The Second Most Essential Exercise for Managing Anxiety and Anxious Thoughts - Anxiety Course 15/30

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[Music] Okay. So you want to stop overthinking, or you  want to stop worrying so much. You really want to   stop being anxious all the time, but when someone  tells you, "Stop worrying," it's super annoying   because if you could just turn it off, you would.  It's just not that easy. Now, in the last four   videos we've talked about four cognitive skills  that can help with anxiety. One is challenging   your automatic negative thoughts. The second one  is cognitive defusion. The third is dropping the   struggle with anxiety about anxiety. And the  fourth one is scheduled worry. And hopefully   you're using these skills, um like the scheduled  worry practice. And if you're like me, this   practice has decreased your worrying drastically.  But how do we manage overthinking and worrying   throughout the day? How do we get good at defusing  from our thoughts or shifting our attention from   anxiety about anxiety to the stuff we care about  in the present moment? The single most effective   way to de decrease anxiety is to stop worrying  and to stop bringing to mind the perception of   danger all the time. It's the perception of danger  that triggers that anxiety response over and over   again throughout the day. And the single most  effective way to learn to control your attention   is through mindfulness practice. But most people  don't understand how mindfulness really works.   They misunderstand how to use it. So in this  video you're going to learn a super practical,   straightforward way to use mindfulness to retrain  your brain to be less anxious and to get back to   living the life you value. And just, you know,  mindfulness is super hard for me personally. It   is not my favorite skill. It's just so effective  that you've got to try it. So in this video you'll   learn how to do it even if it's really hard  for you too. Okay. So we're going to learn   how to actually use mindfulness. But I'm going  to be honest with you; I'm kind of a novice at   mindfulness. I've used it on and off for a decade.  But I really wanted to bring in an expert for this   video, so I've invited Nick Wignall here to really  teach us how to do mindfulness the right way. Nick   Wignall is an expert in anxiety. He's treated  hundreds of people with generalized anxiety   disorder, and he's an excellent teacher, and also  my friend. So hey, Nick. Thank you for joining us   today. You bet. Thanks for having me. Yeah. I'm  so I'm so grateful that you're um here to teach   us and um bring all your wisdom. So um talk to  us about why is it so hard to stop worrying? Oh,   man. Um yeah, worry is really tough because  there's a lot of reasons, like there's all   sorts of causes of worry and situations that that  that make worry difficult. But I think one of the   biggest things that is very counterintuitive but  that is key for overcoming um chronic worry is,   there's there's a a concept called thought  suppression in the kind of research on psychology.   There's this famous psychologist, Daniel Wagner  was his name, um and he did this famous experiment   that's called The White Bear Experiment. And what  he did was he had two groups of people, and he   showed them both a picture of a white white bear.  One group he said, "Whatever you do for the next   20 minutes or whatever, do not think about a white  bear." And the other group he didn't say anything.   And then he, basically at the, he he measured  how often did people in both groups think about   the white bear. Guess what? The people who tried  really hard not to think about the white bear,   their minds were constantly bombarding them with  images and thoughts and white bears all over the   place. So there's this very counterintuitive thing  with a lot of thoughts where the more you resist   them, the more your brain throws them at you.  So I think one of the reasons why we have such   a hard time not worrying so much is because we,  understandably, we resist worry so much. We try so   hard to stop worry or to escape from it or to get  rid of it. And counterintuitively, what that tells   our brain is, "Oh, yikes, this thing is really  bad, so we're going to be more attentive to it,   and we're going to keep reminding you of it,"  because it thinks worry is dangerous. So I think   fundamentally, like on a mechanics level, that's  a big part of why chronic worry especially is so   tricky to deal with. Yeah, like our brain, it's so  paradoxical. Like we wish or we've been told even,   "Oh, you can control your thoughts. You can  control your brain." We can influence our brain   to a massive degree, but the minute we try and  tell it like, "Okay, you can't think about this,   or this is, it's threatening to think about  worrying, like it'll harm you if you think about   worrying," all of a sudden your brain's like,  "We're going to pay a ton of attention to that."   