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Can you transform your relationship with anxiety by letting go and dropping your resistance?

Well, the most effective acceptance-based treatments for chronic and disordered anxiety are based on this exact principle. The concepts are simple and the theory is sound, yet most anxious people struggle with fully letting to and engaging in mindful acceptance of anxiety, fear, panic, uncertainty, and other difficult internal experiences.

Of course they struggle!  Choosing to fully allow these scary feelings is a big ask. It's not easy. It requires a leap of faith in the underlying principles and a healthy dose of courage to allow anxiety and fear to "do their worst" without trying to save oneself or be rescued. But difficult as this might be, its a worthwhile ability to cultivate as it forms the foundation of effective and lasting anxiety recovery while also becoming a valuable life skill that lasts forever.

This week we're doing a guided mindful acceptance exercise designed to help you sit with anxiety instead of battling it, a practice that teaches you to observe your feelings without trying to control or diminish them. This approach isn't suitable for those overwhelmed by traumatic memories or flashbacks (without professional help), but it provides valuable lessons for anyone looking to understand and ultimately overcome lifestyle restrictions imposed by chronic or disordered anxiety.

This is about 15 minutes of theory, rationale, and basic instruction followed by 10-15 minutes of guided/coached mindful acceptance. There's more speaking, instruction and coaching here than you might find when doing guided mindfulness exercises, but this particular exercise is designed to provide a sound introduction to the practice as a way to get started or work through initial resistance.

For full show notes on this episode:
https://theanxioustruth.com/301

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

Can skipping a daily calming ritual or delaying bedtime slightly really aid in anxiety recovery? Discover how these seemingly insignificant acts can accumulate into substantial progress on your journey to overcoming anxiety. This week on The Anxious Truth, we’re breaking down the concept of micro exposures—those small, yet powerful steps designed to help you face and manage your anxiety. By starting with these tiny, manageable experiments, you'll gradually learn to experience anxiety without resistance, laying the groundwork for long-term mental health and stress management.

For full show notes on this episode:
https://theanxioustruth.com/300

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

Are you struggling to identify whether your behaviors are forms of avoidance in your anxiety recovery journey? This episode of The Anxious Truth addresses the often murky and uncertain nature of avoidance habits, emphasizing that nobody navigates these waters flawlessly. We'll share insights on how distinguishing between necessary avoidance for safety and avoidance driven by anxiety can help you better understand your reactions and improve your recovery process.

This episode looks at key avoidance concepts based on:

Intent
Motivation
Emotion
Feelings of Urgency

We'll also break down the difference between macro and micro avoidance patterns and uncover how even subtle avoidance habits can silently hinder your progress. Through manageable exposure work and by learning from your experiences, this episode offers practical advice for building tolerance and resilience.

For full show notes on this episode:
https://theanxioustruth.com/299

Relevant podcast episodes:

The Anxious Truth Episode 266
https://theanxioustruth.com/266

The Anxious Truth Episode 284
https://theanxioustruth.com/284

The Anxious Truth Episode 287
https://theanxioustruth.com/287

Disordered Episode 59
https://disordered.fm/59

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

Is it possible to conquer an anxiety disorder without doing exposure?

Well ... there are plenty of non-exposure concepts and techniques that can really help. No doubt about that. But in the end, thinking and feeling is rarely if ever all we need to change beliefs in a way that really makes a difference.  Behavior and experience are almost always a part of this puzzle in some way, which means that like it or not, there's gonna be some exposure involved in recovery in some way.

Let's look at the the intricacies of exposure beyond its traditional role. We'll discover how modern techniques have revolutionized outcomes, providing more durable relief from anxiety symptoms. We'll also address the elephants in the room: the high dropout rates and accusations of trauma, and how proper preparation can transform these potential pitfalls into powerful therapeutic tools.

We'll also be debunking some persistent myths that cloud the effectiveness of exposure. We need to understand the difference between discomfort and trauma, and why it’s vital to make this distinction. We examine why some therapists shy away from these methods and how social media trends influence therapy choices. Plus, we emphasize the crucial role of maintaining realistic expectations throughout the journey.

