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Ben Michaelis, Ph.D.

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The United States of Anxiety

Posted: 08/14/11 12:02 PM ET

America is in an acute state of anxiety. For those of you who were concerned during the debt ceiling discussions, have been fearful during the stock market gyrations and are now panicking about your job, family and future, take a moment, take a deep breath and imagine that there is a better way. Because there is.

As human beings, our minds are prewired to react more strongly to negative information than positive information. This makes sense from an evolutionary psychology perspective: Negative information may mean threats to our survival, such as predators who may try to eat us. This is the reason that when a stranger gives you a nasty look it stays on your mind longer than when someone flashes a smile at you. This natural bias towards focusing on the negative becomes even more pronounced during times of uncertainty. When we don't know where to turn, anything that seems potentially dangerous grabs our attention and activates our primitive survival instincts.

The fight or flight system is quite useful when you are facing a specific physical threat, but it is not helpful when you are facing general uncertainty, which is really what this is about. In fact, our survival instincts actually steer us in the wrong direction and can quickly make the situation worse. What is needed during periods of uncertainty is not this primitive instinct toward biological survival, which drove investors to "sell, sell sell!" on Monday, but rather the capacity to use our higher brain centers to imagine a different future.

As a clinical psychologist, I don't treat nations, I treat people. In my work, I often see patients who experience intense, runaway anxiety (not unlike what happened on Monday) at just the time of a triumph or when things are about to turn for the better. Giving into the fear of the moment is both psychologically unpleasant and socially contagious. When other people see, or sense, that you are afraid, they focus on their instinctive reaction to seeing your fear and begin to experience terror themselves. Societal fear can quickly create an environment where your fears can come true simply by people behaving as though they are true. Regardless of the headlines suggesting the end is nigh, try taking a beat and doing something different: Imagine that all is not lost. Consider the ways that the future might actually be better than the present or the past.

When I am with a patient who is in the grip of such a panic, I suggest following these three steps in order to shift from fear to faith:

  1. Recognize: If you can recognize that you are in a state of panic, you are, frankly, more than halfway to stopping it. If you are not sure if you are in a state of panic, ask yourself this question: "Can I choose to stop these unpleasant, spiraling thoughts if I want to?" If the answer to the question is, "Yes," then go ahead and do it. If the answer is "No," then you have just realized that you are panicking.
  2. Refocus: Focus your energy on your five senses. Ask yourself: "What am I smelling?" "What am I seeing?" "What am I hearing?" "What are the tastes in my mouth?" and "How is my body feeling?" If you intentionally bring your focus away from the scenarios of Armageddon (not the Bruce Willis version) that you are cooking up and unto your present circumstances, you will break the chain of runaway thinking, because you can't do both simultaneously. Even if you only get a brief respite any break, no matter how small, is enough to change the direction of your anxiety and help you take an active approach to problem solving.
  3. Re-imagine: Take your doomsday scenario and re-write it so that you are not stuck with the same old script. Write a Hollywood ending if you like. If you are scared that you will lose all of your money in the stock market, imagine the opposite. Picture the market changing direction, and that you will have more than you will ever need. If you have been out of work and are afraid that you will never get another job, imagine that you will be inundated with job offers. I am not suggesting that by simply imagining these things that they will happen, only that by doing so you can stop the spiral of anxiety and start thinking and planning for your next steps. That shift can make all of the difference between fueling the contagion of panic and returning to a more balanced state where you can actually effect real change in your life.

Your imagination is your greatest cognitive gift. It is also our greatest national asset. The ability to imagine a different and better future is the first step toward creating one. By recognizing, refocusing and re-imagining your circumstances you will feel better in the moment and shift from fear to faith. Using your mind's eye to envision a positive outcome can help calm you down and make better momentary decisions. Plus, you might just inspire others to do the same.

 
America is in an acute state of anxiety. For those of you who were concerned during the debt ceiling discussions, have been fearful during the stock market gyrations and are now panicking about your j...
America is in an acute state of anxiety. For those of you who were concerned during the debt ceiling discussions, have been fearful during the stock market gyrations and are now panicking about your j...
 
 
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01:02 PM on 09/01/2011
sorry here's my remedy for anxiety; if you can't sleep, then get up and do something instead of lying there worrying. It's the worry that gets you, not the lack of sleep.
07:45 PM on 08/22/2011
you are advocating playing mind games with one's self,
"imagine" it will be all good, you'll feel better!
this will have absolutely zero impact on the external - and very real - factors cited at the outset of the article (and cited seemingly as legit stress-inducing factors), factors which are beyond the ability of the individual to control.

we could all imagine that 8 million jobs will reappear, and feel better for a moment,
or we could take some action: prosecute those responsible for the economic crash and resultant dearth of jobs through the biggest fraud in human history. might not bring back the jobs, but might just prevent a repeat performance of the fraud matinee and its attendant consequences which produce much anxiety

clinical psychology fails utterly to address real societal problems,
because addressing them must be done at the level of policy,
whereas clin. psych. operates at the level of the individual:
specifically by insisting that whatever negative emotions are manifest in the individual are
a) problematic (characteristic of disease or disorder)
b) able to be addressed adequately by the individual when in so many respects that is patently false

the author contends that "flight or fight" is natural, yet unproductive and misguided,
(and there is something to be said for that notion), however self-deception is not the answer as the country finds itself inching ever closer to anarchy on a daily basis: all current signs point to actually employing the "fight" response as becoming increasingly appropriate.
06:31 PM on 08/31/2011
What is better: Going through a difficult situation, constantly stressing over what you cannot control which can and will take a serious toll on your physical and mental health? Or spending that same energy in refocusing yourself onto more productive tasks?