Absolutely. And it's good to remember, to a large  extent you cannot actually control your thoughts.   You can control your attention, what you choose  to focus on or not. That doesn't mean it's easy,   right? It's, sometimes it's hard. And we'll get  into that more. But I think that distinction   is really, really important, that - Yeah, I  think that's so important because even, you   think about someone who's depressed, and they're  like having a bad day, and they start thinking   all these negative thoughts, and they're like,  "Oh my gosh, I shouldn't be thinking this. I'm   so bad for thinking this. What's the matter with  me? Why am I thinking this? And all of a sudden   they're like trapped in this like rumination  cycle, basically, that makes things worse. So,   yeah. Yeah, and it's the same with worry,  right? We get trapped in these cycles. I   like to tell people that what's really helpful  to me is, your thoughts are going to talk to you   all the time. You don't have to talk back. You  don't have to get into a conversation with your   thoughts. You can if you want, if it's helpful,  right? Yeah. But if a worry pops into your head,   it's so easy to just automatically assume, okay,  I should keep talking to this and elaborating on   this. And and while that can often be tough not to  do, it absolutely is possible to set boundaries on   that that chatting with our unhelpful thoughts  and decide no, it's there, it's talking to me,   but I'm choosing not to talk back. Yeah. Awesome.  So how can we train our brain to be able to choose   what we put attention on? Well, the first thing, I  love you bringing up, bring up that term, you use   that word "train." How do we train our brain?  Because the way to think about this really is,   it's about training. It's about exercise. Just  like you would train a dog not to pee in your   house, right? You potty train a dog. Or just  like like you would train kids to learn how   to play piano, right? Learning how to control  your attention and not get caught up in worry,   it's a training exercise. Um so the the basics is  when you have that distracting thought, whatever   it is - in our case we're talking about a worry -  it's about acknowledging, "Hey, there's a worry,"   right? "A thought, and my brain is talking at me,"  but having the presence of mind to say, "That's   happening, but I don't actually want to do that.  I don't want to continue elaborating on that worry   or having a conversation with that worry, and I'm  going to practice moving my attention." Remember,   attention is like a spotlight. Think about like  old movies in prisons, right, where there's a big   spotlight on the - Yeah - prisoner, you know,  like up on the wall. That's your attention,   and you can shift it. Now, it's hard. Your brain  thinks something's wrong, so it's going to tend   to kind of pull you back to the worry. But with  practice you can get better. Like a muscle, you   can get stronger at pulling it away from a worry  and putting it onto something more productive or   helpful. Okay. And and so the way to think about  it, though, is that's it's a muscle, and like all   muscles, the way you get stronger is you exercise  them regularly. So how do you do - what is that   exercise? There's a lot of ways to do it. A really  - arguably the most effective way to do it is what   I call mindfulness training. Now, mindfulness,  big term, right? Super big term. Yeah. Now,   we we just touched on mindfulness for a second.  We're going to come back to it. You're going to   teach us how to do it. But um what do you think  people get wrong about mindfulness? Because this   is like probably the buzziest word in psychology  of the last decade. Oh my gosh. Other than narcissism. Okay. So here's the thing. What  you get wrong about mindfulness, the big one,   is, what they ultimately want is to worry  less and feel less anxious or less stressed,   but they think about mindfulness as a coping  strategy, this thing you do - okay, I'm super   stressed and anxious. I'm going to like open up  my tool belt of coping strategies, and I'm going   to do mindfulness real quick and then hopefully  that'll make me feel less anxious. Yeah. They use   it like a Band-Aid or a way to avoid a feeling  and replace it with a different feeling. Yeah.   100%. And while it's so understandable, because  when you're feeling really anxious, it's awful,   right? You really, you just don't want to feel  anxious anymore. The problem is when you try to,   when you avoid something, including your  anxiety or worry, or try to get rid of it,   you might get some temporary relief - this is  why