10 Steps to Lower Anxiety & Become Empowered!



Brain Anatomy Amygdala Hippocampus

1.  Knowledge is power. To tame anxiety the more you know about how your brain works the better.  So here’s a little neuro-psychology lesson.

What you need to know is that the older part of our brains, the inner bit in the middle, is called the limbic system. Within that is the amygdala.  For our purposes it’s enough to know that scientists believe that everything we need to keep ourselves, and our species, alive originates here. That means drives like the drive to eat, appetite, to have sex, procreate, and fear, to keep us vigilant of danger.

Our frontal lobes are in the newest part of the brain, the neo-cortex. Our ability to judge, to filter out right from wrong, to determine appropriate from inappropriate behavior, real vs. unreal, reasonable vs. unreasonable resides here. It’s the part that keeps us civilized and steady, among other things.

Behavioral scientists theorize that when we are threatened we respond on a primitive, non-thinking level first, because survival is more important than being right or wrong. The amygdala sends the signal that ‘there’s a nasty threat out there!’ to the adrenal glands. Adrenalin is released into the blood, kicking off the autonomic nervous system response, revving up the entire body to either run away, flight, or duke it out, fight, with whatever is about to kill us.

Anxiety occurs when this system goes into overdrive because there is no where for the body to run and nothing for it to fight. The threat is abstract. What’s firing off the system are scary ideas, not a saber-toothed tiger. All that adrenalin and no quick way to metabolize it causes anxiety.

Medical and non-medical treatments for anxiety are all about keeping the amygdala from running amuck and the frontal lobes engaged.

2.  Know the Bad News:  The bad news is if you have been dealing with anxiety for a long time and you have a family history of people who have anxiety [or depression], chances are you will be dealing with anxiety in some way for the rest of your life.

3.  Know the Good News:  Anxiety is very treatable.  Once you have good treatment that empowers you and you learn skills to manage the anxiety, (and keep your frontal lobes engaged) it can never hurt you so much, ever again. Really!

4.  Immediate relief may be as easy as learning to breathe deeply, getting enough good quality sleep, cutting out alcohol and caffeine for a while, and starting an exercise regime. Many patients have reported that just making these healthy changes reduced their anxiety significantly.

5Take responsibility:  In his book 10 Days to Self-Esteem, Dr. Burns says only you can make yourself feel bad.  This is a powerful concept. Anxiety is highly correlated with low self-esteem, lack of assertiveness and people-pleasing.  I have not met one person with anxiety disorder who wasn’t really nice.  If they didn’t care so much what others thought, they wouldn’t have so much anxiety. Doesn’t seem fair, does it?

Remember the flight attendant who instructs you to put the oxygen mask on yourself first before helping those dependent on you. What good are you to others if you keel over, caring for them?  Give yourself permission to take the starring role of your life.  That’s not conceited, that’s healthy.

6.  Use an anxiety thermometer and take your temperature throughout the day.  Zero can be calm as a cat taking a nap. Ten could be full blown panic attack mode. Then rate the numbers in between.

As you feel the anxiety blip up or down take note of what is going on and what you’re thinking.This way you may be able to notice patterns, like always spiking up to 8 when it’s time for a staff meeting, or going down to 2 when American Idol is on. Over time this exercise will help you recognize your triggers.

7.  Fore warned is fore armed. Your triggers are whatever causes your anxiety to blip up to six or higher. Triggers can be people, places, things, ideas, anything. Knowing what your triggers are can be a big step to developing an effective strategy to confront the anxiety. Think of healthy adaptive responses to your triggers, such as giving yourself a pep talk before going into that staff meeting. Become aware of the yellow flags that can warn you anxiety is coming and you can nip it in the bud.

8.  Learn about Cognitive Behavioral Therapy.  CBT is scientifically proven effective in the treatment of anxiety and it’s close sister in mood disorders, depression. Built on the simple premise that our thoughts influence how we feel, we can use CBT to raise our awareness of how harmful our automatic thoughts can really be. A useful book to learn more is When Panic Attacks: The Drug Free Therapy That Can Change Your Life, by David Burns.

