Resources

Understanding Anxiety

Fear vs Anxiety

Fear and anxiety are normal emotions we experience that serve a survival importance. We need these emotions to keep us alert of potential danger or to motivate us to act in a certain way. However, these emotions become problematic when they recur and interfere with the completion of everyday, normal activities.

Fear is defined by a basic emotional reaction caused by the recognition of imminent or probable danger. It acts as a thought of looming danger to one's safety.

Anxiety is a much more extended and intricate emotional state that is usually triggered by an initial fear. Anxiety becomes persistent as one is consumed with the future possibility of some event. It involves a state of doubt and physical arousal such that one does not believe they can control or predict future situations. Anxiety is always focused on the future and involves "What if" thinking.

Social Anxiety

Social Anxiety is a type of anxiety disorder that develops from fear of social situations where one might be embarrassed from the risk of being perceived negatively by others. Social anxiety is distinguished by physical symptoms like sweating, trembling, increased heart rate, hardships in expressing oneself well, and blushing.

Cognitive behavioral therapy focuses on three main behaviors that are common within social anxiety: fear of negative evaluation, heightened self-focus, and extensive avoidance.

Case Example

Sarah is a 19 year-old college student who is in her sophomore year. She has a few close friends and is doing well in school, but feels extremely anxious when meeting new people or speaking up in class. She is aware of not wanting to be in the spotlight for fear of being judged by others. When meeting someone, she immediately worries about impressing them, plagued by self-critical thoughts that she doesn't have anything interesting or worthwhile to say.

Treatment included identifying the self-defeating attitudes underlying her fears and learning to face and become more comfortable with the situations she tended to avoid.

Generalized Anxiety Disorder (GAD)

Generalized Anxiety Disorder is one of the most common mental health conditions and is characterized by excessive anxiety and worry about a range of subjective concerns—relationship worries, financial problems, health concerns, work or school stressors, etc.

GAD differs from everyday worrying as it involves 6 or more months of recurrent and intense worry and tension. Many who have GAD tend to expect the worst case scenario in situations and excessively worry even when there is no realistic reason to.

Panic Disorder

Panic Disorder is an anxiety disorder characterized by repeated, unanticipated panic attacks which involve physical symptoms like shortness of breath, dizziness, chest pain, and concerns of having a heart attack. Many with this disorder have persistent concerns about when their next attack could occur or feel as if they are in danger when danger is not imminent.

Panic disorder in combination with compelling avoidance is called panic disorder with agoraphobia. Agoraphobia involves extreme avoidance of scenarios in which it may be difficult to escape.

Transitioning into Adulthood

Why am I so anxious?

As a young adult, you are on your way to defining who you are and what kind of life you want to lead. The transition into young adulthood includes facing the developmental task of re-evaluating one's self. You are no longer a child, yet you are not an experienced adult. So who are you?

You may find yourself clarifying which values or statements you want to bring with you into adulthood and releasing those values and statements that no longer apply or even feel suffocating. It is a challenging time and you can often feel confused and unsure of how to move forward as you reflect on defining yourself.

It is understandable that you feel this way. This self-reflection can create a sense of internal "hyperarousal" in your nervous system, leaving you feeling overly sensitive to rejection, or triggered by closeness. The experience of this increased hypervigilance can leave you feeling overwhelmed and in a state of stress.

During this time of transition, you may be struggling with:

  • Anxiety
  • Difficulty making connections
  • Fear of rejection
  • Feelings of insecurity and self-doubt

In my practice, I can help guide you through this transitional journey into adulthood.

Therapy Tools

Recommended Books

  • Daring Greatly

    by Brene Brown

  • Man's Search for Meaning

    by Viktor Frankl

  • Quiet: The Power of Introverts

    by Susan Cain

  • When Things Fall Apart

    by Pema Chodron

  • Wherever You Go There You Are

    by Jon Kabat-Zinn

  • Waking The Tiger: Healing Trauma

    by Peter Levine

Mindfulness & Meditation

Progressive Muscle Relaxation

15 min YouTube guided session →

Therapeutic Music

Need More Support?

If you're ready to take the next step in your mental health journey, I'm here to help.

Contact Me