Category: Anxiety

Handling Intrusive Thoughts

Intrusive thoughts are repetitive, anxiety provoking, and frustrating. You feel as if you are losing control – you don’t want these thoughts and yet they suddenly come up and bother you, and the more you try to get rid of them the more they persist.

Let's take a look at why the brain produces thoughts.

The brain produces automatic negative thoughts. This is because the brain is wired for survival. When our ancestors were hunter gatherers, they were always on the lookout for threat. For example, their thoughts were something like this, "Is this a poisonous snake?"," Is that a poisonous fruit? Is it edible?", "I hear a rustle, shall I hide or take out my spear?"

Even though we're now living mostly in cities and while the chances of being bitten by a snake or eating a poisonous fruit has drastically reduced unless we’re mind numbingly zoned out, our brain is still very active and produces a myriad of thoughts.

The brain produces ANTS (Automatic Negative Thoughts) and we have a tendency to get hooked on to them. These thoughts are mostly judgements, evaluations and are catastrophic in nature, and not facts. They just get generated endlessly.  These thoughts also get blended with visuals and sounds. So, you may have a visual thought of falling down the stairs as soon you start descending the stairs. It may frighten you, but its purpose is to help you stay cautious. However, when you get hooked on to these thoughts by engaging with them, suppressing them or by paying too much attention to them, it can lead to chronic anxiety and hypervigilance.

Here are some tips to handle negative thoughts that are weird, strange, related to self-harming, harming others, gross or sexual in nature and that come out of nowhere.

  1. Know that these thoughts aren't facts. Tell yourself - these aren't facts.
  2. Do not react to the thoughts. Most people end up questioning their thoughts or themselves. “How can I have these thoughts? They're weird. Ugh! What's wrong with me?” This line of questioning exacerbates the thought and they become intrusive.
  3. Reverse the thought in your head, it'll lose its power as Susan David suggests in the book, Emotional Agility. For example, if you're thinking this continually, “What if I harm myself?”, reverse it. Myself-harm-I-if-What. The brain knows the new thought is gibberish and the thought will lose its power.
  4. Practice calming your mind regularly (Diaphragmatic breathing, tapping, Progressive muscle relaxation etc. can help).
  5. If you're anxious, then the thoughts will be more in quantity. They could be full blown colorful pictures- that float in your head. Hence, calming your body is equally important as the mind and body aren’t separate. What affects one affects the other. Tapping can help a lot in relaxing and calming your body.
  6. Usually, there is a theme underlying these thoughts. For example, some thoughts can be catastrophic in nature, like falling down the stairs or more self-harming like, “What if I cut myself with a knife? ”or evaluative - “What if I’m being judged by these people on the street?” Write down your thoughts and explore it with a psychologist. REBT can be very helpful.
  7. Affirmations can be very helpful too. Repeating or tapping on positive affirmations by Louise Hay, such as the ones given below, can be helpful too.

I calm my thoughts and I am serene. I feel safe to be ME
I lovingly protect myself with thoughts of joy and peace.
My thoughts flow freely and easily. I move through ideas with ease.
I relax and let life flow through me with ease.

Here’s a sample tapping script for intrusive thoughts. Best to make your own script and tap with your own words for tapping to be effective.

For more information on tapping, click here.

On SOH- Even though I have these thoughts that stress me out, I accept myself.

Sequence of Points – I’m afraid of these thoughts

But these thoughts can’t harm me.

I’m scared of these thoughts.

But they’re just thoughts, not facts.

I choose to be calm and focus on my breathing when they come up.

I choose to trust myself that I won't do anything. These thoughts will not convert into action.

I choose to let these thoughts pass/go by themselves.

How to tap on anxiety and take its messages?

I’m sharing a personal example of a recent situation where tapping on anxiety and taking its messages really helped me.

