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Anxiety relief without medication – A three step mindfulness based approach to managing an activated nervous system

Perspectives on anxiety – “Please rescue me from this feeling”

All of life, family, community and relationships can be understood, in a sense, as an unconscious exercise in releasing ourselves from the anxiety of being a human being.

The anxiety of not being good enough, of past hurts and traumas, of not being known and loved for who we are, and of knowing that we – along with everyone we love – will one day die is a powerful, often invisible force driving us as individuals, and also shaping our social structures and agreements, both explicit and implicit.

“Please rescue me from this feeling” we plead in a thousand ways to spouses, bosses, employees, cheeseburgers, pornography, facebook, yoga, and television. We may recognize the insanity of certain actions – repeating abusive relationship cycles, poisoning ourselves with cigarettes, checking facebook a hundred times each day – but the underlying anxiety driving our actions remains unseen, residing deep inside our own bodies – our nervous systems most specifically.

If only the kitchen was clean, if only I had another beer, if only they listened to me, if only my team would win, if only we had more sex, if only I had more money, if only people weren’t so stupid, if only we had a holiday. The source of our anxiety always appears to be “out there” somewhere. So that’s where we focus, out there. Then we come to realize – That cigarette didn’t satisfy. My new car is already feeling old. Yoga hasn’t made me a new person. Nothing my partner says makes me feel better.

Trying to change ourselves and other people and the world is valid and reasonable and perhaps intrinsically human, but it doesn’t address the core anxiety that tortures each of us from the inside out. Whatever actions we take in the world will be more effective, more direct, and more healthy when we are also addressing the anxiety that lives inside us. So how do we do that?

First, notice your anxiety

Once you consider that your anxiety might be rooted inside you, not in other people and circumstances (no matter how it got there originally or how legitimate your grievances might be), you might assume that it’s in your mind, a head thing, something that comes from thoughts and beliefs, and so you try to change your thinking. That’s fine, but anyone who’s tried to talk themselves out of a feeling knows the struggle that can bring. The experience of anxiety often includes thoughts, but its roots are deep in your nervous system, in your body, out of reach of intellect and reason.

If you want to know your anxiety first-hand (and you do – it’s how you get loose of its grip), notice what it feels like in your body. Anxiety is a body sensation that happens when your nervous system gets activated. Your spouse nags or yells and you feel your throat tighten. That’s anxiety. Your kid slams the door and your face gets hot. That’s anxiety. Notice it. Notice it simply as a sensation in your body. Name it, internally or out loud. “Throat tight.” “Face hot.”

Now stay with it

Throat tight? Stay with that sensation. Face hot? Stay with that sensation. Feel your anxiety wherever it shows up in your body. Do this slowly, with curiosity and awareness. Unless your safety is actually being threatened in this moment, nothing needs to be done. If judgement or internal dialogue appears, notice it, but come back to the body sensation. Stay with it. Stay with it because you want to fully know it. Uncomfortable? Part of what we’re doing here is building our capacity for that discomfort. It’s like exercising a muscle. It gets stronger with the right kind of use. In this case, the right kind of use is to stay with the body sensations triggered by an activated nervous system. Think of it as physiotherapy for the nervous system. Be curious about the pure sensations, without jumping to interpretation, meaning or conclusions. If you find yourself in your head, problem solving or assigning blame etc, gently come back to the body sensation.

The normal tendency is for an activated nervous system to immediately trigger a reaction (ie – fight or flight). We move so quickly to action that we miss the actual sensation, the in-body experience of nervous system arousal. Slow the process down and notice it directly. Stay with the sensations.

An activated nervous system can be extremely uncomfortable. We instinctively want to be rid of this discomfort. This is why we reflexively lash out, shut down or distract ourselves. I’m asking you to practice not doing these things. Instead, simply notice the feeling of an activated nervous system, of anxiety, and stay with it, without doing anything about it, without trying to get relief. It’s hard, but it won’t kill you. Don’t move to step three until you’re intimate with the feeling, with the direct sensation.