people keep using coping skills, is because   they're they're addicting, frankly. They give you  temporary relief. But long-term you're training   your brain to think that worry and anxiety are  bad, which means they're going to show up more,   like those white bears, right? They're going  to keep showing up even more intensely and   frequently. So I believe when it comes to  how can mindfulness be useful for anxiety,   what people get wrong is they think about it  as a coping skill. What they should be doing   is thinking about it as an exercise, something you  do when you're not anxious or worried so that when   anxiety and worry pop up you are stronger and  better able to deal with them in a helpful way   so that you don't end up super anxious and worried  in the first place. Yeah. So what we're doing is   training our brain to be better at shifting its  attention, and that - they've shown that that can   literally change the structure of people's brains.  So, I I mean, I think it's a little bit annoying,   but sometimes people talk about like your muscles  in your brain, right? Like they imagine your brain   like doing weightlifting because what's happening  is when you practice or when you exercise this,   it's it's literally shifting what your brain  is focusing its energy and attention on,   and sometimes in a physical way. Like they can  they can see this in in brain scans, people who   are really good at mindfulness. Totally. Yeah. So  so how do we practice it? Like what is the basic   mindfulness practice, the exercise that you  would recommend people try when they want to   train their brain to be better at choosing where  they put their attention? Totally. So I'll give   you my little uh formula. There's a very simple  approach to mindfulness for attention training,   for building this muscle that allows you to take  control of your intention instead of letting it be   controlled by your worry and anxiety. And so here  here's what it is. It's so simple. You sit down,   you relax, you close your eyes (if you're  comfortable with it; you don't have to),   and you focus on the sensation of breathing.  You're not deep breathing, you're not doing   diaphragmatic breathing, you're not doing anything  special. You're literally just sitting there and   you're focusing on how does it feel to breathe?  Not, you're not thinking about breathing - "Am I   doing it right? Am I doing deep bre" - you're just  like, "Oh, like hmm, that's interesting. Like the   bre, air feels cool when it's coming in through my  nose, and it feels a little warm when it's coming   out of my mouth." It's a very descriptive  exercise. You're just noticing or sort of   describing what breathing feels like. That's it.  Yeah. Now, inevitably, what's going to happen is   you're going to get distracted, and that's okay.  You're going to end up thinking about the bananas   you forgot to get at the grocery store or some  terrible thing in politics that's happening or   whatever it is. Right? Or, really commonly, am I  doing this right? You're going to start thinking   about the practice, right? Like, "Oh my God, I'm  so distracted. I'm not - " So the first thing is,   that's totally normal. When you get distracted you  go, "Oh, I'm distracted. That's fine. I'm going   to refocus my attention back on my my breath, on  what it feels like to breathe." Yeah. And you're   going to do that, and you're going to notice  how you're breathing. And then inevitably,   literally two seconds later you're going to get  distracted by something else, and you're go, "Oh,   I'm distracted again." Yeah. But you're going to  try. You're going to be as non-judgmental with   yourself as possible, and and just say, "Huh."  Like, "All right, I got distracted again. That's   okay. And actually, it's a good thing because  it allows me to practice the essential skill   that I need to get better at controlling my  attention." Which is, number one, noticing,   being aware of when you're getting distracted,  right? So in terms of anxiety it's like, oh, like,   anxiety has hijacked with my worry. I'm being  controlled by my worries. I don't want to do that.   I want to be focusing on my kids that I'm playing  with right now or the conversation I'm having with   my spouse or whatever it is, right? Yeah. Yeah.  So notice, mindfulness, when you get distracted,   it it teaches you to more quickly notice when  you're distracted, and then it gives you the   opportunity - it's an opportunity; it's not bad  that you're distracted. The distraction gives you   the opportunity to practice shifting your focus  back onto something you care about instead of   letting it be controlled by something else. So  this is like the mind-blowing thing, you have   to get distracted. This would not be a helpful  exercise if you didn't get distracted. People   get so down on themselves for like, "Oh, I got so  distracted. It was a bad session." No. Nonsense.   