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Deepak Chopra

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Breaking the Cycle of Anxiety

Posted: 08/16/10 01:16 PM ET

Fear is a natural reaction built into the mind-body system. It is triggered by danger, and after the danger is passed, so is the fear response. But when fear spreads out into a general condition, it becomes a mysterious thing: anxiety. Anxious people are afraid even though there is nothing "out there" to be afraid of. Others overreact to triggers that ordinarily should be fairly easy to handle, such as being left alone for a day on their own. Still others are nearly paralyzed by highly specific phobias such as fear of heights, open spaces or insects. What is going on and what can we do about it?

Record numbers of people in modern society, predominantly women, suffer from mild to extreme anxiety. Billions of dollars are spent every year on tranquilizers to treat this condition, yet as the doctor writes out a prescription, he knows two discouraging things: no medication is a cure for anxiety and the cause of the condition is unknown. Since human beings have lived with the fear response before recorded history, there should be a way to heal anxiety, and perhaps the best way to approach the mild-to-moderate types is not as a disease but as a challenge. In anxious people, fear is allowed to roam freely; we can truly say that fear rules the mind. Yet it should be that we use our emotions, not that they use us. The challenge is to bring the fear response back under control. Otherwise, anxiety becomes ingrained and over time will spiral downward. The anxious person begins to be afraid of being afraid, because she knows that she has no power against it.

Because anxiety comes and goes, people tend to overreact when it appears, only to forget about it when it isn't present. So an answer to anxiety must come in two parts: dealing with anxiety when it suddenly rears its head in panic attacks but also healing its underlying causes. Anxious people also tend to be worriers, so that must be taken into account as well. We have three parts, then, to address. Here the topic will be how to deal with anxiety when it appears. The acute attack is the moment when sufferers need the most immediate help.

Fear and the Body

Fear is rooted in the body, which has a natural way of dealing with it, as it does with every feeling. First there is a trigger that causes the body to react with fear. Once the cause is gone, the body clears away the fear response. Finally, it calms down, returning to its normal state of balance. The body knows how to get out of fear, a knowledge it has possessed for millions of years. So why don't we let it?

People who suffer from anxiety bypass their bodies because they get trapped in their panicky thoughts. The voice of fear paints scenarios of disaster that seem believable. Panicky thoughts quickly become obsessive, running through one fearful outcome after another. Anxiety makes it all but impossible to make rational decisions; therefore, the voice of fear becomes ever more believable even when the disasters it foresees are not reasonable at all (for example, a phobic feels that he will die if he climbs a ladder, goes out of the house, touches a spider, or whatever the phobia happens to be, yet in these cases the voice of fear is talking nonsense when viewed rationally. Rationality is not what matters here. It's what you believe that matters, always).

If you suffer from anxiety, your mind has gotten into the habit of holding on to fear instead of letting the response follow its natural cycle. What we need to do is to get it back into its normal rhythm. This isn't difficult, since your body wants to respond naturally but is being held back. Left to itself, the fear response isn't mental; it's physical. Therefore, let's get the body accustomed to being in charge of fear once again.

Three steps are involved:

1. Get out of your mind and back into your body.
2. Clear the fear response.
3. Calm the body into its natural state of relaxation.

These three steps must proceed in the order just given. You can't use simple relaxation until the fear response has run its course, and the response won't end as long as the mind keeps fueling it with new reasons to be afraid. If you perform each step thoroughly, anxiety will subside and go away.

Step 1: Get out of the mind and back into the body.

Let's say that you find yourself having anxious thoughts. It is best to notice this early on, before the spiral of anxiety fully takes hold. To get out of the mind, sit or lie down in a quiet place. Close your eyes and feel your body. The sensations won't be nice, because fear is cold, contracted, stiff, empty and trembling. Those are the basic sensations that your body will be feeling. There may also be muscle weakness (such as when your knees turn to jelly) or an ache around the heart. A sick feeling in the pit of the stomach is common. Even though these sensations aren't pleasant, rest assured, they want to go out. Your body always tries to discharge discomfort, but it can't do that while you are living in your head and blocking the release that needs to happen.

Take a few minutes and let yourself settle into the feeling of being in your body before you go on to step 2. For many anxious people even a few seconds of feeling the body is too long. The mind jumps back in to take control. Before they know it, they are caught up in anxious thinking. When this happens, go back to feeling your body. Here are some tips on how to stay with your body instead of jumping back into your thoughts:

-- Take deep breaths. Draw the air down into the pit of your stomach, then easily and slowly release it again.

-- Follow your breath as it goes in and out, feeling it pass through your nose.

