaries.

A person experiences anxiety when they realize their insignificance in the cosmic field, which present state of angst can exacerbated by other confusing life questions.

The work of paying compassionate attention is, in a sense, learning to steward for ourselves what God already believes about us—that we’re valuable and loved.

If you are feeling unhappy in life for any reason and often getting negative results, try this -> start replacing negative thoughts with the positive one, make a plan and act on them. The more positive thoughts you have the more positive and happy your will become and results are bound to be positive sooner or later.-Subodh Gupta author "Stress Management a Holistic approach - 5 steps plan

powerlessness in a relationship is one of the main causes of stress or anxiety. Making psychological changes also provokes anxiety. It’s very hard to break a habit, especially when you’ve adapted yourself to a particular pattern that, however maladaptive, has kept you alive. The unconscious is powerful, and it will fight to the death to keep an old pattern in place.

Everybody dies, but some spend a whole life digging their grave.

When we are aware about our body’s sensations, we can release physical pain, tensions or stress through slow movements.

Unfortunately, anxiety, like stress, has gotten a bad rap. Somewhere along the line we got the idea that emotional discomfort is always a bad thing.

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.

Whether we’re overcoming adversity, surviving trauma, or dealing with stress and anxiety, having a sense of purpose, meaning, and perspective in our lives allows us to develop understanding and move forward. Without purpose, meaning, and perspective, it is easy to lose hope, numb our emotions, or become overwhelmed by our circumstances. We feel reduced, less capable, and lost in the face of struggle. The heart of spirituality is connection. When we believe in that inextricable connection, we don’t feel alone.

Community is about sharing my life; about allowing the chaos of another’s circumstances to infringe on mine; about permitting myself to be known without constraint; about resigning myself to needing others.

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.

Let pressure pass over and through you. That way you can't be harmed by it.

Stop stressin' and be a blessin'.

I'm going to tell you a secret: You don't have to believe every thought that pops into your head.

Self-care is never selfish, but it may feel that way when you live a frenzied life.

People were infected with the concept that happiness was something outside themselves, and a new and powerful form of loneliness was born. Mix loneliness with stress and enervation, and all sorts of madness can occur. Anxiety increases, and in order to obliterate the anxiety, people turn to extreme sex, violence, and even murder.

Life is full of issues no matter what social status you enjoy in society, only the nature of issue would be different. You solve one issue, other would come and they would be keep on coming till you are alive. This is a reality and nobody can escape from this truth. -Subodh Gupta author, "Stress Management a Holistic Approach -5 steps Plan".

The other way we can avoid the experience of anger is through repression. So repression and discharge are two sides of the same coin. Both represent fear and anxiety, and for that reason, both trigger physiological stress responses regardless of what we consciously feel or do not feel.

Avoiding problems doesn't make them go away - you think it does, but it really doesn't. They're just postponed. Those problems just stay inside your subconscious and brew until your body gets to a point where it's had enough and decides to release some of the stress itself. That's what an anxiety attack is! It happens when you don't know how to vent your frustration, fears, stress, sadness, madness, whatever it is that bothers you, the things you should be confronting and getting closure with. If you don't confront these things and deal with them, your body does it for you.

A common misconception is that some people are only in pain because they are weak, anxious, depressed, or do not deal well with stress. This is not correct. Every experience you have — touch, warmth, itch, pain — is created by the brain and thus is all in your head, but it does not mean they are not real. Things like fear, anxiety, or depression can increase pain levels and can increase the chance of persistent pain. But often, these feelings only develop after a person already has chronic pain.

Even if we take Nietzsche figuratively (which he would have much preferred anyway), fifty years of research on stress shows that stressors are generally bad for people,3 contributing to depression, anxiety disorders, and heart disease.

The story of my birth that my mother told me went like this: "When you were coming out I wasn't ready yet and neither was the nurse. The nurse tried to push you back in, but I shit on the table and when you came out, you landed in my shit." If there ever was a way to sum things up, the story of my birth was it.

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.

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.

