Anxiety. How to understand your fears and find inner peace?

Published 02/10/2024 (13) views

WHAT IS ANXIETY?

Medically, anxiety is defined as a psychological state in which a person experiences constant anxiety, fear, or stress that is disproportionate to the actual threat or situation. This may be a short-term response to a specific stressor or a long-term condition where symptoms persist even after the stressor is removed.

Anxiety is closely linked to the autonomic nervous system, particularly the sympathetic system, which is activated when the body senses danger. This is known as the "fight or flight" response, during which the body prepares to defend itself or escape from an impending threat. However, if this system is constantly activated due to excessive or minor stressors, it can lead to various psychological and physical health problems.

Key anxiety symptoms:

  • Emotional symptoms: Persistent fear, panic, increased sensitivity to stress, irritability, mood swings.
  • Physical symptoms: Increased heart rate, sweating, muscle tension, headaches, stomach problems, shortness of breath.
  • Cognitive symptoms: Inability to concentrate, heightened awareness of potential threats, constant worry about fears.

TYPES OF ANXIETY

Anxiety can manifest in various forms, and its specific symptoms and intensity can vary from person to person. The main forms of anxiety include:

GENERALIZED ANXIETY DISORDER (GAD)

This is a long-term condition characterized by constant feelings of anxiety that are not related to any specific situation or event. People with GAD often feel tense and anxious about everyday things like work, health, family, and financial matters. This condition can significantly affect daily life, making it difficult to concentrate, relax, and rest.

PANIC DISORDER

Panic disorder is characterized by sudden and intense panic attacks, which can induce strong feelings of fear and anxiety. During an attack, symptoms may include rapid heart rate, shortness of breath, chest pain, trembling, and sometimes a fear of imminent death. Although attacks usually last only a short time, their recurrence can severely affect a person's quality of life.

SOCIAL ANXIETY DISORDER

This is the fear of being criticized, rejected, or ridiculed in social situations. People with this disorder avoid public speaking, social gatherings, and constantly worry about how others perceive them. This can limit their opportunities both professionally and personally.

PHOBIAS

Phobias are forms of anxiety characterized by strong and irrational fear of specific objects, situations, or activities. Common phobias include a fear of heights, fear of open spaces (agoraphobia), and fear of spiders (arachnophobia). A person suffering from a phobia may go to great lengths to avoid contact with the source of fear, even if it limits their daily life.


BIOLOGICAL MECHANISMS OF ANXIETY

Anxiety is associated with neurochemical processes in the brain, particularly with neurotransmitters such as serotonin, dopamine, and norepinephrine. These substances play a crucial role in regulating mood, stress responses, and emotions. When the balance of these neurotransmitters is disrupted, anxiety disorders may arise.

Research shows that the amygdala, a small structure in the brain, is crucial in managing fear and anxiety. It processes threats and sends signals to other brain areas to activate the body's response to danger. In anxiety disorders, the amygdala can become hypersensitive, reacting even to minimal or non-threatening situations.

Additionally, genetic factors can play a role. If family members suffer from anxiety disorders, there is a higher likelihood that other family members will also experience anxiety.

THE IMPACT OF ANXIETY ON HEALTH

Long-term anxiety can lead to serious health problems. Firstly, it can weaken the immune system, making individuals more susceptible to infections. Moreover, it can be linked to cardiovascular diseases, as increased blood pressure and heart rate place additional strain on the heart. Long-term anxiety can also cause sleep disturbances, which, in turn, worsen overall physical and mental health.

TREATMENT METHODS FOR ANXIETY

Anxiety treatment usually involves a combination of psychotherapy, medication, and lifestyle changes.

PSYCHOTHERAPY

One of the most effective forms of psychotherapy for treating anxiety is cognitive-behavioral therapy (CBT). This therapy helps patients identify and change destructive thought and behavior patterns that fuel anxiety. CBT aims to replace distorted fears with realistic thoughts and develop skills to manage anxiety symptoms.

Another effective form of therapy is exposure therapy, in which the patient gradually faces the source of their fear in a controlled environment. This allows them to learn to manage fears and gradually reduce the intensity of their anxiety.