-- Lower your shoulders, a very relaxing movement. So is letting your head nod until your chin rests on your chest.

-- Sigh or yawn.

-- Accompany your sighs or deep breathing with a low moan of relaxation.
Of course, you shouldn't do all of these at the same time! They are helpful tools to have at your disposal. Once you are in your body again and not overwhelmed with anxious thoughts, proceed to the next step.

Step 2: Clear the fear response

Now that you feel your body, bring its unpleasant sensations to an end. It isn't hard to do. By its nature fear is temporary, and if it insists on sticking around, give a clear message: let go. The message can't be in words, however. The body's language is entirely physical. So you need to send your instructions physically. This is unusual for anxious people, who have been sending mental signals of distress, vigilance, tenseness, worried anticipation, etc. for years. But your body can be retrained. It's not hard.

If you try to attack it all at once, fear is too overwhelming. So break the body's sensations down and deal with them one at a time. This is a very effective way to regain a sense of control. Here again are the characteristics of fear when it arises:

Cold: Your body shivers and trembles. The sensation of coldness adds to a sense of weakness, like being naked in winter.

Approach: Lie in bed under a blanket while doing the remaining steps. Make sure the room is warm. Have the lighting be soothing, neither too bright nor completely dark. Darkness accentuates anxiety.

Stiff: Fear paralyzes the body. It goes tense and motionless, frozen with anticipation of something dreadful that is about to happen.

Approach: Lying on your back, slowly stretch and twist. Be like a cat waking up from a nap. Reach up as far as you can, rotate your shoulders, wiggle your toes, stretch your feet and legs.

Breathless: Tense and vigilant, you stop breathing when you are afraid.

Approach: Use conscious deep breaths, going as low into your abdomen as you can. Draw in air slowly and deeply until you feel your diaphragm start to bulge out. When it can't comfortably go out any farther, exhale with a whoosh. Don't push the air out, but let it escape as if your lungs were a balloon collapsing. Whenever you feel anxious, in fact, and notice that you aren't breathing, consciously take a breath. The breath regulates the movement of emotions.

Unable to make a sound: Fear tightens the throat, and even when you feel like screaming, you can't. At its extreme, this leads to a condition of silent horror.

Approach: Make sounds that activate the fear to leave. This kind of "toning," as it is often called, takes practice. Sometimes you may want to scream into a pillow; other times a low guttural sound is needed. Laughter can help or a silent tone that goes out the top of your head. These sounds help carry away stuck feelings that are harder to get at. But each kind of sound has to come spontaneously. Don't scream and cry in order to exhaust yourself. The sound shouldn't be forced. Begin by humming as your attention scans your body, using a high tone in the head and a lower tone going down to the abdomen. Breathe the fear out with the sound. In time, you will find that bodily sensations can be eased out using many kinds of sounds. However, if you find yourself getting sadder or more tense, the tone isn't helping. Deep breathing would be better at such moments.

Contracted: Fear brings on a sense of seizing up or shrinking, drawing up into a tight protective ball. When that happens, many anxious people tighten up even more, as if growing smaller and smaller will make fear stop noticing them. But contraction has the opposite effect. It prevents the release of deeper residues of fear.

Approach: Put your attention on your heart. See it filled with white light. Now, while you slowly breathe out, see the light expand. Don't force this; perhaps the light only expands by a small amount. Take another breath and repeat the process. See yourself expanding with the light, growing more expansive and open. Let the expanding light go beyond your body. See it fill the space around you. Now have it fill the room and finally go outside the room into the rest of the house and out into the surrounding world.

After you know how to do each of these techniques, you can combine them. But as you stretch and relax, always remember to keep breathing. These steps should be taken patiently, allowing at least 10 minutes to deal with your bodily sensations.

Step 3: Calm the body

When you feel the sensations of fear subside, lie on your back with eyes closed and relax. Sink deeper into your body. Soothing music and aroma therapies are helpful as well, choosing scents that are traditionally known to help negative energies to keep clearing: orange bergamot, camphor, clary sage, peppermint, clove bud and wintergreen are among these.

Don't rush into activity. Your body will be in recovery mode for an hour or so. Drink some herbal tea, avoid stimulants like tobacco and caffeine. Let the calming process continue. Light reading and television are fine. Don't enter into situations that will bring up your anxiety again.

It is natural, however, for relaxation to bring up more physical sensations like the ones you've just cleared. (Anxiety attacks in the middle of the night occur because your body is relaxed and therefore tries to release stuck energies of fear and tension.) Adopt an approach of countering anxiety in its early stages with the aim of restoring the whole mind-body system to its natural balance. Don't rush or expect instant miracles. Recovery is a process. Have patience with your body. The whole trick in gaining control over anxiety is to remember that your body is your best ally. Once you train it to let go of negative energies, it will willingly cooperate.

