by Rabbi Daniel Schonbuch, LMFT (Licensed Marriage and Family Therapist)
We are living in a world where fear has become the new norm. Unfortunately, due to the COVID virus, and the media’s coverage of violence, terror and disaster, many more people are expressing that they are “feeling anxious” or they simply feel a lack of security in their lives.
Most people are not aware that anxiety disorders are the most common mental illness in the United States, affecting 40 million adults aged 18 and older (18% of the U.S. population).
And the cost to society is staggering. According to The Journal of Clinical Psychiatry, anxiety disorders cost the U.S. more than $42 billion a year, almost one-third of the country’s $148 billion total mental health bill. More than $22.84 billion of those costs are associated with the repeated use of health care services; people with anxiety disorders seek relief for symptoms that mimic physical illnesses.
With health care on everyone’s minds today, it is important to note that people with an anxiety disorder are three to five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatric disorders than those who do not suffer from anxiety disorders.
So where does anxiety come from? Is it organic or genetic? Is it based on one’s personality and a possible series of traumatic events?
A simple answer is that anxiety disorders develop from a complex set of risk factors including genetics, brain chemistry, personality and life events.
Let’s explore both the causes and the cures for this painful spectrum of disorders and what sufferers of anxiety can do to relieve their symptoms.
WHAT IS ANXIETY?
Anxiety is a normal reaction to stress. Sometimes it can be positive, for example, if it helps you deal with a tense situation in the office, study harder for an exam, handle a new situation, or stay focused on an important task. In general, it helps people cope. But when anxiety becomes excessive, doesn’t fit the situation, or lasts a long time, it can get in the way of your everyday activities and may interfere with how you get along with others.
There are several types of anxiety disorders with a variety of symptoms. Some people have repeated short-term episodes of intense fear, while others have exaggerated worry and tension most of the time or in everyday social situations. Sometimes, the anxiety comes with physical symptoms like heart pounding, trouble breathing, trembling, sweating or being easily startled.
Other times, anxiety disorders can include ongoing, unwanted thoughts or repetitive behaviors.
Common anxiety disorders include panic disorder, social phobia, generalized anxiety disorder, obsessive-compulsive disorder and posttraumatic stress disorder (PTSD). No matter which type of condition you may have, it is important to know that most people with anxiety disorders can be helped with professional care.
Stress-related anxiety is rooted in what is commonly known as “fight-or-flight.” It is a physical and emotional response to real or perceived danger. This kind of anxiety, although it can be very uncomfortable, is still very useful in that it helps us respond to a crisis. Intense worry about a sick child prompts us to prepare for
any eventuality.
Stress anxiety is caused by a clearly identifiable event and fades as soon as the crisis is over. (Amusement parks make a great deal of their money by provoking this kind of anxiety. The jolt in your stomach when you speed down a roller coaster or when something jumps out at you is the fight-or-flight response in action. The rush of adrenaline feels so good, you want to take another ride.)
WHEN DOES NORMAL ANXIETY BECOME AN ANXIETY DISORDER?
Anxiety disorders take normal anxiety responses to another level. For people with anxiety disorders, worrying (or worrying about worrying) disrupts the flow of daily life. These worries and even the fight-or-flight adrenaline rush are not necessarily connected to any specific event.
Often, they happen for no apparent reason and disappear as mysteriously as they started. What best characterizes an anxiety disorder is that it is out of proportion and out of the individual’s control.
HOW TO TREAT ANXIETY?
The most effective way to treat anxiety is to have a person become aware of how their thinking process causes them to have feelings of fear and discomfort. Over 60 years ago, a well-known and distinguished psychiatrist Aaron Beck, explained the mechanisms of anxiety when he formulated the concepts of cognitive-behavioral therapy precipitate (CBT).
According to the principles of CBT, there are several levels of thinking. The first one is automatic thoughts or worries. An example would be “it’s too dangerous to drive on the road”. According to Beck, To treat that kind of worry, we need to look at deeper levels of thinking.
The next level would be called intermediate thoughts. Intermediate thoughts axioms or thought processes that cause a person to worry. A common example would be black-and-white thinking, negative filtering, overgeneralizing or catastrophizing. A person who overgeneralizes may have seen someone get into a car accident once, and now believes that all driving is dangerous.
However, these axioms come from a deeper level of thinking, from what Beck calls self-beliefs. A negative self-belief is an “I am” statement. Some examples would include, I am in danger, I am bad, I am worthless, or I am vulnerable. If a person maintains a self-belief of this nature, he will automatically turn towards over-generalizing or catastrophizing about every possible dangerous situation they encounter.
A CHASIDIC APPROACH
On this level, Chasidic thought instructs us to understand our self-belief system from another perspective. Are we just a vulnerable self? Are we limited to the bounds of our physical and external existence?
We have a deeper self which is known as the “Nefesh Elokis”. From this perspective, we are a part of Hashem and really have nothing to fear. It is only our self-perception of our physical self where fear can exist. Therefore, Torah psychology would instruct us to focus on understanding who we truly are as a method of confronting anxiety. This is perhaps the ultimate and Torah-based way to heal our fears.
— Rabbi Daniel Schonbuch, LMFT (Licensed Marriage and Family Therapist) is renowned for improving the emotional lives of individuals, couples and families. He is the author of 4 books. He can be reached at www.ItWillBeGood.com or 646-428-4723.