This is The Anxiety Recovery Mindset Podcast.
Welcome to episode four of the ARM podcast. My name's Bryan, I'll be your host, and I am also author of the book. A quick plug right up top, if you haven't checked the book out, go to theanxietyrecoverymindset.com. You'll find a link there.
You can also just visit Amazon, and it is available in paperback and on Kindle. So if you missed last week's episode, please go check it out. It would be episode three, and it's on all platforms, including YouTube. We took some questions from people.
We answered some emails, and we also went into the wild and dug up a few questions of our own. It's always interesting to take the temperature out there a bit and see how people are reacting to their condition, what kind of questions they're asking, really just get a read on how people are perceiving things these days, what the overriding opinion is, what kind of advice is being offered, and it is a mixed bag, I will say that. Not without some good information. There are some people out there that really understand this and are offering some quality advice, even on these forums, which I generally don't recommend.
But you can run into some complications out there because the opinions being offered are not always coming from a place of experience and/or having done the work to understand this. A lot of times it is something that may have helped one person or something that someone heard helped someone else. For example, you may have someone say that you need to change your diet because they've heard from some person that certain foods can agitate the nervous system. While there may be diets that are more conducive to helping us through what we're going through, that's generally not the place I would recommend people look at first.
It's one of the mistakes I made early on because I was trying everything, and it's the kind of thing that typically shows up in a place like a message board because it's easy to package and pass on. It sounds like it would be correct, but in real-world application, I don't know anyone who has recovered from a true anxiety disorder by simply changing a few things in their diet. That's just one example, and again, I'm all for a healthy diet, but the point here is to illustrate that information is freely available, but it's not always dependable and well-researched. And as I've said on this show and in the book, if nothing else, what we're gonna try to do here is give you information that has been vetted and proven.
So we are going to focus on methods that we do know work, things that people have used to recover, and methods that have stood the test of time. So with that said, I thought this week we could build a bit on this concept of information gathering, and by that I mean what is happening out there in the world as far as how people are perceiving anxiety, what kind of information is the general public trading back and forth, and I thought a good way to do that would be to take a jog through the news. So we're going to do a different type of show today, and we're gonna dig around, read what's happening out there in the news, and see how it can apply to what we discuss here. I'm gonna focus on a couple of main articles I found.
One I thought was great and the other a bit more questionable, and I found it extremely interesting how no matter how much time passes, there seems to be some consistent themes on how the public is presented the idea of anxiety and anxiety disorder. By the public, I mean people who may be experiencing this, going through it, looking for help through mainstream media sources, and those who are making and presenting the news. Those are two very different entities with two very different objectives. One of them is a group of people who are looking for the truth, looking for help, and trying to find a way out of what they're going through.
The other is an organization that needs to write a story that will capture your attention. That doesn't mean that it's not well-intended, but it means that the objectives are different. And when we're working with different objectives between two parties, as you can imagine, the needs of either one may or may not be met at any time. So with all that said, I wanted to start with an article from
An outfit called Science Alert. Let me see if I'm saying that right. Science Alert, and it is titled, "Humans have a sixth sense you have probably never heard of, and it appears to be key for mental health." The article goes on to start by saying, "We all know that humans have five senses, but a growing body of research shows that we have a sixth one that almost no one talks about, and it may be just as important for our well-being as any of the others. It's called interoception, the body's ability to sense and interpret its own internal signals.
This sense detects things that seem invisible but are happening constantly. Your heart rate, your breathing, your hunger, the temperature running through your body," and it goes on to quote, "'Although we don't take much notice of it, it's an extremely important sense as it assures that every system in the body is working optimally,' psychologist Jennifer Murphy of Royal Holloway University of London says." It goes on in the next paragraph to continue by saying, "But researchers are now beginning to realize that interoception goes beyond simply regulating our biological needs and may play a part in a range of mental health conditions, including anxiety, depression, PTSD, and eating disorders." So I doubt that anyone listening to me read this right now neglected to see that coming. It is very interesting, and this sort of sixth sense that they're talking about here mirrors the defense system that we've talked about a lot. We talk about in the book the alarm system that the body has developed over our evolution to keep us safe from predators and weather, any sort of threat that we may have faced.
So I find this interesting, and of course, none of this is brand new to us. We, as people who have or have in the past suffered from anxiety disorder, certainly understand how in tune our brains can be with what's happening in our body. But I think the interesting thing here is to think about how this translates into an overall sense of perception of the sort of unknown. And I don't mean that to sound supernatural, but I mean feeling things as they're happening, if not slightly before they're happening.