Deepak Chopra on Intent.com
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Fear is a natural reaction built into the mind-body system. It is triggered by danger, and after the danger is passed, so is the fear response. But when fear spreads out into a general condition, it b...
Fear is a natural reaction built into the mind-body system. It is triggered by danger, and after the danger is passed, so is the fear response. But when fear spreads out into a general condition, it b...
 
 
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02:17 PM on 08/18/2010
Mr. Chopra, I do love your work and this article, but there are a couple of observations on this topic that I'd like to add to what you're saying. Anxiety is not only borne of the human mind, but can also be triggered by the body itself. I know this because I've suffered from anxiety for years. When I decided to develop a cure for my own obesity, I set out on a learning path that taught me some interesting things. From an anxiety perspective, the major thing I learned was that my adrenals were quite exhausted, both from major emotional traumas I've experienced in my life, and from which I didn't know I needed to help them recover, and from my insulin resistance! As a doctor, you know that when our adrenal glands are exhausted we cannot cope with any kind of stress. Research animals who have their adrenals removed die from the slightest stress, such as a small change in ambient room temperature. To complicate this, the insulin resistant person, with the constant need to try to stop blood sugar spiraling down due to excessive insulin being pumped into the blood, receives a burst of adrenaline from the adrenals to accompany every shot of insulin from the pancreas, thus ensuring they live in an almost constant state of "fight or flight"...or in other words, ANXIETY...

http://winningtheobesitybattle.wordpress.com
03:12 PM on 08/18/2010
Above post continued...

I've lived in a state of anxiety for years, and while I have long appreciated the need to be IN my body in order to be calm, that has been extraordinarily difficult for me until this year. Now that my adrenals are being well supported, and I have almost completely eliminated sugars and starches from my diet and have my insulin levels under much more control, I have left the "fight or flight" sensation behind and I am calmer than I have been in years, even though I am undergoing a particularly stressful year on a personal level. I am back "in" my body! For people like me, these physical elements may well be a useful first step in your process. Thanks so much for your wonderful contributions!

http://winningtheobesitybattle.wordpress.com
imonlyhereforthelaughs
Politicians...they ruin everything.
10:01 AM on 08/18/2010
What about when there is no bed to lay in? Anxiety doesn't wait until you get home. These techniques may be suitable for someone who suffers an occassional bout, hardly suffering from any sort of anxiety disorder, but it would not work for those with genuine moderate to severe anxiety problems. The fear is in the mind and the anxiety is manifested in the physical projection. In moderate to severe sufferers the symptoms become a cycle, feeding off of one another. Meditation...which is all this is...can help to some degree, but anyone with the genuine disorder will tell you, it won't work if you can't get yourself to envision that it will work...and that is almost impossible to them. This simply increases the anxiety and feeds it.
01:09 PM on 08/18/2010
I read this article and laughed. I'm all for meditation to 'help relax' my anxiety disorder away, but after suffering with a severe anxiety disorder since childhood (which leads to bouts of depression, as well), the ONLY thing that keeps the demons at bay well enough so that any sort of meditation, exercise, etc. will help is medication. Effexor XR is the only thing that has ever brought me relief from this constant disorder.
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Mae Blue
04:15 PM on 08/18/2010
Sadly -- I agree...
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BlackYowe
I am a classical- liberal woman and a Jeweler.
03:11 AM on 08/18/2010
This is quite a helpful piece. Thank you!
02:57 PM on 08/17/2010
As someone who suffered from an anxiety disorder for years, I've learned to use contemplative prayer to calm myself down. And sometimes, anxiety is a good thing because it alerts that body that something isn't right, that something is out of balance. When I'm anxious, I ask myself what I'm doing that my body's resisting. Usually, I'm in situations that make me feel powerless and out of control. What can I do to feel more in control of my environment? Choosing to find the good thing in the anxiety helps me overcome it. http://www.livewithflair.blogspot.com/
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02:52 PM on 08/17/2010
Thank you so much for this. I used to have anxiety attacks when I lived in a trailer. It was only and always during a thunderstorm. They may have been triggered by a time an ex had a fan in the window in the bedroom during a storm and it caught on fire and fell on the bed. I'm pretty sure it was hit by lightning. And the trailer didn't have curtains so the lightning shone bright in the windows, too. Or it could be because of the loud noise and the bright light flashing in the windows. I still get a little shaky, but it's not like it was then. I don't curl up into fetal position anymore.

