Tag Archives: anxiety

The Problem With Problem-Solving

On anxiety, self-compassion, and why your brain keeps looking for problems to solve

The mind, when it’s anxious, will find a problem to solve. It doesn’t matter if the problem is real or imagined, or already over. It just needs something to work on. I was reminded of this the other night, lying awake and anxious after working on my last post too close to bedtime.

There were thoughts about whether I was sharing too much of my personal story in my posts, whether they were overlapping too much in terms of the themes I discussed, and also how people might respond to what I shared about how my first marriage ended. I wondered whether anyone really wanted to hear any of it. I was comparing myself to other writers on Substack who I felt were much more capable writers than I am, and wondering why I had committed to writing a Substack newsletter.

I realized that I was trying to “problem solve” the uncomfortable sensations I was feeling, so I focused my attention just on the bodily sensations and let the thoughts go for now.

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The Drama of the Upside-Down Plate: What I Learned About Emotions as a Child

For many years, I thought I was just “too emotional.” I hadn’t learned to allow and to express my feelings. They felt too big because they were stuck inside, and because of what I had been taught was normal.

My feelings often felt too intense, too easily triggered. Everyone else seemed to have it together while I was a mess inside. It never occurred to me that other people might be having the same feelings—they just weren’t showing them. I was comparing my insides to other people’s outsides.

It also didn’t occur to me that burying my emotions might make me sick.

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How I Learned Not To Abandon Myself

(and What a Mispronounced Name Taught Me)

My body had been speaking what I refused to acknowledge: I was abandoning myself to take care of everyone else, and my nervous system wasn’t having it anymore.

While postpartum with my second child, I was hospitalized for severe depression and anxiety after suffering months of chronic dizziness and nausea. I was released from the hospital after twelve days of inpatient treatment. During those days, I kept solid food down for the first time in months, started to have an appetite, and was just beginning to be able to sleep through the night. I was seeing a light at the end of the tunnel.

When I got home and was back in the stressful environment I had left, I immediately felt like no recovery had occurred at all. My husband expected me to be back to 100% right away, and every stressful moment, even the sound of my son’s voice (needing something from me!), caused a wave of dread, dizziness and nausea to come right back. Clearly, I hadn’t fully recovered yet. So I got put in a full-day intensive outpatient program for six weeks, so I could ease back into “life on the outside.”

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Handouts for Recovery from Anxiety, Pain or Symptoms

I’m sharing some handouts that I created for my Substack newsletter, Body Wise Parent. I hope you find them helpful!

Somatic Tracking for Chronic Pain/Symptoms

A mindfulness exercise associated with Pain Reprocessing Therapy, for people overcoming chronic pain or symptoms.

Somatic-TrackingDownload

Inner Child/Inner Parent Dialogue Exercise

For people who are learning to improve emotional self-care and overcoming the impact of childhood emotional neglect.

Inner-Child-DialogueDownload

Overcoming Compulsive Caretaking Handout

For people who feel over-responsible for others and are learning not to abandon themselves.

Compulsive-CaregivingDownload

Emotional Awareness & Expression Handout for Anxiety and Pain or Symptoms

For people learning to acknowledge, allow and express emotions as a way of calming their nervous system and diminishing chronic pain or other symptoms.

EAET-PrinciplesDownload

The Good Enough Parent

For those of you learning to overcoming perfectionism in your parenting, so you can be a “good enough parent,” and give your children the benefits of experiencing frustration, advocating for themselves, and can develop a greater sense of their own capabilities.

Good-Enough-ParentDownload

Breaking Free from Perpetual Problem-Solving

For those of you learning to overcoming the habit of “problem-solving mode,” to learn to tolerate uncomfortable physical sensations and difficult emotions and teach your brain that you are safe, to calm your nervous system and overcome anxiety, chronic pain and neuroplastic symptoms.

Overcoming-Problem-SolvingDownload

Safety Reappraisal for Chronic Pain/Symptoms

For people overcoming chronic pain or symptoms by establishing a greater sense of safety in the body.

Safety-ReappraisalDownload
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When My Body Expressed What I Couldn’t Say

How stress manifested as severe physical symptoms

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Check out my new Substack Newsletter!

I just launched my own Substack, called Body Wise Parent: Mind-body Wisdom for Parents. In it, I’ll be posting roughly biweekly about neuroplasticity, mind-body healing, and my own experience overcoming symptoms while raising four kids.

My hope is to support parents struggling with chronic pain, unexplained medical symptoms, anxiety and depression, while sharing knowledge about how to balance the needs of our families with our own need for self-care and nourishment. My first newsletter shares a bit about my own path through chronic symptoms and what I hope to share in upcoming newsletters. Check it out at https://bodywiseparent.substack.com.

