Best 3 Tips on Worry, Anxiety and Turning Down the Stress Response - Anxiety Workshop w Nick Wignall

Therapy in a Nutshell - Deep Dive Podcast
22 Jun 202371:04
EducationalLearning
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TLDRIn this insightful discussion, licensed marriage and family therapist Emma McAdam and clinical psychologist Nick Wignall delve into the nuances of anxiety, its impact on our lives, and strategies to manage it effectively. They clarify the difference between stress, worry, and anxiety, emphasizing the importance of distinguishing between these terms to better address them. The conversation highlights the significance of understanding the mind-body connection and how physiological responses to perceived threats can be regulated through techniques like deep breathing and vagus nerve exercises. Emma and Nick also discuss the role of avoidance in exacerbating anxiety and advocate for a proactive approach that involves confronting fears and setting healthy boundaries. They introduce the concept of 'scheduled worry' as a method to contain and reduce chronic worry, thereby lowering overall anxiety levels. The discussion underscores the value of viewing anxiety not as an enemy but as a signal that something in our lives may need attention, and the importance of building emotional resilience through acceptance and commitment to personal growth.

Takeaways
  • 🚫 **Avoidance Trap**: Chronic avoidance of anxiety-provoking situations can reinforce the anxiety cycle and increase anxiety levels, so it's important to face fears and live a life of value.
  • 🧠 **Mindset Shift**: Changing your relationship with anxiety by viewing it as a messenger rather than a threat can lead to better emotional health and long-term anxiety reduction.
  • 🀝 **Acceptance vs. Action**: Accept the presence of anxiety without letting it dictate your actions, and focus on living a life aligned with your values.
  • 🧘 **Mindfulness Practice**: Utilize mindfulness as a skill-building exercise rather than a coping mechanism to reduce anxiety over time, by practicing it consistently regardless of current anxiety levels.
  • πŸ‹οΈβ€β™€οΈ **Physical Approach**: Engage in physical activities like exercise to help burn off tension and stress, which can be beneficial for managing anxiety and depression.
  • 🌱 **Willingness and Validation**: Develop the skill of willingness to experience and accept physical sensations and emotions without judgment, which can help in reducing the intensity of anxiety.
  • ⏰ **Scheduled Worry Time**: Set aside a specific time to list all your worries, which can help in training your brain to worry during designated times and reduce overall anxiety.
  • πŸ”„ **Reframe Anxiety**: Changing your perception of anxiety to excitement can be a powerful tool since physiologically they are similar, and reframing can lead to less avoidance and more acceptance.
  • πŸ€” **Decision-Making Under Anxiety**: When feeling too anxious to make decisions, break the decision-making process into smaller, manageable chunks and support your executive function with visual and written aids.
  • 🧐 **Cognitive Work**: Addressing the cognitive aspects of anxiety through techniques like scheduled worry can be as important as physical relaxation for a holistic approach to anxiety management.
  • 🌟 **Small Steps**: Practice willingness and acceptance with smaller, less intimidating situations or emotions to gradually build the skill and apply it to more significant anxiety triggers.
Q & A
  • What is the main theme of the discussion between Emma and Nick?

    -The main theme of the discussion is about setting boundaries with anxiety, understanding the nature of anxiety, and sharing effective strategies for managing it.

  • What does Emma suggest as the first step in dealing with anxiety?

    -Emma suggests clarifying the terms 'stress,' 'anxiety,' and 'worry' as the first step, as understanding the distinctions between these terms can provide more tools for managing them.

  • How does Nick differentiate between a worry and worrying?

    -Nick differentiates a worry as an intrusive or unintended thought that pops into the mind, which is not controllable, and worrying as the process of elaborating on that worry, which is a controllable mental behavior.

  • What is the 'scheduled worry' technique that Nick introduces?

    -Scheduled worry is a technique where an individual sets aside a specific time each day to deliberately worry about all their concerns. This practice is meant to reduce the intrusive nature of worry at other times of the day.

  • What is the importance of distinguishing between actual danger and perceived danger when dealing with anxiety?

    -Distinguishing between actual and perceived danger helps to avoid chronic avoidance behaviors that can increase anxiety levels. It allows individuals to focus on living a life they value, even when facing fears.

  • How does Emma define the term 'stress'?

    -Emma defines stress as the physiological response to a perceived danger, which triggers the body's fight/flight/freeze response, leading to the release of hormones like cortisol and adrenaline, and changes in breathing, heart rate, and other physical reactions.

  • What is the 'bottom-up approach' to anxiety that Emma discusses?

    -The bottom-up approach involves creating shifts within the body to influence the mind. Techniques such as deep breathing, progressive muscle relaxation, and vagus nerve exercises are used to physically calm the body down, which in turn can help to reduce anxiety.

