Disordered: Anxiety Help Josh Fletcher and Drew Linsalata

If you've ever listened to an episode of Disordered and felt the need to ask "Yes, but what about when ...?", then this episode is for you.



A common struggle among people trying to overcome chronic and disordered anxiety is gaining the ability to generalize the principles of recovery and apply them in an individual context. Anxious people will often hear advice aimed at different types of anxious presentations, then ask for specific advice aimed at their specific fears or thoughts or symptoms.



That's a reasonable thing to ask of course, but what if the advice you're hearing for panic attacks also applies to GAD or OCD or health anxiety? Can you see how the principles of eliminating avoidance and doing the opposite of what your fear wants to you do might apply in your situation?



Recovery isn't necessarily about learning how to eradicate your specific symptom or worry. It's about learning that avoiding and struggling against your internal experiences is making things worse instead of better. This general principle is applicable regardless of the specific struggle in any given moment.



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Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.



⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?



Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Summer has arrived in the US and the UK, so let's talk about anxiety based on the heat. Summertime is often a difficult time for people struggling with anxiety disorders because the seasonal change in temperature becomes an anxiety trigger.



Today the guys are talking about:




How heat is just uncomfortable. Being uncomfortable in any way is often unacceptable for people with anxiety disorders.
Heat may trigger feelings that resemble panic attacks or that might remind you of times in the past when you've had scary or difficult experiences that you've attributed to high temperatures.
How anxiety disorders will argue irrationally about the danger or risk posed by summer temperatures, often totally discounting the ability of humans to exist quite safely in a very wide range of even extreme climates.
Typical exposure ideas that target heat centric anxiety.
Why working on your heat anxiety means you're also working on other triggered because heat anxiety is just another expression of the single core fear that comes with things like panic disorder or OCD - that thoughts, feelings, and sensations will be too much.



As usual there are questions from the community and a few "did it anyways" to provide encouragement and inspiration.

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Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.



⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?



Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

We're back in business this week with both Josh and Drew in studio again chatting about the role of food and eating in the anxiety recovery process. Everyone eats, and for people struggling with anxiety disorders, food and the process of eating can become deeply connected to recovery and/or attempting to manage anxiety, symptoms, thoughts, or emotions.



As usual the guys share from their own experiences while covering some of the key points to consider when identifying how food and eating can be part of your recovery plans. A few important points:




Eating to be healthy is never a bad idea. But eating as a way to try to manage anxiety symptoms, prevent panic, or to micromanage physical processes that were never designed to be micromanaged can backfire on us.
Eating can become a safety or avoidance behavior when we tie our diets and eating habits to our anxious fears.
Be mindful of less than well-informed advice found on the Internet and in other places that promises to cure your anxiety with special diets - especially extreme or highly restrictive diets.
Don't make the mistake of eating like your body is fragile and can only exist inside a narrow dietary range. In the absence of medical/physical issues that demand dietary limitations, a varied diet has physical benefits while also teaching vital lessons about psychological flexibility that matters so much in the recovery process.
Contrary to popular belief, it is possible (though we would not suggest this if you can help it) so fully recover from an anxiety disorder - being afraid of being afraid - being anxious about being anxious - while consuming only junk food. Treating your body well is a better idea of course and certainly supportive, but it is not generally helpful to place food and diet on a pedestal as a cornerstone of recovery.
Food can change how your body feels. This is 100% true. But remember that being afraid of your body is an entirely different situation. This matters in the recovery process.



This episode was sparked by a question from a listener. Thanks, Nick! Want to participate in a future episode of Disordered by sending in a did it anyway or asking a question? Visit disordered.fm and let's hear what's on your mind!

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Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.



⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

-----

Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?



Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The principles of Acceptance and Commitment Therapy (ACT) are heard in every episode of disordered. Whenever you hear Drew or Josh talk about acceptance or allowing or surrendering and moving THROUGH anxiety rather than resisting it ... you are hearing elements of ACT.



This week we're a bit banged up - Josh is traveling and Drew has the flu, but fear not. Not only are we going to talk about ACT today, but we're talking about it with the guy that literally invented it - Dr. Steven C Hayes. If you want to explore the foundations of ACT and what it's all about, you can't pick a better person to talk to than Dr. Hayes so we are thrilled about this one.



Surprises in this episode include Dr. Hayes talking about how he's a former sufferer of panic disorder, and framing anxiety as part of the "gift of emotion". Does that seem ridiculous to you? Keep listening. It makes sense when you work it through and aligns perfectly with what we're always talking about here.



To learn more about Dr Hayes, ACT, and the work he's done, check out his website at

https://stevenchayes.com



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Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.



⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

-----

Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?



Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Mindfulness is good for anxiety, right? Isn't this what everyone says? Mindfulness fixes anxiety and makes you happier? Isn't that it?



Well ... not really. This week Drew and Josh are taking a look at the practical applications of things like meditation and mindfulness practice in the context of anxiety disorders and anxiety recovery. A few key points:




Mindfulness is paying attention to what you want to pay attention to without judgment or evaluation of your ability to pay attention.
PRACTICE is the key. The practice of training one's attention is where the win is. This is something we do. A process. It's not a state we achieve or a skill to perfect. Expecting calmness, happiness, or perfection in meditation or mindfulness is not a good approach.
Mindfulness and meditation are NOT calming tools or anxiety shields in this context. Please do your best to steer clear of trying to use these concepts to escape from your anxious state. That usually leads to frustration and a much more fragile state of recovery.
Mindfulness and meditation apps are great! General wellness advice on how to use mindfulness and meditation is great. Just be careful about trying to apply general advice to the specific context of disordered anxiety and recovery.



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The book we talked about in this episode is Drew's "Seven Percent Slower" which is a short, friendly read on how to use the principle of slowing down to help navigate more mindfully through anxiety, fear and stress. Learn more here.

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Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.



⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠

-----

Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?



Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Everyone talks about the fight or flight response. But what about the freeze and fawn responses, which are also found in the anxiety disorder community?



This week Josh and Drew dig into the freeze response to anxiety, panic, and perceived threat. What is the freeze response? What does it look like? Does the freeze response mean being literally frozen and completely immobilized? Do we need special instructions or rules for how to "fix" the freeze state when anxious or experiencing panic?



Along the way, the guys also touch on the fawn response, which also doesn't get enough discussion in this community. We'll be doing a dedicated fawn response episode next week.



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Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.



⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠

-----

Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?



Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