MEDICATION

Medications commonly prescribed for anxiety include selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines. SSRIs, such as fluoxetine or sertraline, help regulate serotonin levels in the brain, while benzodiazepines, such as diazepam or lorazepam, work more quickly but can lead to dependency, so they are usually used only for short-term treatment.

LIFESTYLE CHANGES

A healthy lifestyle can significantly reduce anxiety symptoms. Regular physical activity, especially aerobic exercise, helps lower cortisol levels, which are associated with stress, and increases endorphins, the "happy hormones," in the body. Sleep is also critically important for mental health. Poor-quality sleep can increase anxiety and reduce the body's ability to cope with stress. Research suggests that adults should aim for 7–9 hours of quality sleep per night.

A proper diet also plays an essential role in managing anxiety. The consumption of sugar, caffeine, and processed foods can exacerbate anxiety symptoms. Omega-3 fatty acids, found in fish, nuts, and flax seeds, help regulate mood and reduce stress. Additionally, certain vitamins, such as B vitamins and magnesium, positively affect the nervous system and help reduce anxiety symptoms.

BREATHING AND RELAXATION EXERCISES

Breathing techniques and relaxation exercises are effective strategies for reducing feelings of anxiety. Deep breathing helps activate the parasympathetic nervous system, responsible for the body's state of calm. One popular technique is the "4-7-8" breathing method, where you inhale for 4 seconds, hold your breath for 7 seconds, and exhale for 8 seconds.

Mindfulness meditation, where a person focuses on the present moment, can also help reduce anxiety and tension. During meditation, the brain learns to recognize anxiety-provoking thoughts and let them go, rather than dwelling on them.

HOW TO UNDERSTAND YOUR FEARS?

One of the most important steps in overcoming anxiety is understanding and recognizing your fears. This can be done in several ways.

  • Step 1: Observe your reactions. Sometimes our reactions to anxiety-inducing situations can be automatic and unconscious. It is essential to consciously observe how your body and mind react to different situations. This helps identify which circumstances and thoughts trigger the most anxiety. For example, if you notice that every time you speak publicly or attend important meetings, you start feeling anxious, it may indicate that social situations or expectations trigger your fears.
  • Step 2: Explore the source of your fears. Once you've identified which situations cause anxiety, the next step is to analyze what lies behind these fears. Are you afraid of being criticized? Do you feel unprepared? Maybe you fear failure? Understanding what causes anxiety can make it easier to manage and address.
  • Step 3: Rationalize your fears. Once you've identified what causes your anxiety, try to objectively evaluate the situation. Is this fear based on real facts? What is the likelihood that your fears will come true? Often, our anxiety stems from exaggerated or not entirely true beliefs.
  • Step 4: Accept your fears. Fear is a natural emotion, but instead of suppressing it, it's important to accept it as a natural part of life. Some fears may never fully go away, but that doesn't mean you can't live with and manage them.

FINDING INNER PEACE

Finding inner peace requires balancing daily sources of tension and psychological resilience. Each person may need different methods to achieve inner peace, but some universal principles can help in this process.

  • Self-Care. Self-care is the foundation of inner peace. This includes both physical and psychological health. Regular physical activity, a balanced diet, sufficient sleep, and time spent with loved ones contribute to overall well-being.
  • Stress management techniques. Stress is an inevitable part of modern life, but managing it is an important step toward inner peace. In addition to breathing and meditation techniques, consider trying yoga, which helps align the body and mind.
  • Environment. The environment in which we live greatly influences our emotional state. Spaces should promote calm and relaxation.
  • Communication with others. Social connections are vital for our mental health. Sharing your worries with a close person can help reduce anxiety.


Anxiety is widespread and can have a profound effect on a person's quality of life, but understanding its roots and applying the right techniques can help you achieve inner peace. Both psychotherapy and lifestyle changes can help manage anxiety and restore emotional balance. Learning to recognize and understand your fears, accepting them and gradually overcoming them is an important step towards a healthy mental state and stronger emotional balance.

INFORMATION SOURCES

  1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
  2. Pasaulio sveikatos organizacija (PSO). (2023). Mental Health and Substance Use.
  3. National Institute of Mental Health. (2022). Anxiety Disorders.
  4. Kirmayer, L. J., & Gold, I. (2017). Cultural contexts of anxiety disorders.
  5. Hofmann, S. G., & Asnaani, A. (2010). The neurobiology of anxiety disorders.

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