By the end of this episode, you'll gain invaluable perspectives that could reshape your approach to overcoming anxiety, underscoring why exposure of some kind and at some level remains an essential pillar in effective treatment.

For full show notes on this episode (including research references):
https://theanxioustruth.com/298

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

The Internet is packed with anxiety and mental health advice, but not all of it is useful or helpful.  Some of it can be harmful.

This week I'm joined by Emma McAdam, the therapist behind the Therapy in a Nutshell YouTube channel, to dissect the often misleading and sometimes dangerous information circulating online about conditions like anxiety, depression, ADHD, and bipolar disorder. Emma shares her professional expertise as a practicing therapist, helping us distinguish between credible advice and harmful myths.

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For Full Show Notes On This Episode:
https://theanxioustruth.com/297
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We tackle the critical issue of consuming mental health content passively without taking actionable steps to improve well-being. Emma and I discuss proactive strategies like exposure therapy and lifestyle adjustments that can make a real difference. We also examine the pitfalls of "therapy speak" and the overuse of psychological labels such as narcissism in everyday conflicts. With social media often promoting extreme solutions to relationship problems, we advocate for a more balanced and thoughtful approach.

Finally, we delve into the ethical considerations therapists must navigate when guiding clients through difficult relationships. Through Emma’s insights, we underscore the importance of allowing clients to come to their own conclusions while being mindful of the manipulative nature of social media platforms. We stress the necessity for personalized and context-specific mental health guidance that social media simply cannot provide. Tune in to arm yourself with the knowledge to make informed decisions about your mental health and avoid the pitfalls of online advice.

Find Emma and her Therapy In A Nutshell channel at
https://therapyinanutshell.com

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

Healing from chronic or disordered anxiety. How do we do it?  Do we do it at all?  This week on The Anxious Truth we’re talking about  healing from anxiety because this is a topic so many people want to hear more about!

For full show notes on this episode:
https://theanxioustruth.com/296

If you are going to scroll through any of mental health social media today, you WILL see content that includes the word “heal”.  Is that bad?  Well, not necessarily.  I’m not here today to be the anxiety word police, but given that our use of language and ability to think symbolically is one of the things that gets us into anxiety trouble to begin with, its is worth looking at the words and terms we use from time to time.

Disclaimer. If you love the word heal because it strikes a chord or feels like it really applies in your situation, then I am here to support you on that. Keep using it. Heal all day long.  Heal like nobody’s business. Go for it. Everyone gets to use whatever language they want to use, and we all get to respect those choices. 

But that being said, if you have been working like a dog to heal from anxiety and can’t seem to get anywhere with any kind of consistency, then maybe we need to take a look at that healing target. The words we use create the rules we feel we must follow. Our words create our internal algorithms and those algorithms do influence how we see ourselves, and the world, and they do influence how we behave. Since behavior change is really the tip of the spear when overcoming an anxiety disorder, we should probably look at this.

We all want to heal when injured or wounded.  That’s not even a question. But when we are working on overcoming chronic or disordered anxiety, is healing what we’re trying to do?  There are three primary issues with the word heal that I want to throw out there today for you to chew on.  

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

What if you could transform your relationship with anxiety simply by changing your approach? This week on the Anxious Truth, we tackle the misunderstood phrase "sitting with anxiety" and reveal how it doesn't mean you have to be physically still. We'll break down the true essence of this concept, emphasizing the importance of allowing yourself to experience anxiety without trying to escape or fix it. Whether you're at work, running errands, or simply relaxing, the key is to let anxiety be present without interference, tailoring your approach to fit your unique circumstances.

Discover how embracing anxiety in the midst of your daily routine can actually empower you. We’ll share insights on how to navigate anxiety during meetings, phone calls, or even in bustling environments like a busy mall. By engaging with your life and tasks at hand, even when anxious, you’ll learn to manage these feelings without them dictating your actions. Tune in for a discussion that shifts the focus from achieving calm to accepting the experience of anxiety, ultimately leading to a reduction in fear over time. This episode promises to reshape your understanding and management of anxiety in a way you might have never considered before.