This is a sense of anticipation, so of course, we're feeling things in our bodies that, are happening at the moment. But I've noticed back in the day when I would have panic attacks that eventually I got good enough to figure out if I had a panic attack, and it seemed to come out of the blue, if I took a few minutes once I settled out and really thought about where my mind was and what I was doing in the prior ten or fifteen minutes before that,
You could almost always nail down some sort of thought process or happening, some small event that your mind interpreted a certain way and sent you this massive defense system that we call a panic attack, and we don't like it. But, it's very interesting how all of these senses are working for us all the time, probably working without our awareness, and really it is a bit of a superpower. And to me, that opens up a new way we can think about what's happening inside of our body. We have this heightened sense of awareness, and that can be called hypervigilance by people who study this, and it often does go into a place that is unhelpful.
We are analyzing, we are too aware, we are too tuned in to what's happening, particularly inside of our own bodies. But at the same time, as we learn how these processes work, it's worth appreciating that this is really an impressive system, and it is built to keep us safe. So while they do go into disorder territory at times, and yes, we do have to unwind them when they do, it's worth appreciating this immaculate sense of awareness and self-protection that the body has put in place. And my view on that is if we can learn to use it for good, sort of like, again, the superhero that's been given this special power, I do think it portends good things for us going forward in recovery.
The article finishes by saying, "What we can say for sure is that humans are much more sensory than we give ourselves credit for, even if we don't have a name for those senses as of yet. They're playing a bigger role in our wellbeing than we realize." And then it quotes, "Better understanding of all of the factors that affect interoceptive ability may be important for someday developing better treatments for mental health conditions." That makes sense, and I think really at the core, that's what most of the quality recovery programs, tracing again all the way back to Dr. Claire Weekes, have done. They're looking at what the body is doing, what it's sensing, what it's perceiving, and then how that's translating into the mind, the prefrontal cortex, the front of the brain, the newer brain, for lack of better scientific terminology. I'm not a scientist.
But the more developed part of the brain has a choice in how it interprets and reacts to what's happening, and that reaction is ultimately what decides if we move through it peacefully and allowing it to happen or if we move into a place where anxiety disorder can snowball. And of course, we talk about all that in the book, and we'll continue to talk about it week to week in the podcast. So that's a fun article. Interesting.
I will try to link it in the description, so check out the show notes or description of whatever platform you are listening to at the moment. Hey, this is Bryan with a quick reminder that if you're enjoying the show and you'd like a bit more, you can check out the book. It's available on amazon.com. You can also visit the website at www.theanxietyrecoverymindset.com.
You can jump on the email list and receive exclusive articles, early access to blogs, and other free goodies. Okay, and that brings us to the next article I wanted to look at today. This one is called, first of all, it's from US News & World Report, and it's called Health Conditions That Mimic Anxiety. Is It Something Else?
Dun, dun, dun. Okay, let's get started. The subtitle is "Experiencing panic, a racing heart, or tremors? Discover the medical conditions that mimic anxiety and learn how doctors tell them apart." So this is a recent article, to the time of this podcast.
You may be listening to this in the future, but my point with mentioning that is that I didn't have to dig far to find this. I did a couple of basic searches, and this type of article always comes up, and it came up again, and it was written within the last week. So I'll read a little bit from it. I'm not going to go too much into depth here because there's some things that may upset some people, and frankly, I would rather discuss the article's concept more than the article itself.
So, but I will start from the top here. It says, "Anxiety can cause very real, very physical symptoms, racing heart, shaking hands, shortness of breath, and stomach pain, for example. But these same symptoms of anxiety can also be signs of other serious medical conditions. Anxiety and anxiety disorders, including GAD, panic disorder, specific phobias, and social anxiety disorder, are among the world's most common mental health disorders." So far so true.
According to the WHO, anxiety disorders affected 359 million people worldwide in 2021. That's probably accurate. It's probably more than that because lots of people don't report it and are not treated for it. The article goes on to say, "Confusing the two can have major health consequences.
Assuming you're experiencing anxiety when a more critical issue is at play could potentially delay life-saving care." So here we go.
"Figuring out whether your symptoms stem from anxiety or a physical illness can be challenging, but getting an accurate diagnosis is the only way to get on the right treatment path." Well, this is correct. That much we agree on. "Read on to discover the medical conditions most often confused with anxiety, how experts tell them apart, and the important red flag symptoms to watch out for."