A few weeks ago I enrolled in a meditation course. It was an online event and I was excited to be a part if it. But by the end of the first day I was feeling weird about the class. I couldn’t place my finger on what it was, the only thing that stood out for me was the way the class was conducted which didn’t feel comfortable. I decided to go for the second class so that I could give the class/instructor a benefit of doubt. The second day I felt even worse. I felt that it wasn’t working for me, the teachings, conduct and content felt totally out of sync with my sensibilities.
After the class, I tapped on acknowledging my anxiety and taking the message from it. After tapping, I felt calmer and the message in my anxiety was clear – the class didn’t feel like a safe place to learn, hence I decided to quit the course. I felt relieved and was reminded of many other situations where anxiety literally saved me from getting into a situation that felt totally out of sync with my values and beliefs etc. I think the course was probably beneficial for others but it surely wasn’t my cup of tea, and I wasn’t about to force myself to do something that didn’t sit well with me.
I also became aware that the content of the course was more like spiritual bypassing. It didn’t really gel with my philosophy of seeing things in a context, having a balanced view of the world, honouring all emotions and taking their messages, taking into account our unique contexts and situations with compassion, etc – these are at the heart of my work with my clients.

In short, my anxiety helped me to see things clearly and to align my actions with my beliefs and values.

WHAT IS ANXIETY?
Fear is about sensing danger in the present- the here and now, whereas anxiety is a form of fear of the future.
Worry, bodily sensations and tension are ingredients of anxiety.

HOW CAN TAPPING HELP?
Tapping is very effective for anxiety and while tapping if you can also acknowledge and take the message in anxiety, then it’ll be even more helpful.

Tapping on Anxiety
Here is a step by step process for tapping on mild to medium level of anxiety. This process uses reframes ( looking at anxiety with new perspectives) hence reading this article will help in order to understand what it means to take the messages from your anxiety.

If your anxiety is in an intense state then just tapping through the points and saying anything related to anxiety that comes to your mind, several rounds, will help. Once the anxiety has lessened (within 4-5 range on a scale of 0 to 10), then try this process.

1. Start by Tapping on how your body feels when you’re anxious.

Even though I’m anxious and I feel this heaviness in my chest (the bodily sensations) , I accept myself/acknowledge this anxiety in my body.
Reminder Phrase: this anxiety and this heaviness in my chest

( If there’s no body sensation and it’s only the mind chatter, worry, catastrophic thoughts that create anxiety for you, then tap on, Even though I have so many thoughts running in my head, so many what ifs, I deeply and completely accept myself.)

Tip: Tap on catastrophic thoughts, feelings and body sensations – whatever feels most pressing or prominent for you.

2. Tap on why you’re feeling anxious. You can keep a diary and note when you feel most anxious or at what point your anxiety starts building up. Based on that you’ll have a clue as to what is causing your anxiety every time it comes up.
Even though I’m anxious because I have an upcoming presentation, I deeply and completely accept myself.
Reminder Phrase: this anxiety because….

Even though I’m anxious probably because I’ve been working non-stop, I deeply and completely accept myself
Reminder Phrase: this anxiety because….

Even though I’m anxious because this situation-person doesn’t feel right, I deeply and completely accept myself
Reminder Phrase: this anxiety because….

3. Tackle all the high intensity aspects for the example you’re tapping on.
In EFT, aspects refers to the pieces of a problem, the different parts of a problem. If you’re new to EFT then download this free manual from EFTi to understand the basic process in EFT.

Examples:
Even though I’m anxious about how the presentation will go, I deeply and completely accept myself/I accept how I feel
Reminder Phrase: this anxiety about how the presentation will go

Even though I’m worried that I might be judged by others, I deeply and completely accept myself/I accept how I feel
Reminder Phrase: this worry that I might be judged by others

Even though I’m worried that I might forget what to say, I deeply and completely accept myself/I accept how I feel
Reminder Phrase: this worry that I might forget what to say

4. Taking the message – Tap on what you think your anxiety is trying to convey.

Examples for tapping on taking the message from anxiety:

Even though I still feel anxious, I’m willing to take the message in my anxiety.
Reminder Phrase(s): This remaining anxiety/I’m willing to take the message in it

Even though I’m still anxious, I acknowledge that I feel anxious because I haven’t finished these pending tasks and maybe it’s time to start working on them.
Reminder Phrase(s): this remaining anxiety/I acknowledge that…

Even though I feel anxious, it seems like I’m going too fast, I deeply and completely love and accept myself. And maybe I need to slow down.
Reminder Phrase(s): It looks like I’m going too fast/Maybe I need to slow down

Even though I feel anxious and it seems my anxiety is telling me that this situation isn’t working for me and that I don’t have to push through this, or force myself to stay in this situation, I deeply and completely love and accept myself.