It's a really good session. That's like saying,  like, "The the weights were really heavy when I   was working out. It was a bad session." They're  supposed to be heavy. Like you can be proud of   like being a little sore. Like you're like, "Oh,  I'm so sore cuz I just really lost attention a lot   this exercise." Like. So that's that's it. That's  the whole thing. You pay attention to your breath,   you get distracted, you notice that you're  distracted, you refocus back on your breath.   That's it. And you do everything non-judgmentally.  You're not being critical with yourself. You're   not thinking about why this is happening or  what you should be doing differently or - it's   just very, very simple. It's it's like exercise,  and you do it. And we can talk a little bit more   about logistics for how long do you do it and when  you do it and all that kind of stuff, but I just   want to really get across the idea that it does  not have to be and really should not be any more   complicated than that. That's it. Love it. I love  it. I love it. And mindfulness training has been   shown to be very effective at treating anxiety and  depression, right? I have found this really simple   approach to mindfulness the most effective for  that specific goal. Yeah. Okay, I'm going to grab   my poster just to illustrate what we're doing, and  then we're going to come back and you're going to   explain people, explain to people like what, how  to implement this in their daily life. So one sec. Great. Look, Nick, I got a poster made. Whoa.  Look at it. Props, you got props. I'm so proud of   myself. I used Staples, you know. So when people  are in like their default nervous system mode,   they're in a state of safety, they experience  a stimulus, which they interpret as dangerous,   like, oh, someone jumps out at you from a tr -  when you're on a trail, and your brain's like,   "Oh my gosh, it could be a bear," and that's  what triggers the anxiety response. But the   reason people have anxiety disorders is, right  here, all day long they're having these worries   pop into their brain. They're like, "Oh my  gosh, what if I fail that test?" "Oh my gosh,   what if - I have that email I have to respond  to." "I don't do good at work," or whatever   it is. We - "I need to do this, and I need to  do that." and those worries all day long are   triggering this fight/flight/freeze response.  So when people are engaging in mindfulness,   they're bringing their attention to noticing those  worries and maybe redirecting their attention,   or they're noticing those worries and redirecting  their attention to like, hmm, other things around   them or thoughts, like, "Oh, everything's going to  be okay." And that interrupts this anxiety cycle   because, all of a sudden, instead of believing  something's dangerous, you're like, "Actually,   I'm safe right now, here in the present moment.  I'm safe enough." And you go from stimulus back   into the parasympathetic response. That's how I  think of this, at least. So. Yeah. Totally. I,   so I would say two things on that. Yeah. This  this ability to to let go of and shift your   attention off of something unhelpful, like worry,  and onto something productive or or helpful, like,   you know, the conversation you're in or the work  you have to do, whatever it is - Yeah - it's it's   helpful on two levels. A, in the moment,  you're going to worry less, and therefore   you're going to generate less anxiety, right? So  it's actually really, it's hard, but it's helpful   just literally in the moment. You will you will be  less anxious. Right. It's also helpful long term,   though, because what it does is it it teaches your  brain. When you stop getting obsessed with those   worries every time a worry comes - each time  you you have a conversation with your worry,   you're giving it attention and you're reinforcing  your brain's tendency to throw those worries at   you. If you put boundaries on them and you say,  "Okay, I hear you talking to me, but actually I'm   not going to reinforce that with attention.  I'm going to go on my way and do something   else," over time you teach your brain to throw  fewer worries at you, which it getting - which   helps get you out of that cycle long term. And  that's the real magic of learning to control your   attention and getting stronger at that ability,  which mindfulness is one way um to do. Yeah. And   I I think - I I love that. Okay. So if someone  wants to practice mindfulness, how do they do   it? Okay. So I have another hot take on this.  