Okay, we're not going to read on to, learn about all those. I will come back to the article a bit here and show you how they finish up, but essentially, this is a long laundry list of basic anxiety symptoms like a racing heart or shallow breathing or nausea, things that are extremely common, and it is attempting to make connections between those things and what I would consider to be abnormally rare explanations for them. So I think it's probably worth stopping right now and making it very clear of what I'm not saying. I am not suggesting in any way that anyone should not seek proper medical attention when they have a symptom, particularly if it's the first time they've had the symptom, and particularly if it is alarming and feels like it's off the grid, so to speak, for what a normal stress symptom would be.
In fact, in the book, the first thing we talk about is one of the most effective ways to address recovery is by going deep on the front end. So as soon as you start experiencing these things, going as deep as you need to go to prove to yourself that what you are experiencing is panic and anxiety driven. That means lab work. That can mean MRIs.
It can mean, for a lot of people, weeks, months, possibly longer. It is important to rule out structural causes first. This is literally step number one in the book, so I don't want to come across as someone who is saying that we should ignore what our body is telling us. Quite the opposite.
That is the first step to moving through panic or anxiety or any related stress disorder of this type. But, and you could tell there's a but coming, this article represents a perfect example of how anxiety tends to be presented in the media, and I don't know why this is. Actually, I probably do know why this is. This article is scary.
It has a scary headline. It is concerning if you read it. If you have anxiety symptoms, you are definitely going to read this. If you're on the fence, you're probably going to click on it.
It's designed to get clicks. Now, the problem is, is that it's also defensible on some level for someone to say, "Yes, but you shouldn't ignore a racing heart because it could be XYZ." Of course, no one is saying that you should ignore anything. The problem I have with this type of media, which is so common in mainstream news coverage of the condition, is that these articles are always geared towards the worst case scenario, and they are almost never geared towards the overwhelming vast majority of people who think they have medical conditions but don't. So a good way to test this theory out, if you have access to your local doctor, a GP, a family doctor, someone you can ask a quick, simple question, ask them this: Do you more often find that people come in with symptoms that turn out to be anxiety, or do you more often find that people who have been diagnosed with anxiety actually have true underlying health conditions?
I know what the answer to that is going to be, but please go research for yourself. Again, only anecdotal. I don't know if there have been any large scale studies on this, but specifically with the population that I am attempting to reach here with what I do, there are far more people who are worried about the what if than there are people who haven't given adequate attention to that. In other words, most people suffering from anxiety, by design, by the nature of what anxiety does, are already so analytical that they have gone down every road with every symptom and had it checked out to the most extreme degree possible.
I don't know anyone with anxiety disorder who lets things go, who overlooks symptoms, who overlooks how they feel. Now, in the general population, it may be true that people may ignore some symptoms, but that's not what this article is purporting to be true. This article is presenting the notion that your anxiety may not really be anxiety. It may be something dangerous, so you should click on this article.
Now, I will throw in a rare exception to the norm for people who are suffering with anxiety is the health anxious person. There may occasionally be people who do not seek the proper care and do not search out symptoms because they fear going to the doctor, fear getting testing, fear what they'll find out. That was me at certain times in my journey, although I'd had enough initial testing to probably protect me well enough, but there were times that I probably could have gone to the doctor, and I didn't because of health anxiety, just not wanting to get more tests done. This is an exception, and if that's you, that is something to consider, and we do not want to let things slide for reasons of being fearful either.
Remember, going back to the first step, the rule is we exclude structural things first. We get a clear bill of health first, and then we address anxiety. So again, this is a hot button topic for me because I remember being in a state where it was so hard to find good information. You would click on a news story like this hoping to find some bit of uplifting information or guidance through the disorder, and instead what you got was something that fed the very worst case scenario.
We call them the what-ifs, right? Again, Claire Weekes talked about this at the beginning of her book. What if? These are the two words that get us all in trouble with anxiety disorder.
And I just find it hard to believe that so many articles focus on this tiny percentage of dangerous outcomes that could be found from somebody who has already been diagnosed with a specific mental health struggle. So anyway, this article goes on to finish by saying, "Anxiety versus physical illness, how to tell the difference. One thing psychiatrists look for when distinguishing between symptoms of anxiety disorder and other medical conditions is what came first, the feeling of fear or anxiousness or the physical symptoms." I would actually agree with that. I think that's a fairly reasonable way to start the discussion.
I think that's a practice we can use at home as we are in recovery and we have something new pop up. That was actually a litmus test I used to give myself quite a bit when I would have a new ache or pain or sensation. I would ask myself, "How afraid of this am I? Was I afraid before this happened?
What is my reaction to this? Is it disproportionate?" That is a good sort of home method to determine what you're dealing with. I actually think that part is good. It goes on to say, and this is quoted, "If someone says, 'I'll suddenly start to have this feeling of doom or fear, then my heart races,' well, then anxiety clearly brought that on.