Some people are good at being in love. Some people are good at love. Two very different things, I think. Being in love is the romantic part—sex all the time, midday naps in the sheets, the jokes, the laughs, the fun, long conversations with no pauses, overwhelming separation anxiety … Just the best sides of both people, you know? But love begins when the excitement of being in love starts to fade: the stress of life sets in, the butterflies disappear, the sex becomes a chore, the tears, the sadness, the arguments, the cattiness … The worst parts of both people. But if you still want that person by your side through all of those things … that’s when you know—that’s when you know you’re good at love.

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.

That’s why the most stressed-out people are control freaks. They fail at the quest they most pursue. The more they try to control the world, the more they realize they cannot. Life becomes a cycle of anxiety, failure; anxiety, failure; anxiety, failure. We can’t take control, because control is not ours to take.

Studies show any movement, but particularly walking, will ease anxiety when we’re in the middle of a stress hormone surge. Indeed, the studies show that a mere 20–30 minute walk, five times a week, will make people less anxious, as effectively as antidepressants. Even better, the effect is immediate—serotonin, dopamine and endorphins all increase as soon as you start moving.

If you’re not happy, then something is wrong. A person comes into the world as a happy being, yet over time, the happiness fades away and they find themselves in this bubble of anxiety and misery all the time. And it’s a comfortable place to stay, so they end up hanging out in this bubble for years and years before it suddenly dawns on them that life is meant to be happy. And, it is. It’s just that they’re too busy getting caught up in worry and stress to notice that life is magnificent and beautiful. Being alive is good. Being alive should already make you happy.

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.

For almost every addict who s mired in this terrible disease, other -- a mother or father, a child or spouse, an aunt or uncles or grandparents, a brother or sister -- are suffering too. Families are the hidden victims of addiction, enduring enormous levels of stress and pain. They suffer sleepless nights, deep anxiety, and physical exhaustion brought on by worry and desperation. They lie awake for hours on end as fear for their loved one's safety crowds out any possibility of sleep. They liveeach day with a weight inside that drags them down. Unable to laugh or smile, they are sometimes filled with bottled-up anger or a constant sadness that keeps them on the verge of tears.

Dust sleeping on your bookshelf and all your plants are drying out you are too busy to save yourself is your mind heading for burnout? Coffee rings on your bedside table anxiety pills under your pillowcase working round the clock to foot the bill is there no time for breakfast these days? Friends haven't seen you in a while your phone is always out of reach you're slowly forgetting how to smile is your silence a figure of speech? Life can sometimes seem to be unfair but hoping is better than you think send the message in a bottle if you dare is it so hard to not force yourself to sink?

The fetus is biochemically connected to the mother, and her external, internal, physical, and mental health affect the overall development of the fetus. Stress and depression during pregnancy have been proven to have long-term and even permanent effects on the offspring. Such effects include a vulnerability to chronic anxiety, elevated fear, propensity to addictions, and poor impulse control.

If you focus your mind on problem, the problem would become bigger and bigger and you get into the circle of worrying and then your mind gives you the false impression that the problem is very big and mind than start multiplying your worries without any actual basis and you see no way of coming out of it. To come out of the problems you need to focus on solutions. -Subodh Gupta author, "Stress Management a Holistic Approach -5 steps Plan".

That’s why Sabbath is an expression of faith. Faith that there is a Creator and he’s good. We are his creation. This is his world. We live under his roof, drink his water, eat his food, breathe his oxygen. So on the Sabbath, we don’t just take a day off from work; we take a day off from toil. We give him all our fear and anxiety and stress and worry. We let go. We stop ruling and subduing, and we just be. We “remember” our place in the universe. So that we never forget . . . There is a God, and I’m not him.

This reinforced Rivers’s view that it was prolonged strain, immobility and helplessness that did the damage, and not the sudden shocks or bizarre horrors that the patients themselves were inclined to point to as the explanation for their condition. That would help to account for the greater prevalence of anxiety neuroses and hysterical disorders in women in peacetime, since their relatively more confined lives gave them fewer opportunities of reacting to stress in active and constructive ways. Any explanation of war neurosis must account for the fact that this apparently intensely masculine life of war and danger and hardship produced in men the same disorders that women suffered from in peace.