Most people are way too slow and gradual when   they work into mindfulness. It's tempting to think  with anything difficult - and a lot of people have   a really hard time with mindfulness - I'm one of  them - in part because they think it, they think,   "I shouldn't get distracted" or "It should be  easy. It should be relaxing." Yeah. Nonsense.   It's a workout. It should be hard. Getting  distracted helps you build that muscle. We   covered that already. The other mistake, though,  I see is that, people, you're going to get more   benefit just - so imagine this: you decide, okay,  I'm going to start lifting weights because I want   to get stronger, right? But you only lift weights  for five minutes a day. Now, that's nice, right?   And I'm sure there's some benefit. Better than  nothing. Better than nothing. Absolutely. Right?   But but here's the thing. For, to stay motivated,  to really be able to lift weights significantly,   progress is the most powerful motivator. You got  to feel like you're making progress. You got to   feel like you're getting stronger. Yeah. You got  to look at your biceps and go like, actually,   hey, they're a little bigger, right? Yeah. Like  I'm looking, I'm looking a little better. I'm   lifting stronger. That, long term - Yeah - that  progress is is what's going to motivate you to   keep going and make this a really consistent and  effective practice. So what happens is if you go   too slow and too small for too long, you lo, you  lose motivation, and you just give up because   you're not getting anything out of it. Mm. So  mindfulness is the same way. It doesn't mean you   can't start small. You should start small, right?  So this exercise I described, do it - set a timer   on your phone for five minutes - two, do it for  two minutes, right? Do that for a day or two. But   pretty quickly jump up to 10 minutes for another  day or two, okay? Then relatively quickly go to   20 and 30 minutes, because you will get so much  more out of this if you're in the 20 to 30 minute   zone than if you're in the five minutes zone. And  I know that sounds hard. Like Emma, it looks like   you're having a panic attack over there. Yeah.  That sounds really hard for me, and I'm going   to try it. And I'm gonna like film the results. So  yes, but like the thought of sitting still for 20   minutes for me is like, oh my gosh, that sounds so  hard. Yeah. And of course, everyone's different.   Take this with it. But what I want to get across  is this general principle that if you want to   stick with this long term and see the benefit  of it - Yeah - you have to see results from it,   and you're you're just not going to see results  if you're only doing 5 minutes a day. Like it   might be nice, and you might get some benefits  from it, but if you want to put a serious dent   in your anxiety by really learning how to control  your attention, like 5 minutes a day is not going   to cut it. I'm just going to be straight up. All  right. It's not going to do it. Okay. It's got to   be more than that. So is it 30 minutes? I don't  know. Maybe it's maybe it's 15 or 20 minutes. But   the point is it's got to be a significant thing  if you want those muscles to get stronger. But   the good thing is, after the initial hump it's  not like you have to grin and bear it the whole   time it. You will enjoy it more. Huh. You will  feel yourself getting stronger. Okay. And it so   it will become a more enjoyable thing. It's like  if anyone out there is a runner - I I had, there,   this, I - we have this family friend who was a  triathlete. And I I never used to like to run.   And she used to see, she always said ,"How, well,  how far do you run?" I said, "I don't know. Like   a mile." She was like, "Nobody likes running the  first mile. Like it's awful. Your body's like, 'I   don't want to do this,' you know. You always feel  bad. You never feel good until you start getting   to higher mileage, like three, four, five miles,  and your body accepts, 'Hey, this is something   new,' and you kick into a different gear."  Mindfulness training is exactly the same way.   Everybody feels crappy the first five minutes,  which is why you need to push through and quickly   get to a place where you're doing 20-, 30-minute  sessions. Okay. So I I I love this. And I know a   lot of people really really benefit from this. And  I'm going to try it. And if I come back - because   I'm gonna I'm going to record my progress on this  - if I come back and I'm like, "Oh my gosh, I   enjoyed a 20-minute, like a 20-minute mindfulness  session," I'm gonna I'm gonna like buy you lunch   to anywhere you want to go. Fanciest place you  want to go. Arizona. All right. Remember, though,   it's all about expectations. Okay. Right. This  is not a coping strategy to feel relaxed. Yeah.   