Using these tools is easier if you have the support and guidance of a therapist who knows CBT. You can find one through the Psychology Today, this website or contact me.

9Get smart.
Anxiety thrives on ignorance and has a nasty habit of feeding on itself.  Once we’re anxious we get scared of getting more anxious which causes more anxiety.  Avoidance and ignorance works to reduce anxiety in the short term but it always comes back unless confronted. Avoidance never resolves the anxiety, it just puts it behind a blind. Once we face our fears using CBT tools and knowledge, we become empowered, so that the next time they make an appearance we can think, “Oh, you again, well, I’ve faced you before and I’m ready, so I can face you again.”

10.  Remember #1!  It’s all about keeping your frontal lobes engaged.  As long as we can keep thinking realistically and reasonably we can reduce that crazy, useless, flight/fight autonomic nervous system response otherwise known as anxiety. This is a lot to be hopeful about!

12 comments


  • SD

    Dr Aletta,
    I enjoyed this article and have a question about point 1. If I am understanding this with anxiety the threat is internal so the flight or fright in your brain can’t fight or run away because the threat is thoughts and you can’t run away from or fight your thoughts you need to change them? Is that correct?

  • Pretty much. For example, people who have trouble just staying in the moment might be tempted to ‘what if?’ things to death. If they are negative thinkers on top of that, every ‘what if’ scenario is going to turn out badly. Soon they become distressed and anxious and nothing’s even happened! It’s their thoughts that have imagined the threat the nervous system is responding to. Does this answer your question?

  • This is really clear – great article thanks.
    As for the question about changing your thoughts to experience less anxiety – you don’t necessarily have to change them as long as you know that they are not “real” — that they are exaggerations that your mind creates because of how you respond to aggression.
    It is really hard to change thoughts and feelings that have basis on the amygdale – much easier to just use the higher brain to recognize what is happening to you, and ride through it. In my experience, if you start trying to fight the thoughts and feelings instead of just try to see them in a new way, you get more anxiety…

  • SD

    Dr Aletta,
    It does answer my question. Thank you

  • Dear Claudia,
    I wish we could have a conversation about this. Sometimes the written word is limiting.
    I agree that it is just about impossible to change feelings, they just ARE. How and what we think about them is more accessible but, yes, difficult. That’s where CBT comes in.
    Having said that, there is also a place for ‘riding through’ the feeling. I believe it is Jon Kabat-Zinn (Wherever You Go There You Are) who wrote about riding unpleasant feelings as a surfer would a wave. It’s an image that I’ve used many times, personally and in my work. http://tinyurl.com/ltrwly

  • I’ve being researching about Anxiety Therapy and reading your blog, I found your post very helpful :) . I thought I would leave my first comment. I don’t know what to say except that I have enjoyed reading. Nice blog!

  • Thank you so much for stopping by! I deeply appreciate it when people take the time to leave even a little note. Please come again.

  • I recently came across your blog and have been reading Medical services. And I found your blog really good. I will keep visiting this blog very often.

  • Its really good to see this blog,you have nice information about hospitals.People who are looking for some medical services there,you really have good information for them. I will like too see this blog again.

  • I think these steps are really very useful for many poeple and ofr me too. Thanks

  • There is a wide range of Psychotherapy Treatment Models or types of therapy used in the treatment of anxiety. Most of these approaches fall into three historic camps of psychology: Psychoanalytic / Psychodynamic approaches; Behaviorism and; Humanism. Regardless of the type of therapy, there are some generally agreed upon elements of “good therapy” which are universal to all forms of psychotherapy. Before beginning therapy for anxiety or any other issue, it is helpful to familiarize oneself with these elements.

  • I was terrified of flying and my doctor prescribed me Ativan a day before my flight and 1 hour before my flight. It works perfect for me. Since then I don’t have any panic/anxiety attack. I enjoy every single trip I have now.

Leave a comment


Name*

Email(will not be published)*

Website

Your comment*

Submit Comment

© Copyright Explore Whats Next - Designed by Pexeto