Do you think they have ice cream here?” Lanie asked. Kyle cocked his eyebrow, obviously surprised by her question. “I have no idea. Why do you ask?” “Because I like ice cream when I’m stressed,” she replied, thinking she wasn’t just stressed. She was burning up and needed something cold. “I don’t mean to cause you anxiety. Don’t worry. I’ll get you ice cream whether they have it here or not, if that’s what you want.” “Wow, Kyle, that’s the nicest thing you’ve ever said to me,” she replied with a smile.

At its heart, Codependency is a set of behaviors developed to manage the anxiety that comes when our primary attachments are formed with people who are inconsistent or unavailable in their response to us. Our anxiety-based responses to life can include over-reactivity, image management, unrealistic beliefs about our limits, and attempts to control the reality of others to the point where we lose our boundaries, self-esteem, and even our own reality. Ultimately, Codependency is a chronic stress disease, which can devastate our immune system and lead to systemic and even life-threatening illness.

People with depression can't just snap out of it or "turn that frown upside down." Depression can be a painful and overwhelming state that makes one unable to function, to think clearly or reasonably, or to want to simply face another day. Many people suffer alone and in silence because they are scared or ashamed. They feel weak…or pitiful. How can a person be incapable of having joy? “Why can’t I just have a good time? Why can’t I get on with it?

Remind yourself daily that there is no way to happiness; rather, happiness is the way. You may have a long list of goals that you believe will provide you with contentment when they’re achieved, yet if you examine your state of happiness in this moment, you’ll notice that the fulfillment of some previous ambitions didn’t create an enduring sense of joy. Desires can produce anxiety, stress, and competitiveness, and you need to recognize those that do. Bring happiness to every encounter in life, instead of expecting external events to produce joy. By staying in harmony on the path of the Tao, all the contentment you could ever dream of will begin to flow into your life—the right people, the means to finance where you’re headed, and the necessary factors will come together. “Stop pushing yourself,” Lao-tzu would say, “and feel gratitude and awe for what is. Your life is controlled by something far bigger and more significant than the petty details of your lofty aspirations.

For too many women in America are becoming sick with exhaustion and stress as they try to do things that can't be -- shouldn't be -- done. Too many are eaten up by resentment toward their husbands, who are not subject to the same heartless pressures. Too many are becoming anxious and depressed because they are overwhelmed and disappointed. Too many are letting their lives be poisoned by guilt because their expectations can't be met, and because there is an enormous cognitive dissonance between what they know to be right for themselves and what they're told is right for their children. Too many feel out of control.

Neither season after season of extreme weather events nor the risk of extinction for a million animal species around the world could push environmental destruction to the top of our country’s list of concerns. And how sad, he said, to see so many among the most creative and best-educated classes, those from whom we might have hoped for inventive solutions, instead embracing personal therapies and pseudo-religious practices that promoted detachment, a focus on the moment, acceptance of one’s surroundings as they were, equanimity in the face of worldly cares. (This world is but a shadow, it is a carcass, it is nothing, this world is not real, do not mistake this hallucination for the real world.) Self-care, relieving one’s own everyday anxieties, avoiding stress: these had become some of our society’s highest goals, he said—higher, apparently, than the salvation of society itself. The mindfulness rage was just another distraction, he said. Of course we should be stressed, he said. We should be utterly consumed with dread. Mindful meditation might help a person face drowning with equanimity, but it would do absolutely nothing to right the Titanic, he said. It wasn’t individual efforts to achieve inner peace, it wasn’t a compassionate attitude toward others that might have led to timely preventative action, but rather a collective, fanatical, over-the-top obsession with impending doom.

For instance, since none of us lives until age 240, people tend not to think that failing to reach that age makes one’s life go less well. However, most people regard it as tragic when somebody dies at forty (at least if that person’s quality of life was comparatively good). But why should a death at ninety not be tragic if a death at forty is? The only answer can be that our judgement is constrained by our circumstances. We do not take that which is beyond our reach as something that would be a crucial good. But why must it be that the good life is within our reach? Perhaps the good life is something that is impossible to attain. It certainly sounds as though a life that is devoid of any discomfort, pain, suffering, distress, stress, anxiety, frustration, and boredom, that lasts for much longer than ninety years, and that is filled with much more of what is good would be better than the sort of life the luckiest humans have. Why then do we not judge our lives in terms of that (impossible) standard?