In contrast," he explains, "if someone says, 'My heart races, then I get really scared I'm having a heart attack,' then it's more likely a separate condition and not anxiety." This is where we disagree. That isn't true. In fact, anyone listening to this right now who has had physical symptoms can attest that that's not true. Yes, it can be a good method to use your level of fear and anxiousness around a symptom to gauge what it might be.
It is not accurate to say, however, that because your heart raced first and you felt the fear second, that this indicates it must be a physical problem or a true medical issue. You can react fearfully because of anxiety to any bodily symptom. In fact, that is part of what creates anxiety disorder itself. We react to things that happen in an extreme way, in an exaggerated and hypervigilant way.
So I do not agree with that. I think a better way to determine the difference between a true physical structural problem and anxiety is to think about when it happened, to understand the difference between a few palpitations, your heart racing a little bit, and a heart rate that may be out of the normal range that anxiety can cause. I'm not going to go into those things. If you want to research those, they're easy enough to find.
But just to say that because I became scared after I felt a symptom, then it must be a physical problem, that's not accurate. And that's my opinion. But you know, I get to say my opinion here. We'll finish up.
It says, "Individuals with pre-existing medical conditions are at higher risk for panic disorder because they often fear their symptoms are physically dangerous. In contrast, healthier people tend to view occasional panic attacks as isolated incidents and move on with them without lasting worry." That's also an interesting take on this. I would agree that healthier people might be more willing to overlook a panic attack, but I was at peak physical condition when I had my first panic attack. I did not overlook it, and that was more to do with my psychological wiring, my learned behavior, my personality, things that are just sort of baked into us, and I had to learn a new way to address them over time.
So having good physical health does not guarantee that you will react properly to a panic attack. Conversely, some people who are healthy may find that they can skate right through a panic attack or two. I would also imagine that it's true that someone could be out of shape, not particularly healthy, but just not care enough to pay a lot of attention to a panic attack that happens. Perhaps they're just not very attentive to their body in general.
So I don't think that that's a good blanket to put over things anyway. In any case, it's a long article. It finishes-- Let's just read the end here to see if there's anything salvageable from it. "Anxiety isn't all in your head.
It's a full body experience driven by evolutionary survival mechanics." That's true. "However, because its symptoms can mimic other health conditions ranging from thyroid disease to heart arrhythmias, you should never simply write off your symptoms as anxiety." Okay. Again, that is, in a vacuum, a true statement. If it's the first time you've ever felt a symptom and it's extreme and you have not had it looked at, it is medically responsible to have it looked at.
The problem that I have with media like this is it is directed towards people who have anxiety already. Most of those people are hypervigilant, they are very analytical, and they have had their condition diagnosed. They have been told, "You have anxiety. It is going to produce symptoms.
They can look like this." I had symptoms for years and years that mimicked all of the ones they talk about here, and they were totally harmless in the end. Wrapping up, always start with a proper health screening, and then investigate individual symptoms that need to be investigated, get a checkup, get a full body scan, whatever you need to do to prove to yourself that your body is functioning optimally. This is how we begin going through the condition. And once we have those things, we are required to eventually begin to accept the protest that our body is sending to us.
In other words, the symptoms, the discomfort, the occasional racing heart, the nausea. It's understandable not to like these things, but it is our responsibility to investigate these things early on to prove to ourselves they are not structural and not concerning, and then move on with our lives. This is how recovery takes place. Articles like this, in my opinion, are not written with the best interest of the audience in mind, and I wanted to point that out because as negative as this may seem on this article, I do feel like this can help us as we go forward and we encounter these types of stories to keep things in perspective and take a proper viewpoint on how to proceed.
So I hope you found that information to be useful or at least interesting. I do think there was a lot of great information in that first story, and there was a lot to learn in the second article. We are going to encounter stories all the time, and I think I'll try to make it a regular feature on the show to bring up a few articles and really take a look at what's happening out there. I want you to have the best tools that you can possibly have every day as you head out into the world and you go through your recovery.
So stick around and we will do more of this in the future. That's gonna do it for episode four of the Anxiety Recovery Mindset podcast. Thanks for hanging out with us, and we will be doing another episode next week. The topic remains TBD at this point, but I'm looking into a couple of guests, and I hope to have more information on that soon.
Please visit the website, theanxietyrecoverymindset.com. Jump on the email list and send us a message. Let us know what you'd like to hear. Ask any question you'd like to ask.
We will read it on the show. We appreciate you listening and want to make the show the best we can for you. That'll do it. Talk to you next time.
Until then, take care.