Next, attend to it

Once you get used to what anxiety feels like in your body, once you can name the sensations an activated nervous system triggers (“Throat tight.” “Face hot.”) you can start attending to it. But don’t rush to this step. It’s important to build some capacity for discomfort before doing anything about it. Slowing down is key.

When you feel ready, start relaxing your nervous system directly using conscious breathing. Throat tight? Breathe. Feel yourself sending relaxing, nourishing, healing breath to your throat. Face hot? Breathe. Send relaxing, nourishing, healing breath to your face. Breathe into the places that are tight, contracted, or fired up. Also, notice if you have an impulse toward movement. Perhaps your hands want to cradle your face or stroke your throat. Perhaps your hand floats to your chest. Go ahead and follow those impulses.

There’s nothing fancy about this. Don’t worry about doing it just right. What’s important is slowing down, breathing, and feeling the sensations directly – without flying into reaction, decision making or problem solving. If there are thoughts, just notice them. Then come back to the sensations and soothe yourself with breath and touch. This practice can be quite profound. Tears are not uncommon. Rage and other strong emotions can also show up.

If you stay with the sensations of anxiety directly, tension eventually tends to soften, and then the mental chatter and negative thoughts also calm down. You’re practicing having an experience and noticing it at the same time. This awareness practice, sometimes called mindfulness, gets us out of the “loops” in our head. From here, new possibilities can emerge.

Recap – Managing anxiety in three steps

  1. Notice what anxiety feels like in your body. Name it – “Throat tight” etc.
  2. Stay with the feeling in your body. Don’t jump to action or conclusions.
  3. Attend to the sensations directly. Breathe into the places that are affected.

Nervous system arousal and the resulting discomfort of anxiety are facts of life for all mammals, and are normal human experiences. Our goal isn’t to get rid of anxiety, repress it, or cut it off, but rather to expand our awareness and tolerance of it so that it holds less power over us. The three-step practice above is one that I use with clients in session and that I teach for home use. Feel free to experiment and adjust it to suit you. Like practicing any new skill or exercising any muscle, results come with time. Be patient and kind with yourself. Small steps can have a big impact.

[Note – While we all experience anxiety to some degree, it can be overwhelming for those who suffer from unresolved trauma. Those who suffer from trauma induced anxiety (PTSD) can try the steps above, but may find themselves too hyper-sensitive or prone to dissociation to manage their experience effectively. These people should consider working with a therapist skilled in somatic processing and body-centred trauma therapy.]

Also read – The surprising role of conflict in relationships – How the arguments that tear us apart also hold us together (Part 1)

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Campbell River Marriage Counselling Justice Schanfarber Trying to grow, fix, change, understand or save your marriage? I provide couples therapy, marriage counselling, coaching and mentoring to individuals and couples on the issues that make or break relationships – Sessions by telephone/skype worldwide. Email justice@justiceschanfarber.com to request a client info package. www.JusticeSchanfarber.com

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Counselling Articles Sex and Relationship Advice

Marriage counselling made it worse – A tale of caution and hope

Marriage counselling made it worse

Leslie called me in a state of panic. She was worried that her twelve year marriage was beyond repair. She loved her husband David, but their long-standing differences were threatening to tear them apart.

Leslie was a worrier (self-proclaimed), and David, although cool-headed, wasn’t much for talking. Leslie would get overwhelmed with mothering, work and household responsibilities. Her anxiety would build, and she would desperately turn to David, who was consistently unable to validate and soothe her in the manner she expected. (She wanted him to say the right things). Leslie worried that maybe David didn’t possess empathy.

This set off a pattern of conflict that had gone on for their entire relationship and had landed the two of them in counselling early on. Their counsellor quickly came to the conclusion that David needed to improve his communication skills. A common assessment, here it is broken down into its basic points –

  1. Leslie and David have issues.
  2. They need to be able to talk about the issues if they are going to get better.
  3. Leslie wants to talk about them, David less so.
  4. Therefore, let’s solve the problem by helping David learn to communicate more effectively.

