Showing posts with label fear. Show all posts
Showing posts with label fear. Show all posts

Thursday, June 8, 2017

Theories about anxiety


Really fascinating idea on why anxiety seems to be so common these days.

Consider the evolutionary context that anxiety involved in: it created a fight or flight response to deal with short-term emergencies that almost always had obvious solutions. For nearly our entire ancestral past, we’ve had problems that had clear solutions. Did that nearby bush slightly move? Anxiety and stress created a sense of urgency and alertness and caused you to investigate this short term problem. Is there a wild animal nearby? Anxiety can save the day for this black and white problem as well. The stress response causes tunnel vision and intense concentration for the duration of the danger. You get the idea. These “ancestral” examples are practically endless.

Now consider modern problems and how potentially long-term and uncertain they are. We are practically flooded with such issues as we age.  

"Mental pain is elusive. Financial woes, an uncommunicative spouse, existential angst—none of these stressors necessarily yields to a single simple solution. Neither fight nor flight is satisfactory. While stress arousal is a fitting mode to meet emergency, as an ongoing state it is a disaster."


We have a coping mechanism that was created to deal with problems that no longer exist (outside of very rare situations)...

“Far more common is psychological pain—affront to one’s self esteem, apprehension, loss. We meet these pains with an alarm system tuned by millions of years of more primal threats.”

Quotes from  Vital Lies, Simple Truths: The Psychology of Self-Deception

Sunday, February 19, 2017

Managing Death Anxiety

Wikipedia defines Death Anxiety simply as the...
...morbid, abnormal, or persistent fear of one's own death. One source defines death anxiety as a "feeling of dread, apprehension or solicitude (anxiety) when one thinks of the process of dying, or ceasing to ‘be’".[1] It is also referred to as thanatophobia (fear of death)
Death anxiety is often times intermingled with Existential Dread, which...
...is a moment at which an individual questions the very foundations of their life: whether this life has any meaning, purpose, or value.[1] This issue of the meaning and purpose of existence is the topic of the philosophical school of existentialism. 
I hadn't thought about any of these topics with any serious frequency for most of my life. However, once I took a position that made me think about death on a daily basis, it was likely inevitable that my own death anxiety would form and become increasingly intense. I imagine it hits everyone differently, but in my case, some of the symptoms included consistent sleep loss, loss of appetite, nausea, panic attacks, general sense of meaninglessness, no longer caring about activities that used to make me happy, and loss of interest in interacting with others. These are still issues I deal with to some degree. Over time it became clear to me that the underlying cause was my death anxiety because it was the one common factor during every low point that I experienced. It consistently reared its head in one way or another in numerous contexts.

After my anxiety reached a point when my quality of life was seriously compromised, I decided to finally address the issue head on. From my research, I came upon a book that would finally help me make a noticeable dent in this seemingly intractable problem. That book is called "Staring at the Sun" and it's by the renowned author Irvin D. Yalom. His guidance greatly helped me and I want to share some of the strategies discussed in the book and my hope is that it can help others as well; or at the very least, convince them to check the book for themselves.

Dr. Yalom starts off his attack on death anxiety by first directly and clearly acknowledging that it's a fear that nearly every person has:
I share the fear of death with every human being: it is our dark shadow from which we are never severed... Our existence is forever shadowed by the knowledge that we will grow, blossom, and, inevitably, diminish and die... anxiety about dying waxes and wanes throughout the life cycle.
Acknowledging the issue in such a direct manner and stating how common it is hopefully accomplishes the goal of allowing someone to genuinely accept the existence of such a fear. If my own experience is any guide, attempting to deny a problem only leads to it re-appearing in unexpected and indirect ways. One of the first essential steps of exploring and understanding any issue is genuinely accepting that it exists and that it's a part of who you are to some degree.