  • Why is it important to not avoid situations that provoke anxiety?

    -Avoidance can reinforce the brain's perception of a situation as dangerous, increasing anxiety levels over time. By facing these situations, individuals can retrain their brain to recognize that the situation is not a threat, thus reducing anxiety.

  • What is the significance of the term 'emotional granularity' in managing anxiety?

    -Emotional granularity refers to the ability to precisely identify and articulate one's emotional state. It is significant in managing anxiety because the more clearly one can define their emotions, the better equipped they are to address and treat them.

  • How does Nick suggest reframing anxiety in terms of excitement?

    -Nick suggests reframing anxiety as excitement because physiologically, both emotions are very similar, involving increased heart rate, respiratory rate, and muscle tension. By reframing anxiety as excitement, one may be able to view the physical sensations in a more positive light.

  • What is the role of mindfulness in managing anxiety according to Nick?

    -Nick suggests using mindfulness as an exercise rather than a coping strategy. It should be practiced regularly, regardless of whether one is feeling anxious, to build strength and skills in managing anxiety over the long term.

Outlines
00:00
πŸŽ‰ Introduction to Anxiety Management

The video begins with an introduction to the topic of setting boundaries on anxiety, which is described as 'bossy.' Emma McAdam, a licensed marriage and family therapist, and Nick Wignall, a clinical psychologist, present their credentials and the structure of the video, which will include swapping tips on managing anxiety and opening the floor for questions. Emma emphasizes the importance of distinguishing between stress, anxiety, and worry, explaining that stress is a physiological response, while worry is the cognitive aspect, and anxiety is the combination of both.

05:02
πŸ§˜β€β™€οΈ Bottom-Up Approaches to Anxiety

Emma discusses the bottom-up approach to anxiety, which focuses on physical sensations and the feedback loop between the brain and the body. She suggests that calming the body can signal the brain to relax, mentioning deep breathing, progressive muscle relaxation, and vagus nerve exercises as methods to achieve this. The video provides a quick example of a vagus nerve exercise involving yawning to trigger a calming effect.

10:05
πŸ€” Top-Down Cognitive Approach to Worry

Nick introduces a top-down approach, focusing on the cognitive aspect of anxiety by distinguishing between a worry (an intrusive thought) and worrying (the act of elaborating on those thoughts). He suggests accepting the presence of worries but controlling the act of worrying, thereby redirecting one's focus to more productive thoughts. This approach aims to manage the habitual behavior of worrying that contributes to anxiety.

15:10
🚫 Avoidance and Anxiety Traps

Emma talks about the trap of avoidance with respect to anxiety. She explains that while avoidance can be beneficial in certain physical threats, it can be detrimental when dealing with daily life anxieties. She uses the example of students auditioning for a play to illustrate how avoidance can lead to increased anxiety and how facing fears can reduce it over time, even if the initial cause of anxiety remains.

20:15
🧠 Mindfulness and the Right Approach

Nick discusses the common misconceptions about using mindfulness as a coping skill for anxiety. He explains that using mindfulness or other techniques as a means to avoid anxiety can backfire and actually increase anxiety in the long term. Instead, he advocates for using such practices as exercises to build strength and skill, rather than as immediate coping mechanisms, emphasizing acceptance of anxiety over avoidance.

25:16
πŸ”„ The Role of Worry in Anxiety

Returning to the topic of worry, Nick explains that worry is a direct cause of anxiety and that it's important to address worry to manage anxiety effectively. He introduces the concept of 'scheduled worry,' a technique where one deliberately schedules a specific time to worry each day. This practice is meant to reduce the intrusive nature of worry at other times, thereby lowering overall anxiety levels.

30:18
πŸ—£οΈ Assertiveness and Setting Boundaries with Anxiety

Emma emphasizes the importance of setting boundaries with anxiety, suggesting that anxiety can serve as a messenger indicating that something in one's life needs attention. She discusses how anxiety can signal a need for change or action and that addressing these messages can alleviate anxiety. Emma also highlights the importance of distinguishing between real and perceived threats and not letting anxiety control one's actions.

35:22
🀝 Conclusion and Q&A

The video concludes with a Q&A session where the hosts address questions from viewers about managing morning anxiety, physical symptoms of anxiety, and the balance between acceptance and effort in dealing with conditions like depression. They provide advice on immediate actions one can take when feeling anxious, such as getting out of bed immediately to disrupt the cycle of worrying, and the importance of viewing anxiety as a messenger rather than a disorder.