This can be considered a fairly standard marriage counselling approach, based on a belief that more talking about the relationship issues, with an emphasis on validation, will ultimately foster understanding and bring a couple closer together. Sometimes it helps.

In this case, the frustration between Leslie and David only grew worse. Leslie became more certain than ever that David held the key to their core issue. If only he could get it right! David tried, but found that the more he attempted to match Leslie’s verbal speed and agility, the more nervous he got, and the more he failed. No matter what he said, she was always upping the ante and staying one step ahead of him. Their well-meaning counsellor had unwittingly given a professional stamp of approval to the couple’s dysfunctional pattern. They stopped going to counselling and the issue continued to be a source of pain and conflict.

Much later, as life and relationship stress was becoming unbearable, Leslie heard about my work. She requested an information package and set up a call with the three of us. She was clear about her expectation that David participate, and she assumed we would focus on helping him learn to be a better communicator.

In our session, I listened with curiosity, looking for clues… What was driving the relationship system? What were the unexamined assumptions? Since Leslie was much more comfortable talking, the two of us talked. David listened. This matched everything Leslie had told me about their relationship dynamic, but I didn’t assume their differences to be a problem, and I said so as I managed the session.

Leslie explained their issues in detail and I listened, reflecting on key points I was hearing –

“Sounds like you get really anxious.”
Yes, she agreed emphatically.

“And it sounds like you turn to David and want him to reduce your anxiety.”
Yes again. Full agreement.

“And when he doesn’t reduce your anxiety successfully you find it intolerable.”
Yes.

“And the only relief you can find in the moment is to pull the plug on the relationship, which you do again and again.”
Here Leslie paused for a moment, letting the pieces fall into place, testing the implications of this. “That’s exactly what I do,” she finally confirmed.

As our weekly sessions continued, Leslie was shocked to discover that there was actually nothing David could say that would satisfy her. For years she had believed that if only David would say the right thing, she could finally relax. This belief was echoed by friends, family, counsellors and expert authors everywhere. The belief was so ubiquitous that it was never challenged, even though it never led to a happier marriage. But in our sessions Leslie discovered that this belief simply did not match reality.

From this point onward, new possibilities emerged. Fortunately, there were still feelings of attraction, love and respect between Leslie and David. Leslie’s ability and willingness to observe her own experience, beliefs and behaviours were an asset. Also, neither Leslie nor David were invested in making the other wrong. In fact, both were relieved to finally see a way out of their long-standing deadlock.

Our sessions increasingly focused on helping Leslie learn to track the anxiety in her body and to moderate her nervous system directly. This was a brand new experience for her. With help and practice, Leslie learned to use mindful awareness to turn her attention inward rather than reflexively projecting her anxiety out onto David. This change created a refreshing spaciousness between them. When he didn’t have to struggle to keep up with Leslie’s panic and demands, David was able to finally help her. She became more open to the tactile soothing that David was good at providing. (As long as she was expecting David to “say the right thing,” she had been closed to the idea of being touched while anxious.) I began facilitating experiments between them about what kind of touch each of them enjoys moment-to-moment, and they continue to explore new ways of soothing themselves and each other.

Paradoxically, only after Leslie let go of her attachment to David understanding and validating her in a specific way could she enjoy the genuine gifts that David brings to the relationship. Only after looking inside and taking responsibility for her own anxiety could she find any satisfaction in the soothing he was capable of providing. Unstuck after a decade, the process continues, with new layers constantly being revealed.

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Like what you’re reading here?
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Campbell River Marriage Counselling Justice Schanfarber Trying to grow, fix, change, understand or save your marriage? I provide couples therapy, marriage counselling, coaching and mentoring to individuals and couples on the issues that make or break relationships – Sessions by telephone/skype worldwide. Email justice@justiceschanfarber.com to request a client info package. www.JusticeSchanfarber.com

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