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The Mind/Body Connection in Chronic Symptoms

neck pain

Pain and other chronic symptoms—like IBS, vertigo, tinnitus or bladder issues—can take over our lives. Physical symptoms naturally create fear, and symptoms and fear together can become the center of our attention, pushing everything else into the background.

When pain or symptom keep us from doing the things we enjoy, it’s common to feel anxious or depressed. In fact, most people who struggle with chronic pain also experience anxiety or depression. It’s not always clear which came first, because they are closely connected. Many people with chronic symptoms have experienced childhood adversity, and are likely to be perfectionists or people-pleasers—traits that can increase stress and make us more vulnerable to both physical and emotional symptoms.

While chronic pain and other physical symptoms appear to be based in the body, research shows that trauma, emotions and stress play a powerful role—even sometimes when pain seems to have a clear physical cause.

I experienced this firsthand. Years ago, I developed chronic wrist tendinitis that was attributed to  typing too much. My pain was real and constant, and I tried everything—chiropractic, physical therapy, massage, acupuncture, Alexander Technique, and Feldenkrais classes. Nothing helped for long. I had to stop doing many things I loved. I wore wrist splints, used voice-recognition software, and avoided cooking, gardening, and knitting. Despite all these precautions, I was in pain for more than two years.

Then I found Dr. John Sarno’s book Healing Back Pain. He discovered that many people who had  physical findings that might cause pain—like herniated discs or arthritis—had completely different pain experiences. Some had severe pain, while others with the same imaging results felt none at all. One large study of over 3,000 people found that spine changes seen on MRIs are usually a normal part of aging and don’t necessarily cause pain. His work with his patients demonstrated that emotional stress and repressed anger can create very real physical pain. He helped many thousands of people recover from chronic pain with his medical practice and his books. I was one of them. 

It’s important to note that pain or other symptoms are not “all in your head.” Chronic symptoms are  absolutely real. But all our experiences are mediated by the brain, and our brains interpret pain based on not only sensations sent from the body, but also based on expectation, and the perception of danger. If we’re afraid that something is wrong with our bodies, or of conflict, negative emotions, or anything else we experience, pain and other symptoms can begin or intensify. On the other hand, if we feel safe and confident in our body’s strength, and in our ability to handle our emotions and our relationships, they can fade—even when nothing physical has changed. This is why treatments that reduce fear and increase a sense of safety can be so effective. The fact that changes in in how we interpret the world impact our symptoms is why we call these symptoms “neuroplastic.”

Over the past several years, there has been increasing evidence supporting Dr. Sarno’s theory, and new treatments have begun to be proven to help patients overcome neuroplastic symptoms. In 2020, I completed training with the Pain Psychology Center to work with clients using Pain Reprocessing Therapy (PRT). A study at the University of Colorado found that people with long-term back pain experienced major or complete recovery after just four weeks of PRT.

PRT helps retrain the brain to interpret pain signals differently. It uses mindfulness, cognitive, and behavioral techniques to reduce fear, calm the nervous system, and build a sense of safety in the body. As fear decreases, pain often does too—sometimes permanently.

Chronic symptoms, as miserable as they can be, often serve hidden purposes. They may give us permission to slow down, rest, or seek care from others. They may distract us from emotions we’d rather not face. Understanding these patterns can help us reclaim our energy and our lives.

When we start to truly trust that our bodies are strong and resilient, and that we can handle our emotions and the stresses in our lives, we can stop letting pain dictate our choices. With the right tools and mindset, recovery is possible—and life can feel full and joyful again.

 

Take a test to see if your chronic pain or symptoms are likely treatable using a mind-body approach

References:

  1. Sarno, M.D., John E. Healing Back Pain: The Mind-Body Connection. New York, NY: Warner Books, 1991.
  2. Sarno, M.D., John E. The Mindbody Prescription: Healing the Body, Healing the Pain. New York, NY: Warner Books, 1998.
  3. AJNR Am J Neuroradiol. 2015 Apr; 36(4): 811–816.

    Published online 2014 Nov 27. doi: 10.3174/ajnr.A4173

 

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Antidepressant Medication in Pregnancy

Pregnant Belly

The debate over the safety of psychotropic medications during pregnancy continues to spark strong opinions. Critics of antidepressants often cite numerous articles and isolated studies highlighting potential risks or questioning their effectiveness. What we’re seeing, in many cases, is a form of “splitting”—the tendency to categorize something as entirely good or entirely bad. When it comes to psychiatric medication, people often fall into one camp or the other and accept only the evidence that supports their viewpoint.