There is overwhelming evidence that meditation can increase focus and decrease anxiety, depression, and cortisol flooding. There is evidence that it decreases activation in the amygdala, one epicenter of fear in the brain, and increases activity in the prefrontal cortex. People who meditate are able to unstick themselves from cyclical, dangerous thinking and see things from a calmer, more positive perspective. The sympathetic nervous system, or the fight or flight system, is activated by stress. This is the system that gets us ready to run. The counter to this is the parasympathetic nervous system, the resting and digesting system. It lowers heart rate and blood pressure, slows breathing, and directly counters the stress response. Meditation activates the parasympathetic nervous system. It’s literally the antidote to stress. Plus, it’s what all the evolved, cool girls who look good without makeup are doing, according to social media.

Brian Wilson went to bed for three years. Jean-Michel Basquiat would spend all day in bed. Monica Ali, Charles Bukowski, Marcel Proust, Elizabeth Barrett Browning, Tracey Emin, Emily Dickinson, Edith Sitwell, Frida Kahlo, William Wordsworth, René Descartes, Mark Twain, Henri Matisse, Kathy Acker, Derek Jarman and Patti Smith all worked or work from bed and they’re productive people. (Am I protesting too much?) Humans take to their beds for all sorts of reasons: because they’re overwhelmed by life, need to rest, think, recover from illness and trauma, because they’re cold, lonely, scared, depressed – sometimes I lie in bed for weeks with a puddle of depression in my sternum – to work, even to protest (Emily Dickinson, John and Yoko). Polar bears spend six months of the year sleeping, dormice too. Half their lives are spent asleep, no one calls them lazy. There’s a region in the South of France, near the Alps, where whole villages used to sleep through the seven months of winter – I might be descended from them. And in 1900, it was recorded that peasants from Pskov in northwest Russia would fall into a deep winter sleep called lotska for half the year: ‘for six whole months out of the twelve to be in the state of Nirvana longed for by Eastern sages, free from the stress of life, from the need to labour, from the multitudinous burdens, anxieties, and vexations of existence’.‡ Even when I’m well I like to lie in bed and think. It’s as if

It is a strange time, my dear. A novel virus haunts our streets. Days feel like weeks, weeks like months. We’re blasted with new news every second— yes and then no and then yes and no, feeding our primal panic to hoard goods and leave shelves breadless, riceless. They tell us the pandemic makes all equal—the poor and very rich— then why are the poor poorer and the rich profiting? It is a strange time, my dear. Army men are marching our streets. They force us to stay inside, threaten and arrest for a walk in the park. They wage small wars against us, but this battle began long ago. The elite technocrats are crowing in their silicone valleys as corporations grow and small businesses fold with mountains of debt— the centre cannot, will not, hold! It is a strange time, my dear. Mainstream media reports the world has never been safer as they terrorise the chambers of our minds. This stress, this anxiety is killing our immunity. But we must do it all for the elderly— or so they say! When have they ever cared for our elders? When have they ever cared for our vulnerable? We go to bed dreaming of toilet paper while they dismantle the world economy. Family businesses go bust all so we can protect the people, but only the people are suffering! At the end of this, those retired will have peanuts for pensions. They are stripping us of everything whilst our eyes are fixed on our screens. And how dare we say it’s a strange time when in seven months we’ll make America great again.

For a person with ADD, tuning out is an automatic brain activity that originated during the period of rapid brain development in infancy when there was emotional hurt combined with helplessness. At one time or another, every infant or young child feels frustration and psychological pain. Episodic experiences of a distressing nature do not induce dissociation, but chronic distress does—the distress of the sensitive infant with unsatisfied attunement needs, for example. The infant has to dissociate chronic emotional pain from consciousness for two reasons. First, it is too overwhelming for his fragile nervous system. He simply cannot exist in what we might call a state of chronic negative arousal, with adrenaline and other stress hormones pumping through his veins all the time. It is physiologically too toxic. He has to block it out. Second, if the parent’s anxiety is the source of the infant’s distress, the infant unconsciously senses that fully expressing his own emotional turmoil will only heighten that anxiety. His distress would then be aggravated—a vicious cycle he can escape by tuning out.

