What is Anxiety? It’s
quite a slippery term. Used by many people in different ways. In general speech
we mean unease or nervousness. Sometimes we can attach the feeling to a
particular forthcoming event, and sometimes it is a more general feeling that
is non specific and falls over us like a cloak. The word itself comes from the
Latin anxius to choke, and I
guess we have all experienced that particular grade of anxiety which tightens
your throat. Very nasty.
Here’s an interesting
thing, you can sometimes swap the word “anxious” with “eager”:
“I’m anxious to get to the
station”
“I’m eager to get to the
station”
“I’m anxious about the
speech I have to give next Friday”
I’m eager to make that
speech next Friday”
I think this points to the
fact that anxiety and excitement are quite closely related emotions. For
example stage fright is an interesting combination of anxiety and excitement.
Two people facing the same
challenge may fall either side of the dividing line between the concepts. One
person may feel principally eager to go on stage, whilst the other may feel
principally anxious. In other words we may respond differently to stimuli in
our lives. We are obviously meant to experience some anxiety in relation to
certain events and occurrences; this is part of our survival system. In the
presence of a tiger anxiety is a necessary and appropriate part of our flight
or flight system.
Things get more
complicated in the modern world as we experience anxiety in relation to things
that appear to be threats. The
site of your boss, going on a train journey, going to the bank; these may not
really contain the level of threat that warrants high levels of anxiety.
Nevertheless the mechanisms of the mind may perceive these things as “tigers”.
In fact there are 6 types
of anxiety disorder (according to DSM-1V):
Phobia
Generalised anxiety
disorder
Obsessive Compulsive
Disorder
Post Traumatic Stress
Disorder
Acute Stress Disorder
Panic disorder
As you see, these are
quite wide ranging and, from the point of view of a therapist, require quite
different approaches. A certain amount of investigation is needed to decide
which of these categories they might fall into, and therefore what might be the
most appropriate approach for that particular person.
In Generalised Anxiety
Disorder or GAD a person may be anxious about almost anything and everything,
and this distress is inhibiting to normal life. People suffering from
Generalised Anxiety Disorder may experience many symptoms that you might associate
with fear; sweating, wanting to go to the loo, heart pumping, a dry mouth and
much more.
There are many different
ideas about the causes of GAD. What follows is my rather generalised idea of
how it may be viewed through the lens of different theories.
Psychoanalytical theory,
for example, may put forward the idea that the id and the ego are in conflict.
The id is desperately trying to express itself in its sexual or aggressive
ways, and the ego is trying to repress this unacceptable expression. This
conflict causes anxiety. Remember I’m generalising here.
In Cognitive Behavioural
Therapy, it may be proposed that reasons such as the perception of loss of
control are at the root of the problem.
Learning theory considers
that we learn to associate anxiety with bad things that have happened to us, so
the sight of your boss may cause anxiety as your previous experience has shown
you that you may be in trouble.
As a Hypnotherapist I might take the view that whatever the cause, the
experience may well be linked to certain stimuli in your life. I would hope to
try and build new and more suitable associations with that stimuli. Sometimes
people may “catastrophise” an event or experience, where they kind of dramatise
and magnify their experience. This is not done consciously, it is done at an
unconscious lrvrl.
There are many approaches
that a Hypnotherapist might take, and the approach will depend very much on the
particular character and perceptions of the client.
I’m very interested in
working with people with anxiety as I think it is quite a universal experience.
In fact it was anxiety that lead me into hypnotherapy in the first place.
Here there is an important
thing to say about my experience; I faced some quite horrid surgery, and felt
extremely anxious about it. In trying to find answers I went to a
Hypnotherapist. The truth is that I was still frightened and it still hurt, but
I just had a couple things I could do in my head – even whilst being wheeled
into the operating theatre. It really wasn’t a magic bullet, but it did help me
deal with the reality I faced.
Hello, i was interested to read this article as i have personal and professionsl experince to do with anxiety, and am always on the lookout for new ways of exploring and coping with it. In professional terms, i just spent three years helping people with different levels of anxiety (and sometimes other health related problems) to enter amd sustain paid work. On a personal level, i am 30 years old and have had bouts of chronic anxiety and associated depression and IBS pretty much since childhood. At times i manage these feelings really well, and at other times i struggle. Within the last month i stopped taking an SSRI after trying meds for the first time for just over one year, so i am in the reflective period of that at the moment. I am just glad to feel more myself again right now...
ReplyDeleteIn your article you mention wanting to work with people with anxiety, and i have always been a bit anxious yet intrigued by hypnotherapy, so perhaps we could discuss this further sometime?
Hello Qwerty, Thanks for your interesting comment - the first on this blog too. What you say is interesting and illustrative. Your particular situation sounds quite complex with SSRIs and IBS. I think this can be one of the marks of anxiety, in that it pervades many areas of a life, that may not appear initially connected. If you'd like to find out more about me you van visit my hypnotherapy website at www.hypnottik.com where you will also be able to send me an email or find my phone number. With kind regards Roger
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