The reality is more nuanced. Yes, some psychiatrists make mistakes, and psychiatric medications can be overprescribed or misprescribed. Some people do not respond well to them. But many others experience profound relief, and for some, these medications are lifesaving. This is why clear, balanced, and evidence-based information about the use of psychotropic medications during pregnancy and breastfeeding is so critically important.

Many who oppose antidepressants advocate for natural or holistic approaches to treating depression and anxiety. These approaches can absolutely be helpful for some people. I’ve personally tried acupuncture, chiropractic care, homeopathy, craniosacral therapy, and herbal treatments, and at times found them beneficial. But, just as we rely on modern medicine for conditions like Type 1 diabetes, there are situations in which holistic measures simply aren’t enough.

In my own experience many years ago, no amount of holistic treatment or psychotherapy touched my severe postpartum anxiety and depression. I was eventually hospitalized when I no longer wanted to live. Six weeks after starting an antidepressant, I was able to function again and finally benefit from therapy. I know that medication saved my life, and I’ve heard countless similar stories from other birthing people.

Perinatal mental health disorders have both biological and psychological components. Hormonal shifts, physical recovery from childbirth or cesarean, and chronic sleep deprivation can all play significant roles. In my work with birthing people, I’ve seen again and again that those with severe perinatal depression, anxiety, or OCD often do best with a combination of approaches—psychotherapy, self-care, social support, nutrition, sunlight, and moderate exercise, and medication when needed.

Some parents choose not to take medication, and many do recover with therapy, support, and lifestyle changes. But some later wish they had considered medication sooner, regretting the weeks or months lost with their baby while they struggled to bond or function due to overwhelming symptoms.

Untreated depression and anxiety during pregnancy and the postpartum period carry real risks. They can affect birth outcomes and have lasting effects on the parent, the baby, and the entire family system.

The truth is that some new parents simply do not have the energy, motivation, or clarity to benefit fully from therapy or self-care until their symptoms are stabilized. In my experience, most of these individuals improve significantly once they receive the right medication. That practical reality matters far more than abstract debates about whether medication is “good” or “bad.”

New parents deserve balanced, compassionate information—not scare tactics, shame, or political agendas. Their health, their babies’ well-being, and their family’s future depend on access to accurate guidance and the full spectrum of effective treatment options.

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Coping with Anxiety Using Mindfulness

anxiety

You know the feeling when it starts: an unpleasant burning in your chest or abdomen, a feeling of cold on the back of your neck, tingling in your arms, or tightness in the back of your throat. Anxiety is a physical phenomenon.

Many of us are unaware of the specific physical sensations associated with our anxiety, but it sends a signal to our brain that we are in danger. On its own, anxiety tends to pass quickly and without much ado. It is the way we attribute meaning to the sensations in our body that causes anxiety to feel unbearable and to stick around. We interpret our anxiety as being “out of control.” We look to our environment or our thoughts for signals that we really are in danger, either physically or emotionally. And we beat ourselves up for feeling anxious, telling ourselves “What is wrong with me?” “Why can’t I feel calm?” And even worse, “I can’t tolerate feeling this way.”

But in reality, we can tolerate anxiety. By tolerating it and observing, without fear, and without judgment, its physical manifestations, we rob it of its power over us. And over time, anxiety will diminish if we refuse to escalate it by letting it take over our thoughts and our decisions. The quickest path to diminishing anxiety is to accept it and not to catastrophize about it or let it make our lives smaller.

Mindfulness is one of the most powerful tools for coping with and transforming anxiety. While it may feel like WE ARE anxious, bringing awareness to our body and choosing to focus on the specific physical sensations we are experiencing allows us to see that we are the observer of anxiety, not its victim. We can choose to halt self-defeating thoughts by returning awareness to our body and reminding ourselves “Anxiety cannot hurt me. It is only a feeling, and it is temporary. I am in control of myself. I can choose to be aware of the anxiety without letting it take over my thoughts.”

Practice doing mindfulness exercises such as this one when you are not feeling particularly anxious, as a way of being ready for anxiety when it comes. Learning to focus your full attention on your body rather than your thoughts takes some practice, but only five minutes a day can make a huge difference in reducing anxiety and helping you cope with it when it comes.

Anxiety is often associated with depression, even if the depression is not severe. Taking steps to address negative patterns of thinking, grieving losses, and learning to take better care of ourselves physically and emotionally is another important step in dealing with anxiety. If you need help to learn to identify and challenge negative thoughts, work through with past trauma or loss, or learn to improve your self-care and relationships, finding a therapist you trust is a great place to start.

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