I'm wondering if you will be adding developing a rash from anxiety. In my case, it was like prickly heat. Still have some on my belly, but no more has developed. Hint: Holding back feelings can cause a skin reaction. Correct, Dr. Chopra?

P.S. Thank you ((
02:00 PM on 08/17/2010
be among people, with family or friends
if you don't have many friends force yourself to have some, with your friendly-loving attitude, every person on this planet will want to help you-trust me,
try to change your place for some time, go to nature- natural waters, animals, birds, trees- see how they flow, act innocently, fly passionately, sway naturally, its all so beautiful
every thing is beautiful, we (human beings) are one of the least sacrificial things on earth, all others serve you nicely without any reason, ideally in my opinion we need not ask for more than is being provided to us by nature.
01:59 PM on 08/17/2010
Great regards to doctors, their medicine helped me the most especially as they helped me with my improved sleep and controlled heartbeats.
if someone is there to listen to your problem it will also help, talk to someone in great length. even a female psychologist may help great deal while she keeps your thoughts a secret (they are considered to be intelligent people)
have someone with you to have cheerful talks, it may be to any extent to your likes that make you feel more confident.
deep breathing helps calming your mind down
chanting(any kind of sound that you like) especially with someone in chorus really helps, the more people the better it would feel, you should be facing each other so you may hear chorus nicely.
try to have mindful activities and witnessing your thoughts especially after you have recovered to some extent.
try to find happiness in other persons happiness, just think you will be happier if the other person is happier-
try to help someone, of any kind - may be of your expertise, be it sports or any work or talks...
try to stay busy in any physical activity.
exercise
weep heartily if you really like to.
don't lie on bed too long- not more than that is required for your sleep.
many of the things mentioned above may require your conscious forceful effort and you need to do them to improve yourself, i myself am/was the victim
itolduso
lateral thinker
01:39 PM on 08/17/2010
"Record numbers of people in modern society, predominantly women, suffer from mild to extreme anxiety." ...... and just because I'm paranoid, doesn't mean they're not out to get me. Women SHOULD be anxious- the threats are real. Starting at age 11, one in four women are sexually and/or physically assaulted by someone they know. Women are under-represented politically, still do not receive equal pay for equal work, our rights to privacy and freedom from government intrusion in medical treatments are continuously under attack , and church leaders are openly hostile and discriminatory towards women. Teaching us to suppress our body's natural reactions to these threats - whether by drugging us or teaching us to ignore the 'fight or flight' response - may seem helpful in the short-term, but it solves nothing. We must NOT hide under the covers in our beds to relax - we must take action. Fight for school programs to prevent bullying and date-rape. Speak out against the 'silent' epidemic of domestic violence. Support political candidates that stand for equality & fairness, and stop supporting the religious organizations that discriminate against women. Stop accepting 'treatments' for our anxiety and start demanding an end to it's causes.
02:06 PM on 08/17/2010
"...teaching us to ignore the 'fight or flight' response"

The author is not suggesting you ignore this response at all. In fact, just opposite. He's asking people to take the time to refine and differentiate their experience of self. To sense the difference between thought and feeling. Many people are so trapped by incessant thought that they confuse feeling and thought altogether. The fight or flight response does not serve our organism if it is perpetually on, and in anxious people it is on too much of the time (being perpetually in fight or flight leads to a host of other health problems btw). By feeling it fully, and knowing the difference between thought and feeling, it can cycle through our body so we can return to a calm, centered state.

It's very possible to "fight" (I prefer the word advocate) for all of the issues you bring up while working in calm, centered way, which, I would argue is far more effective than working from a place of anxiety and fear.
itolduso
lateral thinker
12:32 AM on 08/18/2010
The author's suggestions may be very helpful & appropriate ONCE THE CAUSE OF THE FEAR IS GONE... but in describing the anxiety as "with unknown causes" and in speaking of being fearful when "there is nothing out there to be afraid of" and in using a descriptive term ("overreact") to describe a body's natural response to a threat- he is dismissing the threat as invalid. And as I stated- women today SHOULD be anxious- the threats we face are very real. The body's surge of adrenaline that accompanies anxiety is meant to physically enable us to either fight or flee - I'm merely suggesting that we use that strength to fight back, to defend ourselves.
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aDelphinium
Occupy with heart
08:52 AM on 08/17/2010
A lot of posters are making comments of a political nature. This is not political. No matter what you triggers anxiety for those us of who deal with chronic anxiety, panic attacks, is that it takes over and you cannot function.