A big issue right now is people are feeling anxious, helpless and hopeless and therefore are taking less and less action. Maybe there are not enough jobs out there in a specific field, but does that mean you should not still apply for them? Explore your skills and see what else is out there? Spend time volunteering or getting more education? Budgeting better?

Clinical psychology isn't meant to fix the external problem, it's to strengthen the internal resolve of the individual so they can cope with those things beyond their control. Do not discount the value of this in changing a person's entire life or changing the face of the country. Hope and positive thinking goes a long way.
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frank day
Republican = FAIL
02:42 PM on 08/16/2011
Anxiety is appropriate when there is real danger present.

Sadly, we are being assaulted at every turn.
12:27 PM on 08/15/2011
"As human beings, our minds are prewired to react more strongly to negative information than positive information. This makes sense from an evolutionary psychology perspective: Negative information may mean threats to our survival, such as THE TEA PARTY who may try to eat us."

Ha! Just kidding... sorta...
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Social Construct
Go left, young man.
02:33 AM on 08/15/2011
"The greatest thing to fear is fear itself." Apt words. That and the extreme right wing. Sorry, I'm a natural born political animal.
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WoodsideCraig
Author of the blog "The Weiler Psi"
11:20 PM on 08/14/2011
I think that this is excellent advice. While we certainly all have very real problems which are difficult to resolve and don't necessarily change easily, we CAN change how we think about those problems, and since these are thoughts and emotions, we can change them in any way we choose.

Reducing our fear clears our thinking and we need that especially in times of trouble.

It's unfortunate that psychology cannot address the psychic aspect of this, but it is real. We are not alone in our heads with our thoughts. Other people's emotions can affect us even when we're not around them. I think it's important to be aware of that.
02:19 PM on 08/15/2011
Thanks for your thoughtful response, WoodsideCraig. I couldn't agree more! - Dr Ben
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Roxee
"Feeling" you're right, doesn't "prove" you are.
09:46 PM on 08/14/2011
These methods are useful when the causes of the anxiety no longer exist but the anxiety persists. Unfortunately the causes of Americans' anxiety still exist and are scaring the pants off of everyone.
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Stephanie Gilley
Move humanity forward.
09:04 PM on 08/14/2011
Constant anxiety is a consequence of capitalism unless you are part of the top 2-3%. Sounds like the America we all dreamed of doesn't it? ...not.
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08:20 PM on 08/14/2011
Cooler heads always prevail.
02:20 PM on 08/15/2011
I believe so, too. - Dr. Ben
07:21 PM on 08/14/2011
Thank you! A blast of calm is always refreshing....nice to see a like minded person still hasn't succumbed to the collective hysteria. In the words of Rudyard Kipling:

If you can keep your head when all about you
Are losing theirs and blaming it on you,
If you can trust yourself when all men doubt you,
But make allowance for their doubting too;

......Then you are an independent free thinker able to manage your own behavior in an effective way!
02:21 PM on 08/15/2011
Well put and great quote! - Dr. Ben
Mochilero
Have backpack, will travel
07:04 PM on 08/14/2011
Our real strength has always been in being the United - not the Divided - States of America.
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jennielake
Intellect is Learned... Wisdom Already Knows
03:00 PM on 08/14/2011
The real war is that of our minds...

... please free yourself from the acute state of anxiety being created.
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pepper1311
POGS are dirt
12:55 PM on 08/14/2011
I call it straight arm syndrome. We have kept one another at arms length so long are arms are outstretched and stiff.
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mose joseph workman
I don't need no stinkin' badges
12:15 PM on 08/14/2011
Recognize. Re-focus. Re-Imagine: sounds like the Obama 2012 campaign.
12:59 PM on 08/14/2011
I'm easily amused and thankful I've got a sense of humor to squelch my anxiety.
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Retrofuturistic
see things as they really are
12:06 PM on 08/14/2011
Really, living in the United States kind of sucks. The food supply is horrible and you can't even relax in your own home (if you still have one) because you're constantly and relentlessly solicited by either telemarketers or Bible thumpers. The educational system drives all the smart kids crazy. And as a worker or a consumer, you are mostly defenseless.

Basically, it's kind of like being a young girl turned out into a meat market where she is surrounded on all sides by predators. Everyone wants either a piece of your flesh or most of your money.
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OtayPanky
You're welcome
07:18 PM on 08/18/2011
What the good doctor is saying is that if you're gonna get farked, you might as well relax and enjoy it.

We'll worry about consequences another day.