The author goes on to state that death anxiety can manifest itself in symptoms that at first might seem unrelated to the underlying issue:
Though fear of dying can totally immobilize some people, often the fear is covert and expressed in symptoms that appear to have nothing to do with one's mortality.
This is important to realize as a way of identifying the underlying problem and addressing the root instead of trying to keep cutting away at the outer branches. Going after the root will prove to be a difficult journey but the rewards will ultimately be worth it because...
...confronting  death can be an awakening experience to a fuller life... and it allows us to reenter life in a richer, more compassionate manner and it may serve as a profoundly useful catalyst for major life changes.
Given the potentially immense benefits of addressing death anxiety directly, Dr. Yalom provides several paths to addressing the issue. As stated before, the first step is to accept the fear of death as an issue that is prevalent among many of us. In fact, it was even prevalent among the greatest philosophers such as Epicurus and Nietzsche. If this fear can strike such great thinkers (or "giants of thought" as the author calls them), it's not surprising that it can affect the rest of us as well. This realization should hopefully take some of the pressure off the issue and allow us to accept its existence and prevalence.

On a related note, we must also remember that when we do stumble upon ideas that seem to resonate with us and help alleviate our struggles, we need to remember that...
...good ideas, even ideas of power, are rarely sufficient in a single shot: repeated doses are necessary.
The author then continues to discuss another strategy for alleviating the terror of death. He calls the idea "rippling" :
Rippling refers to the fact that each of us creates--often without any conscious intent or knowledge--concentric circles of influence that may affect others for years, even for generations. That is, the effect we have on other people is in turn passed on to others, much as the ripples in a pond go on and on until they're no longer visible but continuing at a nano level. The idea that we can leave something of ourselves, even beyond our knowing, offers a potent answer to those who claim that meaninglessness inevitably flows from one's finiteness and transiency.
The realization that you will very likely leave positive effects on others even long after your death could potentially be a source of comfort during low points when you feel like your life doesn't have much meaning. Without realizing it, you could have affected others in a genuine and positive way. Your existence had and continues to have a positive purpose, even if you haven't been aware of such a fact.

Another approach is to look at death in a more logical manner. For instance, I had the fear of missing out on all the wonderful things that might be happening in the future such as consumer space travel and the development of amazing technologies. I was sad at the thought of not getting to keep developing my talents and pursuing knowledge. However, do such fears ultimately make sense? Consider the practical details of such a fear. We won't be conscious of those fears materializing because we won't be around to experience them. We literally would not have the ability to experience such fears because...
...we won't know we're not here. We won't know we won't know. The state of nonexistence is not terrifying because we won't know we are not existing.
It might seem like a strange or "obvious" way of looking at the issue but I had certainly never taken the time to think about the topic in such a purely logical way. Perhaps others haven't as well and this is a promising path to explore.

Another method of addressing the fear of death is to imagine giving advice to someone else who is experiencing such anxiety. For parents, they can imagine giving advice to their children. For people who don't have kids, they can imagine helping a close friend, a family member, or a lover. If someone approached you with the same fears that you are experiencing, how would you comfort them? Role reversal is a mental exercise that helps in other therapeutic settings and it can be applied in this particular context too.  The author describes one of his patients who's a mother. He asks her to imagine her young daughter coming to her and asking her, "If we are going to die, then why or how should we live?" The author asks the mother to answer that hypothetical question from her daughter. The mother goes on to say:
"I'd tell her about the many joys of living, the beauty of the forests, the pleasure of being with friends and family, the bliss of spreading love to others and of leaving the world a better place."  After finishing, she leaned back in her chair and opened her eyes wide, astonished at her own words, as though to say, "Where did that come from?"
Often times, we finally become convinced of a truth when we arrive to it through our own words. One way to jump-start such a process is through the use of relevant hypothetical scenarios like the one described above.

Ultimately, the strategies discussed here are not going to remove the fear of death completely. As Dr. Yalom states many times throughout the book, such a fear is hardwired into all of us and it's impossible to remove. The need to keep existing and continuing to live is obviously an immensely strong desire and thoughts of one's mortality and death go directly against this need and can cause terror.  However, just because something can't be removed, it doesn't mean it can't be downgraded from the level of an anxiety or a terror to the level of an everyday manageable fear. This is the author's goal. Accomplishing such a task can bring immense mental and emotional relief if my own experience is any indication. The book is full of moving examples from the author's own life and from decades of being a professional therapist. What I've described here is just a small sample and I highly recommend the book to everyone, even those who don't particularly deal with much anxiety


Portrait of Irvin Yalom

Friday, July 10, 2015

What the hell was THAT?