The only way to free yourself from a lifetime of being tyrannized by your own thought processes, whether you suffer from excessive anxiety or not, is to come to see your thoughts for what they are and to discern the sometimes subtle—but most often not-so-subtle—seeds of craving and aversion, of greed and hatred, at work within them. When you can successfully step back and see that you are not your thoughts and feelings, that you do not have to believe them, and that you certainly do not have to act on them, when you see vividly that many of them are inaccurate, judgmental, and fundamentally greedy or aversive, you will have found the key to understanding why you feel so much fear and anxiety. At the same time you will have found the key to maintaining your equilibrium. Fear, panic, and anxiety will no longer be uncontrollable demons. Instead you will see them as natural mental states that can be worked with and accepted just like any others. Then, lo and behold, the demons may not come around and bother you so much. You may find that you don’t see them at all for long stretches. You may wonder where they went or even whether they ever existed. Occasionally you may see some smoke, just enough to remind you that the lair of the dragon is still occupied, that fear is a natural part of living, but not something you have to be afraid of.

I was diagnosed with ADHD in my mid fifties and I was given Ritalin and Dexedrine. These are stimulant medications. They elevate the level of a chemical called dopamine in the brain. And dopamine is the motivation chemical, so when you are more motivated you pay attention. Your mind won't be all over the place. So we elevate dopamine levels with stimulant drugs like Ritalin, Aderall, Dexedrine and so on. But what else elevates Dopamine levels? Well, all other stimulants do. What other stimulants? Cocaine, crystal meth, caffeine, nicotine, which is to say that a significant minority of people that use stimulants, illicit stimulants, you know what they are actually doing? They're self-medicating their ADHD or their depression or their anxiety. So on one level (and we have to go deeper that that), but on one level addictions are about self-medications. If you look at alcoholics in one study, 40% of male adult alcoholics met the diagnostic criteria for ADHD? Why? Because alcohol soothes the hyperactive brain. Cannabis does the same thing. And in studies of stimulant addicts, about 30% had ADHD prior to their drug use. What else do people self-medicate? Someone mentioned depression. So, if you have been treated for depression, as I have been, and you were given a SSRI medication, these medications elevate the level of another brain chemical called serotonin, which is implicated in mood regulation. What else elevates serotonin levels temporarily in the brain? Cocaine does. People use cocaine to self-medicate depression. People use alcohol, cannabis and opiates to self-medicate anxiety. Incidentally people also use gambling or shopping to self-medicate because these activities also elevate dopamine levels in the brain. There is no difference between one addiction and the other. They're just different targets, but the brain systems that are involved and the target chemicals are the same, no matter what the addiction. So people self-medicate anxiety, depression. People self-medicate bipolar disorder with alcohol. People self-medicate Post-Traumatic-Stress-Disorder. So, one way to understand addictions is that they're self-medicating. And that's important to understand because if you are working with people who are addicted it is really important to know what's going on in their lives and why are they doing this. So apart from the level of comfort and pain relief, there's usually something diagnosible that's there at the same time. And you have to pay attention to that. At least you have to talk about it.

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.

