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Andrea Petersen, Untangling from Anxiety

Mar 28, 2018 57m 19s 15 insights
When author and Wall Street Journal reporter Andrea Petersen was diagnosed with an anxiety disorder at age 20, she was relieved to finally have a name for the thing that had controlled most of her life to the point where she feared walking up a flight of stairs or standing in line at the store. But understanding and overcoming her anxieties was a different odyssey, one she describes in "On Edge: A Journey Through Anxiety," a memoir she was inspired to write after interviewing college students about their mental health struggles.
Actionable Insights

1. Prioritize Foundational Self-Care

Consistently prioritize sufficient sleep, good nutrition, and regular exercise, as these are critical for managing anxiety and preventing its exacerbation, making your brain less prone to anxious states.

2. Actively Apply Mindfulness

Make a conscious effort to apply meditative and mindfulness techniques directly to specific areas of your life where you seek change, such as relationships, stress management, or overcoming specific fears, rather than expecting general practice to automatically transfer.

3. Utilize Cognitive Behavioral Therapy (CBT)

Engage in Cognitive Behavioral Therapy, specifically using exposure to gradually face fears and cognitive restructuring to challenge irrational thoughts by examining evidence, which provides proof that feared outcomes often don’t materialize.

4. Reframe Meditation Distraction

View moments of distraction during meditation as a ‘win,’ as waking up to your mind’s wandering is the essential practice that allows you to observe your mental machinery and not be governed by every thought.

5. Address Judgment and Doubt

When judgment or doubt arises during meditation, make a mental note, such as ‘judgment’ or ‘doubt,’ to acknowledge and disengage from these thoughts, preventing them from crippling your practice and life.

6. Start Meditation Small

For beginners or those struggling with time, start with a formal meditation practice of just one minute daily to make it accessible and build consistency, rather than aiming for overly ambitious durations.

7. Consider Medication and Therapy

If anxiety is significantly impairing your life, consider combining medication (like SSRIs) with therapy to prevent avoidance behaviors and the shrinking of your world, as both can be effective treatments.

8. Use Suffering Avoidance as Motivation

Leverage the memory of past suffering or the desire to avoid future distress as a powerful motivator to consistently engage in self-care practices like meditation, sleep, and exercise.

9. Enhance CBT with Post-Session Activities

To potentially strengthen the learning from Cognitive Behavioral Therapy, consider taking a nap or going for a run after a session, as these activities can help consolidate memories.

10. Recognize Clinical Anxiety

Understand that while anxiety is a normal emotion, it becomes a disorder requiring attention when it consistently impairs your ability to live your life the way you want to live it.

11. Explore Alternative Grounding Activities

If formal meditation is challenging, engage in activities like yoga (as a ‘moving meditation’) or baking that are tactile, require present-moment attention, and provide a sense of certainty and grounding.

12. Practice Generosity

Incorporate acts of generosity, such as giving away things you create, as a beneficial practice that can provide positive feedback and connection.

13. Be Mindful of Social Media

Be aware that passively scrolling through social media feeds can increase feelings of loneliness and sadness, while more active engagement (like posting) may be less detrimental to mental health.

14. Seek a Qualified Meditation Teacher

To find a trustworthy meditation teacher, research local options, look for teachers speaking in your area, attend retreats, or inquire about remote teaching via Skype or phone.

15. Explore fMRI Neurofeedback

Investigate fMRI neurofeedback as a potential treatment where you learn to alter your brain activity in real-time to alleviate anxiety symptoms, if you are able to use an MRI scanner.