Reminder Phrase(s): this anxiety seems to tell me that ….

Let me know how the process goes for you.
If you have chronic anxiety, then working with a tapping buddy or EFT Practitioner will help.

 

The Unavoidable Triggers

We all have people, situations and issues that trigger us – push our buttons.

For example, a friend’s habit of interrupting while you speak might be making you furious or an environmental issue might be triggering you to the point of losing sleep. These are repetitive situations that can trigger us.

One of the most effective ways of handling triggers is to use EFT on them. I’ve had tremendous success with EFT in upsetting situations.company_reluctance

There will be two kinds of triggers – situations where your attitude and behaviour have the potential to directly influence the outcome, and situations where they don’t. Taking the earlier example – a situation where you can directly influence the situation. After a few rounds of tapping, you might consider telling your friend not to interrupt you. The difference will be that you’ll be much calmer when you ask them to shut up! 😉 You’ll get the confidence to clearly explain how you feel when you’re interrupted and what you’d like instead.

With an environmental, political or social issue you will not have control over the entire situation. Every time you hear someone speak about it or see it on news, you might get triggered. While it’s good to be aware of societal and environmental issues and not be numb to the causes that need our attention, it’s not good for our emotional health to have sleepless nights and meltdowns over them. You’ll also be hurting your love ones with your anger and snappy attitude.

In both these situations EFT can work.

When things are more or less in your control, meaning your attitude and behaviour can directly influence the outcome.

Steps

1. Tap on the emotion

2. Find out what it’s saying. Listen to its message. Here’s a video link on how to tap on anger and its messages.

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When things are not in your control, meaning your attitude and behaviour cannot influence the outcome directly or immediately. This kind of tapping needs persistence.

Steps

1. Tap every time you feel triggered. If you’re in conversation with someone and getting triggered, press your finger points.

2. Go deeper – tap on your helplessness about not being able to change anything about a situation.

3. After several sounds you might have a cognitive shift. If not, tap on the things that are in your control; what can you do from your end. Every small change that you work on makes a difference. For example, suppose you decide not to use plastic in your house, that’s a change. It will reduce the helplessness you feel.

Please note: While tapping on repetitive ongoing stressors, you may feel immediate relief but it may not last. Tap regularly and take up any new aspects that come up.

EFT for Exam Anxiety

When it comes to any kind of exam, taking care of the anxiety, stress and the pressure can really help.
This is a tap along video, in a borrowing benefits style with prompts, to help you tap on your thoughts and feelings about any one segment of the test paper. I give the example of GMAT exam in this video, with emphasis on how to tap on the time pressure; the pressure to finish the questions within a stipulated time period.

Disclaimer: Please take full responsibility for your use of the information contained in this video.

 

How to deal with uncertainty?

Uncertainty makes us anxious and worried.

When we are faced with an uncertain future then we invest even more strongly in making our vision of a perfect future come true.  “We tell ourselves everything will be okay, just as long as I can reach this projection of the future”( Burkeman)

We fear uncertainty so much that we go to extraordinary lengths to get rid of it. Instead we can to do the following to deal with uncertainty:

  • Increase your tolerance for things that are uncertain. “ I can’t control everything and that is okay”
  • Surrendering to it – there are some things than are bigger than you. “ This is bigger than me and it is okay”
  • Trusting the universe/God/whatever you believe in, to keep you safe in uncertain times.
  • ‘See what happens’ is a better reframe for living life than waiting for the perfect opportunity. See where life takes you. Deal with whatever comes up. Is the worst loss, if you failed, tolerable? If it is then that’s all you will need to know. Take the next step and the next.

Uncertainty is where things happen. It is where the opportunities for success, for happiness, for really living – are waiting (Burkeman, 2013)

 

Here’s a book recommendation for you

The Antidote: Happiness for People Who Can’t Stand Positive Thinking

By Oliver Burkeman

http://www.amazon.in/Antidote-Happiness-People-Positive-Thinking/dp/0865478015

 

Tap on ABC of anxiety to feel calm

Those who’ve experienced anxiety know that it entails worry, tension, catastrophic thoughts, physical sensations in the body etc. So in a way, there are specific components that make up anxiety. In Cognitive behaviour therapy sessions, I give a form to my clients, called the ABC form [A – activating event, B – beliefs and thoughts, C – consequences – emotions and behaviour] There is also a section in the form for rating the sensations in the body. Now, if you add ‘movement’ and ‘5 sense perception’ to this, it makes it more complete. I’m calling these the components of anxiety.

