Tag: worry

Posted in Psychology & Medicine

Holistic Medicine

Posted on by Jinavie

At face value, medicine appears to work on a relatively simple model. You gather information through history taking, clinical examination and investigations such as lab tests and imaging. Then, you narrow down the differential diagnosis to the single most likely diagnosis. Lastly, you treat the diagnosis as per the recommended treatment guidelines.

But if you ask anyone who works in healthcare, they will all know that is not the whole truth. There are so many other factors and variables that play in to the management of a patient that the model above does not address.

For example, you may diagnose a skin infection and prescribe antibiotics, but the person may not have enough disposable income to pay for the medications. You may come up with a plan for the patient to come in to clinic in a week’s time for a review, but they may not have transport or someone to look after their children so that they can come in. You may diagnose that there is nothing medically wrong with the patient, but they may still be worried that they have a serious condition that killed their father.

In medicine, you do not treat the disease; you treat the patient. It is easy to get so focussed on the clinical picture that the overall context is lost. This leads to incomplete care, which causes a variety of issues ranging from patient dissatisfaction to recurrent presentations.

Although it may seem difficult and time-consuming to pay attention to these extra details, it almost always pays off in one way or another. Addressing a patient’s troubled social situation may reduce the number of times they present to hospital, saving significant costs. The doctor taking the time to reassure the patient that their symptom is not concerning for a significant illness may let the patient sleep comfortably at night. Talking through the patient or their family’s concerns and questions might make the worst day of their lives slightly more tolerable.

This approach is useful outside of the hospital too. When you face a problem, regardless of the type, instead of trying to come up with a quick fix to patch it up, try to consider the context of the problem. You may discover that there is a deeper, more fundamental cause of the problem that needs fixing.

Posted in Life & Happiness

Spirals

Posted on by Jinavie

You see an attractive person.
You think about approaching them to talk with them.
You toy with the idea of asking them out for a coffee.
You worry that they will be offended by your forwardness.
You feel certain that they would never say yes because you are unattractive.
You become sad that you will never find love and will die alone.
As all of these thoughts race through your head, the person walks past you and carries on with their day, oblivious to your internal torment.

This is a classic example of a negative thought spiral. Our brains are experts of association. But unfortunately, they are also experts of worrying. Evolution has trained us to be prepared for all emergencies with a state-of-the-art fight-or-flight system, which unfortunately is more useful for fleeing from lions than the stresses of modern life.

Because of our anxieties and stress, a fleeting, negative intrusive thought can spark a chain of negative thoughts, spiralling infinitely tighter and tighter as we catastrophise and despair.

Fortunately, there are a variety of ways to rescue yourself from a negative thought spiral.

The first is to recognise that you are in a spiral. A person walking down a spiral road may think that they are walking down a straight road, because they cannot see the bigger picture. This is why it is important to be mindful of your mental state. How are you feeling? What is making you feel this way? How are these feelings affecting your thoughts?

Sometimes, the sheer process of recognising a spiral lets you snap out of it. You may notice obvious rational answers to your anxiety. Perhaps your partner is not texting back because they are busy at work, not because they died in a fiery car crash.

Failing this, we can try grounding exercises. This is a classic distraction technique where by focussing and anchoring yourself on the present, you can escape the spiral.
This may range from simple breathing exercises, to more detailed mindfulness exercises such as the five senses meditation.

Lastly, remember to be kind to yourself. Do not let the spiral be cruel to you. When the spiral tells you that you are worthless, correct them by telling yourself that you are worth it. Talk to yourself as you would to someone you love dearly. As important it is to have other people to rely on for compassion and love, it is so difficult to escape these spirals if we do not show ourselves compassion and love.

Contrary to what we have discussed, not all spirals are bad. To quote John Green:

“Spirals grow infinitely small the farther you follow them inward, but they also grow infinitely large the farther you follow them out.”

When you are mindful of your thoughts, you will notice the occasional positive thought spirals. For example, you may have a sudden thought that you might want to travel on your own. You might come up with a gift idea for a friend that you think they might appreciate, despite how cheesy it is. Sometimes, these thoughts become seeds that grow out into more elaborate ideas and plans.

These are the kinds of spirals you should listen to, as it is your subconscious prompting you to take action in your pursuit of happiness. As long as it does not harm you or others, you should follow these spirals outwards, as they may lead you to an infinitely wonderful place.

Posted in Psychology & Medicine

Anxiety

Posted on by Jinavie

The human brain is one of the most sophisticated computers ever developed. It is so powerful that it can simulate all kinds of imaginative scenarios, allowing us to predict and plan for the future. Unfortunately for us, it is a double-edged sword that brings with it the curse of anxiety.

Anxiety is different to fear in that fear is a response to a specific present danger, such as a bear, whereas anxiety is usually a more vague concern for the future. Because our brain can imagine many unpleasant possible outcomes, we become fearful of what may come. This might be because of a past trauma, such as being afraid of abandonment, or because we do not know enough to safely predict what may happen, such as starting a new job.

Regardless of what the source may be, anxiety can be damaging as it prevents us from living life to the fullest. To protect ourselves from becoming overwhelmed by anxiety, we develop strategies to ease our anxiety from a very young age. A common example is an object that gives reassurance, such as a teddy bear or a security blanket. Unfortunately, these are less socially acceptable to carry as an adult.

In some ways, almost everything we do could be seen as an attempt to escape anxiety. We strive for stable jobs so that we don’t have to worry about financial problems in the future. We seek pleasure and happiness, through healthy means such as a passionate hobby or unhealthy like alcohol, to distract us from anxiety. We look for a partner who we can connect with emotionally – someone who can hold us and tell us everything will be alright, even when all hope seems lost.

Anxiety is unavoidable, but it can be managed. There are many effective methods.

First, there is distraction. Hobbies and interests let us enter flow state, where our worries melt away because we are so focussed on the present and enjoying the moment that we do not need to worry about the future. Music gives us similar relief, as it helps us calm our nerves and drowns out the neurotic voice in our heads.

Second, there is the physiological approach. Anxiety raises your heart rate and breathing rate. You can trick your brain in to being less anxious by slowing your heart rate and breathing down. This can be done effectively through breathing exercises, meditation or even a simple, relaxing bath.

Third, there is mindfulness. Train yourself in becoming more aware of why you are feeling anxious. Anxiety usually stems from a single source then spreads like wildfire into its general form. Finding the source will make it easier to take the next step.

Lastly and most importantly, there is reassurance. This may be external, such as the kind words from a friend or a motivational poster, or internal, where you remind yourself that you will be okay. Remind yourself of all of the horrible experiences you have already survived in your life. Remind yourself that regardless of how stressful it was at the time, you are still (hopefully) okay. Remind yourself that you are an amazing, resilient, capable person who will get through this.

However, be aware that up to one-fifth of people suffer from anxiety disorders – a group of psychological disorders that cause persistent, distressing anxiety and dysfunctional behaviours developed to try reduce that anxiety. These disorders, such as phobias, panic disorder and OCD, are much more complicated to treat. They often require professional help and even medicines to treat. Even so, the above psychological treatments are used in conjunction and certainly can’t do much harm.

Anxiety is one of the greatest barriers to happiness. So in the wise words of Meher Baba: “Don’t worry, be happy”.