I am recounting my experience of something that happened very recently as a way of trying to make at least some sense of it.

I was taken to the ER for having my first ever genuine and prolonged panic attack. I figure that the best way to tackle an issue is to try to take it head on instead of avoiding thinking about it with the hopes that it won't happen again.  I believe avoiding an issue is generally a mistake.  Making decisions with fear as your motivation often ends badly.

I've had minor occurrences of panic attack'esque episodes in the past but this time it was distinctly different and a whole new kind of beast.  It occurred at 1:25am. I got up for a bathroom break like numerous times before. When I came back to bed and threw the sheets over me, I realized something was very very wrong.  I felt a fear so primal and unrecognizable that I had no idea what was happening to me. The incredibly foreign nature of what I was feeling added to the panic and made the whole situation that much more terrifying. I started trembling uncontrollably even though it was not cold.  My heart rate skyrocketed and I could feel my heart fiercely beating against my chest. I turned on the lights and sat on my bed in a complete daze. My father got alarmed and woke up from the light. He came into my room and repeatedly asked what was wrong.  I kept trembling and staring in random directions. I finally managed to mutter "emergency room... now..."

After the symptoms finally subsided and the nurses could find nothing physically wrong with me,  I thought about why I couldn't answer my father when he kept asking what was wrong with me.  I realized that the answer I wanted to give him would make me sound insane and that made me very afraid. A quick web.md search yielded the symptom I was too scared to even attempt to describe:

"Feeling unreal or detached from your surroundings."

Besides the physical symptoms such as trembling and an increased heart rate, this was the mental symptom I was utterly terrified of. I quite literally felt like I was viewing my body from somewhere high above and outside of it. I felt my "essence" fading from me. I couldn't stop myself from thinking about what actually makes me "Vahagn." I didn't think of myself as a unified whole. I thought of myself as a massive collection of cells. I saw myself as groups of organs surrounded by flesh. I viewed my brain as a collection of neurons and I could not stop thinking about how all those neurons work together to form who I am. I could not understand how they formed my consciousness and stored my memories.  I asked myself "why are these neurons working together to store my memories and who I am? What's stopping them from erasing me completely?"  I believe I was having an existential crisis in the most literal way I could possibly experience it and the ordeal was immensely terrifying and it caused me to question the very essence of reality and what ultimately makes me, "me."

I never want to go through this experience again but if it does decide to show up again. .. bring it the fuck on. I'm ready for you.

Friday, March 2, 2012

How to frame an issue


How an issue is framed can have significant effects an a viewer's attitudes. For instance, persuasive messages that are presented in a negative or threatening manner have been shown to be more effective at encouraging people to act. An example of this can be seen in energy conservation. If given the choice between portraying energy conservation measures as saving customers $350 a year or resulting in the loss of $350, it might actually be more effective to take the negative route and warn customers that they will lose money if they do not change their energy consumption habits. Such an approach might be more successful because people are loss averse. Experiments with gambling have shown that given the choice in taking a risk with a coin toss, subjects were only willing to take the gamble if the size of the reward from getting a heads was roughly twice as large as the loss from getting a tails.

Another study looked at the effects of threatening messages on environmental attitudes. The conclusions of several energy conservation studies were analyzed and the authors found that if the subjects believed environmental deterioration was imminent and local, they were much more likely to show environmentally responsible behavior. Part of the reason for such an observation might be because “awareness of severe and/or widespread harmful consequences to other people tends to activate the feeling that action should be taken to avert or alleviate the harm.” Such findings give insight into how environmental messages can be framed to have a greater effect.

These findings are a bit counter-intuitive but scaring people and focusing on losses seems to have a stronger effect on behavioral change than focusing on rewards and benefits.

Source: http://www.gordonisimo.com/images/OvercomingDivingFear_10308/ScaredFace.jpg


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The beginning is perhaps more difficult than anything else, but keep heart, it will turn out all right. -Vincent van Gogh