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Anxiety, Explained | Luana Marques

Jun 16, 2021 1h 2m 16 insights
Taming Anxiety Series - Episode 2: Anxiety is very common -- but also commonly misunderstood. So today we're doing a show that you might think of as: Everything You Wanted to Know About Anxiety (But Were Afraid to Ask). This is the second episode in a four-part series we're calling "Taming Anxiety." (By the way, if you missed the first episode, with pop-star/Broadway star/sitcom-star Sara Bareilles, I strongly recommend checking that out.)  Today, though, we are diving into the science of anxiety with Dr. Luana Marques. Luana is an Associate Professor of Psychiatry at Harvard Medical School, President of the Anxiety and Depression Association of America, and the author of Almost Anxious: Is My (or My Loved One's) Worry or Distress a Problem? You might also recognize her from this show, because she was also our very first guest on the topic of Covid, way back in March of 2020, in an episode titled "How to Handle Coronavirus Anxiety." In this episode, Luana will explain, from a scientific perspective, what anxiety actually is; why it isn't actually a problem in and of itself – instead, it's our relationship to it that's (often) a problem; what the "TEB Cycle" is, and how to work with it; the short-term benefits of avoiding things that cause us anxiety – and the long-term consequences of that avoidance; and how to handle anxiety-induced phobias, including, in my case, a pronounced fear of elevators. Plus, we'll take some voicemails that you, our listeners, have submitted. You can also learn how to actually practice everything we'll talk about in today's episode by participating in our free Taming Anxiety Challenge over in the Ten Percent Happier app, which kicks off next Monday, June 21. Join the Taming Anxiety Challenge by downloading the Ten Percent Happier app: https://10percenthappier.app.link/install. You will be prompted to join the Challenge after registering your account. If you've already downloaded the app, just open it up or visit this link to join: https://10percenthappier.app.link/TamingAnxietyChallenge. Full Shownotes: https://www.tenpercent.com/podcast-episode/luana-marques-356
Actionable Insights

1. Practice “Comfortably Uncomfortable” Exposure

Gradually approach feared situations in a regulated way, staying with the discomfort long enough for your brain to learn that nothing bad will happen. This habituates your brain and teaches you that you can handle even the worst-case scenario.

2. Challenge Anxious Thoughts as a Detective

When you feel bad or anxious, pause and ask yourself, “What am I saying to myself right now?” Then, act as a detective: question your thoughts, ask for data, and determine if they are facts or just filtered through anxiety.

3. Utilize the TEB Cycle to Break Spirals

Pause to identify your Thoughts, Emotions, and Behaviors in a moment of anxiety. Linking these elements helps you understand what’s happening in your brain, slowing down the limbic hijack and equipping you to add skills to break the spinning cycle.

4. Cultivate Self-Awareness Through Meditation

Practice meditation regularly to systematically engineer collisions with your inner voice, building the muscle of self-awareness. This allows your brain to operate at a slower speed, creating a fertile ground to challenge anxious thoughts and engage with the world more calmly.

5. Approach Feared Situations, Don’t Avoid

Actively identify what you are avoiding due to anxiety and choose to approach it, slowly and steadily. Avoiding only teaches your brain that the only way to tolerate anxiety is by escaping, preventing you from testing your hypotheses about feared outcomes.

6. Reframe Physical Sensations of Anxiety

When you notice physical symptoms like a pounding heart, observe them without adding a negative narrative. Recognize that these sensations can accompany excitement or exercise, not just threat, allowing you to change your relationship with anxiety and prevent it from escalating.

7. Regulate Your Own Anxiety First

When someone around you is anxious, prioritize getting your own anxiety in check first. You cannot effectively help others if your own emotional brain is hijacked; instead, regulate yourself to avoid feeding their anxiety spiral.

8. Listen and Validate Before Offering Solutions

When someone shares their anxiety, resist the urge to immediately fix or solve their problem, as this can be a subtle form of avoiding your own discomfort. Instead, listen, validate their feelings, and ask what would be helpful to them in that moment.

9. Practice Unitasking to Reduce Frenzy

Focus on doing one thing at a time, as research indicates that this practice can decrease anxiety. Multitasking often leads to a frenzied state because our brains are not equipped to handle many things simultaneously.

10. Set Daily Reminders for Self-Inquiry

Create moments of curiosity by setting a daily reminder, such as a phone alarm, to pause and ask yourself, “What was I thinking about right now?” This simple act helps activate your prefrontal cortex and build awareness of your thought patterns.

11. Journal Your Thoughts to Slow Down

Write down your thoughts, ideally with pen and paper, to slow down your brain’s processing. This physical act makes it impossible to write as fast as cognitive distortions occur, inherently engaging your prefrontal cortex and aiding self-reflection.

12. Face Reality in High-Stakes Uncertainty

In situations of high uncertainty where worst-case scenarios are plausible (e.g., medical diagnoses), face reality without necessarily liking it. Focus on what you can control and use reassuring self-talk, such as “We’re doing everything we can,” to minimize catastrophic thinking.

13. Seek Professional Help for Impairment

If anxiety significantly interferes with your life, consider seeking treatment from a mental health professional. While self-help skills are valuable, persistent or severe impairment indicates a need for expert guidance.

14. Activate Thinking Brain by Describing Surroundings

When caught in anticipatory anxiety about uncertain high-stakes outcomes, activate your thinking brain by describing your immediate surroundings to yourself. This helps you stay present and prevents your mind from feeding worst-case scenario thoughts.

15. Engage with the Taming Anxiety Challenge

Join the free 10-day Taming Anxiety Challenge on the 10% Happier app, starting June 21st, to integrate clinical insights and meditation expertise into your daily life. This challenge provides videos and guided meditations to help you practice anxiety management skills.

16. Explore Dr. Luana Marquez’s Resources

Visit drluana.com for more information, including a free “Mental Health for All” course available in multiple languages, and consider reading her book “Almost Anxious” for skills based on cognitive behavioral therapy.