Environmental influences also affect dopamine. From animal studies, we know that social stimulation is necessary for the growth of the nerve endings that release dopamine and for the growth of receptors that dopamine needs to bind to in order to do its work. In four-month-old monkeys, major alterations of dopamine and other neurotransmitter systems were found after only six days of separation from their mothers. “In these experiments,” writes Steven Dubovsky, Professor of Psychiatry and Medicine at the University of Colorado, “loss of an important attachment appears to lead to less of an important neurotransmitter in the brain. Once these circuits stop functioning normally, it becomes more and more difficult to activate the mind.” A neuroscientific study published in 1998 showed that adult rats whose mothers had given them more licking, grooming and other physical-emotional contact during infancy had more efficient brain circuitry for reducing anxiety, as well as more receptors on nerve cells for the brain’s own natural tranquilizing chemicals. In other words, early interactions with the mother shaped the adult rat’s neurophysiological capacity to respond to stress. In another study, newborn animals reared in isolation had reduced dopamine activity in their prefrontal cortex — but not in other areas of the brain. That is, emotional stress particularly affects the chemistry of the prefrontal cortex, the center for selective attention, motivation and self-regulation. Given the relative complexity of human emotional interactions, the influence of the infant-parent relationship on human neurochemistry is bound to be even stronger. In the human infant, the growth of dopamine-rich nerve terminals and the development of dopamine receptors is stimulated by chemicals released in the brain during the experience of joy, the ecstatic joy that comes from the perfectly attuned mother-child mutual gaze interaction. Happy interactions between mother and infant generate motivation and arousal by activating cells in the midbrain that release endorphins, thereby inducing in the infant a joyful, exhilarated state. They also trigger the release of dopamine. Both endorphins and dopamine promote the development of new connections in the prefrontal cortex. Dopamine released from the midbrain also triggers the growth of nerve cells and blood vessels in the right prefrontal cortex and promotes the growth of dopamine receptors. A relative scarcity of such receptors and blood supply is thought to be one of the major physiological dimensions of ADD. The letters ADD may equally well stand for Attunement Deficit Disorder.

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.

The three conditions without which healthy growth does not take place can be taken for granted in the matrix of the womb: nutrition, a physically secure environment and the unbroken relationship with a safe, ever-present maternal organism. The word matrix is derived from the Latin for “womb,” itself derived from the word for “mother.” The womb is mother, and in many respects the mother remains the womb, even following birth. In the womb environment, no action or reaction on the developing infant’s part is required for the provision of any of his needs. Life in the womb is surely the prototype of life in the Garden of Eden where nothing can possibly be lacking, nothing has to be worked for. If there is no consciousness — we have not yet eaten of the Tree of Knowledge — there is also no deprivation or anxiety. Except in conditions of extreme poverty unusual in the industrialized world, although not unknown, the nutritional needs and shelter requirements of infants are more or less satisfied. The third prime requirement, a secure, safe and not overly stressed emotional atmosphere, is the one most likely to be disrupted in Western societies. The human infant lacks the capacity to follow or cling to the parent soon after being born, and is neurologically and biochemically underdeveloped in many other ways. The first nine months or so of extrauterine life seem to have been intended by nature as the second part of gestation. The anthropologist Ashley Montagu has called this phase exterogestation, gestation outside the maternal body. During this period, the security of the womb must be provided by the parenting environment. To allow for the maturation of the brain and nervous system that in other species occurs in the uterus, the attachment that was until birth directly physical now needs to be continued on both physical and emotional levels. Physically and psychologically, the parenting environment must contain and hold the infant as securely as she was held in the womb. For the second nine months of gestation, nature does provide a near-substitute for the direct umbilical connection: breast-feeding. Apart from its irreplaceable nutritional value and the immune protection it gives the infant, breast-feeding serves as a transitional stage from unbroken physical attachment to complete separation from the mother’s body. Now outside the matrix of the womb, the infant is nevertheless held close to the warmth of the maternal body from which nourishment continues to flow. Breast-feeding also deepens the mother’s feeling of connectedness to the baby, enhancing the emotionally symbiotic bonding relationship. No doubt the decline of breast-feeding, particularly accelerated in North America, has contributed to the emotional insecurities so prevalent in industrialized countries. Even more than breast-feeding, healthy brain development requires emotional security and warmth in the infant’s environment. This security is more than the love and best possible intentions of the parents. It depends also on a less controllable variable: their freedom from stresses that can undermine their psychological equilibrium. A calm and consistent emotional milieu throughout infancy is an essential requirement for the wiring of the neurophysiological circuits of self-regulation. When interfered with, as it often is in our society, brain development is adversely affected.