Let's say someone is anxious about not being able to find a job. Of course there is every reason to be anxious about finding work. That anxiety, if unchecked, can render the person unable to function.
Which will lead to even more anxiety. It's a never-ending cycle.
Norm
Read think read analyze read comment
09:10 AM on 08/17/2010
And you know that job hunting is loaded, because it plays into the catastrophe scenario that perpetuates the anxiety. Ultimately, you think you will starve. You won't. You may look lousy, feel a mess, but you won't starve. You will look for a job and you will get one in spite of the anxiety and you will survive and in your heart, you know that. The anxiety just makes doing what you would do anyway harder; it ain't gonna stop you.
10:42 PM on 08/17/2010
um...that opinion thing...is a very good thing. I am positive that this site is an opinion blog? I say let folks express themselves as they see fit as long as it doesn't involve obscenity.
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aDelphinium
Occupy with heart
08:42 AM on 08/17/2010
Funny, I was having an anxiety attack when I came across this article. I tried the steps as directed.
I'm already feeling a kind of pain around my chest, heart so the breathing, going into my body didn't help.

What I did try was the "sound" technique. I'm a musician, sing and play various instruments. I also
chant (Tibetan Buddhist Mantras). The tone was higher, I couldn't seem to get to a lower tone, meaning I was still focused in my head.

I will continue to work with the "sound".

As for the movement, there have been times where I have been literally frozen. So it's a conundrum,
how do you move when you can't move?
Norm
Read think read analyze read comment
08:55 AM on 08/17/2010
This may sound a little radical,, but it works: ask someone to slap you when frozen. It does get you back in your body, in touch with reality!
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Laika
08:09 AM on 08/17/2010
The prospect of homelessness makes me very anxious.
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aDelphinium
Occupy with heart
08:43 AM on 08/17/2010
I'm sorry. That's a very good reason to be anxiouis.
Norm
Read think read analyze read comment
09:02 AM on 08/17/2010
Try and separate your feelings out. Is it actually being homeless or shame??? I believe many, if not most, people have fears associated with being homeless, but if they are survival fears, they are "rational." Fear or anxiety associated with shame are not rational and have more to do with self-perception.
02:58 AM on 08/17/2010
I have mixed feelings about this article.

I have spent the last few years trying to convince my HIV doctors that I was having mild strokes or something else serious. They have been telling me that I'm having panic attacks and need to see a shrink. Well, this spring, my roommate got video of me having a seizure while he was waiting for the EMT's to arrive (for the second time in one day). I had another really bad one last week leaving bruises all up and down my left side and some severe memory loss. I don't even recognize half the names in my phone now.

Its truly frightening that doctors don't know the difference between panic attacks and grand mal seizures.
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plwood01
09:12 AM on 08/17/2010
Sorry about your doctors not listening to you! One thing for sure, you need to get some new ones, however, many doctors these days are just plain lazy and don't really care about their patients, they are in it for the money and only the money... It is important to recognize that after a few visits and especially if you tell someone about blacking out, seizures, strokes, etc. At the very least, tests should have been ordered but some doctors believe that you have done something to cause yourself to be very ill, so they really don't want to help you get well, or manage your illness because well, they do not want to support your lifestyle, if you know what I mean and I don't mean that you have a lifestyle worth questioning it is just that some people are very judgmental, so they judge you regardless of knowing the full story or any history at all. Try some female doctors, women are more nurturing naturally, and a lot less judgmental as we have to deal with not being heard all the time, doctor or not! I hope things get better for you soon...I've recently been to about 6 doctors, none of whom diagnosed me for having a UTI!
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Kenny Wolf
Too stupid to know better
11:10 PM on 08/16/2010
Just adding my two cents. I have had anxiety attacks from mild to extreme for as long as I can remember. We live in a world that is ripe with anxiety. Look no further than the television or newspaper or Internet and it's easy to become overwhelmed or at least I do. I've found that breathing exercises work for me when fear and anxiety are present. Although not an instant cure I do a slight variation of Dr. Chopra's breathing technique. I inhale slowly through the nose, deeply, holding it for a few seconds and then exhale twice as slowly through my mouth and then repeat this about a dozen times. I have found this will begin to relive my anxiety, a few minutes after I finish. This Deep breathing exorcise has gotten me past some mighty anxious moments. Another person here responded by suggesting turning the TV and the Internet off, great idea if you can do it,
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10:58 PM on 08/16/2010
Some of us are ruled by images, not thoughts.

Slide shows, snapshots of scary things.

Envisioning safer pictures takes some creative work, but I would add that to the list.
10:42 PM on 08/16/2010
Fascinating article. More people should read it.