The goal isn't to feel - if you went out of,  if you went out of a workout and felt relaxed,   you'd actually be disappointed. You'd think,  "I probably didn't get a very good workout in,"   right? Yeah. Yeah. You want to feel like, "I'm  sweaty. I'm kind of nasty. I'm stinky. I'm like,   I'm sore." Yeah. Yes. A good workout. And I can  totally get that when it comes to like physical   exercise. Like I really enjoy exercise, and I love  a good, hard exercise. So we'll go see if I can do   do this. I'm I'm gonna do it, Nick. I'm gonna  give it, I'm gonna give it my best. I believe   you, Emma. I believe you. So so do that, so a  couple minute, start with two or five minutes,   do that for a couple days, up to 10 minutes couple  days, and then get to 20 or 30 within a week. Yep.   Exactly. And do do you have to sit cross-legged  and hold your fingers like this and say,   "Ohm"? [Laughter] It doesn't matter. I mean,  you can if you want. No. Doesn't matter. I mean,   if you're doing this late at night, you don't want  to be laying on your bed because you're just going   to fall asleep, right? But whatever. The, these  are the kind of details that don't ultimately   matter for this type of mindfulness. Okay. Just  find someplace comfortable - Okay - and get to it.   Great. Okay. And the goal of this is to exercise,  not to just feel good. Exactly. It's an exercise,   not a coping strategy. Great. Okay. Awesome. Do  you come across any other like common worries   or difficulties people have when they start  mindfulness? Hmm. Gosh. The big one is just - it's   it's wild to me how judgmental people are of  themselves with mindfulness. I don't know where   this comes from. But the thing to really keep in  mind is that you just really want to be gentle   with yourself. Like think about how you are with  like a best friend or, you know, with your kids   or like - There's no reason you shouldn't treat  yourself trying something new and difficult with   the same level of gentleness that you would  you would approach, you know, someone else,   a good friend or someone who was trying something  to - You' be like, "Dude, that's awesome. That's   super hard. I know it sucks, like parts of  it suck, but like good for you. Like that's   so great." Like why can't you extend the same  attitude to yourself? You can. You're probably not   in the habit of doing it, but you absolutely can.  And I think that's probably another ultimately   maybe even more important benefit that you can get  out of mindfulness training -Yeah - is that it it   teaches you to be kinder um and to have a better  relationship with yourself, which is just like,   the, that's everything. That's like the core  of everything. Yeah. So be gentle. I think   gentleness is like the key word when it comes to  mindfulness training. Okay. So so we're going to   get out there, go to - start with five minutes  a day, let yourself notice your breathing,   not try to change it, not try to think about  breathing, practice noticing, and you're going to   lose track of what you're -you're going to, your  mind is going to wander. That's normal, natural,   and to be expected. Gently bring it back with  love and compassion. Bring your attention back to   your breath, and then do that over and over again  until your timer goes off. That's the main idea,   right? That's it. Okay. And remember, look, this  is not the only way to lower your anxiety. I've   just found that this is a particularly effective  way, especially if you struggle with getting lost   in conversation with your worries. If if if  if you can do this, this is such an effective,   concentrated dose of working through chronic worry  and anxiety. It's just so effective, so it's at   least worth giving it a really good shot, I think.  Yeah. I love it. I love love it. Well, I'm going   to try it, and I'm going to come back and tell  y'all how it went. I'm really looking forward to   my big steak lunch that you're going to buy me.  Yeah. Yeah. I'm excited. I'm excited. It's going   to be, it's going to be awesome. So thank you  again, so much, Nick. Really appreciate you taking   the time to be here today. Of course. Thanks for  having me on. I always love chatting with you,   Emma. Yeah. And for all of you out there, you  can find more of his teaching. You can sign up   for his newsletter and see some of his articles  at his website, nickwignall.com. Cool. Well,   thank you. Really appreciate it. Have a good  one. Of course. See you. Okay. All right. [Music]
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Channel: Therapy in a Nutshell
Views: 200,392
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Keywords: therapy in a nutshell, emma mcadam, mental health, depression, anxiety, overthinking, social anxiety, what you focus on becomes your reality
Id: xpCN98W3A7o
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Length: 24min 13sec (1453 seconds)
Published: Thu Nov 30 2023
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