For full show notes on this episode:
https://theanxioustruth.com/295

For more anxiety and recovery resources:
https://theanxioustruth.com

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

HELP! My panic attacks come totally out of the blue! I don't know how to handle that!

For an anxious person struggling with the process of anxiety disorder recovery, it can sometimes seem like panic attacks strike completely randomly and "out of the blue", where no clear source of anxiety can be identified as triggering the attack.  This can be frustrating, especially if you've been working overtime to manage your anxiety and prevent panic from happening.

But there is no such thing as an "out of the blue" panic attack.  In the context of disordered forms of anxiety, it is the resistance to panic and the urgent attempts to manage and prevent it that become the precipitating factors leading to future panic attacks. Trying hard to guarantee that you won't panic any more? Paradoxically, this is going to have the opposite effect, almost guaranteeing that you will likely experience more panic down the road.

When one is anxious about being anxious, or afraid of being afraid, the trigger for the most recent "out of the blue" panic attack can be found in all the panic attacks that came previously.  The hidden trigger is in the checking, scanning, evaluating, and guarding against panic that allows a single sensation, thought, or feeling to trigger a rapid sequence of events that creates what appears to be a random, unexplainable instant panic attack.

It's actually good news that there are no true "random" panic attacks. We can use that information to make adjustments and change direction toward where we want be in recovery and in life.

For full show notes on this episode and other anxiety/recovery resources:
https://theanxioustruth.com/294

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

Thinking and feeling are important to humans. Thinking and feeling about thinking and feeling is important to anxious humans!

In the world of recovery from disordered or chronic anxiety, what we thinking and feeling about thinking and feeling - our metacognitive beliefs - play an important role in the process but are often overlooked.

This week on The Anxious Truth I'm pretty exhausted so we're going to take a look at that to highlight some important recovery lessons.  Why is being so exhausted, drained, and emotional not leading to anxiety and panic? Because my recovery experience taught me a new way to think and feel ... about how I think and feel.

Let's take a closer look at what we think and feel about what we think and feeling. Metacognitive beliefs can sometimes be the glue that keeps us stuck to our symptoms, thoughts, and big emotions.  Recognizing when strong beliefs about thoughts and feelings are leading us astray can be an important first step  in challenging those beliefs and using the principles of acceptance, tolerance, surrender, and exposure in the recovery process.

For full show notes on this episode including a full transcript:
https://theanxioustruth.com/293

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

You’re in the middle of a huge wave of intense anxiety and fear, or maybe you’re experiencing a full blown panic attack.  Someone with all the best intentions and trying to be helpful instructs you to identify five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste.

This is the 5-4-3-2-1 grounding exercise. If you’ve followed along with me for any length of time you know that I don’t speak too kindly about grounding exercises. But today we’re going to revisit 5-4-3-2-1 and grounding exercises in general. 

What if there is a  way to use them to our benefit rather than having them blow up in our faces? 

For full show notes on this episode:
https://theanxioustruth.com/292

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send in a question or comment via text.

Among people that struggle with chronic or disordered forms of anxiety, there are a wide range of individual primary fears or concerns. When you ask a large enough number of our friends what they are afraid of, you’re going to get a pretty wide range of answers primarily because everyone experiences fear, worry, concern, and anxiety in a slightly different way. 

But hidden within this apparently wide range of specific and individual fears are some common thread and themes.

This week on The Anxious Truth we're exploring four common themes found when a few hundred anxious people expressed the fears and worry they're struggling with right now.

• Fear of Immediate Physical/Medical Threat
• Fear of Immediate Psychological/Mental Threat
• Fear of Being Overwhelmed or Unable to Adequately Cope
• Obsessive Fixation on Specific Feared Outcomes

For full show notes on this episode:
https://theanxioustruth.com/291

For more anxiety and recovery resources:
https://theanxioustruth.com

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. This is never required, but always appreciated!

Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.