Mindmap
Keywords
πŸ’‘Anxiety
Anxiety is a complex emotional state that involves feelings of worry, fear, and tension. It is a central theme in the video, where it is discussed as having both a physiological and cognitive component. The speakers differentiate between stress, worry, and anxiety, and explore various strategies for managing it. For instance, Emma shares her experience of working with anxiety through body-based approaches and cognitive work.
πŸ’‘Stress
Stress is the body's physiological response to a perceived threat, real or imagined. In the video, stress is described as the activation of the fight/flight/freeze response, which triggers a cascade of physical changes such as increased heart rate and respiration. It is a part of the anxiety spectrum and is discussed in the context of how it can be managed through techniques like deep breathing.
πŸ’‘Worry
Worry is identified as the cognitive or thinking aspect of anxiety. It involves the mental rehearsal of potential future threats or negative outcomes. The video emphasizes the importance of distinguishing between a worry (an intrusive thought) and the act of worrying (the process of elaborating on those thoughts), which is something individuals can control and manage.
πŸ’‘Cognitive Approach
The cognitive approach focuses on changing an individual's thoughts and perceptions to alleviate psychological distress. Nick discusses this method in the context of managing anxiety by addressing the thought patterns that contribute to it. This approach is contrasted with body-based approaches, which focus on physical sensations and responses.
πŸ’‘Body-Based Approach
This approach involves using physical techniques to influence mental states. Emma emphasizes the mind-body connection and suggests that by changing the state of the body through deep breathing, progressive muscle relaxation, or vagus nerve exercises, one can send calming messages to the brain and reduce anxiety.
πŸ’‘Scheduled Worry
Scheduled worry is a technique introduced by Nick to manage chronic worry and anxiety. It involves deliberately setting aside a specific time each day to list all worries, which can help in training the brain to worry during a designated period and reduce its intrusiveness at other times. This technique is presented as a paradoxical yet effective strategy for long-term anxiety reduction.
πŸ’‘Avoidance
Avoidance is a common reaction to anxiety, where individuals steer clear of situations that provoke anxiety. However, the speakers argue that avoidance can reinforce anxiety and lead to a cycle of increased avoidance and anxiety. Instead, they advocate facing anxieties and distinguishing between real and perceived dangers.
πŸ’‘Mindfulness
Mindfulness is a practice often recommended for anxiety management. It involves being present and aware of one's thoughts, feelings, and bodily sensations without judgment. In the video, it is suggested that mindfulness should be practiced not as a coping strategy but as an exercise to build mental strength and acceptance of anxiety.
πŸ’‘Acceptance
Acceptance is a key principle in Acceptance and Commitment Therapy (ACT) and is discussed in the context of acknowledging and embracing the experience of anxiety without attempting to change it immediately. It involves recognizing the anxiety and choosing to engage in value-driven actions despite the presence of anxiety.
πŸ’‘Emotion Regulation
Emotion regulation refers to the ability to manage and control one's emotions. In the video, it is discussed in the context of decision-making when one feels overwhelmed by anxiety. Techniques such as breaking tasks into smaller chunks and using visual aids can support better emotion regulation.
πŸ’‘Vagus Nerve
The vagus nerve is a key part of the parasympathetic nervous system and plays a role in the body's relaxation response. The video mentions the use of certain exercises, such as yawning, to stimulate the vagus nerve and promote a calming effect on the body and brain.
Highlights

Anxiety is often described as 'bossy' due to its tendency to dominate one's thoughts and behaviors.

Emma McAdam and Nick Wignall discuss the importance of setting boundaries with anxiety to prevent it from controlling one's life.

The differentiation between stress, anxiety, and worry is crucial for understanding and managing mental health.

Stress is identified as a physiological response, while worry is the cognitive aspect that involves thinking about potential dangers.

Anxiety is a combination of the stress response and worry, affecting both the body and the mind.

The concept of 'emotional granularity' helps in precisely identifying feelings, which in turn provides more options for treatment.

A bottom-up approach to anxiety involves physical changes, such as deep breathing, to signal the brain to calm down.

Cognitive work, in contrast, is a top-down approach that changes perceptions and thoughts about situations.

Scheduled worry is a technique where individuals set aside a specific time to worry, which can reduce the frequency of worry at other times.

Avoidance of anxiety can lead to an increase in anxiety levels, as the brain learns that avoidance is a survival mechanism.

Acceptance of worry and control over worrying is a key strategy for managing anxiety.

Anxiety can serve as a messenger, signaling when there is a need for change or action in one's life.

The concept of 'window of tolerance' is introduced to describe the optimal state for processing emotions and trauma.

Mindfulness should be practiced as an exercise rather than a coping strategy to build long-term skills for managing anxiety.

The discussion emphasizes the importance of addressing the maintaining causes of anxiety rather than just the initiating causes.

Anxiety can be reframed as excitement, leveraging the physiological similarity between the two states to reduce negative perceptions.

The conversation highlights the need for sustainable solutions to anxiety, focusing on long-term strategies rather than short-term fixes.

Transcripts
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