5 sense perception, thoughts, emotions, sensations in body, activating event and movement – all these are significant components of anxiety that we need to address when we experience anxiety.

If you work on these components of anxiety, you will experience profound relief. Let me explain how this can be done with the help of a case example.

My client, B, got very anxious whenever she stepped out of the house. She experienced immense anxiety in the stomach with catastrophic thoughts and images of falling down the stairs, falling on the road, etc. While she was very calm and relaxed at home, going out made her anxious. We worked on some core events from her childhood that had paved the way for this anxiety. We also worked on the beliefs and secondary gain related to anxiety. We tapped on her catastrophic thoughts, wanting to escape from situations, made behavioural experiments (combining cognitive behaviour therapy and EFT) to release her anxiety. Over a span of 2 months, her anxiety reduced drastically. What brought about a significant change in her anxiety was when she started addressing anxiety as soon as she experienced it, on a daily basis, with the suggested guidelines.

I asked her to approach anxiety in the following way whenever she felt anxious:

Activating event/trigger –  Stepping  out of the house.

Even though I get very anxious when as I plan to step out of the house, I accept how I feel.

Sensations in the body – Tightness in chest and heaviness in stomach.

She tapped on her fingertips, or simply pressed her fingertip points when she had sensations in her body. (We tapped on these scenarios in the sessions also)

Even though I have this tightness in my chest and heaviness in my stomach when I lock the door and leave the house, I choose to release this anxiety from my chest and stomach. I choose to calm my stomach.

Whenever she travelled by bus and was caught in a traffic jam, she would panic. So she started tapping on this:

Even though I have this sensation in my stomach and I feel this panic due to the traffic jam, I choose to release this anxiety from my stomach. I choose to calm and relax my stomach.

Thoughts: “What if I fall when I step on a bus!”

Even though I am having this thought right now, I am releasing it. I trust my body to keep me safe.

When she started focusing on her worries and doubts, they increased. So I asked her to tap before the doubts increased in their intensity.

Even though when my doubts cross a certain threshold, I am not able to control my thoughts, I feel helpless, I feel as if I cannot control the situation, I start feeling afraid, I choose to release that fear automatically in that moment.

Emotions: She was angry that she was getting anxious.

Even though I’m angry with myself, I choose to release this anger and replace it with compassion. I choose to be compassionate with myself.  I choose to be gentle with myself.

5 sense perception:  She got an image of falling off the bus.

Even though I see this image, I choose to change it and see myself safe and secure on the bus.

We didn’t tap on movement, but it helps to include that as explained below.

 

EXERCISE

Here is a simple exercise for you.

  • Measure the intensity of Anxiety.
  • Write down the specific components of anxiety, as given below.
  • Tap on these components
  • Measure intensity again.

COMPONENTS OF ANXIETY (Ideal for Daily tapping)

Activating Event– What triggered the anxiety?  Was it a thought? Did something happen? Did someone say something? Are you going out?

Thoughts – What are the thoughts running in your head? Example- “What if I fall?”, “I cannot control my anxiety”.

Emotions: What are you feeling? Example-  Fear of something terrible happening, anger for feeling anxious etc

Sensations in the body –  What do you feel in your body when you’re anxious? What change in your body tells you that you have anxiety?  Example – rapid breathing, sweating, tightness in chest, constriction in throat.

(5 sense perception and movement – Pat Ogden and Janina Fisher talk about this in sensoritmotor psychotherapy)

5 sense perception – Image/smell/taste/touch/sound. Do you see images when you get anxious?  Do you get a funny smell? Do you have a peculiar taste in your mouth? Do you feel warm or cold? Do you hear something?

Movement – This is about noticing the changes in the movement of your body, like the posture of your body and gestures etc.  Do you look down when you are anxious? Do you slump? Do your shoulders sag?

Change your posture and tap on it.

Even though I slump when I get anxious, I choose to sit straight.

Continue to tap this way at least once every day and see how you feel. Remember, this works best when you tap as soon as you feel anxious.